PALS All Questions With Their Answers

PALS All Questions With Their
Answers



Youbarebcaringbforbabchildbwhobwasbresuscitatedbafterbabdrowningbevent.bThebchildbisbint
ubatedbandbventilatedbwithb100%boxygenbwithbequalbbreathbsoundsbandbexhaledbCO2b
detected.bThebheartbratebisbslowbandbthebmonitorbshowsbsinusbbradycardia.bThebskinbisb
cool,bmottled,bandbmoist;bdistalbpulsesbarebnotbpalpablebandbthebcentralbpulsesbarebwea
k.bIntravenousbaccessbhasbbeenbestablished.bThebcorebtemperaturebisb37.3oC.bBasedb
onbthebPALSbbradycardiabalgorithm,bwhichbofbthebfollowingbshouldbbebprovidedbfirst?

EpinephrinebIV
Transcutaneousbpacing
AtropinebIV
DobutaminebIVbinfusionb-bcorrectbanswer-EpinephrinebIV

Youbarebcaringbforbab5-year-
oldbpatientbwithbsupraventricularbtachycardiab(heartbrateb=b220/min).bThebchildbisblethar
gic.bThebskinbisbpalebandbcoolbwithbdelayedbcapillarybrefill.bDistalbpulsesbarebnotbpalpabl
e.bWhichbofbthebfollowingbwouldbbebthebbestbtreatmentbtobprovidebwithoutbdelay?

Placebcoldbpacksbonbthebdistalbupperbandblowerbextremities
Askbthebchildbtobblowbthroughbabsmallbstraw
Exertblightbpressurebonbthebeyesbbilaterally
Providebsynchronizedbcardioversionbatb0.5btob1bJ/kgb-bcorrectbanswer-
Providebsynchronizedbcardioversionbatb0.5btob1bJ/kg

Youbarebinitiatingbtreatmentbforbabchildbwithbsepticbshockbandbhypotension.bWhilebadmin
isteringbhigh-
flowboxygenbyoubdeterminebthatbthebchild'sbrespirationsbarebadequatebandbSpO2bisb100
%.bYoubhavebjustbestablishedbvascularbaccessbandbobtainedbbloodbsamples.bWhichbofbt
hebfollowingbisbthebnextbmostbappropriatebtherapybtobsupportbsystemicbperfusion?

Administerbrepeatedbfluidbbolusesbofbisotonicbcolloid
Administerbrepeatedbfluidbbolusesbofbisotonicbcrystalloid
Beginbimmediatebdopaminebinfusion
Beginbimmediatebdobutaminebinfusionb-bcorrectbanswer-
Administerbrepeatedbfluidbbolusesbofbisotonicbcrystalloid

, Youbarebtreatingbanb8-year-
oldbwithbventricularbtachycardiabwithbpulsesbandbadequatebperfusion.bYoubattemptedbsy
nchronizedbcardioversionbwithoutbsuccess.bWhilebseekingbexpertbconsultation,bitbwould
bbebmostbappropriatebto:




Administerbabloadingbdosebofbmilrinone
Considerbpossiblebmetabolicbandbtoxicologicbcauses
Initiateboverdrivebpacingbtranscutaneously
Deliverbanbunsynchronizedbshockb-bcorrectbanswer-
Considerbpossiblebmetabolicbandbtoxicologicbcauses

Youbarebcaringbforbab2-year-
oldbunconsciousbpatientbwhobisbintubatedbandbreceivingbmechanicalbventilation.bThebch
ild'sbheartbratebsuddenlybdropsbtob40/minbandbhisbcolorbbecomesbmottled.bYoubshouldbr
espondbtobthesebchangesbby:

Increasingbthebventilatorbrate
Increasingbtidalbvolume
Increasingbpositivebend-expiratorybpressureb(PEEP)
Usingbabresuscitationbbagbprovidebmanualbventilationbwithb100%boxygenb-
bcorrectbanswer-

Usingbabresuscitationbbagbprovidebmanualbventilationbwithb100%boxygen

Youbarebcaringbforbab9-month-
oldbpatientbwithbpronouncedbrespiratorybdistress.bYoubinitiatedbhigh-
flowboxygenbusingbabnonrebreathingbmaskbaboutb10bminutesbagobandbestablishedbintra
venousbaccess.bInitiallybthebinfant'sbheartbratebwasbinbtheb150/minbrangebwithbstrongbpul
ses.bSuddenlybthebinfant'sbrespiratorybratebfallsbtob6/minbwithbsignificantbintercostalsbretr
actions,bandblittlebairbmovementbisbheard.bThebinfantbbecomesbcyanoticbandbthebheartbra
tebdecreasesbtob95/min.bWhichbofbthebfollowingbtreatmentsbwouldbbebbestbforbyoubtobpro
videbnow?

AdministerbepinephrinebIV
Providebbag-maskbventilation
AdministerbmagnesiumbsulfatebIV
Intubatebandbventilateb-bcorrectbanswer-Providebbag-maskbventilation

Whichbofbthebfollowingbisblikelybtobbebthebmostbhelpfulbtechniquebtobidentifybpotentiallybre
versiblebmetabolicbandbtoxicbcausesbduringbthebattemptedbresuscitationbofbabyoungbchil
dbinbcardiacbarrest?

Obtainingbaburinebsamplebforbtoxicologybscreen
Obtainingbchestbandbabdominalbradiographs
Solicitingbabhistorybfrombthebcaregiverborbfamily
Obtainingbabvenousbbloodbgasb-bcorrectbanswer-
Solicitingbabhistorybfrombthebcaregiverborbfamily

Youbarebcaringbforbabpatientbwhobdevelopedbabtensionbpneumothoraxbafterbseveralbhour
sbofbpositive-