PALS Quiz

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A 5-year-old child in supraventricular tachycardia has adequate pulses with the rhythm. Supplemental oxygen is in place and vital signs are stable except for the elevated heart rate. The most appropriate next intervention for this child is

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A child has an advanced airway in place during cardiac arrest. How frequently should ventilations be given?

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You are using a bag-valve mask to resuscitate an infant, while another rescuer is performing chest compressions. What is the correct ratio of chest compressions to ventilations?

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You are alone performing infant CPR. What is the correct ratio of chest compressions to ventilations?

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A 7 month old appears to be unconscious and not breathing. You check for a pulse at the ________ artery.

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A clear sign of upper airway obstruction is:

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In children, which of the following is the most common form of arrest?

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In small children, a rescue breath should be given:

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What is the normal range of heart rates for an 8-year-old child?

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The child you are caring for is very pale. You know that this pallor can be caused by all of the following EXCEPT:

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Clinical signs of respiratory distress may include all of the following EXCEPT:

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Late and ominous signs of respiratory failure include all of the following EXCEPT:

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The 8-year-old child you are treating has a palpable pulse and a heart rate of 200. You look at the monitor and see a rapid rhythm with narrow QRS complexes. There are no discernible P waves on the monitor. The rhythm is probably:

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You are doing CPR on a child with symptomatic bradycardia. An intravenous line is in place. What is the first drug of choice for the patient?

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High-quality CPR for young children includes:

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You are the team leader on a team resuscitating a child without a pulse or respirations. When you look at the monitor, you see a disorganized rhythm with chaotic electrical activity. This rhythm is most likely:

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The goal of the PALS team in the treatment of shock is to:

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When evaluating a child's bradycardia, it is important to consider the child's:

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For asystole, the team should do CPR until IV or IO access is achieved. The drug of choice for asystole is:

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In school age children and infants, the two most common initial rhythms seen in pediatric cardiac arrest are:

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What is not a typical sign of respiratory distress?

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What is the most common form of infectious pneumonia which often causes empyema?

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Children with increased ICP typically will present with all the following except which?
Mark one answer:

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Shock occurs with which level of blood pressure?

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The recommended priority of treatment of ischemic hypoxia is what?

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Myocordial dysfunction impairs cardiac output and strock volume which can typically lead to which shock?

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What should be the first priority when assisting a critically ill or injured child in shock?

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Which is not a common assessment when determining the effectiveness of fluid resuscitation?

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Which is not a common assessment when determining the effectiveness of fluid resuscitation?
Mark one answer:

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To treat cold shock, _____________ is preferred.

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For cardiogenic shock, you should deliver a fluid challenge (5 to 10 mL/kg bolus) over what length of time?

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______________ is described as an accumulation of pressurized air in the pleural space.

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In a case of sinus tachycardia, the heart rate is ___________.

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Ventricular tachycardia is common in children.

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What is the first sign of the body's defensive response when a child or infant is in shock?

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Each attempt for catheter insertion and suctioning of an infant should not surpass:

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The first warning sign of respiratory dysfunction is:

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During resuscitation of a newborn infant, the blow-by oxygen rate of flow should always be more than:

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What age period is croup most common to occur?

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What is the recommended first energy level used for defibrillation?

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A patient has a "do not resuscitate" order. Which action is least appropriate?

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What agent is added to increase the half-life of imipenem?

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Which would be considered a normal serum potassium?

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The proximal aorta is derived from which structure?

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Select the medication that is contraindicated in cocaine associated myocardial infarction.

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Which physical finding is most indicative of a pleural effusion?

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Which is false about the treatment of septic shock?

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What is the best position for a hospitalized patient experiencing difficulty breathing?

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What is required for the diagnosis of repiratory failure?

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What does a carotid pulse indicate?

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In addition to intravenous fluid, what is considered the mainstay of treatment for anaphylaxis?

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During CPR, the highest amount of blood flow is observed which technique?

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The right neck vein is preferred for central line over the left because of what structure?
Mark one answer:

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What is a normal finding after successful endotracheal intubation?

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What ECG wave represents the depolarization of atrium?

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To relive a right tension pneumothorax, where should the needle should be placed?

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Which is not a typical sign of cardiogenic shock?

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A chest tube will drain an effusion when the lumen is properly placed in which space?

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Why does the ACLS protocol recommend epinephrine?

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Cardioversion delivery is syschronized with:

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The most common rhythm identified in "cardiac arrest" is which of the following?

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Which of the following statements is false about the airway in children?

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What is the best first step in patient with angina and ST ECG changes?

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A patient presents to the emergency department and has hives, hypotension and wheezing on initial exam. What is the first step?

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Which of the following is the superior marker for myocardial injury?

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Which of the following is not used to ensure correct placement of an endotracheal tube?

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During the resuscitation of your bradycardic patient, the code team requests an epinephrine infusion of 2 mcg/min. In the crash cart you find a 1 mL vial of a 1:1000 epinephrine solution and a 500 mL bag of normal saline. Which is correct?

