PALS Provider: Course

Incorrect. A 15:2 ratio ensures adequate oxygenation and circulation during two-rescuer child CPR.

Incorrect. A compression fraction >80% ensures most of the resuscitation time is spent delivering compressions for optimal circulation.

Incorrect. Waveform capnography is the most reliable method to confirm and monitor endotracheal tube placement during resuscitation.

Incorrect. Epinephrine is given every 3-5 minutes at 0.01 mg/kg IV/IO to improve perfusion during cardiac arrest.

Incorrect. Vasopressors help improve perfusion and cardiac output when fluid resuscitation alone is insufficient.

Incorrect. A 20 mL/kg isotonic crystalloid bolus is recommended to restore perfusion in septic shock.

Incorrect. Oxygen is administered to stabilize respiratory failure and improve oxygen delivery.

Incorrect. Maintaining oxygen saturation at 94-98% avoids both hypoxia and the harmful effects of hyperoxia.

Incorrect. Early administration of epinephrine within 2 minutes improves outcomes in pediatric cardiac arrest.

Incorrect. IM epinephrine is the first-line treatment to reduce airway swelling and improve oxygenation.

Incorrect. A 20 mL/kg bolus of isotonic crystalloid is recommended for children in hypovolemic shock.

Incorrect. The total cumulative dose of amiodarone during pediatric cardiac arrest should not exceed 15 mg/kg.

Incorrect. Rescue breaths provide adequate oxygenation for children with a pulse but insufficient respiratory effort.

Incorrect. Neonates in shock or with hypovolemia should receive a fluid bolus of 10 mL/kg of isotonic crystalloid.

Incorrect. Amiodarone is given at a dose of 5 mg/kg IV/IO during VF or pulseless VT to stabilize the rhythm.

Incorrect. Oxygen saturation should be maintained between 94-98% to prevent hypoxia or hyperoxia during resuscitation.

Incorrect. Oxygen improves perfusion and reduces hypoxia in children with poor perfusion but a palpable pulse.

Incorrect. Neonates achieve oxygen saturation of 80-85% within the first 5 minutes as oxygenation gradually improves after birth.

Incorrect. Adenosine is administered at 0.1 mg/kg as a rapid IV push for treating narrow-complex SVT in children.

Incorrect. Vagal maneuvers are the first-line treatment for stable SVT to interrupt the reentrant circuit causing tachycardia.

Incorrect. Hypothermia is one of the "H's" in reversible causes of cardiac arrest and is treated with active rewarming.

Incorrect. Compressions at 1/3 the depth of the chest ensure adequate circulation without risking internal injuries.

Incorrect. Rhythm checks are performed every 2 minutes to assess the need for defibrillation or changes in treatment.

Incorrect. High-quality CPR should be continued while searching for and addressing reversible causes of PEA.

Incorrect. Atropine is limited to a maximum single dose of 1 mg in pediatric patients to treat bradycardia.

Incorrect. PEA is a non-shockable rhythm and is managed with high-quality CPR, epinephrine, and addressing reversible causes.

Incorrect. Neonates in hypovolemic shock receive an initial fluid bolus of 10 mL/kg of isotonic crystalloid.

Incorrect. During advanced airway CPR, compressions are continuous, and ventilations are delivered without pausing compressions.

Incorrect. Epinephrine is used to improve perfusion and heart rate in symptomatic bradycardia unresponsive to oxygen.

Incorrect. The total fluid bolus dose should not exceed 60 mL/kg to avoid fluid overload during resuscitation in children.

Incorrect. Oxygen delivery stabilizes respiratory distress and improves oxygen saturation in pediatric patients.

Incorrect. Synchronized cardioversion is the first-line treatment for unstable SVT in pediatric patients.

Incorrect. A fluid bolus of 20 mL/kg is recommended for septic shock to restore perfusion and stabilize circulation.

Incorrect. Vagal maneuvers are the first-line intervention for stable SVT to terminate reentrant arrhythmias without drugs.

Incorrect. Limiting fluid boluses to 10 mL/kg prevents fluid overload and worsening cardiac function in cardiogenic shock.

Incorrect. Epinephrine at 0.01 mg/kg IV/IO is administered every 3-5 minutes to improve perfusion during pediatric cardiac arrest.

Incorrect. Rescue breaths provide oxygenation to prevent deterioration to cardiac arrest in children with a pulse.

Incorrect. Compressing one-third the depth of the chest ensures adequate perfusion without causing injury during infant CPR.

Incorrect. Epinephrine at 0.01 mg/kg is used to enhance cardiac contractility and perfusion during neonatal resuscitation.

Incorrect. Rescue breaths provide adequate oxygenation and prevent progression to cardiac arrest in children with respiratory failure.

Incorrect. Needle decompression relieves pressure and restores ventilation in cases of tension pneumothorax.

Incorrect. Vagal maneuvers are the first-line treatment to terminate SVT in stable pediatric patients by slowing AV node conduction.

Incorrect. CPR is initiated immediately to relieve the obstruction and restore ventilation in an unresponsive child.

Incorrect. The total dose of amiodarone during pediatric cardiac arrest should not exceed 15 mg/kg to avoid toxicity.

Incorrect. Epinephrine is the first-line drug to improve perfusion and increase heart rate in bradycardia unresponsive to oxygenation.

Incorrect. Magnesium sulfate stabilizes the myocardium and is the drug of choice for torsades de pointes.

Incorrect. A bolus of 20 mL/kg isotonic crystalloid restores perfusion in hypovolemic shock.

Incorrect. Waveform capnography reliably confirms ET tube placement and monitors ventilation in real time.

Incorrect. VF is a shockable rhythm requiring immediate defibrillation to restore a perfusing rhythm.

Incorrect. Epinephrine is administered at 0.01 mg/kg IV/IO every 3-5 minutes during pediatric cardiac arrest.

Incorrect. Oxygen improves perfusion and is the first-line treatment for bradycardia caused by hypoxia.

Incorrect. ROSC refers to the restoration of spontaneous cardiac activity with a detectable pulse and effective circulation.

Incorrect. High-quality CPR is continued while addressing any potential reversible causes in pediatric PEA.

Incorrect. Neonates in hypovolemic shock receive an initial fluid bolus of 10 mL/kg of isotonic crystalloid.

Incorrect. Neonates require oxygen saturation levels of 90-95% to support optimal oxygen delivery without causing hyperoxia.

Incorrect. Oxygen administration is the first step to stabilize a child in respiratory distress and improve oxygen delivery.

Incorrect. Compressing one-third the chest depth ensures effective perfusion while minimizing the risk of injury in children.

Incorrect. VF is a shockable rhythm requiring immediate defibrillation to restore a perfusing rhythm in pediatric cardiac arrest.

Incorrect. Magnesium sulfate is the treatment of choice for torsades de pointes and is not contraindicated.

Incorrect. Hypoxia is the primary cause of pediatric bradycardia and should be treated with oxygen and ventilation.

Incorrect. The maximum cumulative dose of amiodarone in pediatric cardiac arrest is 15 mg/kg, given in divided doses.

Incorrect. A compression fraction >80% ensures that the majority of CPR time is spent delivering chest compressions for optimal outcomes.

Incorrect. Epinephrine is given every 3-5 minutes during cardiac arrest to improve perfusion and chances of ROSC.

Incorrect. Intramuscular epinephrine is the first-line treatment for pediatric anaphylaxis, administered into the mid-thigh.

Incorrect. Rhythm checks are performed every 2 minutes to evaluate for shockable rhythms or changes in the patient’s condition.