10/17/24, 10:51 AM
PALS version A 2024 with 100% correct answers
Terms in this set (23)
You are caring for a child who was Epinephrine IV
resuscitated after a drowning event. The
child is intubated and ventilated with 100%
oxygen with equal breath sounds and
exhaled CO2 detected. The heart rate is
slow and the monitor shows sinus
bradycardia. The skin is cool, mottled, and
moist; distal pulses are not palpable and
the central pulses are weak. Intravenous
access has been established. The core
temperature is 37.3oC. Based on the PALS
bradycardia algorithm, which of the
following should be provided first?
Epinephrine IV
Transcutaneous pacing
Atropine IV
Dobutamine IV infusion
1/9
, 10/17/24, 10:51 AM
You are caring for a 5-year-old patient with Provide synchronized cardioversion at 0.5 to 1 J/kg
supraventricular tachycardia (heart rate =
220/min). The child is lethargic. The skin is
pale and cool with delayed capillary refill.
Distal pulses are not palpable. Which of the
following would be the best treatment to
provide without delay?
Place cold packs on the distal upper and
lower extremities
Ask the child to blow through a small straw
Exert light pressure on the eyes bilaterally
Provide synchronized cardioversion at 0.5
to 1 J/kg
You are initiating treatment for a child with Administer repeated fluid boluses of isotonic crystalloid
septic shock and hypotension. While
administering high-flow oxygen you
determine that the child's respirations are
adequate and SpO2 is 100%. You have just
established vascular access and obtained
blood samples. Which of the following is
the next most appropriate therapy to
support systemic perfusion?
Administer repeated fluid boluses of
isotonic colloid
Administer repeated fluid boluses of
isotonic crystalloid
Begin immediate dopamine infusion
Begin immediate dobutamine infusion
You are treating an 8-year-old with Consider possible metabolic and toxicologic causes
ventricular tachycardia with pulses and
adequate perfusion. You attempted
synchronized cardioversion without
success. While seeking expert consultation,
it would be most appropriate to:
Administer a loading dose of milrinone
Consider possible metabolic and
toxicologic causes
Initiate overdrive pacing transcutaneously
Deliver an unsynchronized shock
2/9
PALS version A 2024 with 100% correct answers
Terms in this set (23)
You are caring for a child who was Epinephrine IV
resuscitated after a drowning event. The
child is intubated and ventilated with 100%
oxygen with equal breath sounds and
exhaled CO2 detected. The heart rate is
slow and the monitor shows sinus
bradycardia. The skin is cool, mottled, and
moist; distal pulses are not palpable and
the central pulses are weak. Intravenous
access has been established. The core
temperature is 37.3oC. Based on the PALS
bradycardia algorithm, which of the
following should be provided first?
Epinephrine IV
Transcutaneous pacing
Atropine IV
Dobutamine IV infusion
1/9
, 10/17/24, 10:51 AM
You are caring for a 5-year-old patient with Provide synchronized cardioversion at 0.5 to 1 J/kg
supraventricular tachycardia (heart rate =
220/min). The child is lethargic. The skin is
pale and cool with delayed capillary refill.
Distal pulses are not palpable. Which of the
following would be the best treatment to
provide without delay?
Place cold packs on the distal upper and
lower extremities
Ask the child to blow through a small straw
Exert light pressure on the eyes bilaterally
Provide synchronized cardioversion at 0.5
to 1 J/kg
You are initiating treatment for a child with Administer repeated fluid boluses of isotonic crystalloid
septic shock and hypotension. While
administering high-flow oxygen you
determine that the child's respirations are
adequate and SpO2 is 100%. You have just
established vascular access and obtained
blood samples. Which of the following is
the next most appropriate therapy to
support systemic perfusion?
Administer repeated fluid boluses of
isotonic colloid
Administer repeated fluid boluses of
isotonic crystalloid
Begin immediate dopamine infusion
Begin immediate dobutamine infusion
You are treating an 8-year-old with Consider possible metabolic and toxicologic causes
ventricular tachycardia with pulses and
adequate perfusion. You attempted
synchronized cardioversion without
success. While seeking expert consultation,
it would be most appropriate to:
Administer a loading dose of milrinone
Consider possible metabolic and
toxicologic causes
Initiate overdrive pacing transcutaneously
Deliver an unsynchronized shock
2/9
