PALS Pre-course Assessment Ques & Ans
1. SVT converting to sinus rhythm after adenosine administrati on
2. Sinus bradycardia An
3. Sinus bradycardia - version 2
4. Normal sinus rhythm
5. Asystole
6. Wide complex tachycardia
7. Wide complex tachycardia - version 2
8. Torsades de pointes
9. Supraventricular tachycardia
10. m
VF with successful defib and resumption of organized rhyth
A
11. Pulseless electrical activity
12. Ventricular fibrillation
13. Sinus tachycardia
14. 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. The infant's
respira- tory rate is 40 breaths per minute, and central pulses are rapid and
weak. The infant has good bilateral breath sounds, cool extremities, and a
capillary refill time of more than 5 seconds. The infant's blood pressure is 85/65
mmHg, and glucose is 30 mg/dL (1.65 mmol/L). You administer 100% oxygen via
face mask and start an IV. Which treatment is most appropriate for this infant?
Answer Administer a bolus of isotonic crystalloid 20 ml/kg over 5-20 minutes, and also give D25W 2-4 ml/kg IV
15. A 9yo boy is agitated and leaning forward on the bed in obvious
respiratory distress. The patient is speaking in short phrases and tells you that he
has asth- ma but does not carry an inhaler. He has nasal flaring, severe
suprasternal and intercostal retractions, and decreased air movement with
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, prolonged expiratory time and wheezing. You administer 100% oxygen by a
nonrebreathing mask. His spO2 is 92%. Which med do you prepare to give to this
patient?
Answer Albuterol (duh)
16. Paramedics are called to the home of a 1yo child. Their initial assessment
reveals a child who responds only to painful stimuli and has irregular breathing,
faint central pulses, bruises over the abdomen, abdominal distention, and
cyanosis. Bag-mask ventilation with 100% oxygen is initiated. The child's heart
rate is 36/min. Peripheral pulses cannot be palpated, and central pulses are
barely palpable. The cardiac monitor shows sinus bradycardia. Two-rescuer CPR is
started. Upon arrival to the emergency department, the child is intu- bated and
ventilated with 100% oxygen, and IV access is established. The heart rate is now
150/min with weak central pulses but no distal pulses. Systolic blood pressure is 74
mmHg. Which intervention should be provided next?
Answer Rapid bolus of 20ml/kg of isotonic crystalloid
17. You are called to help treat an infant with severe symptomatic
bradycardia (heart rate 66/min) associated with respiratory distress. The
bradycardia per- sists 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
18. Which statement is correct about the use of calcium chloride in
pediatric patients?
Answer Routine administration is not indicated during cardiac arrest
19. Which statement is correct about endotracheal drug administration
during resuscitative efforts for pediatric patients?
Answer It is the least desirable route of administration
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1. SVT converting to sinus rhythm after adenosine administrati on
2. Sinus bradycardia An
3. Sinus bradycardia - version 2
4. Normal sinus rhythm
5. Asystole
6. Wide complex tachycardia
7. Wide complex tachycardia - version 2
8. Torsades de pointes
9. Supraventricular tachycardia
10. m
VF with successful defib and resumption of organized rhyth
A
11. Pulseless electrical activity
12. Ventricular fibrillation
13. Sinus tachycardia
14. 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. The infant's
respira- tory rate is 40 breaths per minute, and central pulses are rapid and
weak. The infant has good bilateral breath sounds, cool extremities, and a
capillary refill time of more than 5 seconds. The infant's blood pressure is 85/65
mmHg, and glucose is 30 mg/dL (1.65 mmol/L). You administer 100% oxygen via
face mask and start an IV. Which treatment is most appropriate for this infant?
Answer Administer a bolus of isotonic crystalloid 20 ml/kg over 5-20 minutes, and also give D25W 2-4 ml/kg IV
15. A 9yo boy is agitated and leaning forward on the bed in obvious
respiratory distress. The patient is speaking in short phrases and tells you that he
has asth- ma but does not carry an inhaler. He has nasal flaring, severe
suprasternal and intercostal retractions, and decreased air movement with
1/
13
, prolonged expiratory time and wheezing. You administer 100% oxygen by a
nonrebreathing mask. His spO2 is 92%. Which med do you prepare to give to this
patient?
Answer Albuterol (duh)
16. Paramedics are called to the home of a 1yo child. Their initial assessment
reveals a child who responds only to painful stimuli and has irregular breathing,
faint central pulses, bruises over the abdomen, abdominal distention, and
cyanosis. Bag-mask ventilation with 100% oxygen is initiated. The child's heart
rate is 36/min. Peripheral pulses cannot be palpated, and central pulses are
barely palpable. The cardiac monitor shows sinus bradycardia. Two-rescuer CPR is
started. Upon arrival to the emergency department, the child is intu- bated and
ventilated with 100% oxygen, and IV access is established. The heart rate is now
150/min with weak central pulses but no distal pulses. Systolic blood pressure is 74
mmHg. Which intervention should be provided next?
Answer Rapid bolus of 20ml/kg of isotonic crystalloid
17. You are called to help treat an infant with severe symptomatic
bradycardia (heart rate 66/min) associated with respiratory distress. The
bradycardia per- sists 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
18. Which statement is correct about the use of calcium chloride in
pediatric patients?
Answer Routine administration is not indicated during cardiac arrest
19. Which statement is correct about endotracheal drug administration
during resuscitative efforts for pediatric patients?
Answer It is the least desirable route of administration
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13
