PALS PRETEST FINAL ASSESSMENT SCRIPT
COMPLETE PEDIATRIC EMERGENCY
QUESTIONS AND CORRECT ANSWERS
VERIFIED PASS
●● Which statement is correct about the effects of epinephrine during
attempted resuscitation?
Answer: Epinephrine stimulates spontaneous contractions when asystole
is present
●● You are part of a team attempting to resuscitate a child with
ventricular fibrillation cardiac arrest. You delivered 2 unsynchronized
shocks. A team member established IO access, so you give a dose of
epinephrine, 0.01 mg/kg IO. At the next rhythm check, persistent
ventricular fibrillation is present. You administer a 4-J/kg shock and
resume CPR. Which drug and dose should be administered next.
Answer: Amiodarone 5 mg/kg IO
●● You are called to help treat an infant with severe symptomatic
bradycardia (heart rate 66/min) associated with respiratory distress. The
bradycardia persists despite establishment of an effective airway,
oxygenation, and ventilation. There is no heart block present. Which is
the first drug you should administer?
Answer: Epinephrine
,●● A previously healthy infant with a history of vomiting and diarrhea is
brought to the emergency department by her parents. During your
assessment, you find that the infant responds only to painful stimulation.
The infant's respiratory rate is 40 breaths per minute and central pulses
are rapid and weak. The infant has good bilateral breath sounds, cool
extremities, and capillary refill time of more than 5 seconds. The infant's
blood pressure is 85/65 mm Hg, and glucose is 30 mg/dL (1.65
mmol/L). You administer 100% oxygen via face mask and start an IV.
Which treatment is the most appropriate for this infant?
Answer: Administer a bolus of isotonic crystalloid 20 mL/kg over 5 to
20 minutes, and also give D25W 2 to 4 mL/kg IV
●● Which statement is correct about the use of calcium chloride in
pediatric patients?
Answer: Routine administration is not indicated during cardiac arrest
●● Which statement is correct about endotracheal drug administration
during resuscitative efforts for pediatric patients?
Answer: It is the least desirable route of administration
●● A 9-year-old boy is agitated and leaning forward on the bed in
obvious respiratory distress. The patient is speaking in short phrases and
tells you that he has asthma but does not carry an inhaler. He has nasal
flaring, severe suprasternal and intercostal retractions, and decreased air
movement with prolonged respiratory time and wheezing. You
, administer 100% oxygen by a nonrebreathing mask. His SpO2 is 92%.
Which medication do you prepare to give to this patient?
Answer: Albuterol
●● Paramedics are called to the home of a 1-year-old child. Their initial
assessment reveals a child who responds only to painful stimuli and has
irregular breathing, faint central pulses, bruises over the abdomen,
abdominal distention, and cyanosis. Bag-mask ventilation with 100%
oxygen is initiated. The child's heart rate is 36/min. Peripheral pulses
cannot be palpated, and central pulses are barely palpable. The cardiac
monitor shows sinus bradycardia. Two-rescuer CPR is started. Upon
arrival to the emergency department, the child is intubated and ventilated
with 100% oxygen, and IV access is established. The heart rate is no
150/min with weak central pulses but no distal pulses. Systolic blood
pressure is 74 mm Hg. Which intervention should be provided next?
Answer: Rapid bolus of 20ml/kg of isotonic crystalloid
●● Initial impression of a 2-year-old girl shows her to be alert with mild
breathing difficulty during inspiration and pale skin color. On primary
assessment, she makes high-pitched inspiratory sounds (mild stridor)
when agitated; otherwise, her breathing is quiet. Her SpO2 is 92% on
room air, and she has mild inspiratory intercostal retractions. Lung
auscultation reveals transmitted upper airway sounds with adequate
distal breath sound bilaterally. Which is the most appropriate initial
intervention for this child?
Answer: Humidified oxygen as tolerated
COMPLETE PEDIATRIC EMERGENCY
QUESTIONS AND CORRECT ANSWERS
VERIFIED PASS
●● Which statement is correct about the effects of epinephrine during
attempted resuscitation?
Answer: Epinephrine stimulates spontaneous contractions when asystole
is present
●● You are part of a team attempting to resuscitate a child with
ventricular fibrillation cardiac arrest. You delivered 2 unsynchronized
shocks. A team member established IO access, so you give a dose of
epinephrine, 0.01 mg/kg IO. At the next rhythm check, persistent
ventricular fibrillation is present. You administer a 4-J/kg shock and
resume CPR. Which drug and dose should be administered next.
Answer: Amiodarone 5 mg/kg IO
●● You are called to help treat an infant with severe symptomatic
bradycardia (heart rate 66/min) associated with respiratory distress. The
bradycardia persists despite establishment of an effective airway,
oxygenation, and ventilation. There is no heart block present. Which is
the first drug you should administer?
Answer: Epinephrine
,●● A previously healthy infant with a history of vomiting and diarrhea is
brought to the emergency department by her parents. During your
assessment, you find that the infant responds only to painful stimulation.
The infant's respiratory rate is 40 breaths per minute and central pulses
are rapid and weak. The infant has good bilateral breath sounds, cool
extremities, and capillary refill time of more than 5 seconds. The infant's
blood pressure is 85/65 mm Hg, and glucose is 30 mg/dL (1.65
mmol/L). You administer 100% oxygen via face mask and start an IV.
Which treatment is the most appropriate for this infant?
Answer: Administer a bolus of isotonic crystalloid 20 mL/kg over 5 to
20 minutes, and also give D25W 2 to 4 mL/kg IV
●● Which statement is correct about the use of calcium chloride in
pediatric patients?
Answer: Routine administration is not indicated during cardiac arrest
●● Which statement is correct about endotracheal drug administration
during resuscitative efforts for pediatric patients?
Answer: It is the least desirable route of administration
●● A 9-year-old boy is agitated and leaning forward on the bed in
obvious respiratory distress. The patient is speaking in short phrases and
tells you that he has asthma but does not carry an inhaler. He has nasal
flaring, severe suprasternal and intercostal retractions, and decreased air
movement with prolonged respiratory time and wheezing. You
, administer 100% oxygen by a nonrebreathing mask. His SpO2 is 92%.
Which medication do you prepare to give to this patient?
Answer: Albuterol
●● Paramedics are called to the home of a 1-year-old child. Their initial
assessment reveals a child who responds only to painful stimuli and has
irregular breathing, faint central pulses, bruises over the abdomen,
abdominal distention, and cyanosis. Bag-mask ventilation with 100%
oxygen is initiated. The child's heart rate is 36/min. Peripheral pulses
cannot be palpated, and central pulses are barely palpable. The cardiac
monitor shows sinus bradycardia. Two-rescuer CPR is started. Upon
arrival to the emergency department, the child is intubated and ventilated
with 100% oxygen, and IV access is established. The heart rate is no
150/min with weak central pulses but no distal pulses. Systolic blood
pressure is 74 mm Hg. Which intervention should be provided next?
Answer: Rapid bolus of 20ml/kg of isotonic crystalloid
●● Initial impression of a 2-year-old girl shows her to be alert with mild
breathing difficulty during inspiration and pale skin color. On primary
assessment, she makes high-pitched inspiratory sounds (mild stridor)
when agitated; otherwise, her breathing is quiet. Her SpO2 is 92% on
room air, and she has mild inspiratory intercostal retractions. Lung
auscultation reveals transmitted upper airway sounds with adequate
distal breath sound bilaterally. Which is the most appropriate initial
intervention for this child?
Answer: Humidified oxygen as tolerated
