Pals All Questions And Answers v v v v
You are caring for a child who was resuscitated after a drowning event. The child is
vB vB vB vB vB vB vB vB vB vB vB vB vB vB vB
intubated and ventilated with 100% oxygen with equal breath sounds and exhaled CO2
vB vB vB vB vB vB vB vB vB vB vB vB vB
detected. The heart rate is slow and the monitor shows sinus bradycardia. The skin is
vB vB vB vB vB vB vB vB vB vB vB vB vB vB vB
cool, mottled, and moist; distal pulses are not palpable and the central pulses are weak.
vB vB vB vB vB vB vB vB vB vB vB vB vB vB vB
Intravenous access has been established. The core temperature is 37.3oC. Based on
vB vB vB vB vB vB vB vB vB vB vB vB
the PALS bradycardia algorithm, which of the following should be provided first?
vB vB vB vB vB vB vB vB vB vB vB vB
Epinephrine IV vB
Transcutaneous pacing vB
Atropine IV vB
Dobutamine IV infusion - CORRECT ANSWER-Epinephrine IV
vB vB vB vB vB vB
You are caring for a 5-year-old patient with supraventricular tachycardia (heart rate =
vB vB vB vB vB vB vB vB vB vB vB vB
220/min). The child is lethargic. The skin is pale and cool with delayed capillary refill.
vB vB vB vB vB vB vB vB vB vB vB vB vB vB vB
Distal pulses are not palpable. Which of the following would be the best treatment to
vB vB vB vB vB vB vB vB vB vB vB vB vB vB vB
provide without delay?
vB vB vB
Place cold packs on the distal upper and lower extremities
vB vB vB vB vB vB vB vB vB
Ask the child to blow through a small straw
vB vB vB vB vB vB vB vB
Exert light pressure on the eyes bilaterally
vB vB vB vB vB vB
Provide synchronized cardioversion at 0.5 to 1 J/kg - CORRECT ANSWER-Provide
vB vB vB vB vB vB vB vB vB vB
synchronized cardioversion at 0.5 to 1 J/kg
vB vB vB vB vB vB vB
You are initiating treatment for a child with septic shock and hypotension. While
vB vB vB vB vB vB vB vB vB vB vB vB
administering high-flow oxygen you determine that the child's respirations are adequate
vB vB vB vB vB vB vB vB vB vB vB
and SpO2 is 100%. You have just established vascular access and obtained blood
vB vB vB vB vB vB vB vB vB vB vB vB vB
samples. Which of the following is the next most appropriate therapy to support systemic
vB vB vB vB vB vB vB vB vB vB vB vB vB vB
perfusion?
vB
Administer repeated fluid boluses of isotonic colloid
vB vB vB vB vB vB
Administer repeated fluid boluses of isotonic crystalloid
vB vB vB vB vB vB
Begin immediate dopamine infusion
vB vB vB
, Begin immediate dobutamine infusion - CORRECT ANSWER-Administer repeated fluid
vB vB vB vB vB vB vB vB
boluses of isotonic crystalloid
vB vB vB vB
You are treating an 8-year-old with ventricular tachycardia with pulses and adequate
vB vB vB vB vB vB vB vB vB vB vB
perfusion. You attempted synchronized cardioversion without success. While seeking
vB vB vB vB vB vB vB vB vB
expert consultation, it would be most appropriate to:
vB vB vB vB vB vB vB vB
Administer a loading dose of milrinone vB vB vB vB vB
Consider possible metabolic and toxicologic causes vB vB vB vB vB
Initiate overdrive pacing transcutaneously
vB vB vB
Deliver an unsynchronized shock - CORRECT ANSWER-Consider possible metabolic
vB vB vB vB vB vB vB vB
and toxicologic causes
vB vB vB
You are caring for a 2-year-old unconscious patient who is intubated and receiving
vB vB vB vB vB vB vB vB vB vB vB vB
mechanical ventilation. The child's heart rate suddenly drops to 40/min and his color
vB vB vB vB vB vB vB vB vB vB vB vB vB
becomes mottled. You should respond to these changes by:
vB vB vB vB vB vB vB vB vB
Increasing the ventilator rate vB vB vB
Increasing tidal volume vB vB
Increasing positive end-expiratory pressure (PEEP) vB vB vB vB
Using a resuscitation bag provide manual ventilation with 100% oxygen - CORRECT
vB vB vB vB vB vB vB vB vB vB vB
ANSWER-Using a resuscitation bag provide manual ventilation with 100% oxygen
vB vB vB vB vB vB vB vB vB vB
You are caring for a 9-month-old patient with pronounced respiratory distress. You
vB vB vB vB vB vB vB vB vB vB vB
initiated high-flow oxygen using a nonrebreathing mask about 10 minutes ago and
vB vB vB vB vB vB vB vB vB vB vB vB
established intravenous access. Initially the infant's heart rate was in the 150/min range
vB vB vB vB vB vB vB vB vB vB vB vB vB
with strong pulses. Suddenly the infant's respiratory rate falls to 6/min with significant
vB vB vB vB vB vB vB vB vB vB vB vB vB
intercostals retractions, and little air movement is heard. The infant becomes cyanotic
vB vB vB vB vB vB vB vB vB vB vB vB
and the heart rate decreases to 95/min. Which of the following treatments would be best
vB vB vB vB vB vB vB vB vB vB vB vB vB vB vB
for you to provide now?
