LATEST PALS PRE TEST ACTUAL QUESTIONS AND
CORRECT VERIFIED ANSWERS (A NEW UPDATED
VERSION 2024-2025) |GUARANTEED PASS A+ (BRAND
NEW!!) FULL REVISED
An 8-month-old infant is brought to the emergency department for
evaluation of severe diarrhea and dehydration. On arrival to the
emergency department, the infant become unresponsive, apneic, and
pulseless. You should for help and start CPR. Another provider arrives,
at which point you switch to 2-rescuer CPR. The rhythm shown here is
seen on the cardiac monitor. The infant is intubated and ventilated with
100% oxygen. An IO line is established, and a dose of epinephrine is
given. While continuing high-quality CPR, what do you do next? -
Answer-Give normal saline 20 mL/kg IO rapidly
You are alone and witness a child suddenly collapse. There is no
suspected head or neck injury. A colleague responded to your shout for
help and is activating the emergency response system and is retrieving
the resuscitation equipment, including a defibrillator. After delivering
30 compressions, what would be your next action? - Answer-Open the
airway with a head tilt-chin lift maneuver and give 2 breaths
What ratio of compressions to breaths should be used for 1-rescuer
child CPR? - Answer-30 compressions to 2 breaths
A 10-month-old infant boy is brought to the emergency department.
Your initial assessment reveals a lethargic, pale infant with slow
,respirations and slow, weak central pulses. One team member begins
ventilation with a bag-mask device with 100% oxygen. A second team
member attaches the monitor/defibrillator and obtains vital signs while
a third team member attempts to establish IV/IO access. The patient's
heart rate is 38/min with rhythm shown here. The infant's blood
pressure is 58/38 mm Hg, and capillary refill is 4 second. His central
pulses remain weak, and distal pulses cannot be palpated. Chest
compressions are started and IO access is obtained. Which medication
do you anticipate will be given next? - Answer-Epinephrine 0.01 mg/Kg
IV/IO
A child become unresponsive in the emergency department and is not
breathing. You are uncertain if a faint pulse is present. You shout for
help and provide ventilation with 100% oxygen. The rhythm shown
here is seen on the cardiac monitor. What is your next action? -
Answer-Start high-quality CPR
You are called to help treat an infant with severe symptomatic
bradycardia (heart rate 66/min) associated with respiratory distress.
The bradycardia persists despite establishment of an effective airway,
oxygenation, and ventilation. There is no heart block present. Which is
the first drug you should administer? - Answer-Epinephrine
Initial impression of a 2yo girl shows her to be alert with mild breathing
difficulty during inspiration and pale skin color. On primary assessment,
she makes high-pitched inspiratory sounds (mild stridor) when agitated;
otherwise, her breathing is quiet. Her spO2 is 92% on room air, and she
has mild inspiratory intercostal retractions. Lung auscultation reveals
, transmitted upper airway sounds with adequate distal breath sounds
bilaterally. Which is the most appropriate initial intervention for this
child? - Answer-Humidified oxygen as tolerated
You are part of a team attempting to resuscitate a child with ventricular
fibrillation cardiac arrest. You delivered 2 unsynchronized shocks. A
team member established IO access, so you give a dose of epinephrine,
0.01 mg/kg IO. At the next rhythm check, persistent ventricular
fibrillation is present. You administer a 4 J/kg shock and resume CPR.
