After synchronized cardioversion of 6 J, the patient remains in SVT. A second
synchronized cardioversion is ordered. What is the recommended energy selection?
A) 20 J
B) 12 J
C) 24 J
D) 16 J - ANSWER B) 12 J
What are the most common initial rhythms in both in-hospital and out-of-hospital
pediatric cardiac arrest, especially in children younger than 12 years?
A) PVT
B) PEA
C) VF
D) asystole - ANSWER B and D
,When treating persistent VF/PVT during cardiac arrest, administer epinephrine:
A) every 1-3 mins
B) every 3-5 mins
C) every 5-7 mins
D) every 8-10 mins - ANSWER B) every 3-5 mins
What are the initial steps of treating asystole/PEA?
A) Consider an advanced airway
B) administer epinephrine
C) deliver 1 shock
D) provide CPR
E) establish IV/IO access - ANSWER A, B, D, and E
What are the initial steps of the VF/PVT pathway of the Pediatric Cardiac Arrest
Algorithm?
A) perform CPR
B) administer atropine
C) deliver 1 shock
D) establish IV/IO access - ANSWER A, C, and D
What does optimal post-cardiac arrest care include?
A) identifying and treating organ system dysfunction
B) identifying the specific underlying cause
C) invasive monitoring
,D) ensuring hemodynamic instability - ANSWER A) identifying and treating
organ system dysfunction
What is considered part of post-cardiac arrest care?
A) ensuring adequate analgesia and sedation
B) correcting acid-base and electrolyte imbalances
C) providing adequate oxygenation and ventilation
D) avoiding hypertension
E) avoiding hypoxia - ANSWER A, B, and C
What should you do before suctioning a child who has an upper airway
obstruction?
A) Determine if there is blood or debris in the airway
B) give corticosteroids
C) determine the underlying cause of the obstruction
D) give nebulized epinephrine - ANSWER C) determine the underlying cause of
the obstruction
What is a third-degree AV block?
A) a progressive prolongation of the PR interval until an atrial impulse is not
conducted by the ventricles
B) a prolonged PR interval representing slowed conduction through the AV node
C) none of the atrial impulses conduct to the ventricles
D) nonconduction of some of the atrial impulses to the ventricle without any
change in the PR interval of the conduction impulses - ANSWER C) none of the
atrial impulses conduct to the ventricles
, What is the initial treatment for pediatric bradycardia with cardiopulmonary
compromise?
A) administer atropine
B) begin CPR
C) administer epinephrine
D) provide BVM with 100% oxygen - ANSWER D) Provide BVM with 100%
oxygen
If bradycardia persists after initial treatment and the HR remains less than 60/min,
what action should you take next?
A) administer epinephrine
B) begin CPR
C) administer atropine
D) provide BVM ventilation with 100% oxygen - ANSWER B) begin CPR
What is the initial dose of epinephrine in the treatment of symptomatic
bradycardia?
A) 0.01 mg/kg endotracheal
B) 1 mg/kg endotracheal
C) 1 mg/kg IO
D) 0.01 mg/kg IV/IO - ANSWER D) 0.01 mg/kg IV/IO
In what conditions is atropine preferred over epinephrine as the first-choice
treatment of symptomatic bradycardia?
synchronized cardioversion is ordered. What is the recommended energy selection?
A) 20 J
B) 12 J
C) 24 J
D) 16 J - ANSWER B) 12 J
What are the most common initial rhythms in both in-hospital and out-of-hospital
pediatric cardiac arrest, especially in children younger than 12 years?
A) PVT
B) PEA
C) VF
D) asystole - ANSWER B and D
,When treating persistent VF/PVT during cardiac arrest, administer epinephrine:
A) every 1-3 mins
B) every 3-5 mins
C) every 5-7 mins
D) every 8-10 mins - ANSWER B) every 3-5 mins
What are the initial steps of treating asystole/PEA?
A) Consider an advanced airway
B) administer epinephrine
C) deliver 1 shock
D) provide CPR
E) establish IV/IO access - ANSWER A, B, D, and E
What are the initial steps of the VF/PVT pathway of the Pediatric Cardiac Arrest
Algorithm?
A) perform CPR
B) administer atropine
C) deliver 1 shock
D) establish IV/IO access - ANSWER A, C, and D
What does optimal post-cardiac arrest care include?
A) identifying and treating organ system dysfunction
B) identifying the specific underlying cause
C) invasive monitoring
,D) ensuring hemodynamic instability - ANSWER A) identifying and treating
organ system dysfunction
What is considered part of post-cardiac arrest care?
A) ensuring adequate analgesia and sedation
B) correcting acid-base and electrolyte imbalances
C) providing adequate oxygenation and ventilation
D) avoiding hypertension
E) avoiding hypoxia - ANSWER A, B, and C
What should you do before suctioning a child who has an upper airway
obstruction?
A) Determine if there is blood or debris in the airway
B) give corticosteroids
C) determine the underlying cause of the obstruction
D) give nebulized epinephrine - ANSWER C) determine the underlying cause of
the obstruction
What is a third-degree AV block?
A) a progressive prolongation of the PR interval until an atrial impulse is not
conducted by the ventricles
B) a prolonged PR interval representing slowed conduction through the AV node
C) none of the atrial impulses conduct to the ventricles
D) nonconduction of some of the atrial impulses to the ventricle without any
change in the PR interval of the conduction impulses - ANSWER C) none of the
atrial impulses conduct to the ventricles
, What is the initial treatment for pediatric bradycardia with cardiopulmonary
compromise?
A) administer atropine
B) begin CPR
C) administer epinephrine
D) provide BVM with 100% oxygen - ANSWER D) Provide BVM with 100%
oxygen
If bradycardia persists after initial treatment and the HR remains less than 60/min,
what action should you take next?
A) administer epinephrine
B) begin CPR
C) administer atropine
D) provide BVM ventilation with 100% oxygen - ANSWER B) begin CPR
What is the initial dose of epinephrine in the treatment of symptomatic
bradycardia?
A) 0.01 mg/kg endotracheal
B) 1 mg/kg endotracheal
C) 1 mg/kg IO
D) 0.01 mg/kg IV/IO - ANSWER D) 0.01 mg/kg IV/IO
In what conditions is atropine preferred over epinephrine as the first-choice
treatment of symptomatic bradycardia?
