PALS TEST QUESTIONS & ANSWERS 2025
In which of the following situations may IO access be used? - Answer -An extremity
with slow capillary refill time.
You are caring for a 12-year-old girl with acute lymphoblastic leukemia. She is
responsive, but she does not feel well and appears to be flushed. Her temperature is
39°C (102.2°F), heart rate is 118/min, respiratory rate is 36/min, blood pressure is
100/40 mm Hg, and oxygen saturation is 96% on room air.
Your assessment reveals mild increase in work of breathing and bounding pulses. The
child is receiving 100% oxygen by nonrebreathing mask.
What assessment finding is most important in your determination of the severity of the
patient's
condition? - Answer -Blood pressure
You are caring for a 12-year-old girl with acute lymphoblastic leukemia. She is
responsive, but she does not feel well and appears to be flushed. Her temperature is
39°C (102.2°F), heart rate is 118/min, respiratory rate is 36/min, blood pressure is
100/40 mm Hg, and oxygen saturation is 96% on room air.
Your assessment reveals mild increase in work of breathing and bounding pulses. The
child is receiving 100% oxygen by nonrebreathing mask.
What is the most appropriate amount to administer for the first normal saline fluid bolus?
- Answer -10-20 ml/kg
You are caring for a 12-year-old girl with acute lymphoblastic leukemia. She is
responsive, but she does not feel well and appears to be flushed. Her temperature is
39°C (102.2°F), heart rate is 118/min, respiratory rate is 36/min, blood pressure is
100/40 mm Hg, and oxygen saturation is 96% on room air.
Your assessment reveals mild increase in work of breathing and bounding pulses. The
child is receiving 100% oxygen by nonrebreathing mask.
In addition to oxygen administration and appropriate fluid resuscitation, what additional
early intervention should you provide to this patient? - Answer -Antibiotic administration
A 2 - week old infant is being evaluated irritability and poor feeding. His blood pressure
is 55/40 mm Hg and capillary refill time is 5 seconds. Which statement best describes
your assessment of this infants blood pressure? - Answer -It is Hypotensive
You are caring for patients in the emergency department. Which two year old requires
immediate interventions? - Answer -A child who is grunting
A 3 year old child is having difficulty breathing. What finding would most likely lead you
to expect an upper airway obstruction in this child? - Answer -Increased inspiratory
effort with retractions
, A team member is unable to perform an assigned task because it is beyond the team
member's scope of practice. What action should the team member take? - Answer -Ask
for a new task or role.
You are the team lead during a pediatric resuscitation attempt. Which action is high
quality CPR? - Answer -Allow complete chest wall recoil after each compression.
A 8 year old child is brought to the emergency department by his mother for difficultly
breathing. He has a history is asthma and nut allergies. His mother tells you that he has
recently ate a cookie at a family picnic. Which condition is most likely present with this
child? - Answer -Upper airy way obstruction
An 8-year-old child is brought to the emergency department by ambulance after being
involved in a motor vehicle collision. What finding would suggest that immediate
intervention is needed? - Answer -Decreased level of consciousness
A 6-year-old child is found unresponsive, not breathing, and without a pulse. One
healthcare worker leaves to activate the emergency response system and get the
resuscitation equipment. You and another healthcare provider immediately begin
performing CPR. What compression-to-ventilation -ratio do you use? - Answer -15:2
A 3-year-old child is in cardiac arrest, and high-quality CPR is in progress. You are the
Team Leader. The first rhythm check reveals the rhythm shown here. Defibrillation is
attempted with a shock dose of 2 J/kg. After shock administration, what should you say
to your team members? - Answer -Resume compressions
You are caring for a 5-year-old boy with a 4-day history of high fever and cough. He is
having increasing lethargy, grunting, and sleepiness. Now he is difficult to arouse and is
unresponsive to voice commands. His oxygen saturation is 72% on room air and 89%
when on a nonrebreathing oxygen mask. He has shallow respirations with a respiratory
rate of 38/min. Auscultation of the lungs reveals bilateral crackles.
11. What assessment finding is consistent with respiratory failure in this child? - Answer
-Oxygen Saturation
You are caring for a 5-year-old boy with a 4-day history of high fever and cough. He is
having increasing lethargy, grunting, and sleepiness. Now he is difficult to arouse and is
unresponsive to voice commands. His oxygen saturation is 72% on room air and 89%
when on a nonrebreathing oxygen mask. He has shallow respirations with a respiratory
rate of 38/min. Auscultation of the lungs reveals bilateral crackles.
What medication would be most appropriate? - Answer -Antibiotics
During a resuscitation attempt, the Team Leader asks you to administer an initial dose
of epinephrine at 0.1 mg/kg to be given IO. How should you respond? - Answer -I think
the correct dose is 0.01 mg/kg. Should I give that dose instead?'
