PALS ALL QUESTIONS WITH COMPLETE
AND 100% CORRECTLY SOLVED
ANSWERS
You are caring for a child who was resuscitated after a drowning event. The
child is intubated and ventilated with 100% oxygen with equal breath sounds
and exhaled CO2 detected. The heart rate is slow and the monitor shows
sinus bradycardia. The skin is cool, mottled, and moist; distal pulses are not
palpable and the central pulses are weak. Intravenous access has been
established. The core temperature is 37.3oC. Based on the PALS bradycardia
algorithm, which of the following should be provided first?
A. Epinephrine IV
B. Transcutaneous pacing
C. Atropine IV
D. Dobutamine IV infusion - Correct Answer-Epinephrine IV
You are caring for a 5-year-old patient with supraventricular tachycardia
(heart rate = 220/min). The child is lethargic. The skin is pale and cool with
delayed capillary refill. Distal pulses are not palpable. Which of the following
would be the best treatment to provide without delay?
A. Place cold packs on the distal upper and lower extremities
B. Ask the child to blow through a small straw
C. Exert light pressure on the eyes bilaterally
D. Provide synchronized cardioversion at 0.5 to 1 J/kg - Correct Answer-
Provide synchronized cardioversion at 0.5 to 1 J/kg
You are initiating treatment for a child with septic shock and hypotension.
While administering high-flow oxygen you determine that the child's
respirations are adequate and SpO2 is 100%. You have just established
vascular access and obtained blood samples. Which of the following is the
next most appropriate therapy to support systemic perfusion?
A. Administer repeated fluid boluses of isotonic colloid
B. Administer repeated fluid boluses of isotonic crystalloid
C. Begin immediate dopamine infusion
D. Begin immediate dobutamine infusion - Correct Answer-Administer
repeated fluid boluses of isotonic crystalloid
, You are treating an 8-year-old with ventricular tachycardia with pulses and
adequate perfusion. You attempted synchronized cardioversion without
success. While seeking expert consultation, it would be most appropriate to:
A. Administer a loading dose of milrinone
B. Consider possible metabolic and toxicologic causes
C. Initiate overdrive pacing transcutaneous
D. Deliver an unsynchronized shock - Correct Answer-Consider possible
metabolic and toxicologic causes
You are caring for a 2-year-old unconscious patient who is intubated and
receiving mechanical ventilation. The child's heart rate suddenly drops to
40/min and his color becomes mottled. You should respond to these changes
by:
A. Increasing the ventilator rate
B. Increasing tidal volume
C. Increasing positive end-expiratory pressure (PEEP)
D. Using a resuscitation bag provide manual ventilation with 100%
oxygen - Correct Answer-Using a resuscitation bag provide manual
ventilation with 100% oxygen
You are caring for a 9-month-old patient with pronounced respiratory
distress. You initiated high-flow oxygen using a nonrebreathing mask about
10 minutes ago and established intravenous access. Initially the infant's
heart rate was in the 150/min range with strong pulses. Suddenly the infant's
respiratory rate falls to 6/min with significant intercostals retractions, and
little air movement is heard. The infant becomes cyanotic and the heart rate
decreases to 95/min. Which of the following treatments would be best for
you to provide now?
A. Administer epinephrine IV
B. Provide bag-mask ventilation
C. Administer magnesium sulfate IV
D. Intubate and ventilate - Correct Answer-Provide bag-mask ventilation
Which of the following is likely to be the most helpful technique to identify
potentially reversible metabolic and toxic causes during the attempted
resuscitation of a young child in cardiac arrest?
A. Obtaining a urine sample for toxicology screen
B. Obtaining chest and abdominal radiographs
C. Soliciting a history from the caregiver or family
D. Obtaining a venous blood gas - Correct Answer-Soliciting a history from
the caregiver or family
AND 100% CORRECTLY SOLVED
ANSWERS
You are caring for a child who was resuscitated after a drowning event. The
child is intubated and ventilated with 100% oxygen with equal breath sounds
and exhaled CO2 detected. The heart rate is slow and the monitor shows
sinus bradycardia. The skin is cool, mottled, and moist; distal pulses are not
palpable and the central pulses are weak. Intravenous access has been
established. The core temperature is 37.3oC. Based on the PALS bradycardia
algorithm, which of the following should be provided first?
A. Epinephrine IV
B. Transcutaneous pacing
C. Atropine IV
D. Dobutamine IV infusion - Correct Answer-Epinephrine IV
You are caring for a 5-year-old patient with supraventricular tachycardia
(heart rate = 220/min). The child is lethargic. The skin is pale and cool with
delayed capillary refill. Distal pulses are not palpable. Which of the following
would be the best treatment to provide without delay?
A. Place cold packs on the distal upper and lower extremities
B. Ask the child to blow through a small straw
C. Exert light pressure on the eyes bilaterally
D. Provide synchronized cardioversion at 0.5 to 1 J/kg - Correct Answer-
Provide synchronized cardioversion at 0.5 to 1 J/kg
You are initiating treatment for a child with septic shock and hypotension.
While administering high-flow oxygen you determine that the child's
respirations are adequate and SpO2 is 100%. You have just established
vascular access and obtained blood samples. Which of the following is the
next most appropriate therapy to support systemic perfusion?
A. Administer repeated fluid boluses of isotonic colloid
B. Administer repeated fluid boluses of isotonic crystalloid
C. Begin immediate dopamine infusion
D. Begin immediate dobutamine infusion - Correct Answer-Administer
repeated fluid boluses of isotonic crystalloid
, You are treating an 8-year-old with ventricular tachycardia with pulses and
adequate perfusion. You attempted synchronized cardioversion without
success. While seeking expert consultation, it would be most appropriate to:
A. Administer a loading dose of milrinone
B. Consider possible metabolic and toxicologic causes
C. Initiate overdrive pacing transcutaneous
D. Deliver an unsynchronized shock - Correct Answer-Consider possible
metabolic and toxicologic causes
You are caring for a 2-year-old unconscious patient who is intubated and
receiving mechanical ventilation. The child's heart rate suddenly drops to
40/min and his color becomes mottled. You should respond to these changes
by:
A. Increasing the ventilator rate
B. Increasing tidal volume
C. Increasing positive end-expiratory pressure (PEEP)
D. Using a resuscitation bag provide manual ventilation with 100%
oxygen - Correct Answer-Using a resuscitation bag provide manual
ventilation with 100% oxygen
You are caring for a 9-month-old patient with pronounced respiratory
distress. You initiated high-flow oxygen using a nonrebreathing mask about
10 minutes ago and established intravenous access. Initially the infant's
heart rate was in the 150/min range with strong pulses. Suddenly the infant's
respiratory rate falls to 6/min with significant intercostals retractions, and
little air movement is heard. The infant becomes cyanotic and the heart rate
decreases to 95/min. Which of the following treatments would be best for
you to provide now?
A. Administer epinephrine IV
B. Provide bag-mask ventilation
C. Administer magnesium sulfate IV
D. Intubate and ventilate - Correct Answer-Provide bag-mask ventilation
Which of the following is likely to be the most helpful technique to identify
potentially reversible metabolic and toxic causes during the attempted
resuscitation of a young child in cardiac arrest?
A. Obtaining a urine sample for toxicology screen
B. Obtaining chest and abdominal radiographs
C. Soliciting a history from the caregiver or family
D. Obtaining a venous blood gas - Correct Answer-Soliciting a history from
the caregiver or family
