PEDIATRIC ADVANCED LIFE SUPPORT (PALS) EXAM LATEST ACTUAL EXAM
QUESTIONS AND CORRECT ANSWERS (VERIFIED ANSWERS)
1.The gold standard for anaphylactic shock is
A.) Milrinone
B.) Epinephrine
C.) Dopamine
D.) Dobutamine
B.) Epinephrine
2. The preferred order of drug delivery routes are:
A.) IV route, IO route, ET route
B.) ET route, IV route, IO route
C.) IO route, ET route, IV route
D.) IV route, ET route, IO route
A.) IV route, IO route, ET route
3. Which rhythm should be shocked?
A.) Ventricular fibrillation
B.) Pulseless ventricular tachycardia
C.) Pulseless electrical activity (PEA)
D.) Both A & B
D.) Both A & B
4. 1 rescuer compression to breath ratio in pediatrics?
30:2
5 .2 rescuer compression to breath ratio in pediatrics?
15:2
6. You need to provide rescue breaths to a child victim with a pulse. What is the appropriate rate
for delivering breaths?
A.) 1 breath every 3 to 5 seconds
B.) 2 breaths every 6-8 secs
C.) 1 breath every 6 secs
D.) 1 breath every 10-12 secs
A.) 1 breath every 3 to 5 seconds
7. An infant's (birth-1 yr old) pulse is checked at the
A.) Carotid artery
B.) Femoral artery
,C.) Brachial artery
D.) Any of the above
C.) Brachial artery
(inside of upper arm between elbow & shoulder)
8. The primary assessment includes all of the following assessments except;
A.) Airway
B.) Breathing
C.) Choking
D.) Exposure
C. Choking
9. Which of the following is a sign of upper airway obstruction?
A.) Fever
B.) Stridor
C.) Nasal flaring
D.) Itching
B. Stridor
10. The following is an indication of poor ventilation:
A.) HTN
B.) Hyperthyroidism
C.) Hypercarbia
D.) None of the above
C. Hypercarbia
11. All of the following cause sinus tachycardia except:
A.) Metabolic stress
B.) Mobitz type II block
C.) Fever
D.) Acute blood loss
B.) Mobitz Type II block
12. Common causes of acute community-acquired pneumonia include which of the following?
A.) Streptococcus pneumonia
B.) Mycoplasma pneumonia
C.) Chlamydia pneumonia
D.) All of the above
D? All of the above
, 13. Hypoxemia is defined as a room air SpO2 reading less than _______ in a child
A.) 98%
B.) 94%
C.) 90%
D.) 96%
B.) 94%
14. BP should be at least _______ for infants receiving CPR with an arterial line in place
25 mmHg
15. BP should be at least ______ for children receiving CPR with an arterial line in place
30 mmHg
16. Admin the initial dose of epinephrine within _______ mins from the start of chest
compressions
5
17. Compression depth for infants (birth-1 yr old) should be
1/3 of the chest, usually 1.5” (4 cm)
18. Someone on your team asks you to do something outside your scope of practice. A proper
communication response is to:
A.) Offer to help out with a different task
B.) Perform the task
C.) Refuse to do the task
D.) Seek expert consultation
A.) Offer to help out with a different task
Compression depth for children should be
1/3 of the chest, usually 2 inches (5 cm)
If you are the only person at the scene and find an unresponsive infant or child, perform CPR for
2 minutes BEFORE calling EMS or getting an AED
If you are the only person & witness a cardiac arrest (V-fib & pulseless V-tach) in an infant or
child -->
call EMS and get an AED BEFORE starting CPR
A child's (1+ yrs old) pulse is checked at the
carotid artery on the side of the neck or the femoral pulse on the inner thigh
Norm BP for children 3-7 yrs old (preschool & school-age)
89--76
even lower BP for infants & toddlers
Norm HR for newborns to 1 yr old
107-180 bpm
Norm RR for newborns to 6 yrs
21-35 /min
Children have ____________ metabolic rates compared to adults?
