Test
PALS Quiz
Preguntas del test (105)
1A 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
- AUnsynchronized cardioversion
- BVagal maneuvers
- CSynchronized cardioversion
- DAmiodarone
2A child has an advanced airway in place during cardiac arrest. How frequently should ventilations be given?
- AEvery 3 Seconds
- BEvery 6 Seconds
- CEvery 10 Seconds
- DEvery 12 Seconds
3You 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?
- A30 Chest compressions to 2 ventilations
- B15 Chest compressions to 2 ventilations
- C30 Ventilations to 2 chest compressions
- D15 ventilations to 2 chest compressions
4You are alone performing infant CPR. What is the correct ratio of chest compressions to ventilations?
- A30 chest compressions to 2 ventilations
- B15 chest compressions to 2 ventilations
- C30 ventilations to 2 chest compressions
- D15 ventilations to 2 chest compressions
5A 7 month old appears to be unconscious and not breathing. You check for a pulse at the ________ artery.
- ABrachial
- BFemoral
- CCarotid
- DCoronary
6A clear sign of upper airway obstruction is:
- ADecreased inspiratory effort
- BBreath sounds in all lung fields
- CCrying
- DA “whistling” sound during breathing
7In children, which of the following is the most common form of arrest?
- ARespiratory arrest
- BVentricular fibrillation – cardiac arrest
- CVentricular tachycardia – cardiac arrest
- DPEA – cardiac arrest
8In small children, a rescue breath should be given:
- AAs quickly as possible
- BAs slowly as possible
- COver one second
- DOver three seconds
9What is the normal range of heart rates for an 8-year-old child?
- A80-205 per minute
- B75-190 per minute
- C60-140 per minute
- D50-100 per minute
10The child you are caring for is very pale. You know that this pallor can be caused by all of the following EXCEPT:
- AAnemia
- BHeat
- CShock
- DAlbinism
11Clinical signs of respiratory distress may include all of the following EXCEPT:
- ARapid respiratory rate
- BGrunting respirations
- CWarm, pink skin
- DDiminished level of consciousness
12Late and ominous signs of respiratory failure include all of the following EXCEPT:
- ARapid respiratory rate
- BCyanosis
- CBradycardia
- DDiminished level of consciousness
13The 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:
- ASinus tachycardia
- BSupraventricular tachycardia
- CSinus rhythm
- DVentricular tachycardia
14You 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?
- AAtropine
- BEpinepherine
- CSodium Bicarbonate
- DDopamine
15High-quality CPR for young children includes:
- ACompress to a depth of at least one third of the child's chest diameter
- BCompress at a rate between 100 and 120 compressions per minute
- CMinimize interruptions to chest compressions
- DAll of the above
16You 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:
- AAsystole
- BPEA
- CVentricular fibrillation
- DVentricular tachycardia
17The goal of the PALS team in the treatment of shock is to:
- AImprove oxygen delivery
- BPrevent organ injury
- CStop the progression to cardiopulmonary failure
- DAll of the above
18When evaluating a child's bradycardia, it is important to consider the child's:
- ABaseline rate
- BLevel of activity
- CClinical condition
- DAll of the above
19For asystole, the team should do CPR until IV or IO access is achieved. The drug of choice for asystole is:
- AAmiodarone
- BEpinephrine
- CLidocaine
- DAtropine
20In school age children and infants, the two most common initial rhythms seen in pediatric cardiac arrest are:
- AAsystole and PEA
- BAsystole and VF
- CPEA and VF
- DPulseless VT and VF
21What is not a typical sign of respiratory distress?
- Atachypnea
- Bfever
- Cnasal flaring
- Dtachycardia
22What is the most common form of infectious pneumonia which often causes empyema?
- Astreptococcus pneumoniae
- Bmycoplasma pneumoniae
- Cchlamydia pneumoniae
- Dstaphylococcus pneumoniae
23Children with increased ICP typically will present with all the following except which?
Mark one answer:- Airregular breathing
- Bbradycardia
- Ctachycardia
- Dhypertension
24Shock occurs with which level of blood pressure?
- Adecreased
- Bincreased
- Cnormal
- Dall the above
25The recommended priority of treatment of ischemic hypoxia is what?
- Aoxygen administration
- Bincrease cardiac output
- Crestore hemoglobin concentration
- Dnone of the above
26Myocordial dysfunction impairs cardiac output and strock volume which can typically lead to which shock?
- Acardiogenic shock
- Bseptic shock
- Canaphylactic shock
- Dneurogenic shock
27What should be the first priority when assisting a critically ill or injured child in shock?
