PALS VERSION B QUESTIONS &
ACCURATE ANSWERS PASSED
GRADED A+ LATEST UPDATE
You are treating an 8-year-old with ventricular tachycardia (VT) with pulses and
adequate perfusion. You attempted synchronized cardioversion without success. While
seeking expert consultation, it would be most appropriate to:
Administer a loading dose of milrinone
Initiate overdrive pacing transcutaneously
Consider possible metabolic and toxicologic causes
Deliver an unsynchronized shock - Correct Answer ✔✔ Consider possible metabolic
and toxicologic causes
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 (ie, second intercostal space) at the mid-clavicular 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 Answer ✔✔ Over the third rib (ie,
second intercostal space) at the mid-clavicular line
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 colloidge
Administer repeated fluid boluses of isotonic crystalloid
Begin immediate dopamine infusion
Begin immediate dobutamine infusion - Correct Answer ✔✔ Administer repeated fluid
boluses of isotonic crystalloid
You are caring for a 5-year-old patient with supraventricular tachycardia (SVT) (heart
rate is 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?
Provide synchronized cardioversion at 0.5 to 1 J/kg
, 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 - Correct Answer ✔✔ Provide synchronized
cardioversion at 0.5 to 1 J/kg
You attempted synchronized cardioversion for an infant with SVT and poor perfusion.
The SVT persists after the initial shock of 1 J/kg. Which of the following should you
attempt now?
Synchronized cardioversion at a dose of 4 J/kg
Synchronized cardioversion at a dose of 2 J/kg
Unsynchronized cardioversion at a dose of 2 J/kg
Unsynchronized cardioversion at a dose of 4 J/kg - Correct Answer ✔✔ Synchronized
cardioversion at a dose of 2 J/kg
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:
Increasing the ventilator rate
Using a resuscitation bag to provide manual ventilation with 100% oxygen
Increasing tidal volume
Increasing positive end-expiratory pressure (PEEP) - Correct Answer ✔✔ Using a
resuscitation bag to 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
intercostal 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?
Administer epinephrine IV
Provide bag-mask ventilation
Administer magnesium sulfate IV
lntubate and ventilate - Correct Answer ✔✔ Provide bag-mask ventilation
You are caring for an 8-year-old child who was struck by a car. The child is alert, very
anxious, and in respiratory distress. The child is receiving high-flow oxygen by face
mask, has a respiratory rate of 60/min, heart rate of 150/min, systolic blood pressure of
70 mm Hg, and Spot of 86% and falling. Breath sounds and chest rise are absent over
the right chest. Which of the following is the most likely cause of this child's distress?
Cardiac tamponade
Severe hypovolemia
ACCURATE ANSWERS PASSED
GRADED A+ LATEST UPDATE
You are treating an 8-year-old with ventricular tachycardia (VT) with pulses and
adequate perfusion. You attempted synchronized cardioversion without success. While
seeking expert consultation, it would be most appropriate to:
Administer a loading dose of milrinone
Initiate overdrive pacing transcutaneously
Consider possible metabolic and toxicologic causes
Deliver an unsynchronized shock - Correct Answer ✔✔ Consider possible metabolic
and toxicologic causes
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 (ie, second intercostal space) at the mid-clavicular 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 Answer ✔✔ Over the third rib (ie,
second intercostal space) at the mid-clavicular line
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 colloidge
Administer repeated fluid boluses of isotonic crystalloid
Begin immediate dopamine infusion
Begin immediate dobutamine infusion - Correct Answer ✔✔ Administer repeated fluid
boluses of isotonic crystalloid
You are caring for a 5-year-old patient with supraventricular tachycardia (SVT) (heart
rate is 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?
Provide synchronized cardioversion at 0.5 to 1 J/kg
, 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 - Correct Answer ✔✔ Provide synchronized
cardioversion at 0.5 to 1 J/kg
You attempted synchronized cardioversion for an infant with SVT and poor perfusion.
The SVT persists after the initial shock of 1 J/kg. Which of the following should you
attempt now?
Synchronized cardioversion at a dose of 4 J/kg
Synchronized cardioversion at a dose of 2 J/kg
Unsynchronized cardioversion at a dose of 2 J/kg
Unsynchronized cardioversion at a dose of 4 J/kg - Correct Answer ✔✔ Synchronized
cardioversion at a dose of 2 J/kg
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:
Increasing the ventilator rate
Using a resuscitation bag to provide manual ventilation with 100% oxygen
Increasing tidal volume
Increasing positive end-expiratory pressure (PEEP) - Correct Answer ✔✔ Using a
resuscitation bag to 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
intercostal 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?
Administer epinephrine IV
Provide bag-mask ventilation
Administer magnesium sulfate IV
lntubate and ventilate - Correct Answer ✔✔ Provide bag-mask ventilation
You are caring for an 8-year-old child who was struck by a car. The child is alert, very
anxious, and in respiratory distress. The child is receiving high-flow oxygen by face
mask, has a respiratory rate of 60/min, heart rate of 150/min, systolic blood pressure of
70 mm Hg, and Spot of 86% and falling. Breath sounds and chest rise are absent over
the right chest. Which of the following is the most likely cause of this child's distress?
Cardiac tamponade
Severe hypovolemia
