PALS ALL QUESTIONS AND CORRECT VERIFIED ANSWERS
LATEST UPDATE 2024/2025 BEST EXAM SOLUTION RATED A+
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?
Obtaining a urine sample for toxicology screen
Obtaining chest and abdominal radiographs
Soliciting a history from the caregiver or family
Obtaining a venous blood gas - CORRECT ANSWERS 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?
Over the third rib at the midclavicular 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 - CORRECT ANSWERS 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?
Synchronized cardioversion at a dose of 2 J/kg
Synchronized cardioversion at a dose of 4 J/kg
Unsynchronized cardioversion at a dose of 2 J/kg
Unsynchronized cardioversion at a dose of 4 J/kg - CORRECT ANSWERS
Synchronized cardioversion at a dose of 2 J/kg
,PALS ALL QUESTIONS AND CORRECT VERIFIED ANSWERS
LATEST UPDATE 2024/2025 BEST EXAM SOLUTION RATED A+
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:
Administer an epinephrine bolus
Begin bag-mask ventilation
Provide a rapid 20 ml/kg isotonic crystalloid fluid bolus
Administer a bolus of 0.5 g/kg of dextrose - CORRECT ANSWERS Provide a
rapid 20 ml/kg isotonic crystalloid fluid bolus
Which of the following groups of clinical findings would be most consistent
with categorizing a patient with compensated shock?
Normal systolic blood pressure, decreased level of consciousness, cool
extremities with delayed capillary refill, and faint or nonpalpable distal
pulses
Decreased level of consciousness, extensor posturing in response to pain,
hypertension, and apnea
Normal blood pressure, normal level of consciousness, bounding distal
pulses, hypercarbia, hypoxemia, and normal urine output
Unresponsiveness, normal breathing, and good distal pulses - CORRECT
ANSWERS Normal systolic blood pressure, decreased level of
consciousness, cool extremities with delayed capillary refill, and faint or
nonpalpable distal pulses
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
, PALS ALL QUESTIONS AND CORRECT VERIFIED ANSWERS
LATEST UPDATE 2024/2025 BEST EXAM SOLUTION RATED A+
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 - CORRECT ANSWERS 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?
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 - CORRECT ANSWERS
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?
Administer repeated fluid boluses of isotonic colloid
Administer repeated fluid boluses of isotonic crystalloid
Begin immediate dopamine infusion
Begin immediate dobutamine infusion - CORRECT ANSWERS Administer
repeated fluid boluses of isotonic crystalloid
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