- Aoxygen administration
- Bmonitoring
- Cpositioning
- Dfluid resuscitation
28Which is not a common assessment when determining the effectiveness of fluid resuscitation?
- Acentral venous catheter
- Baterial catheter
- Cpulmonary artery catheter
- Dnone of the above
29Which is not a common assessment when determining the effectiveness of fluid resuscitation?
Mark one answer:- Atemperature
- Bheart rate
- Cskin coloration
- Durine output
30To treat cold shock, _____________ is preferred.
- Adopamine
- Bnorepinephrine
- Cepinephrine
- Ddobutamine
31For cardiogenic shock, you should deliver a fluid challenge (5 to 10 mL/kg bolus) over what length of time?
- A1-5 minutes
- B5-10 minutes
- C10-20 minutes
- Dunder 3 minutes
32______________ is described as an accumulation of pressurized air in the pleural space.
- Atension pneumothorax
- Bcardiac tamponade
- Cmassive pulmonary embolism
- Dnone of the above
33In a case of sinus tachycardia, the heart rate is ___________.
- Aincreased
- Bdecreased
- Cunsteady
- Dfaint
34Ventricular tachycardia is common in children.
- Atrue
- Bfalse
35What is the first sign of the body's defensive response when a child or infant is in shock?
- Abody temperature drop
- Bbody temperature rise
- Cheart rate increase
- Dheart rate decrease
36Each attempt for catheter insertion and suctioning of an infant should not surpass:
- A3 seconds
- B5 seconds
- C7 seconds
- D10 seconds
37The first warning sign of respiratory dysfunction is:
- Adecrease of heart rate
- Bincrease in blood pressure
- Cincrease in respiratory rate
- Ddecrease in body temperature
38During resuscitation of a newborn infant, the blow-by oxygen rate of flow should always be more than:
- A2 L/min.
- B5 L/min.
- C6 L/min.
- D8 L/min.
39What age period is croup most common to occur?
- A3 - 5 years
- B6 months - 3 years
- C4 - 7 years
- D1 month - 12 months
40What is the recommended first energy level used for defibrillation?
- A0.3 joules/kg.
- B1.5 joules/kg.
- C2.0 joules/kg.
- D2.5 joules/kg.
41A patient has a "do not resuscitate" order. Which action is least appropriate?
- AEndotracheal intubation
- BNasogastric tube feedings
- CIntravenous line insertion
- DOxygen by face mask
42What agent is added to increase the half-life of imipenem?
- ACilastatin
- BProbenecid
- CAllopurinol
- DSodium bicarbonate
43Which would be considered a normal serum potassium?
- A2 mEq per L
- B4 mEq per L
- C6 mEq per L
- D8 mEq per L
44The proximal aorta is derived from which structure?
- AFirst aortic arch
- BTruncus arteriosus
- CSecond brachial pouch
- DSinus venosus
45Select the medication that is contraindicated in cocaine associated myocardial infarction.
- ABenzodiazepines
- BVerapamil
- CBeta blockers
- DNifedipine
46Which physical finding is most indicative of a pleural effusion?
- ADecreased apical breath sounds
- BDecreased vesicular sounds
- CIncreased adventitious sounds
- DBarrel chest
47Which is false about the treatment of septic shock?
- AAdrenaline can be used to raise blood pressure
- BNoradrenaline can be used to raise blood pressure
- CIsoproterenol can be used to raise blood pressure
- DDopamine can be used to raise blood pressure
48What is the best position for a hospitalized patient experiencing difficulty breathing?
- ALithotomy
- BTrendelenburg
- CReverse Trendelenburg
- DHigh Fowler's
49What is required for the diagnosis of repiratory failure?
- APAO2<80mmHg
- BPatient is unable to breathe without Ventimask of 80% O2
- CPatient has cyanotic extremities
- DPACO2>50mmHg or PAO2<60mmHg
50What does a carotid pulse indicate?
- AA functioning pump for blood flow
- BThe circulating blood volume is reaching end organs
- CDiastolic blood pressure
- DNone of the above
51In addition to intravenous fluid, what is considered the mainstay of treatment for anaphylaxis?
- ADiphenhydramine
- BPrednisone
- CPropanolol
- DEpinephrine
52During CPR, the highest amount of blood flow is observed which technique?
- AHigh impulse CPR at 80 compressions per min
- BHigh impulse CPR at 60 compressions per min
- CHigh impulse CPR at 100-120 compressions per min
- DHigh impulse CPR at 150 compressions per
53The right neck vein is preferred for central line over the left because of what structure?
