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PALS ALL QUESTIONS AND 100% CORRECT ANSWERS 2024
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PALS ALL QUESTIONS AND 100% CORRECT ANSWERS 2024
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PALS ALL QUESTIONS AND 100%CORRECT ANSWERS 2024
YouHareHcaringHforHaHchildHwhoHwasHresuscitatedHafterHaHdrowningHevent.HTheHchildHisHintubatedHandHventi
latedHwithH100%HoxygenHwithHequalHbreathHsoundsHandHexhaledHCO2Hdetected.HTheHheartHrateHisHslowHan
dHtheHmonitorHshowsHsinusHbradycardia.HTheHskinHisHcool,Hmottled,HandHmoist;HdistalHpulsesHareHnotHpalpa
bleHandHtheHcentralHpulsesHareHweak.HIntravenousHaccessHhasHbeenHestablished.HTheHcoreHtemperatureHisH
37.3oC.HBasedHonHtheHPALSHbradycardiaHalgorithm,HwhichHofHtheHfollowingHshouldHbeHprovidedHfirst?
EpinephrineHIV
TranscutaneousHpacing
AtropineHIV
DobutamineHIVHinfusionH-HANSWERHEpinephrineHIV
YouHareHcaringHforHaH5-year-
oldHpatientHwithHsupraventricularHtachycardiaH(heartHrateH=H220/min).HTheHchildHisHlethargic.HTheHskinHisHp
aleHandHcoolHwithHdelayedHcapillaryHrefill.HDistalHpulsesHareHnotHpalpable.HWhichHofHtheHfollowingHwouldHb
eHtheHbestHtreatmentHtoHprovideHwithoutHdelay?
PlaceHcoldHpacksHonHtheHdistalHupperHandHlowerHextremities
AskHtheHchildHtoHblowHthroughHaHsmallHstraw
ExertHlightHpressureHonHtheHeyesHbilaterally
ProvideHsynchronizedHcardioversionHatH0.5HtoH1HJ/kgH-
HANSWERHProvideHsynchronizedHcardioversionHatH0.5HtoH1HJ/kg
YouHareHinitiatingHtreatmentHforHaHchildHwithHsepticHshockHandHhypotension.HWhileHadministeringHhigh-
flowHoxygenHyouHdetermineHthatHtheHchild'sHrespirationsHareHadequateHandHSpO2HisH100%.HYouHhaveHjustH
establishedHvascularHaccessHandHobtainedHbloodHsamples.HWhichHofHtheHfollowingHisHtheHnextHmostHappro
priateHtherapyHtoHsupportHsystemicHperfusion?
AdministerHrepeatedHfluidHbolusesHofHisotonicHcolloid
AdministerHrepeatedHfluidHbolusesHofHisotonicHcrystalloid
BeginHimmediateHdopamineHinfusion
,BeginHimmediateHdobutamineHinfusionH-
HANSWERHAdministerHrepeatedHfluidHbolusesHofHisotonicHcrystalloid
YouHareHtreatingHanH8-year-
oldHwithHventricularHtachycardiaHwithHpulsesHandHadequateHperfusion.HYouHattemptedHsynchronizedHcardi
oversionHwithoutHsuccess.HWhileHseekingHexpertHconsultation,HitHwouldHbeHmostHappropriateHto:
AdministerHaHloadingHdoseHofHmilrinone
ConsiderHpossibleHmetabolicHandHtoxicologicHcauses
InitiateHoverdriveHpacingHtranscutaneously
DeliverHanHunsynchronizedHshockH-HANSWERHConsiderHpossibleHmetabolicHandHtoxicologicHcauses
YouHareHcaringHforHaH2-year-
oldHunconsciousHpatientHwhoHisHintubatedHandHreceivingHmechanicalHventilation.HTheHchild'sHheartHrateHs
