PALS Review Questions And Answers
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The most determining factor in relation to a child's cardiac output is the? -
ANSWER✔✔ Heart rate
What pharmacologic intervention in the presence of anaphylactic shock has almost
no immediate benefit? - ANSWER✔✔ Corticosteroids.
What side effect is not commonly associated with the administration of albuterol? -
ANSWER✔✔ Bradycardia.
When performing a pulse check in a child, the provider should? - ANSWER✔✔
palpate the carotid pulse ( brachial artery in infants).
The grunting sound heard in many lower airway diseases is caused by? -
ANSWER✔✔ air pushing up against the glottis.
The most common type of shock in children worldwide is? - ANSWER✔✔
hypovolemic shock.
The most common cause of nonsinus tachycardia in children is? - ANSWER✔✔
accessory pathway SVT.
The most common cause of acute cardiogenic pulmonary edema is? -
ANSWER✔✔ CHF.
, You are doing CPR on a child with bradycardia. An intravenous line is in place.
What is the first drug of choice for the patient? - ANSWER✔✔ Epinephrine 0.01
mg/kg of 1:10000 concentration every 3 to 5 minutes
You are on a resuscitation team caring for an 8 year old child. You know that the
normal resting heart rate HIGH for a child of this age is? - ANSWER✔✔ 140
Your pediatric patient is in septic shock with vasodilated (warm) shock. Pt
received multiple fluid boluses and continues to be hypotensive. The vasoactive
drug of choice is? - ANSWER✔✔ Norepinephrine
(0.1 to 2mcg/kg/min)
A 10 year-old child is brought to the ED with a systolic blood pressure of 100, a
heart rate of 110, slightly delayed capillary refill and cool, pale skin. You suspect
that the child is in ______ shock ? - ANSWER✔✔ Compensated shock
For asystole, the team should do CPR until IV or IO access is achieved. The drug
of choice for asystole is? - ANSWER✔✔ Epinephrine (0.01 mg/kg 1:10000
concentration every 3 to 5 minutes)
In school age children and infants, the two most common initial rhythms seen in
pediatric cardiac arrest are? - ANSWER✔✔ Asystole and PEA
CPR and rescue breathing for peds facts/ratio? - ANSWER✔✔ 30:2 if alone 15:2
if with aid. Activate EMS AFTER 2 minutes if alone
Peds IV/IO dose for Dopamine in Cardiogenic shock? - ANSWER✔✔ 2 to 20
mcg/kg/min
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