PALS/ 123 Exam Questions & Correct Solutions
When is the Pediatric Assessment Triangle (PAT) performed to make an initial
assessment?
A) during the "from the doorway" observation
B) during the primary assessment
C) during the transfer of care
D) during the secondary assessment - Answer: A) during the "from the doorway"
observation
The evaluate-identify-intervene sequence should be continued until:
A) the child is stable
B) the child is ready for transport
C) the child is ready for discharge
D) interventions are provided for the child - Answer: A) the child is stable
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,In the primary assessment, how should you open the airway of a child who is not
suspected of having a c-spine injury?
A) with ET intubation
B) with a jaw thrust
C) by flexing the neck
D) with a head tilt-chin lift - Answer: D) with a head tilt-chin lift
Hypotension for children 1-10 years of age is a SBP of less than:
A) 50 + (2 x age in years)
B) 40 + (2 x age in years)
C) 70 + (2 x age in years)
D) 60 + (2 x age in years) - Answer: C) 70 + (2 x age in years)
What does a prolonged capillary refill time indicate?
A) low cardiac rate
B) increased stroke volume
C) increased cardiac output
D) low cardiac output - Answer: D) low cardiac output
What pulses should be assessed to monitor systemic perfusion in a child?
A) carotid and brachial
B) pedal and radial
C) peripheral and central
D) femoral and carotid - Answer: C) peripheral and central
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,What do weak central pulses indicate a need for immediate intervention to
prevent?
A) hypovolemia
B) sepsis
C) respiratory arrest
D) cardiac arrest - Answer: D) cardiac arrest
Which resuscitation strategy will result in an improved chest compression
fraction?
A) hovering over the chest during compression pauses
B) switching compressors every 2 minutes
C) implementing physiologic monitoring devices
D) adhering to recommended drug dosing intervals - Answer: A) hovering over the
chest during compression pauses
What is one way to increase chest compression fraction during a code?
A) switching the airway and compressor roles during CPR
B) starting an IV/IO during rhythm analysis
C) charging the defibrillator 15 seconds before a rhythm check
D) giving epinephrine during a rhythm analysis - Answer: C) charging the
defibrillator 15 seconds before a rhythm check
What is chest compression fraction?
A) proportion of time that compression are not performed
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, B) proportion of time that compressions are performed
C) proportion of time that recoil is adequate in compressions
D) proportion of time that depth is adequate in compressions - Answer: B)
proportion of time that compressions are performed
Children develop hypoxemia and tissue hypoxia more quickly than adults because
of their:
A) lower respiratory rate
B) higher HGB
C) higher metabolic rate
D) lower oxygen demand - Answer: C) higher metabolic rate
Which of the following describes laminar or normal airflow?
A) low airway resistance and a small driving pressure
B) smaller airways need increased airways resistance
C) larger airways need increased airway resistance
D) high airway resistance and low driving pressure - Answer: A) low airway
resistance and a small driving pressure
Which of the following is true about airway resistance?
A) the smaller the airway, the lower the airway resistance
B) impedance to airflow is decreased when the airways constrict
C) airway resistance decreases as lung volume remains unchanged
D) when airway resistance increases, work of breathing increases - Answer: D)
when airway resistance increases, work of breathing increases
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When is the Pediatric Assessment Triangle (PAT) performed to make an initial
assessment?
A) during the "from the doorway" observation
B) during the primary assessment
C) during the transfer of care
D) during the secondary assessment - Answer: A) during the "from the doorway"
observation
The evaluate-identify-intervene sequence should be continued until:
A) the child is stable
B) the child is ready for transport
C) the child is ready for discharge
D) interventions are provided for the child - Answer: A) the child is stable
Page 1 of 40
,In the primary assessment, how should you open the airway of a child who is not
suspected of having a c-spine injury?
A) with ET intubation
B) with a jaw thrust
C) by flexing the neck
D) with a head tilt-chin lift - Answer: D) with a head tilt-chin lift
Hypotension for children 1-10 years of age is a SBP of less than:
A) 50 + (2 x age in years)
B) 40 + (2 x age in years)
C) 70 + (2 x age in years)
D) 60 + (2 x age in years) - Answer: C) 70 + (2 x age in years)
What does a prolonged capillary refill time indicate?
A) low cardiac rate
B) increased stroke volume
C) increased cardiac output
D) low cardiac output - Answer: D) low cardiac output
What pulses should be assessed to monitor systemic perfusion in a child?
A) carotid and brachial
B) pedal and radial
C) peripheral and central
D) femoral and carotid - Answer: C) peripheral and central
Page 2 of 40
,What do weak central pulses indicate a need for immediate intervention to
prevent?
A) hypovolemia
B) sepsis
C) respiratory arrest
D) cardiac arrest - Answer: D) cardiac arrest
Which resuscitation strategy will result in an improved chest compression
fraction?
A) hovering over the chest during compression pauses
B) switching compressors every 2 minutes
C) implementing physiologic monitoring devices
D) adhering to recommended drug dosing intervals - Answer: A) hovering over the
chest during compression pauses
What is one way to increase chest compression fraction during a code?
A) switching the airway and compressor roles during CPR
B) starting an IV/IO during rhythm analysis
C) charging the defibrillator 15 seconds before a rhythm check
D) giving epinephrine during a rhythm analysis - Answer: C) charging the
defibrillator 15 seconds before a rhythm check
What is chest compression fraction?
A) proportion of time that compression are not performed
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, B) proportion of time that compressions are performed
C) proportion of time that recoil is adequate in compressions
D) proportion of time that depth is adequate in compressions - Answer: B)
proportion of time that compressions are performed
Children develop hypoxemia and tissue hypoxia more quickly than adults because
of their:
A) lower respiratory rate
B) higher HGB
C) higher metabolic rate
D) lower oxygen demand - Answer: C) higher metabolic rate
Which of the following describes laminar or normal airflow?
A) low airway resistance and a small driving pressure
B) smaller airways need increased airways resistance
C) larger airways need increased airway resistance
D) high airway resistance and low driving pressure - Answer: A) low airway
resistance and a small driving pressure
Which of the following is true about airway resistance?
A) the smaller the airway, the lower the airway resistance
B) impedance to airflow is decreased when the airways constrict
C) airway resistance decreases as lung volume remains unchanged
D) when airway resistance increases, work of breathing increases - Answer: D)
when airway resistance increases, work of breathing increases
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