2020 Pals Exam A 2024
Update
A 10 year old child is being evaluated for a head ache. Which is a normal finding
for this 10 year old child?
A. Blood pressure of 60/50 mm Hg
B. Heart rate of 88/min
C. Respiratory of 8/min
D. Temperature of 39.6 C (103.2 F) - ✔✔✔ANSWER-B. Heart rate of 88/min
A 10 year old child is brought to the ED for fever and cough. You obtain an O2 sat
on the child. Which oxygen saturation would indicate that immediate intervention
is needed?
A. 88% on 4L of Nasal oxygen
,B. 95% on room air
C. 96% on room air
D. 97% on 50% oxygen - ✔✔✔ANSWER-A. 88% on 4L of Nasal oxygen
A 18-month old has had vomiting and diarrhea for the past 2 days; the mother
brings him to the emergency department because he is becoming more lethargic.
What diagnostic test should you order first?
A. 12-lead ECG
B. Arterial blood gases
C. Blood glucose
D. Serum potassium - ✔✔✔ANSWER-C. Blood glucose
A 2 week old infant is being evaluated for irritability and poor feeding. His BP is
55/40 mmHg, and cap refill time is 5 seconds. Which statement best describes your
assessment of this infants BP?
A. It represents compensated shock
B. It is hypertensive
C. It is Hypotensive
D. It is normal - ✔✔✔ANSWER-C. It is Hypotensive
A 3 year old boy is brought to the ED by his mother. His is lethargic, with
retractions and nasal flaring. He has a respiratory rate of 70/min, with warm
extremities and brisk cap refill. To which immediate life treating condition could
this Childs condition most likely progress if left untreated?
, A. Cardiogenic shock
B. Hypovolemic shock
C. Respiratory distress
D. Respiratory failure - ✔✔✔ANSWER-D. Respiratory failure
A 3 year old child is brought to the emergency department by his mother. Which is
a normal finding for a 3 year old child?
A. Blood pressure of 55/30 mm Hg
B. Heart rate of 220/min
C. Oxygen saturation of 90%
D. Respiratory rate of 24/min - ✔✔✔ANSWER-D. Respiratory rate of 24/min
A 3 year old child is having difficulty breathing. Which finding would most likely
lead you to suspect an upper airway obstruction in this child?
A. Expiratory breath sounds
B. Decreased expiratory effort
C. Increased inspiratory effort with retractions
D. Normal inspiratory sounds - ✔✔✔ANSWER-C. Increased inspiratory effort
with retractions
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 administration of the
shock, what should you say to you team members?
Update
A 10 year old child is being evaluated for a head ache. Which is a normal finding
for this 10 year old child?
A. Blood pressure of 60/50 mm Hg
B. Heart rate of 88/min
C. Respiratory of 8/min
D. Temperature of 39.6 C (103.2 F) - ✔✔✔ANSWER-B. Heart rate of 88/min
A 10 year old child is brought to the ED for fever and cough. You obtain an O2 sat
on the child. Which oxygen saturation would indicate that immediate intervention
is needed?
A. 88% on 4L of Nasal oxygen
,B. 95% on room air
C. 96% on room air
D. 97% on 50% oxygen - ✔✔✔ANSWER-A. 88% on 4L of Nasal oxygen
A 18-month old has had vomiting and diarrhea for the past 2 days; the mother
brings him to the emergency department because he is becoming more lethargic.
What diagnostic test should you order first?
A. 12-lead ECG
B. Arterial blood gases
C. Blood glucose
D. Serum potassium - ✔✔✔ANSWER-C. Blood glucose
A 2 week old infant is being evaluated for irritability and poor feeding. His BP is
55/40 mmHg, and cap refill time is 5 seconds. Which statement best describes your
assessment of this infants BP?
A. It represents compensated shock
B. It is hypertensive
C. It is Hypotensive
D. It is normal - ✔✔✔ANSWER-C. It is Hypotensive
A 3 year old boy is brought to the ED by his mother. His is lethargic, with
retractions and nasal flaring. He has a respiratory rate of 70/min, with warm
extremities and brisk cap refill. To which immediate life treating condition could
this Childs condition most likely progress if left untreated?
, A. Cardiogenic shock
B. Hypovolemic shock
C. Respiratory distress
D. Respiratory failure - ✔✔✔ANSWER-D. Respiratory failure
A 3 year old child is brought to the emergency department by his mother. Which is
a normal finding for a 3 year old child?
A. Blood pressure of 55/30 mm Hg
B. Heart rate of 220/min
C. Oxygen saturation of 90%
D. Respiratory rate of 24/min - ✔✔✔ANSWER-D. Respiratory rate of 24/min
A 3 year old child is having difficulty breathing. Which finding would most likely
lead you to suspect an upper airway obstruction in this child?
A. Expiratory breath sounds
B. Decreased expiratory effort
C. Increased inspiratory effort with retractions
D. Normal inspiratory sounds - ✔✔✔ANSWER-C. Increased inspiratory effort
with retractions
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 administration of the
shock, what should you say to you team members?
