PALS All Questions with solved solutions .
You ware wcaring wfor wa wchild wwho wwas wresuscitated wafter wa wdrowning wevent. wThe wchild wis wintubated
wand wventilated wwith w100% woxygen wwith wequal wbreath wsounds wand wexhaled wCO2 wdetected. wThe
wheart wrate wis wslow wand wthe wmonitor wshows wsinus wbradycardia. wThe wskin wis wcool, wmottled, wand
wmoist; wdistal wpulses ware wnot wpalpable wand wthe wcentral wpulses ware wweak. wIntravenous waccess whas
wbeen westablished. wThe wcore wtemperature wis w37.3oC. wBased won wthe wPALS wbradycardia walgorithm,
wwhich wof wthe wfollowing wshould wbe wprovided wfirst?
Epinephrine wIV
Transcutaneous wpacing
Atropine wIV
Dobutamine wIV winfusion w- w w w wcorrect wanswer.Epinephrine wIV
You ware wcaring wfor wa w5-year-old wpatient wwith wsupraventricular wtachycardia w(heart wrate w= w220/min).
wThe wchild wis wlethargic. wThe wskin wis wpale wand wcool wwith wdelayed wcapillary wrefill. wDistal wpulses ware
wnot wpalpable. wWhich wof wthe wfollowing wwould wbe wthe wbest wtreatment wto wprovide wwithout wdelay?
Place wcold wpacks won wthe wdistal wupper wand wlower wextremities
Ask wthe wchild wto wblow wthrough wa wsmall wstraw
Exert wlight wpressure won wthe weyes wbilaterally
Provide wsynchronized wcardioversion wat w0.5 wto w1 wJ/kg w- w w w wcorrect wanswer.Provide wsynchronized
wcardioversion wat w0.5 wto w1 wJ/kg
You ware winitiating wtreatment wfor wa wchild wwith wseptic wshock wand whypotension. wWhile wadministering
whigh-flow woxygen wyou wdetermine wthat wthe wchild's wrespirations ware wadequate wand wSpO2 wis w100%.
wYou whave wjust westablished wvascular waccess wand wobtained wblood wsamples. wWhich wof wthe wfollowing
wis wthe wnext wmost wappropriate wtherapy wto wsupport wsystemic wperfusion?
Administer wrepeated wfluid wboluses wof wisotonic wcolloid
Administer wrepeated wfluid wboluses wof wisotonic wcrystalloid
,Begin wimmediate wdopamine winfusion
Begin wimmediate wdobutamine winfusion w- w w w wcorrect wanswer.Administer wrepeated wfluid wboluses wof
wisotonic wcrystalloid
You ware wtreating wan w8-year-old wwith wventricular wtachycardia wwith wpulses wand wadequate wperfusion.
wYou wattempted wsynchronized wcardioversion wwithout wsuccess. wWhile wseeking wexpert wconsultation, wit
wwould wbe wmost wappropriate wto:
Administer wa wloading wdose wof wmilrinone
Consider wpossible wmetabolic wand wtoxicologic wcauses
Initiate woverdrive wpacing wtranscutaneously
Deliver wan wunsynchronized wshock w- w w w wcorrect wanswer.Consider wpossible wmetabolic wand wtoxicologic
wcauses
You ware wcaring wfor wa w2-year-old wunconscious wpatient wwho wis wintubated wand wreceiving wmechanical
wventilation. wThe wchild's wheart wrate wsuddenly wdrops wto w40/min wand whis wcolor wbecomes wmottled.
wYou wshould wrespond wto wthese wchanges wby:
Increasing wthe wventilator wrate
Increasing wtidal wvolume
Increasing wpositive wend-expiratory wpressure w(PEEP)
Using wa wresuscitation wbag wprovide wmanual wventilation wwith w100% woxygen w- w w w wcorrect
wanswer.Using wa wresuscitation wbag wprovide wmanual wventilation wwith w100% woxygen
You ware wcaring wfor wa w9-month-old wpatient wwith wpronounced wrespiratory wdistress. wYou winitiated
whigh-flow woxygen wusing wa wnonrebreathing wmask wabout w10 wminutes wago wand westablished
wintravenous waccess. wInitially wthe winfant's wheart wrate wwas win wthe w150/min wrange wwith wstrong
wpulses. wSuddenly wthe winfant's wrespiratory wrate wfalls wto w6/min wwith wsignificant wintercostals
wretractions, wand wlittle wair wmovement wis wheard. wThe winfant wbecomes wcyanotic wand wthe wheart wrate
wdecreases wto w95/min. wWhich wof wthe wfollowing wtreatments wwould wbe wbest wfor wyou wto wprovide
wnow?