uddenlyHdropsHtoH40/minHandHhisHcolorHbecomesHmottled.HYouHshouldHrespondHtoHtheseHchangesHby:
IncreasingHtheHventilatorHrate
IncreasingHtidalHvolume
IncreasingHpositiveHend-expiratoryHpressureH(PEEP)
UsingHaHresuscitationHbagHprovideHmanualHventilationHwithH100%HoxygenH-
HANSWERHUsingHaHresuscitationHbagHprovideHmanualHventilationHwithH100%Hoxygen
YouHareHcaringHforHaH9-month-oldHpatientHwithHpronouncedHrespiratoryHdistress.HYouHinitiatedHhigh-
flowHoxygenHusingHaHnonrebreathingHmaskHaboutH10HminutesHagoHandHestablishedHintravenousHaccess.HIn
itiallyHtheHinfant'sHheartHrateHwasHinHtheH150/minHrangeHwithHstrongHpulses.HSuddenlyHtheHinfant'sHrespira
toryHrateHfallsHtoH6/minHwithHsignificantHintercostalsHretractions,HandHlittleHairHmovementHisHheard.HTheHin
fantHbecomesHcyanoticHandHtheHheartHrateHdecreasesHtoH95/min.HWhichHofHtheHfollowingHtreatmentsHwou
ldHbeHbestHforHyouHtoHprovideHnow?
AdministerHepinephrineHIV
ProvideHbag-maskHventilation
AdministerHmagnesiumHsulfateHIV
IntubateHandHventilateH-HANSWERHProvideHbag-maskHventilation
, WhichHofHtheHfollowingHisHlikelyHtoHbeHtheHmostHhelpfulHtechniqueHtoHidentifyHpotentiallyHreversibleHmeta
bolicHandHtoxicHcausesHduringHtheHattemptedHresuscitationHofHaHyoungHchildHinHcardiacHarrest?
ObtainingHaHurineHsampleHforHtoxicologyHscreen
ObtainingHchestHandHabdominalHradiographs
SolicitingHaHhistoryHfromHtheHcaregiverHorHfamily
ObtainingHaHvenousHbloodHgasH-HANSWERHSolicitingHaHhistoryHfromHtheHcaregiverHorHfamily
YouHareHcaringHforHaHpatientHwhoHdevelopedHaHtensionHpneumothoraxHafterHseveralHhoursHofHpositive-
pressureHventilation.HWhichHofHtheHfollowingHwouldHbeHtheHmostHappropriateHsiteHforHneedleHdecompres
sion?
OverHtheHthirdHribHatHtheHmidclavicularHline
UnderHtheHeighthHribHatHtheHmidaxillaryHline
OverHtheHfifthHribHatHtheHsternalHborder
UnderHtheHsixthHribHatHtheHmidclavicularHlineH-HANSWERHOverHtheHthirdHribHatHtheHmidclavicularHline
YouHattemptedHsynchronizedHcardioversionHforHanHinfantHwithHsupraventricularHtachycardiaH(SVT)HandHpo
orHperfusion.HTheHSVTHpersistsHafterHtheHinitialH1HJ/kgHshock.HWhichHofHtheHfollowingHshouldHyouHattemptH
now?
SynchronizedHcardioversionHatHaHdoseHofH2HJ/kg
SynchronizedHcardioversionHatHaHdoseHofH4HJ/kg
UnsynchronizedHcardioversionHatHaHdoseHofH2HJ/kg
UnsynchronizedHcardioversionHatHaHdoseHofH4HJ/kgH-
HANSWERHSynchronizedHcardioversionHatHaHdoseHofH2HJ/kg
YouHareHtreatingHaH5-month-oldHwithHaH2-
dayHhistoryHofHvomitingHandHdiarrhea.HTheHpatientHisHlistless.HTheHrespiratoryHrateHisH52/minHandHunlabor
ed.HTheHheartHrateHisH170/minHandHpulsesHareHpresentHbutHweak.HCapillaryHrefillHisHdelayed.HYouHareHadmi
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