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Question 1: You arrive at the scene of an unresponsive child in cardiac arrest, and appropriate

CPR is being performed with a patent airway observed. An AED has been placed and the
report was no shock indicated. In addition to assessing for reversible causes for the childs
condition, what is the next step?
o Attempt endotracheal intubation.
o Discontinue CPR.
o Check the patients pulse.
o Obtain IV or IO access.

Question 2: Which of the following is not appropriate for the treatment of symptomatic
bradycardia?
o Atropine.
o Lidocaine.
o Transcutaneous pacing/
o Epinephrine.

Question 3: When is it appropriate to use the smaller pediatric paddles for shock delivery?
o When synchronized cardioversion is indicated rather than defibrillation.
o If the child weighs less than 25 kg or is younger than 8 years.
o When the size of the clinicians hand is larger than the width of the childs chest.
o If the child weighs less than 10 kg or is younger than 1 year.

Question 4: Once asystole has been confirmed in a patient, which of the following steps has
first priority?
o Obtain a medical history.
o Defibrillate.
o Establish IV/IO access.
o Attempt vagal maneuvers.

Question 5: What is the key to successful resuscitation for asystole?


o Immediate shock with an AED.
o Determining the cause of the absent electrical activity.
o Use of antiarrhythmic medications to restore coordinated electrical activity.
o Urgent endotracheal tube placement

1. A 3-year-old male toddler is alert, with pale skin color and mild inspiratory stridor when he
cries. He has mild intercostal retractions, and auscultation of the lungs reveals clear distal
breath sounds at rest. Pulse oximetry is 91 percent on room air. What is the most appropriate
initial intervention for this patient?
Provide 2.5 mg albuterol by nebulizer.

Administer dexamethasone by IV.

Perform immediate endotracheal intubation.

Provide humidified oxygen as tolerated.

2. A 5-year-old male is unresponsive and without a pulse. High-quality CPR is being performed.
The patient is intubated and IV access is obtained. The cardiac rhythm is asystole. Of the
following treatment options, what is the first recommended intervention?
Atopine 0.02 mg/kg IV.

Dopamine 2 to 5 mcg/kg/min IV.

Synchronized cardioversion at 0.5 j/kg.

Epinephrine 0.01 mg/kg (0.1 mL/kg of 1:10,000 dilution) IV.

3. Which of the following statements represents the PALS recommendation for the use of
magnesium sulfate in the treatment of a patient in cardiac arrest?
It is indicated for VF refractory to multiple defibrillations, amiodarone and lidocaine.

It is indicated for unstable supraventricular for tachycardia.

It is indicated for torsades de pointes and VF/pulseless VT associated with hypomagnesemia.

It is routinely indicated for monomorphic VT.

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