PALS EXAM All Questions and Accurate
Verified Answers 100% Correct Pass
1. Which of the following is likely to be the most helpful technique
to identify potentially reversible metabolic and toxic causes during
the attempted resus
citation of a young child in cardiac arrest?
Obtaining a urine sample for toxicology screen
Obtaining chest and abdominal radiographs
Soliciting a history from the caregiver or
family
Obtaining a venous blood gas: Soliciting a history from the caregiver or family
2. You are caring for a patient who developed a tension
pneumothorax after several hours of positive-pressure ventilation.
Which of the following would be the most appropriate site for
needle decompression?
Over the third rib at the
midclavicular line Under the eighth
rib at the midaxillary line Over the
fifth rib at the sternal border
Under the sixth rib at the midclavicular line: Over the third rib at the midclavicular
,line
3. You attempted synchronized cardioversion for an infant with
supraventricular tachycardia (SVT) and poor perfusion. The SVT
persists after the initial 1 J/kg shock. Which of the following should
you attempt now?
Synchronized cardioversion at a dose of 2 J/kg
Synchronized cardioversion at a dose of 4 J/kg
Unsynchronized cardioversion at a dose of 2 J/kg
Unsynchronized cardioversion at a dose of 4 J/kg: Synchronized cardioversion at a
dose of 2 J/kg
4. You are treating a 5-month-old with a 2-day history of vomiting and
diarrhea. The patient is listless. The respiratory rate is 52/min and
unlabored. The heart rate is 170/min and pulses are present but weak.
Capillary refill is delayed. You are administering high-flow oxygen, and
intravenous access is in place. At this point the most important
therapy is to:
Administer an epinephrine
bolus Begin bag-mask
ventilation
Provide a rapid 20 ml/kg isotonic crystalloid fluid bolus
Administer a bolus of 0.5 g/kg of dextrose: Provide a rapid 20 ml/kg isotonic
, crystalloid fluid bolus
5. You are caring for a child who was resuscitated after a drowning
event. The child is intubated and ventilated with 100% oxygen with
equal breath sounds and exhaled CO2 detected. The heart rate is
slow and the monitor shows sinus bradycardia. The skin is cool,
mottled, and moist; distal pulses are not palpable and the central
pulses are weak. Intravenous access has been established. The core
temperature is 37.3oC. Based on the PALS bradycardia algorithm,
which of the following should be provided first?
Epinephrine IV
Transcutaneous
pacing Atropine IV
Dobutamine IV infusion: Epinephrine IV
6. You are caring for a 5-year-old patient with supraventricular
tachycardia (heart rate = 220/min). The child is lethargic. The
skin is pale and cool with delayed capillary refill. Distal pulses are
not palpable. Which of the following would be the best treatment
to provide without delay?
Place cold packs on the distal upper and lower
extremities Ask the child to blow through a small
straw
Exert light pressure on the eyes bilaterally
Verified Answers 100% Correct Pass
1. Which of the following is likely to be the most helpful technique
to identify potentially reversible metabolic and toxic causes during
the attempted resus
citation of a young child in cardiac arrest?
Obtaining a urine sample for toxicology screen
Obtaining chest and abdominal radiographs
Soliciting a history from the caregiver or
family
Obtaining a venous blood gas: Soliciting a history from the caregiver or family
2. You are caring for a patient who developed a tension
pneumothorax after several hours of positive-pressure ventilation.
Which of the following would be the most appropriate site for
needle decompression?
Over the third rib at the
midclavicular line Under the eighth
rib at the midaxillary line Over the
fifth rib at the sternal border
Under the sixth rib at the midclavicular line: Over the third rib at the midclavicular
,line
3. You attempted synchronized cardioversion for an infant with
supraventricular tachycardia (SVT) and poor perfusion. The SVT
persists after the initial 1 J/kg shock. Which of the following should
you attempt now?
Synchronized cardioversion at a dose of 2 J/kg
Synchronized cardioversion at a dose of 4 J/kg
Unsynchronized cardioversion at a dose of 2 J/kg
Unsynchronized cardioversion at a dose of 4 J/kg: Synchronized cardioversion at a
dose of 2 J/kg
4. You are treating a 5-month-old with a 2-day history of vomiting and
diarrhea. The patient is listless. The respiratory rate is 52/min and
unlabored. The heart rate is 170/min and pulses are present but weak.
Capillary refill is delayed. You are administering high-flow oxygen, and
intravenous access is in place. At this point the most important
therapy is to:
Administer an epinephrine
bolus Begin bag-mask
ventilation
Provide a rapid 20 ml/kg isotonic crystalloid fluid bolus
Administer a bolus of 0.5 g/kg of dextrose: Provide a rapid 20 ml/kg isotonic
, crystalloid fluid bolus
5. You are caring for a child who was resuscitated after a drowning
event. The child is intubated and ventilated with 100% oxygen with
equal breath sounds and exhaled CO2 detected. The heart rate is
slow and the monitor shows sinus bradycardia. The skin is cool,
mottled, and moist; distal pulses are not palpable and the central
pulses are weak. Intravenous access has been established. The core
temperature is 37.3oC. Based on the PALS bradycardia algorithm,
which of the following should be provided first?
Epinephrine IV
Transcutaneous
pacing Atropine IV
Dobutamine IV infusion: Epinephrine IV
6. You are caring for a 5-year-old patient with supraventricular
tachycardia (heart rate = 220/min). The child is lethargic. The
skin is pale and cool with delayed capillary refill. Distal pulses are
not palpable. Which of the following would be the best treatment
to provide without delay?
Place cold packs on the distal upper and lower
extremities Ask the child to blow through a small
straw
Exert light pressure on the eyes bilaterally
