PALS PRE-COURSE ASSESSMENT: PHARMACOLOGY
QUESTIONS AND ANSWERS
Which oxygen delivery system most reliably delivers a high (90% or greater)
concentration of inspired oxygen to a 7yo child? - Answers - nonrebreathing face mask
Initial impression of a 2yo 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
sounds bilaterally. Which is the most appropriate initial intervention for this child? -
Answers - Humidified oxygen as tolerated
What is a correct statement about endotracheal drug administration during resuscitative
efforts for pediatric patients - Answers - 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 expiratory time and wheezing.
You administer 100% oxygen by a nonrebreathing mask. His Sp02 is 92%. Which
medication do you give to this patient?
a. Procainamide
b. Albuterol
c. Amiodarone
d. Adenosine - Answers - b. albuterol
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?
a. Atropine 0.02mg/kg IO
b. Magnesium sulfate 25 to 50 mg/kg IO
c. Epinephrine sulfate 25 to 50 mg/kg IO
d. Amiodarone 5 mg/kg IO - Answers - d. 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
QUESTIONS AND ANSWERS
Which oxygen delivery system most reliably delivers a high (90% or greater)
concentration of inspired oxygen to a 7yo child? - Answers - nonrebreathing face mask
Initial impression of a 2yo 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
sounds bilaterally. Which is the most appropriate initial intervention for this child? -
Answers - Humidified oxygen as tolerated
What is a correct statement about endotracheal drug administration during resuscitative
efforts for pediatric patients - Answers - 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 expiratory time and wheezing.
You administer 100% oxygen by a nonrebreathing mask. His Sp02 is 92%. Which
medication do you give to this patient?
a. Procainamide
b. Albuterol
c. Amiodarone
d. Adenosine - Answers - b. albuterol
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?
a. Atropine 0.02mg/kg IO
b. Magnesium sulfate 25 to 50 mg/kg IO
c. Epinephrine sulfate 25 to 50 mg/kg IO
d. Amiodarone 5 mg/kg IO - Answers - d. 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
