What to Expect

Incorrect. Synchronized cardioversion is indicated in unstable SVT to restore a normal sinus rhythm safely.

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

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

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

Incorrect. By 10 minutes after birth, neonates should reach an oxygen saturation of 90-95%, reflecting effective oxygenation.

Incorrect. Adenosine is the first-line drug for stable SVT, given as a rapid IV push to interrupt reentrant tachyarrhythmias.

Incorrect. Fluid resuscitation, typically with 20 mL/kg of isotonic crystalloid, is the first step in treating hypovolemic shock.

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

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

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

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

Incorrect. Atropine is used to treat bradycardia caused by increased vagal tone or primary conduction abnormalities.

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

Incorrect. VF is a shockable rhythm requiring immediate defibrillation to restore organized cardiac activity.

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

Incorrect. Oxygen improves oxygenation and stabilizes respiratory function in children with severe distress.

Incorrect. Respiratory failure is the leading cause of cardiac arrest in children due to their dependency on oxygenation and ventilation.

Incorrect. Delivering 10 breaths per minute with an advanced airway ensures oxygenation without over-ventilating.

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

Incorrect. Magnesium sulfate is the treatment of choice for torsades de pointes, stabilizing the myocardium and correcting QT interval abnormalities.

Incorrect. Rescue breaths provide adequate oxygenation and ventilation, preventing cardiac arrest in children with respiratory failure.

Incorrect. The recommended compression rate for high-quality CPR in children is 100-120 compressions per minute.

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

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

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

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

Incorrect. Tension pneumothorax is included in the “T’s” of reversible causes and is treated with needle decompression to relieve pressure.

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

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

Incorrect. Hyperglycemia is not listed as one of the reversible causes of cardiac arrest (H's and T's).

Incorrect. Adenosine is not contraindicated but is generally not the first-line treatment in unstable SVT, where synchronized cardioversion is preferred.

Incorrect. Fowler’s position (sitting upright) helps reduce respiratory effort and improve oxygenation in children with severe distress.

Incorrect. Checking responsiveness determines the need for immediate resuscitation efforts.

Incorrect. Fluid resuscitation, typically 20 mL/kg of isotonic crystalloid, restores perfusion in hypovolemic shock.

Incorrect. A 15:2 ratio is used during pediatric CPR with two rescuers to optimize ventilation and circulation.

Incorrect. Atropine is dosed at 0.02 mg/kg, with a maximum single dose of 0.5 mg for children and 1 mg for adolescents.

Incorrect. A 15:2 ratio is used in two-rescuer pediatric CPR to optimize both circulation and oxygenation.

Incorrect. Nebulized epinephrine reduces airway swelling and improves airflow in severe upper airway obstruction.

Incorrect. A fluid bolus of 20 mL/kg is used to rehydrate children with dehydration and adequate cardiac function.

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

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

Incorrect. PEA is treated with high-quality CPR to maintain perfusion and address reversible causes.

Incorrect. Hypoxia is the most common cause of pediatric bradycardia, and oxygenation and ventilation often resolve it.

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

Incorrect. The correct dose of epinephrine in pediatric cardiac arrest is 0.01 mg/kg IV/IO every 3-5 minutes.

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

Incorrect. Waveform capnography is the gold standard for confirming and monitoring endotracheal tube placement in real-time.

Incorrect. Oxygen is the initial intervention for pediatric bradycardia caused by hypoxia to improve perfusion and heart rate.

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

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

Incorrect. Delivering 8-10 breaths per minute ensures adequate oxygenation without hyperventilation during CPR with an advanced airway.

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

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

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

Incorrect. Magnesium sulfate is the drug of choice for stabilizing cardiac cells in torsades de pointes.

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

Incorrect. Rescue breaths deliver oxygen to maintain adequate ventilation in children with respiratory arrest and a pulse.

Incorrect. Encouraging spontaneous clearance prevents worsening of the obstruction in children with partial airway blockage.

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

Incorrect. Synchronized cardioversion begins at 0.5-1 J/kg for pediatric SVT and may increase to 2 J/kg if needed.

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

Incorrect. In cardiogenic shock, smaller fluid boluses of 5-10 mL/kg are preferred to avoid fluid overload and worsening cardiac function.

Incorrect. Immediate defibrillation is crucial to restoring a perfusing rhythm in shockable cardiac arrest.

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

Incorrect. A 3:1 ratio is used for neonatal CPR to prioritize ventilation due to the respiratory etiology of most neonatal arrests.