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PALS version B Pediatric Advanced Life Support Questions And Answers 2023 Solutions
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PALS version B Pediatric Advanced LifeSupport Questions And Answers 2023
Solutions
You are treating an 8-year-old with ventricular tachycardia (VT) 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
Initiate overdrive pacing transcutaneously
Consider possible metabolic and toxicologic causes
Deliver an unsynchronized shock - -Consider possible metabolic and
toxicologic causes
-You are caring for a patient who developed a tension pneumothorax after
several hours of positive-pressure ventilation. Which of the following would
be the most appropriate site for needle decompression?
Over the third rib (ie, second intercostal space) at the mid-clavicular line
Under the eighth rib at the midaxillary line
Over the fifth rib at the sternal border
Under the sixth rib at the midclavicular line - -Over the third rib (ie, second
intercostal space) at the mid-clavicular line
-You are initiating treatment for a child with 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 colloidge
Administer repeated fluid boluses of isotonic crystalloid
Begin immediate dopamine infusion
Begin immediate dobutamine infusion - -Administer repeated fluid boluses of
isotonic crystalloid
-You are caring for a 5-year-old patient with supraventricular tachycardia
(SVT) (heart rate is 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?
Provide synchronized cardioversion at 0.5 to 1 J/kg
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 attempted synchronized cardioversion for an infant with SVT and poor
perfusion. The SVT persists after the initial shock of 1 J/kg. Which of the
following should you attempt now?
Synchronized cardioversion at a dose of 4 J/kg
Synchronized cardioversion at a dose of 2 J/kg
Unsynchronized cardioversion at a dose of 2 J/kg
Unsynchronized cardioversion at a dose of 4 J/kg - -Synchronized
cardioversion at a dose of 2 J/kg
-You are caring for a 2-year-old unconscious patient who is intubated and
receiving mechanical ventilation. The child's heart rate suddenly drops to
40/min and his color becomes mottled. You should respond to these changes
by:
Increasing the ventilator rate
Using a resuscitation bag to provide manual ventilation with 100% oxygen
Increasing tidal volume
Increasing positive end-expiratory pressure (PEEP) - -Using a resuscitation
bag to provide manual ventilation with 100% oxygen
-You are caring for a 9-month-old patient with pronounced respiratory
distress. You initiated high-flow oxygen using a nonrebreathing mask about
10 minutes ago and established intravenous access. Initially the infant's
heart rate was in the 150/min range with strong pulses. Suddenly the infant's
respiratory rate falls to 6/min with significant intercostal retractions, and
little air movement is heard. The infant becomes cyanotic and the heart rate
decreases to 95/min. Which of the following treatments would be best for
you to provide now?
Administer epinephrine IV
Provide bag-mask ventilation
Administer magnesium sulfate IV
lntubate and ventilate - -Provide bag-mask ventilation
-You are caring for an 8-year-old child who was struck by a car. The child is
alert, very anxious, and in respiratory distress. The child is receiving high-
flow oxygen by face mask, has a respiratory rate of 60/min, heart rate of
150/min, systolic blood pressure of 70 mm Hg, and Spot of 86% and falling.
Breath sounds and chest rise are absent over the right chest. Which of the
following is the most likely cause of this child's distress?
Cardiac tamponade
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