Which drug and dose should be administered next? - Answer-
Amiodarone 5 mg/kg IO
Which statement is correct about the effects of epinephrine during
attempted resuscitation? - Answer-Epinephrine stimulates spontaneous
contractions when asystole is present
A previously healthy infant with a history of vomiting and diarrhea is
brought to the emergency department by her parents. During your
assessment, you find that the infant responds only to painful
stimulation. - Answer-Administer a bolus of isotonic crystalloid 20 ml/kg
over 5-20 minutes, and also give D25W 2-4 ml/kg IV
Which statement is correct about endotracheal drug administration
during resuscitative efforts for pediatric patients? - Answer-It is the
least desirable route of administration
CORRECT VERIFIED ANSWERS (A NEW UPDATED
VERSION 2024-2025) |GUARANTEED PASS A+ (BRAND
NEW!!) FULL REVISED
An 8-month-old infant is brought to the emergency department for
evaluation of severe diarrhea and dehydration. On arrival to the
emergency department, the infant become unresponsive, apneic, and
pulseless. You should for help and start CPR. Another provider arrives,
at which point you switch to 2-rescuer CPR. The rhythm shown here is
seen on the cardiac monitor. The infant is intubated and ventilated with
100% oxygen. An IO line is established, and a dose of epinephrine is
given. While continuing high-quality CPR, what do you do next? -
Answer-Give normal saline 20 mL/kg IO rapidly
You are alone and witness a child suddenly collapse. There is no
suspected head or neck injury. A colleague responded to your shout for
help and is activating the emergency response system and is retrieving
the resuscitation equipment, including a defibrillator. After delivering
30 compressions, what would be your next action? - Answer-Open the
airway with a head tilt-chin lift maneuver and give 2 breaths
What ratio of compressions to breaths should be used for 1-rescuer
child CPR? - Answer-30 compressions to 2 breaths
A 10-month-old infant boy is brought to the emergency department.
Your initial assessment reveals a lethargic, pale infant with slow
,respirations and slow, weak central pulses. One team member begins
ventilation with a bag-mask device with 100% oxygen. A second team
member attaches the monitor/defibrillator and obtains vital signs while
a third team member attempts to establish IV/IO access. The patient's
heart rate is 38/min with rhythm shown here. The infant's blood
pressure is 58/38 mm Hg, and capillary refill is 4 second. His central
pulses remain weak, and distal pulses cannot be palpated. Chest
compressions are started and IO access is obtained. Which medication
do you anticipate will be given next? - Answer-Epinephrine 0.01 mg/Kg
IV/IO
A child become unresponsive in the emergency department and is not
breathing. You are uncertain if a faint pulse is present. You shout for
help and provide ventilation with 100% oxygen. The rhythm shown
here is seen on the cardiac monitor. What is your next action? -
Answer-Start high-quality CPR
You are called to help treat an infant with severe symptomatic
bradycardia (heart rate 66/min) associated with respiratory distress.
The bradycardia persists despite establishment of an effective airway,
oxygenation, and ventilation. There is no heart block present. Which is
the first drug you should administer? - Answer-Epinephrine
Initial impression of a 2yo girl shows her to be alert with mild breathing
difficulty during inspiration and pale skin color. On primary assessment,
she makes high-pitched inspiratory sounds (mild stridor) when agitated;
otherwise, her breathing is quiet. Her spO2 is 92% on room air, and she
has mild inspiratory intercostal retractions. Lung auscultation reveals
, transmitted upper airway sounds with adequate distal breath sounds
bilaterally. Which is the most appropriate initial intervention for this
child? - Answer-Humidified oxygen as tolerated
You are part of a team attempting to resuscitate a child with ventricular
fibrillation cardiac arrest. You delivered 2 unsynchronized shocks. A
team member established IO access, so you give a dose of epinephrine,
0.01 mg/kg IO. At the next rhythm check, persistent ventricular
fibrillation is present. You administer a 4 J/kg shock and resume CPR.
Which drug and dose should be administered next? - Answer-
Amiodarone 5 mg/kg IO
Which statement is correct about the effects of epinephrine during
attempted resuscitation? - Answer-Epinephrine stimulates spontaneous
contractions when asystole is present
A previously healthy infant with a history of vomiting and diarrhea is
brought to the emergency department by her parents. During your
assessment, you find that the infant responds only to painful
stimulation. - Answer-Administer a bolus of isotonic crystalloid 20 ml/kg
over 5-20 minutes, and also give D25W 2-4 ml/kg IV
Which statement is correct about endotracheal drug administration
during resuscitative efforts for pediatric patients? - Answer-It is the
least desirable route of administration
