PALS Pre-Course Self-Assessment Test
Questions and Answers
1. SVT converting to sinus rhythm after adenosine administrati on
2. Sinus bradycardia: :
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. VF with successful defib and resumption of organized m rhyth
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): 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,
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12
, and decreased air movement with 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?:
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 em: 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?-
: Epinephrine
18. Which statement is correct about the use of calcium
chloride in pediatric patients?: Routine administration is not indicated during cardiac
arrest
19. Which statement is correct about endotracheal drug
administration during resuscitative efforts for pediatric patients?: It is the
least desirable route of administration
20. Initial impression of a 2yo girl shows her to be alert with mild
2/
12
Questions and Answers
1. SVT converting to sinus rhythm after adenosine administrati on
2. Sinus bradycardia: :
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. VF with successful defib and resumption of organized m rhyth
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): 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,
1/
12
, and decreased air movement with 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?:
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 em: 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?-
: Epinephrine
18. Which statement is correct about the use of calcium
chloride in pediatric patients?: Routine administration is not indicated during cardiac
arrest
19. Which statement is correct about endotracheal drug
administration during resuscitative efforts for pediatric patients?: It is the
least desirable route of administration
20. Initial impression of a 2yo girl shows her to be alert with mild
2/
12
