PALS Review Question and answers rated A+ PALS Review
You are caring for a child who was 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. ...
PALS Review
You are caring for a child who was 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? - correct answer
✔Epinephrine IV
You are caring for a 5-year-old patient with 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? - correct answer ✔Provide
synchronized cardioversion at 0.5 to 1 J/kg
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? - correct
answer ✔Administer repeated fluid boluses of isotonic crystalloid
You are treating an 8-year-old with ventricular tachycardia with pulses and
adequate perfusion. You attempted synchronized cardioversion without
success. While seeking expert consultation, it would be most appropriate to: -
correct answer ✔Consider possible metabolic and toxicologic causes
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: - correct answer ✔Using a resuscitation bag 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 intercostals 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? -
correct answer ✔Provide bag-mask ventilation
Which of the following is likely to be the most helpful technique to identify
potentially reversible metabolic and toxic causes during the attempted
resuscitation of a young child in cardiac arrest? - correct answer ✔Soliciting
a history from the caregiver or family
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? - correct answer ✔Over
the third rib at the midclavicular line
You attempted synchronized cardioversion for an infant with supraventricular
tachycardia (SVT) and poor perfusion. The SVT persists after the initial 1 J/kg
shock. Which of the following should you attempt now? - correct answer
✔Synchronized cardioversion at a dose of 2 J/kg
You are treating a 5-month-old with a 2-day history of vomiting and diarrhea.
The patient is listless. The respiratory rate is 52/min and unlabored. The heart
rate is 170/min and pulses are present but weak. Capillary refill is delayed.
You are administering high-flow oxygen, and intravenous access is in place.
At this point the most important therapy is to: - correct answer ✔Provide a
rapid 20 ml/kg isotonic crystalloid fluid bolus
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