PALS REVIEW QUESTIONS AND
VERIFIED ANSWERS|100%
CORRECT|GRADE A+
The most determining factor in relation to a child's cardiac output is the? - ANSWER Heart rate
What pharmacologic intervention in the presence of anaphylactic shock has almost no immediate
benefit? - ANSWER Corticosteroids.
What side effect is not commonly associated with the administration of albuterol? - ANSWER
Bradycardia.
When performing a pulse check in a child, the provider should? - ANSWER palpate the carotid pulse (
brachial artery in infants).
The grunting sound heard in many lower airway diseases is caused by? - ANSWER air pushing up against
the glottis.
The most common type of shock in children worldwide is? - ANSWER hypovolemic shock.
The most common cause of nonsinus tachycardia in children is? - ANSWER accessory pathway SVT.
The most common cause of acute cardiogenic pulmonary edema is? - ANSWER CHF.
You are doing CPR on a child with bradycardia. An intravenous line is in place. What is the first drug of
choice for the patient? - ANSWER Epinephrine 0.01 mg/kg of 1:10000 concentration every 3 to 5 minutes
You are on a resuscitation team caring for an 8 year old child. You know that the normal resting heart
rate HIGH for a child of this age is? - ANSWER 140
Your pediatric patient is in septic shock with vasodilated (warm) shock. Pt received multiple fluid boluses
and continues to be hypotensive. The vasoactive drug of choice is? - ANSWER Norepinephrine
, (0.1 to 2mcg/kg/min)
A 10 year-old child is brought to the ED with a systolic blood pressure of 100, a heart rate of 110, slightly
delayed capillary refill and cool, pale skin. You suspect that the child is in ______ shock ? - ANSWER
Compensated shock
For asystole, the team should do CPR until IV or IO access is achieved. The drug of choice for asystole is?
- ANSWER Epinephrine (0.01 mg/kg 1:10000 concentration every 3 to 5 minutes)
In school age children and infants, the two most common initial rhythms seen in pediatric cardiac arrest
are? - ANSWER Asystole and PEA
CPR and rescue breathing for peds facts/ratio? - ANSWER 30:2 if alone 15:2 if with aid. Activate EMS
AFTER 2 minutes if alone
Peds IV/IO dose for Dopamine in Cardiogenic shock? - ANSWER 2 to 20 mcg/kg/min
A room air SpO2 reading less than _____ in a child indicates hypoxemia? - ANSWER 94%
Stridor is a sign of what? - ANSWER Upper airway obstruction.
Peds IV/IO dose for Vasopressin in Cardiac arrest? - ANSWER 0.4 to 1 unit/kg bolus (max dose 40 units)
Peds IV/IO dose for Procainamide in SVT, Atrial flutter and VT (with pluses)? - ANSWER 15 mg/kg load
over 30-60 minutes.
Peds IV/IO dose for Mg Sulfate in Torsades de Pointes? - ANSWER 25 to 50 mg/kg over 10-20 minutes
(max dose 2 g)
Peds IV/IO dose for Lidocaine in VE/pulseless VT or wide complextachycardia (with pulses)? - ANSWER
1mg/kg loading bolus
VERIFIED ANSWERS|100%
CORRECT|GRADE A+
The most determining factor in relation to a child's cardiac output is the? - ANSWER Heart rate
What pharmacologic intervention in the presence of anaphylactic shock has almost no immediate
benefit? - ANSWER Corticosteroids.
What side effect is not commonly associated with the administration of albuterol? - ANSWER
Bradycardia.
When performing a pulse check in a child, the provider should? - ANSWER palpate the carotid pulse (
brachial artery in infants).
The grunting sound heard in many lower airway diseases is caused by? - ANSWER air pushing up against
the glottis.
The most common type of shock in children worldwide is? - ANSWER hypovolemic shock.
The most common cause of nonsinus tachycardia in children is? - ANSWER accessory pathway SVT.
The most common cause of acute cardiogenic pulmonary edema is? - ANSWER CHF.
You are doing CPR on a child with bradycardia. An intravenous line is in place. What is the first drug of
choice for the patient? - ANSWER Epinephrine 0.01 mg/kg of 1:10000 concentration every 3 to 5 minutes
You are on a resuscitation team caring for an 8 year old child. You know that the normal resting heart
rate HIGH for a child of this age is? - ANSWER 140
Your pediatric patient is in septic shock with vasodilated (warm) shock. Pt received multiple fluid boluses
and continues to be hypotensive. The vasoactive drug of choice is? - ANSWER Norepinephrine
, (0.1 to 2mcg/kg/min)
A 10 year-old child is brought to the ED with a systolic blood pressure of 100, a heart rate of 110, slightly
delayed capillary refill and cool, pale skin. You suspect that the child is in ______ shock ? - ANSWER
Compensated shock
For asystole, the team should do CPR until IV or IO access is achieved. The drug of choice for asystole is?
- ANSWER Epinephrine (0.01 mg/kg 1:10000 concentration every 3 to 5 minutes)
In school age children and infants, the two most common initial rhythms seen in pediatric cardiac arrest
are? - ANSWER Asystole and PEA
CPR and rescue breathing for peds facts/ratio? - ANSWER 30:2 if alone 15:2 if with aid. Activate EMS
AFTER 2 minutes if alone
Peds IV/IO dose for Dopamine in Cardiogenic shock? - ANSWER 2 to 20 mcg/kg/min
A room air SpO2 reading less than _____ in a child indicates hypoxemia? - ANSWER 94%
Stridor is a sign of what? - ANSWER Upper airway obstruction.
Peds IV/IO dose for Vasopressin in Cardiac arrest? - ANSWER 0.4 to 1 unit/kg bolus (max dose 40 units)
Peds IV/IO dose for Procainamide in SVT, Atrial flutter and VT (with pluses)? - ANSWER 15 mg/kg load
over 30-60 minutes.
Peds IV/IO dose for Mg Sulfate in Torsades de Pointes? - ANSWER 25 to 50 mg/kg over 10-20 minutes
(max dose 2 g)
Peds IV/IO dose for Lidocaine in VE/pulseless VT or wide complextachycardia (with pulses)? - ANSWER
1mg/kg loading bolus
