1. 10 seconds: A 6 month old infant is unresponsive. You begin
checking for breath- ing at the same time you check for the infants
pulse. Which is the maximum time you should spend when trying to
simultaneously check for breathing and palpate the infants pulse before
starting CPR?
2. Disordered Control of Breathing: A 4 year old child is brought to
the emergency department for seizures. The seizures stopped a few
minutes ago, but the child continues to have slow and irregular
respirations. Which condition is most consistent with your assessment?
3. blood glucose: An 8 year old child is brought to the emergency
department with a 2 day history of lethargy and polyuria. The child has
new onset rapid, deep, and labored breathing. Which diagnostic test
should you order first?
4. Reposition the patient, and insert an oral airway: After rectal
administration of diazepam, an 8 year old boy with a history of seizures
is no unresponsive to painful stimuli. His respirations are shallow, at a
rate of 10/min. His Oxygen saturation is 94% on 2L of NC oxygen. On
examination, the child is snoring with poor chest rise and poor air entry
bilaterally. What action should you take next?
5. Provide bag mask ventilation: After rectal administration of
diazepam, an 8 year old boy with a history of seizures is no
unresponsive to painful stimuli. His respirations are shallow, at a rate of
10/min. His Oxygen saturation is 94% on 2L of NC oxygen. On
examination, the child is snoring with poor chest rise and poor air entry
bilaterally. After repositioning the patient and you insert an Oral airway,
1/
, PALS POST TEST
the patient continues to deteriorate. What next step is the most
appropriate?
6. 15:2: A 6 year old child is found unresponsive, not breathing, and
without a pulse. one health care worker leaves to activate the
emergency response system and get the resuscitation equipment. You
and another healthcare provider immediatly begin CPR. Which
compression to ventilation ratio do you use?
7. 94%-99%: In post resuscitation management after cardiac arrest,
extra care should be taken to avoid repercussion injury. what should the
ideal oxygen saturation range most likely be?
8. "resume compressions": 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?
9. 2-4 J/kg: A 4 year old child in cardiac arrest is brought to the
ardiac
emergency de- partment by ambulance. High quality CPR is monitor being ild
performed. The c is 20 kg.
displays the rhythm strip shown here. The estimated weight of
the ch What dose range should you use for the initial
defibrillation?
10.40 Joules: A 4 year old child in cardiac arrest is brought to the
emergency de- partment by ambulance. High quality CPR is being
performed. The cardiac monitor
2/