In which of the following situations may IO access be used? - Answer -An extremity
with slow capillary refill time.
You are caring for a 12-year-old girl with acute lymphoblastic leukemia. She is
responsive, but she does not feel well and appears to be flushed. Her temperature is
39°C (102.2°F), heart rate is 118/min, respiratory rate is 36/min, blood pressure is
100/40 mm Hg, and oxygen saturation is 96% on room air.
Your assessment reveals mild increase in work of breathing and bounding pulses. The
child is receiving 100% oxygen by nonrebreathing mask.
What assessment finding is most important in your determination of the severity of the
patient's
condition? - Answer -Blood pressure
You are caring for a 12-year-old girl with acute lymphoblastic leukemia. She is
responsive, but she does not feel well and appears to be flushed. Her temperature is
39°C (102.2°F), heart rate is 118/min, respiratory rate is 36/min, blood pressure is
100/40 mm Hg, and oxygen saturation is 96% on room air.
Your assessment reveals mild increase in work of breathing and bounding pulses. The
child is receiving 100% oxygen by nonrebreathing mask.
What is the most appropriate amount to administer for the first normal saline fluid bolus?
- Answer -10-20 ml/kg
You are caring for a 12-year-old girl with acute lymphoblastic leukemia. She is
responsive, but she does not feel well and appears to be flushed. Her temperature is
39°C (102.2°F), heart rate is 118/min, respiratory rate is 36/min, blood pressure is
100/40 mm Hg, and oxygen saturation is 96% on room air.
Your assessment reveals mild increase in work of breathing and bounding pulses. The
child is receiving 100% oxygen by nonrebreathing mask.
In addition to oxygen administration and appropriate fluid resuscitation, what additional
early intervention should you provide to this patient? - Answer -Antibiotic administration
A 2 - week old infant is being evaluated irritability and poor feeding. His blood pressure
is 55/40 mm Hg and capillary refill time is 5 seconds. Which statement best describes
your assessment of this infants blood pressure? - Answer -It is Hypotensive
You are caring for patients in the emergency department. Which two year old requires
immediate interventions? - Answer -A child who is grunting
A 3 year old child is having difficulty breathing. What finding would most likely lead you
to expect an upper airway obstruction in this child? - Answer -Increased inspiratory
effort with retractions
, A team member is unable to perform an assigned task because it is beyond the team
member's scope of practice. What action should the team member take? - Answer -Ask
for a new task or role.
You are the team lead during a pediatric resuscitation attempt. Which action is high
quality CPR? - Answer -Allow complete chest wall recoil after each compression.
A 8 year old child is brought to the emergency department by his mother for difficultly
breathing. He has a history is asthma and nut allergies. His mother tells you that he has
recently ate a cookie at a family picnic. Which condition is most likely present with this
child? - Answer -Upper airy way obstruction
An 8-year-old child is brought to the emergency department by ambulance after being
involved in a motor vehicle collision. What finding would suggest that immediate
intervention is needed? - Answer -Decreased level of consciousness
A 6-year-old child is found unresponsive, not breathing, and without a pulse. One
healthcare worker leaves to activate the emergency response system and get the
resuscitation equipment. You and another healthcare provider immediately begin
performing CPR. What compression-to-ventilation -ratio do you use? - Answer -15:2
A 3-year-old child is in cardiac arrest, and high-quality CPR is in progress. You are the
Team Leader. The first rhythm check reveals the rhythm shown here. Defibrillation is
attempted with a shock dose of 2 J/kg. After shock administration, what should you say
to your team members? - Answer -Resume compressions
You are caring for a 5-year-old boy with a 4-day history of high fever and cough. He is
having increasing lethargy, grunting, and sleepiness. Now he is difficult to arouse and is
unresponsive to voice commands. His oxygen saturation is 72% on room air and 89%
when on a nonrebreathing oxygen mask. He has shallow respirations with a respiratory
rate of 38/min. Auscultation of the lungs reveals bilateral crackles.
11. What assessment finding is consistent with respiratory failure in this child? - Answer
-Oxygen Saturation
You are caring for a 5-year-old boy with a 4-day history of high fever and cough. He is
having increasing lethargy, grunting, and sleepiness. Now he is difficult to arouse and is
unresponsive to voice commands. His oxygen saturation is 72% on room air and 89%
when on a nonrebreathing oxygen mask. He has shallow respirations with a respiratory
rate of 38/min. Auscultation of the lungs reveals bilateral crackles.
What medication would be most appropriate? - Answer -Antibiotics
During a resuscitation attempt, the Team Leader asks you to administer an initial dose
of epinephrine at 0.1 mg/kg to be given IO. How should you respond? - Answer -I think
the correct dose is 0.01 mg/kg. Should I give that dose instead?'