Administer wepinephrine wIV
, Provide wbag-mask wventilation
Administer wmagnesium wsulfate wIV
Intubate wand wventilate w- w w w wcorrect wanswer.Provide wbag-mask wventilation
Which wof wthe wfollowing wis wlikely wto wbe wthe wmost whelpful wtechnique wto widentify wpotentially
wreversible wmetabolic wand wtoxic wcauses wduring wthe wattempted wresuscitation wof wa wyoung wchild win
wcardiac warrest?
Obtaining wa wurine wsample wfor wtoxicology wscreen
Obtaining wchest wand wabdominal wradiographs
Soliciting wa whistory wfrom wthe wcaregiver wor wfamily
Obtaining wa wvenous wblood wgas w- w w w wcorrect wanswer.Soliciting wa whistory wfrom wthe wcaregiver wor
wfamily
You ware wcaring wfor wa wpatient wwho wdeveloped wa wtension wpneumothorax wafter wseveral whours wof
wpositive-pressure wventilation. wWhich wof wthe wfollowing wwould wbe wthe wmost wappropriate wsite wfor
wneedle wdecompression?
Over wthe wthird wrib wat wthe wmidclavicular wline
Under wthe weighth wrib wat wthe wmidaxillary wline
Over wthe wfifth wrib wat wthe wsternal wborder
Under wthe wsixth wrib wat wthe wmidclavicular wline w- w w w wcorrect wanswer.Over wthe wthird wrib wat wthe
wmidclavicular wline
You wattempted wsynchronized wcardioversion wfor wan winfant wwith wsupraventricular wtachycardia w(SVT)
wand wpoor wperfusion. wThe wSVT wpersists wafter wthe winitial w1 wJ/kg wshock. wWhich wof wthe wfollowing
wshould wyou wattempt wnow?
Synchronized wcardioversion wat wa wdose wof w2 wJ/kg
Synchronized wcardioversion wat wa wdose wof w4 wJ/kg
Unsynchronized wcardioversion wat wa wdose wof w2 wJ/kg
You ware wcaring wfor wa wchild wwho wwas wresuscitated wafter wa wdrowning wevent. wThe wchild wis wintubated
wand wventilated wwith w100% woxygen wwith wequal wbreath wsounds wand wexhaled wCO2 wdetected. wThe
wheart wrate wis wslow wand wthe wmonitor wshows wsinus wbradycardia. wThe wskin wis wcool, wmottled, wand
wmoist; wdistal wpulses ware wnot wpalpable wand wthe wcentral wpulses ware wweak. wIntravenous waccess whas
wbeen westablished. wThe wcore wtemperature wis w37.3oC. wBased won wthe wPALS wbradycardia walgorithm,
wwhich wof wthe wfollowing wshould wbe wprovided wfirst?
Epinephrine wIV
Transcutaneous wpacing
Atropine wIV
Dobutamine wIV winfusion w- w w w wcorrect wanswer.Epinephrine wIV
You ware wcaring wfor wa w5-year-old wpatient wwith wsupraventricular wtachycardia w(heart wrate w= w220/min).
wThe wchild wis wlethargic. wThe wskin wis wpale wand wcool wwith wdelayed wcapillary wrefill. wDistal wpulses ware
wnot wpalpable. wWhich wof wthe wfollowing wwould wbe wthe wbest wtreatment wto wprovide wwithout wdelay?
Place wcold wpacks won wthe wdistal wupper wand wlower wextremities
Ask wthe wchild wto wblow wthrough wa wsmall wstraw
Exert wlight wpressure won wthe weyes wbilaterally
Provide wsynchronized wcardioversion wat w0.5 wto w1 wJ/kg w- w w w wcorrect wanswer.Provide wsynchronized
wcardioversion wat w0.5 wto w1 wJ/kg
You ware winitiating wtreatment wfor wa wchild wwith wseptic wshock wand whypotension. wWhile wadministering
whigh-flow woxygen wyou wdetermine wthat wthe wchild's wrespirations ware wadequate wand wSpO2 wis w100%.
wYou whave wjust westablished wvascular waccess wand wobtained wblood wsamples. wWhich wof wthe wfollowing
wis wthe wnext wmost wappropriate wtherapy wto wsupport wsystemic wperfusion?
