PALS TEST QUESTIONS WITH VERIFIED ANSWERS
In which of the following situations may IO access be used?
A. An extremity with signs of infection
B. An extremity with signs of a crush injury
C. An extremity with a previous unsuccessful IO attempt
D. An extremity with slow a capillary refill time - correct answerD. An
extremity with slow a capillary refill time
A 2-week-old infant is being evaluated for 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 infant's blood pressure?
A. It represents compensated shock.
B. It is hypertensive.
C. It is hypotensive.
D. It is normal. - correct answerC. It is hypotensive.
You are caring for patients in the emergency department. Which 2-year-old
child requires immediate intervention?
A. A child who is grunting
B. A child with an SpO2 of 95% on room air
C. A child with a systolic blood pressure of 92 mm Hg
D. A child with a temperature of 37.4°C (99.3°F) - correct answerA. A child
who is grunting
A 3-year-old child is having difficulty breathing. What 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 - correct answerC. 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?
A. Ask for a new task or role
B. Refuse to perform the task
C. Do it anyway
D. Seek expert consultation - correct answerA. Ask for a new task or role
You are the Team Leader during a pediatric resuscitation attempt. What
action is an element of high-quality CPR?
A. Providing a compression depth of one fourth the depth of the chest
B. Providing a compression rate of 80 to 100/min
C. Allowing complete chest wall recoil after each compression
D. Performing pulse checks every minute - correct answerC. Allowing
complete chest wall recoil after each compression
An 8-year-old child is brought to the emergency department by his mother
for difficulty breathing. He has a history of asthma and nut allergies. His
mother tells you that he recently ate a cookie at a family picnic. What
condition is most likely to be present in this child?
A. Disordered control of breathing
B. Hypovolemic shock
C. Lung tissue disease
D. Upper airway obstruction - correct answerD. Upper airway 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?
A. Decreased level of consciousness
B. Systolic blood pressure of 106 mm Hg
, C. Temperature of 38.1°C (100.5°F)
D. Warm, moist skin - correct answerA. Decreased level of consciousness
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?
A. "Check for a pulse."
B. "Give epinephrine 0.01 mg/kg."
C. "Let's check the rhythm."
D. "Resume compressions." - correct answerD. "Resume compressions."
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?
A. 15:1
B. 30:1
C. 15:2
D. 30:2 - correct answerC. 15:2
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 assessment finding is consistent with respiratory failure in this child?
A. Cough
In which of the following situations may IO access be used?
A. An extremity with signs of infection
B. An extremity with signs of a crush injury
C. An extremity with a previous unsuccessful IO attempt
D. An extremity with slow a capillary refill time - correct answerD. An
extremity with slow a capillary refill time
A 2-week-old infant is being evaluated for 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 infant's blood pressure?
A. It represents compensated shock.
B. It is hypertensive.
C. It is hypotensive.
D. It is normal. - correct answerC. It is hypotensive.
You are caring for patients in the emergency department. Which 2-year-old
child requires immediate intervention?
A. A child who is grunting
B. A child with an SpO2 of 95% on room air
C. A child with a systolic blood pressure of 92 mm Hg
D. A child with a temperature of 37.4°C (99.3°F) - correct answerA. A child
who is grunting
A 3-year-old child is having difficulty breathing. What 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 - correct answerC. 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?
A. Ask for a new task or role
B. Refuse to perform the task
C. Do it anyway
D. Seek expert consultation - correct answerA. Ask for a new task or role
You are the Team Leader during a pediatric resuscitation attempt. What
action is an element of high-quality CPR?
A. Providing a compression depth of one fourth the depth of the chest
B. Providing a compression rate of 80 to 100/min
C. Allowing complete chest wall recoil after each compression
D. Performing pulse checks every minute - correct answerC. Allowing
complete chest wall recoil after each compression
An 8-year-old child is brought to the emergency department by his mother
for difficulty breathing. He has a history of asthma and nut allergies. His
mother tells you that he recently ate a cookie at a family picnic. What
condition is most likely to be present in this child?
A. Disordered control of breathing
B. Hypovolemic shock
C. Lung tissue disease
D. Upper airway obstruction - correct answerD. Upper airway 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?
A. Decreased level of consciousness
B. Systolic blood pressure of 106 mm Hg
, C. Temperature of 38.1°C (100.5°F)
D. Warm, moist skin - correct answerA. Decreased level of consciousness
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?
A. "Check for a pulse."
B. "Give epinephrine 0.01 mg/kg."
C. "Let's check the rhythm."
D. "Resume compressions." - correct answerD. "Resume compressions."
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?
A. 15:1
B. 30:1
C. 15:2
D. 30:2 - correct answerC. 15:2
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 assessment finding is consistent with respiratory failure in this child?
A. Cough
