PALS Precourse Self-Assessment Answers –
American Heart Association (AHA ) PALS Precourse
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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 SP02 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? - Answer-Humidified oxygen as tolerated.
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 too painful stimulation. The infant's
respiratory rate is 40 breaths per minute, and central
pulses are rapid and weak. The infant has good bilateral
breaths sounds, cool extremities, and a capillary refill time
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of more that 5 seconds. The infant's blood pressure is
85/65 mmHg, and glucose is 30 mg/dL (1.65 mmol/L). You
administer 100% oxygen via face mask and start an IV>
Which treatment is most appropriate for this infant? -
Answer-Administer a bolus of isotonic crystalloid 20mL/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?
A.) Route administration is not indicated during cardiac
arrest.
B.) It has the same bioavailability of elemental calcium as
calcium gluconate.
C.) The recommended dose is 1 to 2 mg/kg.
D.) It is indicated for hypercalcemia, hypokalemia, and
hypomagnesemia. - Answer-A.) Route administration is
not indicated during cardiac arrest.
Which statement is correct about the effects of
epinephrine during attempted resuscitation?
A.) Epinephrine stimulates spontaneous contractions
when systole is present.
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B.) Epinephrine decreases peripheral vascular resistance
and reduces myocardial after load.
C.) Epinephrine is contraindicated in ventricular fibrillation.
D.) Epinephrine decreases myocardial oxygen
consumption. - Answer-A.) Epinephrine stimulates
spontaneous contractions when systole is present.
Which statement is correct about endotracheal drug
administration during resuscitative efforts for pediatric
patients?
A.) It is the least desirable route of administration.
B.) The drug dose used is lower than the intravenous
dose.
C.) The intravenous drug dose should be used.
D.) It is preferred route of drug administration. - Answer-
A.) It is the least desirable route of administration.
You are part of a team attempting to resuscitate a child
with ventricular fibrillation cardiac arrest. You delieved 2
unsynchronized shocks. A team member establishes IO
access, so you give a dose of epinephrine, 0.01 mg/kg IO.
At the next rhythm check, persistent ventricular fibrillation