PALS PRECOURSE SELF-ASSESSMENT EXAM AND
PRACTICE EXAM NEWEST ACTUAL EXAM
COMPLETE 150 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+
Identify the rhythm. - CORRECT ANSWER Ventricular
Fibrillation (VF)
Identify the rhythm. - CORRECT ANSWER Normal Sinus
Rhythm
Identify the rhythm. - CORRECT ANSWER VF with
successful defibrillation and resumption of organized rhythm
Identify the rhythm. - CORRECT ANSWER SVT converting
to sinus rhythm after adenosine administration
Identify the rhythm. - CORRECT ANSWER Torsades de
pointes
Identify the rhythm. - CORRECT ANSWER
Supreaventricular Tachycardia (SVT)
Identify the rhythm. - CORRECT ANSWER Sinus
Tachycardia
Identify the rhythm. - CORRECT ANSWER Sinus
Bradycardis
Identify the rhythm. - CORRECT ANSWER Asystole
,Identify the rhythm. - CORRECT ANSWER Wide-Complex
Tachycardia
Identify the rhythm. - CORRECT ANSWER Pulseless
Electrical Activity
Which statement is correct about endotracheal drug
administration during resuscitative efforts for pediatric
patients? - CORRECT ANSWER It is the least desirable
route of administration
Which oxygen delivery system most reliably delivers a high
(90% or greater) concentration of inspired oxygen to a 7-
year-old child? - CORRECT ANSWER Nonrebreathing face
mask
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 now 150/min with
weak central pulses but no distal pulses. Systolic blood
pressure is 74 mm Hg. Which intervention should be
provided next? - CORRECT ANSWER Rapid bolus of 20
mL/kg of isotonic crystalloid
,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 a 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 mol/L). You administer 100%
oxygen via face mask and start an IV. Which treatment is
the most appropriate for this infant? - CORRECT ANSWER
Administer a bolus of isotonic crystalloid 20 mL/kg over 5 to
20 minutes, and also give D2;W 2 to 4 mL/kg IV
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 SpO,
is 92%. Which medication do you prepare to give to this
patient? - CORRECT ANSWER 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 I
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? -
CORRECT ANSWER Amiodarone 5 mq/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? - CORRECT ANSWER
Epinephrine
Which statement is correct about the effects of epinephrine
during attempted resuscitation? - CORRECT ANSWER
Epinephrine stimulates spontaneous contractions when
asystole is present
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 sounds bilaterally. Which is the most
appropriate initial intervention for this child? - CORRECT
ANSWER Humidified oxygen as tolerated
Which statement is correct about the use of calcium
chloride in pediatric patients? - CORRECT ANSWER
Routine administration is not indicated during cardiac arrest
PRACTICE EXAM NEWEST ACTUAL EXAM
COMPLETE 150 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+
Identify the rhythm. - CORRECT ANSWER Ventricular
Fibrillation (VF)
Identify the rhythm. - CORRECT ANSWER Normal Sinus
Rhythm
Identify the rhythm. - CORRECT ANSWER VF with
successful defibrillation and resumption of organized rhythm
Identify the rhythm. - CORRECT ANSWER SVT converting
to sinus rhythm after adenosine administration
Identify the rhythm. - CORRECT ANSWER Torsades de
pointes
Identify the rhythm. - CORRECT ANSWER
Supreaventricular Tachycardia (SVT)
Identify the rhythm. - CORRECT ANSWER Sinus
Tachycardia
Identify the rhythm. - CORRECT ANSWER Sinus
Bradycardis
Identify the rhythm. - CORRECT ANSWER Asystole
,Identify the rhythm. - CORRECT ANSWER Wide-Complex
Tachycardia
Identify the rhythm. - CORRECT ANSWER Pulseless
Electrical Activity
Which statement is correct about endotracheal drug
administration during resuscitative efforts for pediatric
patients? - CORRECT ANSWER It is the least desirable
route of administration
Which oxygen delivery system most reliably delivers a high
(90% or greater) concentration of inspired oxygen to a 7-
year-old child? - CORRECT ANSWER Nonrebreathing face
mask
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 now 150/min with
weak central pulses but no distal pulses. Systolic blood
pressure is 74 mm Hg. Which intervention should be
provided next? - CORRECT ANSWER Rapid bolus of 20
mL/kg of isotonic crystalloid
,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 a 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 mol/L). You administer 100%
oxygen via face mask and start an IV. Which treatment is
the most appropriate for this infant? - CORRECT ANSWER
Administer a bolus of isotonic crystalloid 20 mL/kg over 5 to
20 minutes, and also give D2;W 2 to 4 mL/kg IV
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 SpO,
is 92%. Which medication do you prepare to give to this
patient? - CORRECT ANSWER 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 I
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? -
CORRECT ANSWER Amiodarone 5 mq/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? - CORRECT ANSWER
Epinephrine
Which statement is correct about the effects of epinephrine
during attempted resuscitation? - CORRECT ANSWER
Epinephrine stimulates spontaneous contractions when
asystole is present
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 sounds bilaterally. Which is the most
appropriate initial intervention for this child? - CORRECT
ANSWER Humidified oxygen as tolerated
Which statement is correct about the use of calcium
chloride in pediatric patients? - CORRECT ANSWER
Routine administration is not indicated during cardiac arrest
