PALS ALL (2024-2025) QUESTIONS WITH ANSWERS
You are assessing a 6-year-old child who appears unconscious
after striking his head on a concrete step. You pinch the
patient's chest and the patient grabs your hand. You would
document this response as:
Decerebrate posturing
Decorticate posturing
Withdrawal from a painful stimulus
Localization of a painful stimulus -
<<,Answers>>>>Localization of a painful stimulus
You are caring for an 8-year-old child who was struck by a
car. The child is alert, very anxious, and in respiratory
distress. The child is receiving high-flow oxygen by face
mask, has a respiratory rate of 60/min, the heart rate is
150/min, systolic blood pressure is 70 mm Hg, and a SpO2 of
86% and falling. Breath sounds and chest rise are absent over
the right chest. Which of the following is the most likely
cause of this child's distress?
Tension Pneumothorax
Cardiac temponade
Severe hypovolemia
Cardiac asthma - <<,Answers>>>>Tension Pneumothorax
, PALS ALL (2024-2025) QUESTIONS WITH ANSWERS
You attempted synchronized cardioversion for an infant with
SVT and poor perfusion. The SVT persists after the initial
shock of 1 J/kg. Which of the following should you attempt
now?
Synchronized cardioversion at a dose of 4 J/kg
Synchronized cardioversion at a dose of 2 J/kg
Unsynchronized cardioversion at a dose of 2 J/kg
Unsynchronized cardioversion at a dose of 4 J/kg -
<<,Answers>>>>Synchronized cardioversion at a dose of 2
J/kg
You are caring for a 2-year-old unconscious patient who is
intubated and receiving mechanical ventilation. The child's
heart rate suddenly drops to 40/min and his color becomes
mottled. You should respond to these changes by:
Increasing the ventilator rate
Using a resuscitation bag to provide manual ventilation with
100% oxygen
Increasing tidal volume
Increasing positive end-expiratory pressure (PEEP) -
<<,Answers>>>>Using a resuscitation bag to provide manual
ventilation with 100% oxygen
, PALS ALL (2024-2025) QUESTIONS WITH ANSWERS
You are caring for a 9-month-old patient with pronounced
respiratory distress. You initiated high-flow oxygen using a
nonrebreathing mask about 10 minutes ago and established
intravenous access. Initially the infant's heart rate was in the
150/min range with strong pulses. Suddenly the infant's
respiratory rate falls to 6/min with significant intercostal
retractions, and little air movement is heard. The infant
becomes cyanotic and the heart rate decreases to 95/min.
Which of the following treatments would be best for you to
provide now?
Administer epinephrine IV
Provide bag-mask ventilation
Administer magnesium sulfate IV
lntubate and ventilate - <<,Answers>>>>Provide bag-mask
ventilation
You are caring for an 8-year-old child who was struck by a
car. The child is alert, very anxious, and in respiratory
distress. The child is receiving high-flow oxygen by face
mask, has a respiratory rate of 60/min, heart rate of 150/min,
systolic blood pressure of 70 mm Hg, and Spot of 86% and
falling. Breath sounds and chest rise are absent over the right
chest. Which of the following is the most likely cause of this
child's distress?
Cardiac tamponade
You are assessing a 6-year-old child who appears unconscious
after striking his head on a concrete step. You pinch the
patient's chest and the patient grabs your hand. You would
document this response as:
Decerebrate posturing
Decorticate posturing
Withdrawal from a painful stimulus
Localization of a painful stimulus -
<<,Answers>>>>Localization of a painful stimulus
You are caring for an 8-year-old child who was struck by a
car. The child is alert, very anxious, and in respiratory
distress. The child is receiving high-flow oxygen by face
mask, has a respiratory rate of 60/min, the heart rate is
150/min, systolic blood pressure is 70 mm Hg, and a SpO2 of
86% and falling. Breath sounds and chest rise are absent over
the right chest. Which of the following is the most likely
cause of this child's distress?
Tension Pneumothorax
Cardiac temponade
Severe hypovolemia
Cardiac asthma - <<,Answers>>>>Tension Pneumothorax
, PALS ALL (2024-2025) QUESTIONS WITH ANSWERS
You attempted synchronized cardioversion for an infant with
SVT and poor perfusion. The SVT persists after the initial
shock of 1 J/kg. Which of the following should you attempt
now?
Synchronized cardioversion at a dose of 4 J/kg
Synchronized cardioversion at a dose of 2 J/kg
Unsynchronized cardioversion at a dose of 2 J/kg
Unsynchronized cardioversion at a dose of 4 J/kg -
<<,Answers>>>>Synchronized cardioversion at a dose of 2
J/kg
You are caring for a 2-year-old unconscious patient who is
intubated and receiving mechanical ventilation. The child's
heart rate suddenly drops to 40/min and his color becomes
mottled. You should respond to these changes by:
Increasing the ventilator rate
Using a resuscitation bag to provide manual ventilation with
100% oxygen
Increasing tidal volume
Increasing positive end-expiratory pressure (PEEP) -
<<,Answers>>>>Using a resuscitation bag to provide manual
ventilation with 100% oxygen
, PALS ALL (2024-2025) QUESTIONS WITH ANSWERS
You are caring for a 9-month-old patient with pronounced
respiratory distress. You initiated high-flow oxygen using a
nonrebreathing mask about 10 minutes ago and established
intravenous access. Initially the infant's heart rate was in the
150/min range with strong pulses. Suddenly the infant's
respiratory rate falls to 6/min with significant intercostal
retractions, and little air movement is heard. The infant
becomes cyanotic and the heart rate decreases to 95/min.
Which of the following treatments would be best for you to
provide now?
Administer epinephrine IV
Provide bag-mask ventilation
Administer magnesium sulfate IV
lntubate and ventilate - <<,Answers>>>>Provide bag-mask
ventilation
You are caring for an 8-year-old child who was struck by a
car. The child is alert, very anxious, and in respiratory
distress. The child is receiving high-flow oxygen by face
mask, has a respiratory rate of 60/min, heart rate of 150/min,
systolic blood pressure of 70 mm Hg, and Spot of 86% and
falling. Breath sounds and chest rise are absent over the right
chest. Which of the following is the most likely cause of this
child's distress?
Cardiac tamponade
