PALS 2025
A 10 year old child is being evaluated for a headache. Which is a normal finding
for this 10 year old child? - ANS - 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? - ANS - 88% on 4L of Nasal oxygen
\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. Hypotensive
B. Normal
C. Hypertensive
D. Compensated - ANS - A. 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. Respiratory distress
B. Respiratory arrest
C. Respiratory failure
D. Disordered control of breathing - ANS - C. 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? - ANS - 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? - ANS - 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?
A. Resume CPR, beginning with chest compressions
B. Check for a pulse
C. Analyze the rhythm
D. Administer epinephrine - ANS - A. Resume CPR, beginning with chest
compressions
\A 4 year old child in cardiac arrest is brought to the emergency department by
ambulance. High quality CPR is being performed. The cardiac monitor displays
, the rhythm strip shown here. The estimated weight of the child is 20 kg. As the
team leader, how many joules do you tell your team member to use to perform
initial Defib?
a. 100 Joules
b. 40 Joules
c. 140 Joules
d. 10 Joules - ANS - b. 40 Joules
\A 4 year old child in cardiac arrest is brought to the emergency department by
ambulance. High quality CPR is being performed. The cardiac monitor displays
the rhythm strip shown here. The estimated weight of the child is 20 kg. What
dose range should you use for the initial defibrillation?
a. 4-6 J/kg
b. 6-8 J/kg
c. 0.5-2 J/kg
d. 2-4 J/kg - ANS - D. 2-4 J/kg
\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?
A. Vascular resistance
B. Pulse rate
C. Lung compliance
D. Disordered Control of breathing - ANS - D. Disordered Control of Breathing
\A 5 year old child is brought to the emergency department by ambulance after
being involved in a MVC. You are using the primary assessment to evaluate the
child. When assessing the Childs neurological status, you note that he has
spontaneous eye opening, is fully oriented, and is able to follow command. How
would you document this Childs AVPU pediatric response scale finding? - ANS -
Alert and fully oriented
\A 6 month old infant is being evaluated for bradycardia. Which is the most likely
cause of bradycardia? - ANS - Hypoxia
\A 6 month old infant is unresponsive. You begin checking for breathing 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?
a. 10 seconds
b. 15 seconds
c. 20 seconds
d. 1 min - ANS - a. 10 seconds
\A 6 year old boy is being evaluated for difficulty breathing. Which finding would
suggest this child has respiratory distress?
A 10 year old child is being evaluated for a headache. Which is a normal finding
for this 10 year old child? - ANS - 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? - ANS - 88% on 4L of Nasal oxygen
\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. Hypotensive
B. Normal
C. Hypertensive
D. Compensated - ANS - A. 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. Respiratory distress
B. Respiratory arrest
C. Respiratory failure
D. Disordered control of breathing - ANS - C. 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? - ANS - 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? - ANS - 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?
A. Resume CPR, beginning with chest compressions
B. Check for a pulse
C. Analyze the rhythm
D. Administer epinephrine - ANS - A. Resume CPR, beginning with chest
compressions
\A 4 year old child in cardiac arrest is brought to the emergency department by
ambulance. High quality CPR is being performed. The cardiac monitor displays
, the rhythm strip shown here. The estimated weight of the child is 20 kg. As the
team leader, how many joules do you tell your team member to use to perform
initial Defib?
a. 100 Joules
b. 40 Joules
c. 140 Joules
d. 10 Joules - ANS - b. 40 Joules
\A 4 year old child in cardiac arrest is brought to the emergency department by
ambulance. High quality CPR is being performed. The cardiac monitor displays
the rhythm strip shown here. The estimated weight of the child is 20 kg. What
dose range should you use for the initial defibrillation?
a. 4-6 J/kg
b. 6-8 J/kg
c. 0.5-2 J/kg
d. 2-4 J/kg - ANS - D. 2-4 J/kg
\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?
A. Vascular resistance
B. Pulse rate
C. Lung compliance
D. Disordered Control of breathing - ANS - D. Disordered Control of Breathing
\A 5 year old child is brought to the emergency department by ambulance after
being involved in a MVC. You are using the primary assessment to evaluate the
child. When assessing the Childs neurological status, you note that he has
spontaneous eye opening, is fully oriented, and is able to follow command. How
would you document this Childs AVPU pediatric response scale finding? - ANS -
Alert and fully oriented
\A 6 month old infant is being evaluated for bradycardia. Which is the most likely
cause of bradycardia? - ANS - Hypoxia
\A 6 month old infant is unresponsive. You begin checking for breathing 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?
a. 10 seconds
b. 15 seconds
c. 20 seconds
d. 1 min - ANS - a. 10 seconds
\A 6 year old boy is being evaluated for difficulty breathing. Which finding would
suggest this child has respiratory distress?