vB vB vB vB vB
Administer epinephrine IV vB vB
Provide bag-mask ventilation vB vB
Administer magnesium sulfate IV vB vB vB
Intubate and ventilate - CORRECT ANSWER-Provide bag-mask ventilation
vB vB vB vB vB vB vB
Which of the following is likely to be the most helpful technique to identify potentially
vB vB vB vB vB vB vB vB vB vB vB vB vB vB
reversible metabolic and toxic causes during the attempted resuscitation of a young
vB vB vB vB vB vB vB vB vB vB vB vB
child in cardiac arrest?
vB vB vB vB
Obtaining a urine sample for toxicology screen vB vB vB vB vB vB
Obtaining chest and abdominal radiographs vB vB vB vB
Soliciting a history from the caregiver or family vB vB vB vB vB vB vB
Obtaining a venous blood gas - CORRECT ANSWER-Soliciting a history from the
vB vB vB vB vB vB vB vB vB vB vB
caregiver or family
vB vB vB
You are caring for a child who was resuscitated after a drowning event. The child is
vB vB vB vB vB vB vB vB vB vB vB vB vB vB vB
intubated and ventilated with 100% oxygen with equal breath sounds and exhaled CO2
vB vB vB vB vB vB vB vB vB vB vB vB vB
detected. The heart rate is slow and the monitor shows sinus bradycardia. The skin is
vB vB vB vB vB vB vB vB vB vB vB vB vB vB vB
cool, mottled, and moist; distal pulses are not palpable and the central pulses are weak.
vB vB vB vB vB vB vB vB vB vB vB vB vB vB vB
Intravenous access has been established. The core temperature is 37.3oC. Based on
vB vB vB vB vB vB vB vB vB vB vB vB
the PALS bradycardia algorithm, which of the following should be provided first?
vB vB vB vB vB vB vB vB vB vB vB vB
Epinephrine IV vB
Transcutaneous pacing vB
Atropine IV vB
Dobutamine IV infusion - CORRECT ANSWER-Epinephrine IV
vB vB vB vB vB vB
You are caring for a 5-year-old patient with supraventricular tachycardia (heart rate =
vB vB vB vB vB vB vB vB vB vB vB vB
220/min). The child is lethargic. The skin is pale and cool with delayed capillary refill.
vB vB vB vB vB vB vB vB vB vB vB vB vB vB vB
Distal pulses are not palpable. Which of the following would be the best treatment to
vB vB vB vB vB vB vB vB vB vB vB vB vB vB vB
provide without delay?
vB vB vB
Place cold packs on the distal upper and lower extremities
vB vB vB vB vB vB vB vB vB
Ask the child to blow through a small straw
vB vB vB vB vB vB vB vB
Exert light pressure on the eyes bilaterally
vB vB vB vB vB vB
Provide synchronized cardioversion at 0.5 to 1 J/kg - CORRECT ANSWER-Provide
vB vB vB vB vB vB vB vB vB vB
synchronized cardioversion at 0.5 to 1 J/kg
vB vB vB vB vB vB vB
You are initiating treatment for a child with septic shock and hypotension. While
vB vB vB vB vB vB vB vB vB vB vB vB
administering high-flow oxygen you determine that the child's respirations are adequate
vB vB vB vB vB vB vB vB vB vB vB
and SpO2 is 100%. You have just established vascular access and obtained blood
vB vB vB vB vB vB vB vB vB vB vB vB vB
samples. Which of the following is the next most appropriate therapy to support systemic
vB vB vB vB vB vB vB vB vB vB vB vB vB vB
perfusion?
