PALS-Pretest
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1. Sinus tachycardia
2. Sinus bradycardia
3. Supraventricular tachycardia
4. Asystole
5. Wide-complex tachycardia
6. Ventricular fibrillation with successful defibrillation
and resumption of organized rhythm
7. Sinus bradycardia
8. Pulseless electrical activity
9. Torsades de pointes
10. Ventricular fibrillation
11. Wide-complex tachycardia
12. SVT converting to sinus rhythm after adenosine ad-
ministration
13. Normal sinus
14. In asystole, what is the effect of epi? stimulate spon-
taneous contrac-
tions
15. Routine administration of calcium chloride (is/is not) is not
indicated in pediatric patients during cardiac arrest
16. A 9-year-old boy is agitated and leaning forward on albuterol
the bed in obvious respiratory distress. The patient is
speaking in short phrases and tells you that he has
1/9
, PALS-Pretest
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asthma but does not carry an inhaler. He has nasal
flaring, severe suprasternal and intercostal retrac-
tions, and decreased air movement with prolonged
expiratory time and wheezing. You administer 100%
oxygen by a nonrebreathing mask. His SpO2 is 92%.
What medication do you prepare to give to this pa-
tient?
17. You are part of a team attempting to resuscitate a child amiodarone
with vfib cardiac arrest. You delivered 2 unsynchro- 5mg/kg IO
nized shocks. A team member established IO access,
so you give a dose of epi, 0.01mg/kg IO. At the next
rhythm check, persistent vfib is present. You adminis-
ter a 4 J/kg shock and resume CPR. What should be
administered next?
18. What oxygen delivery system most reliably delivers nonrebreathing
a high (e90%) concentration of inspired oxygen to a face mask
7-year-old child?
19. ET drug administration during resuscitative efforts for least
pediatric patients is the (least/most) desirable route of
administration.
20. You are called to help treat an infant with severe symp- epi
tomatic bradycardia (HR 66 bpm) associated with res-
piratory distress. The bradycardia persists despite es-
tablishment of an effective airway, oxygenation, and
ventilation. There is no heart block present. What is
the 1st drug you should administer?
21. Paramedics are called to the home of a 1-year-old rapid bolus of
child. Their initial assessment reveals a child who 20mL/kg of isoton-
responds only to painful stimuli and has irreg- ic crystalloid
ular breathing, faint central pulses, bruises over
the abdomen, abdominal distention, and cyanosis.
Bag-mask ventilation with 100% oxygen is initiated.
The child's HR is 36 bpm. Peripheral pulses cannot be
palpated, and central pulses are barely palpable. The
cardiac monitor shows sinus bradycardia. Two-res-
2/9
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