PALS Pediatric Advanced Life Support
During PALS, you and another rescuers begin CPR. Your
colleague begins compressions, and you noticed that the
compression rate is too slow. What should you say to offer
constructive feedback?
- Correct Answer – You need to compress at a rate of 100 to 120 per minute
You are preparing to use a manual defibrillator in the pediatric
setting. What best describes when it is appropriate to use the
smaller pediatric-sized paddles? - Correct Answer – If the child weighs less than 10 kg or is less than 1 year old
You need to provide rescue breaths to a child victim with a pulse.
What is the appropriate rate for delivering breaths? - Correct Answer – 1 breath every 3 to 5 seconds
You find an infant who is unresponsive, is not breathing, and does
not have a pulse. You shout for nearby help, but no one arrives.
What action should you take next?
- Correct Answer – Provide CPR for about 2 minutes before leaving to activate the emergency response system
3 year old boy presents with multiple-system trauma. Child was
an unrestrained passenger in a high-speed MVC. On primary
assessment, he is unresponsive to voice or painful stimulation.
His RR is 5/min, HR and pulses are 170/min, systolic BC is 60
mmHg, capillary refill is 5 seconds, and SpO2 is 75% on room air.
What action should you take first? - Correct Answer – While a colleague provides spinal motion restriction, open the airway with a jaw thrust and provide bagmask ventilation
You are assisting in the elective intubation of an average-sized 4
year old child with respiratory failure. Colleague is retrieving the
color-coded length-based tape from the resuscitation chart. What
is likely to be the estimated size of the uncuffed endotracheal tube
for this child?
- Correct Answer – 5-mm tube
You find a 10 yo boy to be unresponsive. You shout for help, and
after finding that he is not breathing and has no pulse, you and a
colleague begin CPR. Another colleague activates the emergency
response system, brings the emergency equipment, and places
the child on a cardiac monitor/defibrillator, which reveals
ventricular tachycardia. You attempt defib at 2 J/kg and give 2
minutes of CPR. The rhythm persists at the second rhythm check,
at which point you attempt defibrillation with 4 J/kg. A fourth
colleague arrives, starts an IV, and administers 1 dose of
epinephrine 0.01 mg/kg. If v fib or pulseless ventricular
tachycardia persists after 2 minutes of CPR, you will administer
another shock. What drug and dose should be administered? - Correct Answer – Lidocaine 1 mg/kg IV
During bag-mask ventilation, how should you hold the mask to
make an effective seal between the child’s face and the mask? - Correct Answer – Position your fingers using the E-C clamp technique
Age of infants – Correct Answer – <1 yo (excluding the newly born)
Age of children – Correct Answer – from 1 year of age to puberty
To perform a pulse check in an infant, palpate a
- Correct Answer – brachial pulse
- if you don’t definitely feel a pulse within 10 seconds, starts CPR,
beginning with chest compressions
To perform a pulse check in a child, palpate a - Correct Answer – carotid or femoral pulse
- if you don’t definitely feel a pulse within 10 seconds, starts CPR,
beginning with chest compressions
Compression depth in infants - Correct Answer – at least 1/3 the AP diameter of the chest or
about 1 1/2 inches (4 cm)
Get the full exam pdf here https://learnexams.com/search/study?query=
For reference https://cpr.heart.org/en/cpr-courses-and-kits/healthcare-professional/pediatric