PALS Provider: Course

Incorrect. Amiodarone stabilizes wide-complex tachycardia by slowing conduction and suppressing arrhythmias.

Incorrect. The first defibrillation dose for pediatric pulseless VT starts at 2 J/kg, increasing to 4 J/kg for subsequent shocks.

Incorrect. Nebulized epinephrine reduces airway swelling and improves airflow in children with severe croup and airway obstruction.

Incorrect. Waveform capnography is the most reliable method to confirm and monitor proper ET tube placement in pediatric patients.

Incorrect. Asystole is a non-shockable rhythm requiring immediate CPR and epinephrine administration.

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

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

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

Incorrect. IM epinephrine is the first-line treatment to reverse airway swelling and cardiovascular compromise in anaphylaxis.

Incorrect. If VF persists after the initial defibrillation at 2 J/kg, the next dose is 4 J/kg, and subsequent shocks should not exceed 10 J/kg.

Incorrect. During advanced airway CPR, breaths are delivered at 6-8 seconds (10 breaths/min) without pausing chest compressions.

Incorrect. Pulse checks should be limited to 10 seconds to minimize interruptions in chest compressions.

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

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

Incorrect. Pulse checks should not exceed 10 seconds to minimize interruptions in chest compressions.

Incorrect. Hypovolemia is a reversible cause of cardiac arrest and is treated with rapid fluid resuscitation to restore perfusion.

Incorrect. Fluids are given to restore circulation, and antibiotics address the underlying infection causing septic shock.

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

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

Incorrect. Epinephrine is given every 3-5 minutes to enhance coronary and cerebral perfusion during pediatric cardiac arrest.

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

Incorrect. Amiodarone is administered at 5 mg/kg IV/IO during pediatric cardiac arrest for refractory VF or pulseless VT.

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

Incorrect. Providing 10 breaths per minute ensures adequate oxygenation without causing hyperventilation during CPR with an advanced airway.

Incorrect. Neonates transition to higher oxygen saturation levels gradually, targeting 80-85% by 5 minutes of life.

Incorrect. Intraosseous access is a fast and reliable method for drug delivery when IV access is not immediately available.

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

Incorrect. A compression fraction of greater than 80% ensures the majority of resuscitation time is spent delivering chest compressions.

Incorrect. Fluid resuscitation restores perfusion, and antibiotics address the infection causing septic shock.

Incorrect. Asystole is a non-shockable rhythm requiring high-quality CPR and epinephrine administration.

Incorrect. Oxygenation and ventilation are the first-line treatments for bradycardia caused by hypoxia; lidocaine is used for arrhythmias.

Incorrect. Epinephrine is administered every 3-5 minutes during pediatric cardiac arrest to enhance coronary and cerebral perfusion.

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

Incorrect. An isotonic crystalloid bolus of 20 mL/kg is recommended to treat hypoperfusion caused by septic shock.

Incorrect. A 3:1 ratio prioritizes ventilation due to the respiratory etiology of most neonatal arrests.

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

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

Incorrect. Waveform capnography is the most reliable method for confirming and monitoring ET tube placement.

Incorrect. Magnesium sulfate stabilizes the myocardium and is administered at 25-50 mg/kg for torsades de pointes.

Incorrect. The first-line treatment for bradycardia caused by hypoxia is oxygenation and ventilation; atropine is used if bradycardia persists.

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

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

Incorrect. Vagal maneuvers are the first-line treatment to terminate SVT in stable pediatric patients by increasing vagal tone.

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

Incorrect. The jaw thrust avoids neck movement and is preferred for maintaining the airway in patients with suspected cervical spine injuries.

Incorrect. Adenosine is administered as a rapid IV push to terminate SVT caused by reentrant pathways.

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

Incorrect. The compression-to-ventilation ratio for single-rescuer infant CPR is 30:2, ensuring adequate perfusion and oxygenation.

Incorrect. Neonatal CPR prioritizes ventilation due to respiratory causes of arrest, using a 3:1 compression-to-ventilation ratio.

Incorrect. A compression fraction greater than 80% ensures that most of the resuscitation time is spent on chest compressions.

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

Incorrect. Neonates gradually increase oxygen saturation, starting at 60-65% in the first minute of life, as part of normal postnatal adaptation.

Incorrect. For a child without a pulse, CPR should be initiated with compressions and ventilations at a 30:2 or 15:2 ratio.

Incorrect. The recommended compression depth for children is 1/3 the depth of the chest, which is approximately 2 inches.

Incorrect. Epinephrine is given every 3-5 minutes during cardiac arrest to improve coronary and cerebral perfusion.

Incorrect. Switching roles every 2 minutes prevents rescuer fatigue and ensures high-quality chest compressions.

Incorrect. The initial defibrillation dose for pediatric VF is 2 J/kg, increasing to 4 J/kg for subsequent shocks if needed.

Incorrect. Delivering 10 breaths per minute ensures adequate oxygenation without causing hyperventilation during CPR.

Incorrect. For one-rescuer infant CPR, compressions are performed using two fingers just below the nipple line.

Incorrect. Adenosine is administered to terminate reentrant arrhythmias causing SVT when vagal maneuvers fail.

Incorrect. Oxygenation and ventilation are the first-line treatments for pediatric bradycardia, addressing the most common cause: hypoxia.

Incorrect. Magnesium sulfate is the treatment of choice for torsades de pointes in pediatric patients, not lidocaine.

Incorrect. Epinephrine is the drug of choice for treating bradycardia when oxygenation and ventilation do not resolve the issue.

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

Incorrect. Hypothermia is one of the "H's" and should be corrected to restore normal cardiac function during resuscitation.