PAL PEDIATRIC RESUSCITATION EXAM 2025,WITH ACCURATE
SOLUTIONS
What is considered the least desirable route of drug administration
during resuscitation for pediatric patients?
Intravenous
Intraosseous
Endotracheal
Subcutaneous
1. Your 45-y/o male cardiac arrest patient has remained in V-fib after the
first two defibrillations. You've just established IO access. Which of the
pharmacological interventions should you now perform?
300 mg of
Amiodarone 1 mg of
Atropine
1 mg of Epinephrine
1-1.5 mg/kg of Lidocaine
2. An infant with a history of vomiting and diarrhea arrives by ambulance.
During your primary assessment the infant responds only to painful
stimulation. The upper airway is patent, the respiratory rate is 40/min with
good bilateral breath sounds, and 100% oxygen is being administered. The
infant has cool extremities, weak pulses, and a cap refill of more than 5
seconds. The infant's BP is 85/65 mm Hg and glucose concentration is 30
mg/dL (1.65 mmol/L). Which of the following is the most appropriate
treatment to provide for this infant?
Establish IV or IO access, administer 20 mL/kg isotonic crystalloid
over 10 to 20 minutes, and simultaneously administer D25W 2 to
4 mL/kg in a separate infusion.
Establish IV or IO access and administer 20 mL/kg D50 .45% sodium
chloride bolus over 15 minutes.
, Establish IV or IO access and administer 20 mL/kg Lactated Ringer's
solution over 60 minutes.
Perform endotracheal intubation and administer epinephrine 0.1
mg/kg 1:1,000 via the endotracheal tube.
3. Explain why a nonrebreather face mask is preferred for delivering high
concentrations of oxygen to pediatric patients in emergency
situations.
It is the only device that can deliver oxygen at high flow rates.
It prevents the patient from breathing in room air, ensuring a
higher oxygen concentration.
It is easier to use than other devices.
It is specifically designed for adults, making it more effective.
4. What's the recommended initial bolus of crystal-loid fluid replacement for
a pediatric client in shock?
10 ml/kg
15 ml/kg
20 ml/kg
30 ml/kg
5. What is the primary role of epinephrine in pediatric resuscitation
efforts? To induce sedation
To stimulate spontaneous circulation
To reduce heart rate
To increase blood viscosity
6. In a scenario where a 7-year-old patient is experiencing severe
respiratory distress and requires immediate oxygen therapy, which of the
following actions should be taken after applying a nonrebreather face
mask?
SOLUTIONS
What is considered the least desirable route of drug administration
during resuscitation for pediatric patients?
Intravenous
Intraosseous
Endotracheal
Subcutaneous
1. Your 45-y/o male cardiac arrest patient has remained in V-fib after the
first two defibrillations. You've just established IO access. Which of the
pharmacological interventions should you now perform?
300 mg of
Amiodarone 1 mg of
Atropine
1 mg of Epinephrine
1-1.5 mg/kg of Lidocaine
2. An infant with a history of vomiting and diarrhea arrives by ambulance.
During your primary assessment the infant responds only to painful
stimulation. The upper airway is patent, the respiratory rate is 40/min with
good bilateral breath sounds, and 100% oxygen is being administered. The
infant has cool extremities, weak pulses, and a cap refill of more than 5
seconds. The infant's BP is 85/65 mm Hg and glucose concentration is 30
mg/dL (1.65 mmol/L). Which of the following is the most appropriate
treatment to provide for this infant?
Establish IV or IO access, administer 20 mL/kg isotonic crystalloid
over 10 to 20 minutes, and simultaneously administer D25W 2 to
4 mL/kg in a separate infusion.
Establish IV or IO access and administer 20 mL/kg D50 .45% sodium
chloride bolus over 15 minutes.
, Establish IV or IO access and administer 20 mL/kg Lactated Ringer's
solution over 60 minutes.
Perform endotracheal intubation and administer epinephrine 0.1
mg/kg 1:1,000 via the endotracheal tube.
3. Explain why a nonrebreather face mask is preferred for delivering high
concentrations of oxygen to pediatric patients in emergency
situations.
It is the only device that can deliver oxygen at high flow rates.
It prevents the patient from breathing in room air, ensuring a
higher oxygen concentration.
It is easier to use than other devices.
It is specifically designed for adults, making it more effective.
4. What's the recommended initial bolus of crystal-loid fluid replacement for
a pediatric client in shock?
10 ml/kg
15 ml/kg
20 ml/kg
30 ml/kg
5. What is the primary role of epinephrine in pediatric resuscitation
efforts? To induce sedation
To stimulate spontaneous circulation
To reduce heart rate
To increase blood viscosity
6. In a scenario where a 7-year-old patient is experiencing severe
respiratory distress and requires immediate oxygen therapy, which of the
following actions should be taken after applying a nonrebreather face
mask?
