PALS PreTest
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
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? - correct answer
✔Humidified oxygen as tolerated
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? - correct answer ✔Amiodarone 5 mg/kg
IO
Which statement is correct about the effects of epinephrine during attempted
resuscitation? - correct answer ✔Epinephrine stimulates spontaneous
contractions when asystole is present
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. - correct answer