Administer wrepeated wfluid wboluses wof wisotonic wcolloid
Administer wrepeated wfluid wboluses wof wisotonic wcrystalloid
,Begin wimmediate wdopamine winfusion
Begin wimmediate wdobutamine winfusion w- w w w wcorrect wanswer.Administer wrepeated wfluid wboluses wof
wisotonic wcrystalloid
You ware wtreating wan w8-year-old wwith wventricular wtachycardia wwith wpulses wand wadequate wperfusion.
wYou wattempted wsynchronized wcardioversion wwithout wsuccess. wWhile wseeking wexpert wconsultation, wit
wwould wbe wmost wappropriate wto:
Administer wa wloading wdose wof wmilrinone
Consider wpossible wmetabolic wand wtoxicologic wcauses
Initiate woverdrive wpacing wtranscutaneously
Deliver wan wunsynchronized wshock w- w w w wcorrect wanswer.Consider wpossible wmetabolic wand wtoxicologic
wcauses
You ware wcaring wfor wa w2-year-old wunconscious wpatient wwho wis wintubated wand wreceiving wmechanical
wventilation. wThe wchild's wheart wrate wsuddenly wdrops wto w40/min wand whis wcolor wbecomes wmottled.
wYou wshould wrespond wto wthese wchanges wby:
Increasing wthe wventilator wrate
Increasing wtidal wvolume
Increasing wpositive wend-expiratory wpressure w(PEEP)
Using wa wresuscitation wbag wprovide wmanual wventilation wwith w100% woxygen w- w w w wcorrect
wanswer.Using wa wresuscitation wbag wprovide wmanual wventilation wwith w100% woxygen
You ware wcaring wfor wa w9-month-old wpatient wwith wpronounced wrespiratory wdistress. wYou winitiated
whigh-flow woxygen wusing wa wnonrebreathing wmask wabout w10 wminutes wago wand westablished
wintravenous waccess. wInitially wthe winfant's wheart wrate wwas win wthe w150/min wrange wwith wstrong
wpulses. wSuddenly wthe winfant's wrespiratory wrate wfalls wto w6/min wwith wsignificant wintercostals
wretractions, wand wlittle wair wmovement wis wheard. wThe winfant wbecomes wcyanotic wand wthe wheart wrate
wdecreases wto w95/min. wWhich wof wthe wfollowing wtreatments wwould wbe wbest wfor wyou wto wprovide
wnow?
Administer wepinephrine wIV
, Provide wbag-mask wventilation
Administer wmagnesium wsulfate wIV
Intubate wand wventilate w- w w w wcorrect wanswer.Provide wbag-mask wventilation
Which wof wthe wfollowing wis wlikely wto wbe wthe wmost whelpful wtechnique wto widentify wpotentially
wreversible wmetabolic wand wtoxic wcauses wduring wthe wattempted wresuscitation wof wa wyoung wchild win
wcardiac warrest?
Obtaining wa wurine wsample wfor wtoxicology wscreen
Obtaining wchest wand wabdominal wradiographs
Soliciting wa whistory wfrom wthe wcaregiver wor wfamily
Obtaining wa wvenous wblood wgas w- w w w wcorrect wanswer.Soliciting wa whistory wfrom wthe wcaregiver wor
wfamily
You ware wcaring wfor wa wpatient wwho wdeveloped wa wtension wpneumothorax wafter wseveral whours wof
wpositive-pressure wventilation. wWhich wof wthe wfollowing wwould wbe wthe wmost wappropriate wsite wfor
wneedle wdecompression?
Over wthe wthird wrib wat wthe wmidclavicular wline
Under wthe weighth wrib wat wthe wmidaxillary wline
Over wthe wfifth wrib wat wthe wsternal wborder
Under wthe wsixth wrib wat wthe wmidclavicular wline w- w w w wcorrect wanswer.Over wthe wthird wrib wat wthe
wmidclavicular wline
You wattempted wsynchronized wcardioversion wfor wan winfant wwith wsupraventricular wtachycardia w(SVT)
wand wpoor wperfusion. wThe wSVT wpersists wafter wthe winitial w1 wJ/kg wshock. wWhich wof wthe wfollowing
wshould wyou wattempt wnow?
Synchronized wcardioversion wat wa wdose wof w2 wJ/kg
Synchronized wcardioversion wat wa wdose wof w4 wJ/kg
Unsynchronized wcardioversion wat wa wdose wof w2 wJ/kg