vB
Administer repeated fluid boluses of isotonic colloid
vB vB vB vB vB vB
Administer repeated fluid boluses of isotonic crystalloid
vB vB vB vB vB vB
Begin immediate dopamine infusion
vB vB vB
, Begin immediate dobutamine infusion - CORRECT ANSWER-Administer repeated fluid
vB vB vB vB vB vB vB vB
boluses of isotonic crystalloid
vB vB vB vB
You are treating an 8-year-old with ventricular tachycardia with pulses and adequate
vB vB vB vB vB vB vB vB vB vB vB
perfusion. You attempted synchronized cardioversion without success. While seeking
vB vB vB vB vB vB vB vB vB
expert consultation, it would be most appropriate to:
vB vB vB vB vB vB vB vB
Administer a loading dose of milrinone vB vB vB vB vB
Consider possible metabolic and toxicologic causes vB vB vB vB vB
Initiate overdrive pacing transcutaneously
vB vB vB
Deliver an unsynchronized shock - CORRECT ANSWER-Consider possible metabolic
vB vB vB vB vB vB vB vB
and toxicologic causes
vB vB vB
You are caring for a 2-year-old unconscious patient who is intubated and receiving
vB vB vB vB vB vB vB vB vB vB vB vB
mechanical ventilation. The child's heart rate suddenly drops to 40/min and his color
vB vB vB vB vB vB vB vB vB vB vB vB vB
becomes mottled. You should respond to these changes by:
vB vB vB vB vB vB vB vB vB
Increasing the ventilator rate vB vB vB
Increasing tidal volume vB vB
Increasing positive end-expiratory pressure (PEEP) vB vB vB vB
Using a resuscitation bag provide manual ventilation with 100% oxygen - CORRECT
vB vB vB vB vB vB vB vB vB vB vB
ANSWER-Using a resuscitation bag provide manual ventilation with 100% oxygen
vB vB vB vB vB vB vB vB vB vB
You are caring for a 9-month-old patient with pronounced respiratory distress. You
vB vB vB vB vB vB vB vB vB vB vB
initiated high-flow oxygen using a nonrebreathing mask about 10 minutes ago and
vB vB vB vB vB vB vB vB vB vB vB vB
established intravenous access. Initially the infant's heart rate was in the 150/min range
vB vB vB vB vB vB vB vB vB vB vB vB vB
with strong pulses. Suddenly the infant's respiratory rate falls to 6/min with significant
vB vB vB vB vB vB vB vB vB vB vB vB vB
intercostals retractions, and little air movement is heard. The infant becomes cyanotic
vB vB vB vB vB vB vB vB vB vB vB vB
and the heart rate decreases to 95/min. Which of the following treatments would be best
vB vB vB vB vB vB vB vB vB vB vB vB vB vB vB
for you to provide now?
vB vB vB vB vB
Administer epinephrine IV vB vB
Provide bag-mask ventilation vB vB
Administer magnesium sulfate IV vB vB vB
Intubate and ventilate - CORRECT ANSWER-Provide bag-mask ventilation
vB vB vB vB vB vB vB
Which of the following is likely to be the most helpful technique to identify potentially
vB vB vB vB vB vB vB vB vB vB vB vB vB vB
reversible metabolic and toxic causes during the attempted resuscitation of a young
vB vB vB vB vB vB vB vB vB vB vB vB
child in cardiac arrest?
vB vB vB vB
Obtaining a urine sample for toxicology screen vB vB vB vB vB vB
Obtaining chest and abdominal radiographs vB vB vB vB
Soliciting a history from the caregiver or family vB vB vB vB vB vB vB
Obtaining a venous blood gas - CORRECT ANSWER-Soliciting a history from the
vB vB vB vB vB vB vB vB vB vB vB
caregiver or family
vB vB vB
