PALS Conclusion Final Assessment
Questions and Answers20
A child being cared for in the pediatric telemetry unit suddenly displays the following ECG
waveform. The provider prepares to intervene because the child is demonstrating which type of
arrhythmia?
Select the correct answer to this question.
Atrial flutter
Monomorphic ventricular tachycardia
Supraventricular tachycardia
Bradycardia - ANSWERS-Supraventricular tachycardia
The emergency response team is providing care to a preschooler who is experiencing shock. The
primary goal, common to all types of shock, is to restore a favorable balance between tissue
perfusion and metabolic demand with a focus on what?
Select the correct answer to this question.
A normal resting heart rate
Oxygen delivery and oxygen demand
Oxygen and carbon dioxide levels
Restoring blood pressure - ANSWERS-Oxygen delivery and oxygen demand
A provider is assessing a child with suspected shock. Which statement correctly describes
hypotension and shock?
Select the correct answer to this question.
Hypotension affects children with shock more often than adults.
,Hypotension is not a consistent feature of shock presentation in children.
Hypotension is usually an early marker of shock in children.
Hypotension during shock in children is rarely a cause of concern. - ANSWERS-Hypotension is
not a consistent feature of shock presentation in children.
Which action would the PALS team initiate to manage increased intracranial pressure in a
pediatric patient?
Select the correct answer to this question.
Administer hypotonic fluids.
Maintain the head in midline position.
Avoid giving hypertonic saline or mannitol.
Ensure hyperstimulation to maintain consciousness. - ANSWERS-Maintain the head in midline
position.
The PALS team is providing post-cardiac arrest care to an 8-year-old child in the pediatric
intensive care unit. Which intervention would the team implement to achieve the primary goal
of post-cardiac arrest care, after assuring adequate oxygenation and ventilation?
Select the correct answer to this question.
Induce shivering with therapeutic hypothermia.
Increase the child's intracranial pressure.
Administer glucose to promote hyperglycemia.
Ensure adequate mean arterial pressure. - ANSWERS-Ensure adequate mean arterial pressure.
A 7-year-old child collapses on the playground at school. The school nurse is called to the scene
and determines that the child is unresponsive and is not breathing and has no pulse. The nurse
initiates CPR. At what rate and depth would the nurse deliver compressions to this child?
Select the correct answer to this question.
, 100 to 120 compressions per minute at a depth of about 1½ inches
120 to 140 compressions per minute at a depth of about 1½ inches
100 to 120 compressions per minute at a depth of about 2 inches
120 to 140 compressions per minute at a depth of about 2 inches - ANSWERS-100 to 120
compressions per minute at a depth of about 2 inches
An advanced airway was placed in a 5-year-old child. Which action(s) would be most
appropriate for the team to take to confirm correct placement?
Select all correct options that apply.
Auscultate over the lungs and epigastrium for air movement.
Look for fogging in the tube.
Observe for bilateral chest rise.
Assess for improved perfusion.
Evaluate results of capnography. - ANSWERS-Auscultate over the lungs and epigastrium for air
movement.
Observe for bilateral chest rise.
Evaluate results of capnography.
Laboratory tests are ordered for a child who has been vomiting for 3 days and is diaphoretic,
tachypneic, lethargic and pale. Which test would the provider use to determine the adequacy of
perfusion and oxygen delivery?
Select the correct answer to this question.
Electrolyte panel
Platelets
Blood culture
Lactate - ANSWERS-Lactate
Questions and Answers20
A child being cared for in the pediatric telemetry unit suddenly displays the following ECG
waveform. The provider prepares to intervene because the child is demonstrating which type of
arrhythmia?
Select the correct answer to this question.
Atrial flutter
Monomorphic ventricular tachycardia
Supraventricular tachycardia
Bradycardia - ANSWERS-Supraventricular tachycardia
The emergency response team is providing care to a preschooler who is experiencing shock. The
primary goal, common to all types of shock, is to restore a favorable balance between tissue
perfusion and metabolic demand with a focus on what?
Select the correct answer to this question.
A normal resting heart rate
Oxygen delivery and oxygen demand
Oxygen and carbon dioxide levels
Restoring blood pressure - ANSWERS-Oxygen delivery and oxygen demand
A provider is assessing a child with suspected shock. Which statement correctly describes
hypotension and shock?
Select the correct answer to this question.
Hypotension affects children with shock more often than adults.
,Hypotension is not a consistent feature of shock presentation in children.
Hypotension is usually an early marker of shock in children.
Hypotension during shock in children is rarely a cause of concern. - ANSWERS-Hypotension is
not a consistent feature of shock presentation in children.
Which action would the PALS team initiate to manage increased intracranial pressure in a
pediatric patient?
Select the correct answer to this question.
Administer hypotonic fluids.
Maintain the head in midline position.
Avoid giving hypertonic saline or mannitol.
Ensure hyperstimulation to maintain consciousness. - ANSWERS-Maintain the head in midline
position.
The PALS team is providing post-cardiac arrest care to an 8-year-old child in the pediatric
intensive care unit. Which intervention would the team implement to achieve the primary goal
of post-cardiac arrest care, after assuring adequate oxygenation and ventilation?
Select the correct answer to this question.
Induce shivering with therapeutic hypothermia.
Increase the child's intracranial pressure.
Administer glucose to promote hyperglycemia.
Ensure adequate mean arterial pressure. - ANSWERS-Ensure adequate mean arterial pressure.
A 7-year-old child collapses on the playground at school. The school nurse is called to the scene
and determines that the child is unresponsive and is not breathing and has no pulse. The nurse
initiates CPR. At what rate and depth would the nurse deliver compressions to this child?
Select the correct answer to this question.
, 100 to 120 compressions per minute at a depth of about 1½ inches
120 to 140 compressions per minute at a depth of about 1½ inches
100 to 120 compressions per minute at a depth of about 2 inches
120 to 140 compressions per minute at a depth of about 2 inches - ANSWERS-100 to 120
compressions per minute at a depth of about 2 inches
An advanced airway was placed in a 5-year-old child. Which action(s) would be most
appropriate for the team to take to confirm correct placement?
Select all correct options that apply.
Auscultate over the lungs and epigastrium for air movement.
Look for fogging in the tube.
Observe for bilateral chest rise.
Assess for improved perfusion.
Evaluate results of capnography. - ANSWERS-Auscultate over the lungs and epigastrium for air
movement.
Observe for bilateral chest rise.
Evaluate results of capnography.
Laboratory tests are ordered for a child who has been vomiting for 3 days and is diaphoretic,
tachypneic, lethargic and pale. Which test would the provider use to determine the adequacy of
perfusion and oxygen delivery?
Select the correct answer to this question.
Electrolyte panel
Platelets
Blood culture
Lactate - ANSWERS-Lactate