Mark one answer:- ASubclavian
- BLung apex
- CThoracic duct
- DHeart
54What is a normal finding after successful endotracheal intubation?
- ABilateral chest wall expansion
- BRight side only breath sounds
- CAbdominal movement with ventilation
- DNone of the above
55What ECG wave represents the depolarization of atrium?
- AP wave
- BQRS complex
- CT wave
- DQ wave
56To relive a right tension pneumothorax, where should the needle should be placed?
- A4th intercostal space left of the mediastinum
- B2nd intercostal space left of the mediastinum
- C4th intercostal space right of the mediastinum
- D2nd intercostal space right of the mediastinum
57Which is not a typical sign of cardiogenic shock?
- AHypotension
- BPolyuria
- CTachycardia
- DConfusion
58A chest tube will drain an effusion when the lumen is properly placed in which space?
- AIntra-alveolar
- BPericardial
- CPleural
- DIntercostal
59Why does the ACLS protocol recommend epinephrine?
- AIncreases muscular blood flow
- BDilates the bronchioles
- CEnhances myocardial contractility
- DRaises the systolic blood pressure
60Cardioversion delivery is syschronized with:
- AP wave
- BR wave
- CS wave
- DT wave
61The most common rhythm identified in "cardiac arrest" is which of the following?
- ATorsade de point
- BVentricula tachycardia
- CAsytole
- DVentricular fibrillation
62Which of the following statements is false about the airway in children?
- AChildren are less reliant on the diaphragm for breathing
- BAs the child grows, the subglottic narrowing widens with time
- CCricothyrotomy should never be done in small children
- DThe size of the endotracheal tube for a child is usually the same size as the child's 5th finger
63What is the best first step in patient with angina and ST ECG changes?
- ACardiac enzyme
- BAspirin
- CIV fluid
- DMorphine
64A patient presents to the emergency department and has hives, hypotension and wheezing on initial exam. What is the first step?
- AAdministration of nebulized albuterol
- BAdministration of cimetidine
- CImmediate Administration of intramuscular (IM) epinephrine
- DAdministration of aspirin
65Which of the following is the superior marker for myocardial injury?
- ALDH
- BCPK
- CAST
- DTroponin
66Which of the following is not used to ensure correct placement of an endotracheal tube?
- AUltrasound
- BBilateral breath sounds
- CSustained end-tidal CO2
- DSustained end-tidal O2
67During 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?
- AMix 1 vial in the 500 mL bag and infuse at 6 mL per hour
- BMix 0.5 mL of the epinephrine in the bag and infuse at 6 mL per hour
- CMix the 1 mL vial in the 500 mL normal saline and infuse at 60 mL per hour
- DQuestion the request because this is an excessive amount of medication
68In the femoral triangle, the order of the neurovascular bundles, from LATERAL TO MEDIAL, runs in what sequence?
- ANerve, artery, vein
- BNerve, vein, artery
- CVein, artery, nerve
- DVein, nerve, artery
69Paroxysmal supraventricular tachycardia is best treated by which of the following?
- AAdenosine
- BBeta blockers
- CCalcium channel blockers
- DDigoxin
70What is the estimated time a person's brain can be anoxic from cardiopulmonary failure and not develop permanent brain damage?
- A10 minutes
- B5 minutes
- C2 minutes
- D20 minutes
71The phrenic nerve innervates which of the following?
- ADiaphragm
- BHeart
- CStomach
- DSmall intestine
72-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?
- AVenous cut down
- BCentral line
- CIntraosseous
- DIntrathecal
73Which of the following conditions is a common side effect of adenosine?
- ATremors
- BSympathetic over activity
- CFacial flushing
- DGI intolerance
74A 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?
- AAnother attempt at defibrillation
- BAdminister lidocaine
- CAdminister amiodarone
- DAdminister procainamide
75How is the bradycardia caused by acetylcholine treated?
- AEpinephrine
- BPacemaker
- CAtropine
- DIsoprenaline
76What is the drug of choice for supraventricular tachycardia?
- AMetoprolol
- BDigoxin
- CLidocaine
- DAdenosine
77Performing CPR with chest compressions over the xiphoid process may result in laceration of which of the following organs?
- ASmall bowel
- BStomach
- CLung
- DLiver
78An adult patient is observed to have premature ventricular contractions every other beat on a monitor. What is the next best step for this patient?
- AAssess the vital signs and mental status
- BCall the physician immediately
- CApply transcutaneous pacing pads and then call the physician
- DCall a code blue
79What protective measure should be undertaken when performing tracheal suctioning on a patient requiring ventilation?
