This PALS Quiz focuses on pediatric tachycardia algorithm.
Answer all 10 questions and then your practice test will be graded.
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Question 1 of 10
6-month old male patient admitted to the emergency room for poor feeding, irritability, and breathing difficulty. When a monitor is attached to the patient, this rhythm is seen:
What first-line medication is recommended for use with this tachyarrhythmia?CorrectIncorrect
Question 2 of 10
For the stable infant with narrow complex supraventricular tachycardia, what intervention can be performed to attempt conversion prior to the administration of adenosine? (Choose any that apply)CorrectIncorrect
Question 3 of 10
For stable and unstable sinus tachycardia with a narrow QRS complex (less than 0.09 sec.) What is the most important intervention?CorrectIncorrect
Question 4 of 10
What is the most important intervention for this child?
5-year old with hypotension, altered mental status, capillary refill of 4 sec., weak peripheral pulses, and the following rhythm:
Question 5 of 10
The following description is for what tachyarrhythmia?
- heart rate NOT variable with activity
- abrupt increase in heart rate
- P-waves absent or abnormal
- rate is usually greater than 220 per minute in infants and greater than 180 per minute in children
Question 6 of 10
Which tachycardia is being described here?
Heart Rate: No beat to beat variability with stress or activity; rate usually greater than or equal to 220/min in infants.
P waves: Usually absent but may be abnormal.
R to R interval: usually constant
QRS complex: NarrowCorrectIncorrect
Question 7 of 10
Which tachycardia is being described below:
Ventricular Rate: Regular and greater than 120/min
P waves: Usually absent (buried in the QRS complexes); If present they will be disassociated from the QRS complexes.
If the rate is relatively slow, the atria may be depolarized by the ventricles and this will result in retrograde (inverted) P-waves.
QRS complex: WideCorrectIncorrect
Question 8 of 10
2-month old with a recent cardiac surgery. The infant presents to the ER with poor feeding, irritability, and tachypnea. After initial interventions of O2, cardiac monitor, and VS you observe the following rhythm on the monitor.
What is the rhythm?CorrectIncorrect
Question 9 of 10
Since the infant from the previous question does not have poor perfusion at this time, what should your next intervention be?CorrectIncorrect
Question 10 of 10
11-year-old male picked up by EMS. He became very dizzy and pale at home. He also complains that he feels his heart thumping hard in his chest. His mother called EMS. Pt is now in route to the ER. O2 and IV started. What is the rhythm on the monitor?