PALS Resuscitation Team Dynamics 4

Question 1

During a pediatric resuscitation, the team leader is also performing chest compressions. What is the MAIN risk of this situation?

Accepted Answer

The leader cannot monitor the team, delegate, or maintain situational awareness effectively

Answer

When the team leader performs hands-on tasks, they lose the cognitive capacity to oversee the full resuscitation and direct the team.

Question 2

A medication error is discovered during a pediatric code. After correcting the error, when should the incident be formally reviewed?

Accepted Answer

During the post-event debrief

Answer

Formal review of errors occurs during the post-event debrief so that care is not interrupted, and learning can happen in a structured environment.

Question 3

Which communication style is MOST effective when a team member reports a rhythm change to the team leader?

Accepted Answer

Clearly stating 'The monitor shows V-fib — do you want me to charge the defibrillator?'

Answer

Assertive, specific communication with a proposed action allows the team leader to quickly confirm or redirect without ambiguity.

Question 4

What is the recommended compression-to-ventilation ratio for a 2-person PALS resuscitation of an infant WITHOUT an advanced airway?

Accepted Answer

15:2

Answer

For 2-rescuer infant/child CPR without an advanced airway, the compression-to-ventilation ratio is 15:2.

Question 5

A team member notices that compressions have been ongoing for 3 minutes without a compressor change. What should they do?

Accepted Answer

Proactively offer to rotate in: 'I'm ready to take over compressions'

Answer

Proactively offering to rotate compressions prevents quality degradation without disrupting the flow of resuscitation.

PALS - Pediatric Advanced Life Support Practice Test