PALS PRE-COURSE SELF-ASSESSMENT
EXAM
Questions and Answers
1. 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 too
painful stimulation. The infant's respiratory rate is 40 breaths per
minute, and central pulses are rapid and weak. The infant has good
bilateral breaths sounds, cool extremities, and a capillary refill time
of more that 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?: Administer a bolus of isotonic crystalloid 20mL/kg over 5 to 20 minutes,
and also give D25W 2 to 4 mL/kg IV.
2. Which statement is correct about the use of calcium chloride in
pediatric patients?
A.)Route administration is not indicated during cardiac arrest.
B.)It has the same bioavailability of elemental calcium as calcium
gluconate.
C.)The recommended dose is 1 to 2 mg/kg.
D.)It is indicated for hypercalcemia, hypokalemia, and
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,hypomagnesemia.: A.) Route administration is not indicated during cardiac arrest.
3. Which statement is correct about the effects of epinephrine during
attempt- ed resuscitation?
A.)Epinephrine stimulates spontaneous contractions when systole is
present.
B.)Epinephrine decreases peripheral vascular resistance and
reduces myocardial after load.
C.)Epinephrine is contraindicated in ventricular fibrillation.
D.) Epinephrine decreases myocardial oxygen consumption.: A.)
Epinephrine stimulates spontaneous contractions when systole is present.
4. Which statement is correct about endotracheal drug
administration during resuscitative efforts for pediatric patients?
A.)It is the least desirable route of administration.
B.)The drug dose used is lower than the intravenous dose.
C.)The intravenous drug dose should be used.
D.)It is preferred route of drug administration.: A.) It is the least desirable
route of adminis- tration.
5. Identify the rhythm by selecting the single best answer:
Clinical clues: heart rate 200/min; no detectable pulse.: Torsades de
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, Pointe
6. Identify the rhythm by selecting the single best answer:
Clinical clues: age 8 years; hear rate 78/min.: Normal Sinus Rhythm
7. Identify the rhythm by selecting the single best answer:
Clinical clues: age 3 months; heart rate 65/min: Sinus bradycardia
8. Identify the rhythm by selecting the single best answer:
Clinical clues: initial rhythm associated with heart rate converting to
sinus
300/min: SVT rhythm after adenosine administration.
9. Identify the rhythm by selecting the single best answer:
l
Clinical clues: initial rhythm associated with no detectable -Fib with
successfu
pulse.: V defibrillation and resumption of organized rhythm.
10. Identify the rhythm by selecting the single best answer:
Clinical clue: heart rate 300/min: Supraventricular tachycardia (SVT)
11. Identify the rhythm by selecting the single best answer:
Clinical clues: Febrile infant; heart rate 188/min: Sinus Tachycardia
12. Identify the rhythm by selecting the single best answer:
Clinical clues: no detectable pulse.: Asystole
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EXAM
Questions and Answers
1. 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 too
painful stimulation. The infant's respiratory rate is 40 breaths per
minute, and central pulses are rapid and weak. The infant has good
bilateral breaths sounds, cool extremities, and a capillary refill time
of more that 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?: Administer a bolus of isotonic crystalloid 20mL/kg over 5 to 20 minutes,
and also give D25W 2 to 4 mL/kg IV.
2. Which statement is correct about the use of calcium chloride in
pediatric patients?
A.)Route administration is not indicated during cardiac arrest.
B.)It has the same bioavailability of elemental calcium as calcium
gluconate.
C.)The recommended dose is 1 to 2 mg/kg.
D.)It is indicated for hypercalcemia, hypokalemia, and
1/
28
,hypomagnesemia.: A.) Route administration is not indicated during cardiac arrest.
3. Which statement is correct about the effects of epinephrine during
attempt- ed resuscitation?
A.)Epinephrine stimulates spontaneous contractions when systole is
present.
B.)Epinephrine decreases peripheral vascular resistance and
reduces myocardial after load.
C.)Epinephrine is contraindicated in ventricular fibrillation.
D.) Epinephrine decreases myocardial oxygen consumption.: A.)
Epinephrine stimulates spontaneous contractions when systole is present.
4. Which statement is correct about endotracheal drug
administration during resuscitative efforts for pediatric patients?
A.)It is the least desirable route of administration.
B.)The drug dose used is lower than the intravenous dose.
C.)The intravenous drug dose should be used.
D.)It is preferred route of drug administration.: A.) It is the least desirable
route of adminis- tration.
5. Identify the rhythm by selecting the single best answer:
Clinical clues: heart rate 200/min; no detectable pulse.: Torsades de
2/
28
, Pointe
6. Identify the rhythm by selecting the single best answer:
Clinical clues: age 8 years; hear rate 78/min.: Normal Sinus Rhythm
7. Identify the rhythm by selecting the single best answer:
Clinical clues: age 3 months; heart rate 65/min: Sinus bradycardia
8. Identify the rhythm by selecting the single best answer:
Clinical clues: initial rhythm associated with heart rate converting to
sinus
300/min: SVT rhythm after adenosine administration.
9. Identify the rhythm by selecting the single best answer:
l
Clinical clues: initial rhythm associated with no detectable -Fib with
successfu
pulse.: V defibrillation and resumption of organized rhythm.
10. Identify the rhythm by selecting the single best answer:
Clinical clue: heart rate 300/min: Supraventricular tachycardia (SVT)
11. Identify the rhythm by selecting the single best answer:
Clinical clues: Febrile infant; heart rate 188/min: Sinus Tachycardia
12. Identify the rhythm by selecting the single best answer:
Clinical clues: no detectable pulse.: Asystole
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