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In the femoral triangle, the order of the neurovascular bundles, from LATERAL TO MEDIAL, runs in what sequence?

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Paroxysmal supraventricular tachycardia is best treated by which of the following?

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What is the estimated time a person's brain can be anoxic from cardiopulmonary failure and not develop permanent brain damage?

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The phrenic nerve innervates which of the following?

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-A 2-year-old child presents with severe hypotension. Peripheral IV access could not be obtained. Which of the following is the best alternative for administering IV fluids in such situations?

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Which of the following conditions is a common side effect of adenosine?

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A patient collapses, a cardiac monitor is placed, and the rhythm is determined to be ventricular fibrillation. Despite three defibrillation shocks, intravenous epinephrine, and further attempt at defibrillation, there is no change. The patient is unconscious. What is most appropriate for the next step in this patient's management?

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How is the bradycardia caused by acetylcholine treated?

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What is the drug of choice for supraventricular tachycardia?

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Performing CPR with chest compressions over the xiphoid process may result in laceration of which of the following organs?

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An adult patient is observed to have premature ventricular contractions every other beat on a monitor. What is the next best step for this patient?

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What protective measure should be undertaken when performing tracheal suctioning on a patient requiring ventilation?

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What is the drug of choice for the treatment of ventricular dysrhythmias?

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Which of the following is a first-line agent for rate control in the management of atrial fibrillation (AF)?

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Which is a not a sign of tension pneumothorax?

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Which of the following statements regarding shock is correct?

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What is the proper way to deliver a breath?

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You are having difficulty using a bag-mask device. Which are potential causes for your difficulties?

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You are using an AED and the device indicates that a SHOCK is advised. What is the very last step before pressing the SHOCK button?

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What is the most common cause of cardiac arrest in children?

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Child CPR may be given using a one or two-handed technique?

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A seven-year-old accidentally ingests grandma’s pain medication. What drug can you use to reverse the sedation?

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You are treating hypoglycemia in a three-week-old. What concentration of IV fluids is recommended?

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Which of the following are potential causes of respiratory arrest?

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You are performing High-Quality CPR in a cardiac arrest case. The AED indicates a shock is advised. After delivering the shock, what is the next immediate step?

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What is the simplest way to open the airway in an unconcious patient?

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What is the most likely place for an over advanced endotracheal (ET) tube to enter?

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Which condition can have hyperresonance on percussion?

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What should be the initial temporizing measure in a patient with hypotension following the onset of 3rd degree heart block?

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The first heart sound, 'lub', is produced by closure of which of the following valves?

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Which of the following rhythms carries the worst long-term prognosis for survival?

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At what point should tracheal suctioning be performed?

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Which of the following is a lethal heart rhythm?

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Which of the following is the least preferred method of administering IV fluids?

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The trachea deviates with tension pneumothorax to the:

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Multiple Choice Quiz for PALS

A 5-year-old child in supraventricular tachycardia has adequate pulses with the rhythm. Supplemental oxygen is in place and vital signs are stable except for the elevated heart rate. The most appropriate next intervention for this child is

A child has an advanced airway in place during cardiac arrest. How frequently should ventilations be given?

You are using a bag-valve mask to resuscitate an infant, while another rescuer is performing chest compressions. What is the correct ratio of chest compressions to ventilations?

You are alone performing infant CPR. What is the correct ratio of chest compressions to ventilations?

A 7 month old appears to be unconscious and not breathing. You check for a pulse at the ________ artery.

A clear sign of upper airway obstruction is:

In children, which of the following is the most common form of arrest?

In small children, a rescue breath should be given:

What is the normal range of heart rates for an 8-year-old child?

The child you are caring for is very pale. You know that this pallor can be caused by all of the following EXCEPT:

Clinical signs of respiratory distress may include all of the following EXCEPT:

Late and ominous signs of respiratory failure include all of the following EXCEPT:

The 8-year-old child you are treating has a palpable pulse and a heart rate of 200. You look at the monitor and see a rapid rhythm with narrow QRS complexes. There are no discernible P waves on the monitor. The rhythm is probably:

You are doing CPR on a child with symptomatic bradycardia. An intravenous line is in place. What is the first drug of choice for the patient?

High-quality CPR for young children includes:

You are the team leader on a team resuscitating a child without a pulse or respirations. When you look at the monitor, you see a disorganized rhythm with chaotic electrical activity. This rhythm is most likely:

The goal of the PALS team in the treatment of shock is to:

When evaluating a child's bradycardia, it is important to consider the child's:

For asystole, the team should do CPR until IV or IO access is achieved. The drug of choice for asystole is:

In school age children and infants, the two most common initial rhythms seen in pediatric cardiac arrest are:

Children with increased ICP typically will present with all the following except which?
Mark one answer:

Which is not a common assessment when determining the effectiveness of fluid resuscitation?
Mark one answer: