PALS Megacode Scenario 8
By Lisa Wright, MHA, RRT-NPS | Medically reviewed by Gina Maria Jansheski, MD on December 31, 2024
Quiz Summary
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Question 1 of 9
1. Question
You are an emergency department nurse trained in Pediatric Advanced Life Support. You are working when a mother brings her 9-year-old daughter into the ED.The child states her heart is “beating really fast.” The child states that the symptoms started all of a sudden. The mother denies any history of cardiac problems.
Another team member takes vital signs and notes that the pulse is palpable but weak at a rate of 240 bpm, blood pressure is 90/62 mmHg, and respiratory rate is 28 breaths per minute.
You ask another nurse to start an IV while you attach a cardiac monitor. You see this rhythm on the monitor:
You measure the QRS duration and note that it is 0.08 seconds.
1. You recognize this rhythm as:
CorrectIncorrect -
Question 2 of 9
2. Question
The nurse is having trouble getting IV access. The child continues to be awake and alert but anxious.2. At this point, you should consider:
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Question 3 of 9
3. Question
3. All of the following are vagal maneuvers to use with this child EXCEPT:
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Question 4 of 9
4. Question
As you watch the monitor during the vagal maneuvers, you see this rhythm:
4. You recognize this rhythm as:CorrectIncorrect -
Question 5 of 9
5. Question
The other nurse secures an IV in the child’s left arm.5. The appropriate next step is to:
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Question 6 of 9
6. Question
6. The correct first dose of adenosine is:
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Question 7 of 9
7. Question
After the first dose of adenosine, you note that there was no change in the ECG monitor.You decide to give a second dose of adenosine.
7. The correct second dose of IV adenosine is:
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Question 8 of 9
8. Question
After the second dose of adenosine, you look at the monitor and see this rhythm:
The child has a strong pulse with the rhythm.
8. You identify this rhythm as:
CorrectIncorrect -
Question 9 of 9
9. Question
9.Your next intervention is to:
CorrectIncorrect
PALS Megacode Scenario 8 Video
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