higher
Common causes of upper airway obstruction include all of the following except:
A.) aspirated foreign body
QUESTIONS AND CORRECT ANSWERS (VERIFIED ANSWERS)
1.The gold standard for anaphylactic shock is
A.) Milrinone
B.) Epinephrine
C.) Dopamine
D.) Dobutamine
B.) Epinephrine
2. The preferred order of drug delivery routes are:
A.) IV route, IO route, ET route
B.) ET route, IV route, IO route
C.) IO route, ET route, IV route
D.) IV route, ET route, IO route
A.) IV route, IO route, ET route
3. Which rhythm should be shocked?
A.) Ventricular fibrillation
B.) Pulseless ventricular tachycardia
C.) Pulseless electrical activity (PEA)
D.) Both A & B
D.) Both A & B
4. 1 rescuer compression to breath ratio in pediatrics?
30:2
5 .2 rescuer compression to breath ratio in pediatrics?
15:2
6. You need to provide rescue breaths to a child victim with a pulse. What is the appropriate rate
for delivering breaths?
A.) 1 breath every 3 to 5 seconds
B.) 2 breaths every 6-8 secs
C.) 1 breath every 6 secs
D.) 1 breath every 10-12 secs
A.) 1 breath every 3 to 5 seconds
7. An infant's (birth-1 yr old) pulse is checked at the
A.) Carotid artery
B.) Femoral artery
,C.) Brachial artery
D.) Any of the above
C.) Brachial artery
(inside of upper arm between elbow & shoulder)
8. The primary assessment includes all of the following assessments except;
A.) Airway
B.) Breathing
C.) Choking
D.) Exposure
C. Choking
9. Which of the following is a sign of upper airway obstruction?
A.) Fever
B.) Stridor
C.) Nasal flaring
D.) Itching
B. Stridor
10. The following is an indication of poor ventilation:
A.) HTN
B.) Hyperthyroidism
C.) Hypercarbia
D.) None of the above
C. Hypercarbia
11. All of the following cause sinus tachycardia except:
A.) Metabolic stress
B.) Mobitz type II block
C.) Fever
D.) Acute blood loss
B.) Mobitz Type II block
12. Common causes of acute community-acquired pneumonia include which of the following?
A.) Streptococcus pneumonia
B.) Mycoplasma pneumonia
C.) Chlamydia pneumonia
D.) All of the above
D? All of the above
, 13. Hypoxemia is defined as a room air SpO2 reading less than _______ in a child
A.) 98%
B.) 94%
C.) 90%
D.) 96%
B.) 94%
14. BP should be at least _______ for infants receiving CPR with an arterial line in place
25 mmHg
15. BP should be at least ______ for children receiving CPR with an arterial line in place
30 mmHg
16. Admin the initial dose of epinephrine within _______ mins from the start of chest
compressions
5
17. Compression depth for infants (birth-1 yr old) should be
1/3 of the chest, usually 1.5” (4 cm)
18. Someone on your team asks you to do something outside your scope of practice. A proper
communication response is to:
A.) Offer to help out with a different task
B.) Perform the task
C.) Refuse to do the task
D.) Seek expert consultation
A.) Offer to help out with a different task
Compression depth for children should be
1/3 of the chest, usually 2 inches (5 cm)
If you are the only person at the scene and find an unresponsive infant or child, perform CPR for
2 minutes BEFORE calling EMS or getting an AED
If you are the only person & witness a cardiac arrest (V-fib & pulseless V-tach) in an infant or
child -->
call EMS and get an AED BEFORE starting CPR
A child's (1+ yrs old) pulse is checked at the
carotid artery on the side of the neck or the femoral pulse on the inner thigh
Norm BP for children 3-7 yrs old (preschool & school-age)
89--76
even lower BP for infants & toddlers
Norm HR for newborns to 1 yr old
107-180 bpm
Norm RR for newborns to 6 yrs
21-35 /min
Children have ____________ metabolic rates compared to adults?
higher
Common causes of upper airway obstruction include all of the following except:
A.) aspirated foreign body