- AFace mask
- BGloves
- CEye protection
- DAll of the above
80What is the drug of choice for the treatment of ventricular dysrhythmias?
- AMetoprolol
- BDigoxin
- CLidocaine
- DAdenosine
81Which of the following is a first-line agent for rate control in the management of atrial fibrillation (AF)?
- ABeta-blockers
- BAmiodarone
- CDigoxin
- DWarfarin
82Which is a not a sign of tension pneumothorax?
- ADecreased breath sounds
- BTracheall deviation
- CDecreased compliance
- DAudible bronchial sounds
83Which of the following statements regarding shock is correct?
- AThe body cannot metabolize glucose
- BThe body is in a state of multi-system organ failure
- CThe body cannot perfuse tissues properly
- DThe body is resistant to antibiotics
84What is the proper way to deliver a breath?
- ABlow as hard and as fast as possible
- BGive over one second
- CApply cricoid pressure first
- DDeliver during compressions
85You are having difficulty using a bag-mask device. Which are potential causes for your difficulties?
- AThe mask is too large
- BPushing mask onto victim’s face
- CImproper seal
- DAll the above
86You are using an AED and the device indicates that a SHOCK is advised. What is the very last step before pressing the SHOCK button?
- AGive two breaths
- BCheck connections
- CClear the victim
- DCheck pulse
87What is the most common cause of cardiac arrest in children?
- ARespiratory difficulties
- BDrug use
- CCongenital heart disease
- DSepsis
88Child CPR may be given using a one or two-handed technique?
- ATrue
- BFalse
89A seven-year-old accidentally ingests grandma’s pain medication. What drug can you use to reverse the sedation?
- AAtropine
- BNaloxone
- CEpinephrine
- DGlucose
90You are treating hypoglycemia in a three-week-old. What concentration of IV fluids is recommended?
- AD5
- BD10
- CD25
- DD50
91Which of the following are potential causes of respiratory arrest?
- AIngestion
- BHead trauma
- CChoking
- DAll of the above
92You 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?
- ACPR
- BCheck pulse
- CAdminister epinephrine
- DPacing
93What is the simplest way to open the airway in an unconcious patient?
- APull out the tongue
- BTilt head and lift chin
- CLift neck from behind
- DJaw thrust
94What is the most likely place for an over advanced endotracheal (ET) tube to enter?
- AStomach
- BRight mainstem bronchus
- CSoft palate
- DLeft mainstem bronchus
95Which condition can have hyperresonance on percussion?
- APleuritis
- BBronchitis
- CPneumothorax
- DARDS
96What should be the initial temporizing measure in a patient with hypotension following the onset of 3rd degree heart block?
- ATranscutaneous pacing
- BElectric cardioversion
- CAmiodarone loading and then electric cardioversion
- DStat placement of a permanent pacemaker
97The first heart sound, 'lub', is produced by closure of which of the following valves?
- AAortic and mitral
- BPulmonary and tricuspid
- CMitral and tricuspid
- DTricuspid and mitral
98Which of the following rhythms carries the worst long-term prognosis for survival?
- AAsystole
- BAtrial flutter
- CVentricular fibrillation
- DPulseless electrical activity
99At what point should tracheal suctioning be performed?
- AWithdrawal of the catheter
- BInsertion of the catheter
- CUpon insertion and withdrawal of the catheter
- DNone of the above
100Which of the following is a lethal heart rhythm?
- APulseless ventricular tachycardia
- BAsymptomatic supraventricular tachycardia (SVT)
- CAtrial fibrillation (AF)
- DFirst degree heart block
101Which of the following is the least preferred method of administering IV fluids?
- ACubital veins
- BCephalic veins
- CSubclavian veins
- DSaphenous vein
102The trachea deviates with tension pneumothorax to the:
- AAffected side
- BUnaffected side
- CAnteriorly
- DPosteriorly
103In a neonate, what is the proper method of performing chest compressions for two rescuers?
- ATwo hands
- BOne hand
- CTwo thumb-encircling hands chest compression
- DTwo fingers.
104On ECG, no conduction through the atrioventricular (AV) node is considered:
- AFirst-degree AV block
- BSecond-degree AV block
- CThird-degree AV block
- DNone of the above
105Which ECG change is associated with hyperkalemia?
- AU wave
- BPeaked T wave
- CLong PR interval
- DAbsent P wave
Información
- Descripción
- Multiple Choice Quiz for PALS
- Autor
- Hayden Worwood
- Idioma
- English
- Visitas
- 655
- Valoración
- Aún sin valoraciones Valora este test