PALS QUESTIONS WITH CORRECT ANSWERS.
In post resuscitation management after cardiac arrest, extra care should be taken to avoid
repercussion injury. what should the ideal oxygen saturation range most likely be?
A. 92% to 100%
B. 92% to 99%
C. 94% to 99%
D. 94% to 100% - c. 94%-99%
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 - 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. 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 - D. 2-4 J/kg
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 - b. 40 Joules
You are the team leader during a pediatric resuscitation attempt. which action is an element of
high quality CPR?
A. A depth of compressions of about one fourth the anterior-posterior depth of the chest
B. A compression rate of 80/min
C. Pulse checks performed once per minute
D. Allowing the chest wall to recoil completely between compressions - D. Allowing complete
chest wall recoil after each compression
, You are caring for a 3 month old boy with a 2 day history of fever, vomiting and diarrhea. His
parents state that he has been sleeping much more. His HR is 190/min, temp is 38.3 degrees C
(101 F) blood pressure is 59/29 mmHg, Resp rate is 70/min and shallow, and oxygen sat is 94%
on 100% oxygen. His capillary refills time is 4-5 seconds, and he has mottled, cool extremities.
The infant weighs 6 Kg. Which assessment finding indicates that the infant is in hypotensive
shock? - blood pressure
You are caring for a 3 month old boy with a 2 day history of fever, vomiting and diarrhea. His
parents state that he has been sleeping much more. His HR is 190/min, temp is 38.3 degrees C
(101 F) blood pressure is 59/29 mmHg, Resp rate is 70/min and shallow, and oxygen sat is 94%
on 100% oxygen. His capillary refills time is 4-5 seconds, and he has mottled, cool extremities.
The infant weighs 6 Kg. On the basis of this infants presentation, which type of shock does this
infant have?
A. Septic shock
B. Hypovolemic shock
C. Significant bradycardia
D. Cardiogenic shock - B. Hypovolemic shock
You are caring for a 3 month old boy with a 2 day history of fever, vomiting and diarrhea. His
parents state that he has been sleeping much more. His HR is 190/min, temp is 38.3 degrees C
(101 F) blood pressure is 59/29 mmHg, Resp rate is 70/min and shallow, and oxygen sat is 94%
on 100% oxygen. His capillary refills time is 4-5 seconds, and he has mottled, cool extremities.
The infant weighs 6 Kg. You have decided that this infant Needs fluid resuscitation. How much
fluid should you administer?
A. 10 mL/kg normal saline
B. 20 mL/kg of 5% dextrose and 0.2% sodium chloride
C. 20 mL/kg normal saline
D. 10 mL/kg lactated Ringer's - C. 20 mL/kg normal saline
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 - A. Hypotensive
A team member is unable to perform an assigned task because it is beyond the team members
scope of practice. Which action should the team member take? - Ask for a new task or role
Which abnormality helps identify children with acute respiratory distress caused by lung tissue
disease?
A. Decreased oxygen saturation
B. Stridor
C. Normal respiratory rate
D. Decreased respiratory effort or crackles - D. Decreased respiratory effort or crackles
In post resuscitation management after cardiac arrest, extra care should be taken to avoid
repercussion injury. what should the ideal oxygen saturation range most likely be?
A. 92% to 100%
B. 92% to 99%
C. 94% to 99%
D. 94% to 100% - c. 94%-99%
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 - 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. 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 - D. 2-4 J/kg
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 - b. 40 Joules
You are the team leader during a pediatric resuscitation attempt. which action is an element of
high quality CPR?
A. A depth of compressions of about one fourth the anterior-posterior depth of the chest
B. A compression rate of 80/min
C. Pulse checks performed once per minute
D. Allowing the chest wall to recoil completely between compressions - D. Allowing complete
chest wall recoil after each compression
, You are caring for a 3 month old boy with a 2 day history of fever, vomiting and diarrhea. His
parents state that he has been sleeping much more. His HR is 190/min, temp is 38.3 degrees C
(101 F) blood pressure is 59/29 mmHg, Resp rate is 70/min and shallow, and oxygen sat is 94%
on 100% oxygen. His capillary refills time is 4-5 seconds, and he has mottled, cool extremities.
The infant weighs 6 Kg. Which assessment finding indicates that the infant is in hypotensive
shock? - blood pressure
You are caring for a 3 month old boy with a 2 day history of fever, vomiting and diarrhea. His
parents state that he has been sleeping much more. His HR is 190/min, temp is 38.3 degrees C
(101 F) blood pressure is 59/29 mmHg, Resp rate is 70/min and shallow, and oxygen sat is 94%
on 100% oxygen. His capillary refills time is 4-5 seconds, and he has mottled, cool extremities.
The infant weighs 6 Kg. On the basis of this infants presentation, which type of shock does this
infant have?
A. Septic shock
B. Hypovolemic shock
C. Significant bradycardia
D. Cardiogenic shock - B. Hypovolemic shock
You are caring for a 3 month old boy with a 2 day history of fever, vomiting and diarrhea. His
parents state that he has been sleeping much more. His HR is 190/min, temp is 38.3 degrees C
(101 F) blood pressure is 59/29 mmHg, Resp rate is 70/min and shallow, and oxygen sat is 94%
on 100% oxygen. His capillary refills time is 4-5 seconds, and he has mottled, cool extremities.
The infant weighs 6 Kg. You have decided that this infant Needs fluid resuscitation. How much
fluid should you administer?
A. 10 mL/kg normal saline
B. 20 mL/kg of 5% dextrose and 0.2% sodium chloride
C. 20 mL/kg normal saline
D. 10 mL/kg lactated Ringer's - C. 20 mL/kg normal saline
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 - A. Hypotensive
A team member is unable to perform an assigned task because it is beyond the team members
scope of practice. Which action should the team member take? - Ask for a new task or role
Which abnormality helps identify children with acute respiratory distress caused by lung tissue
disease?
A. Decreased oxygen saturation
B. Stridor
C. Normal respiratory rate
D. Decreased respiratory effort or crackles - D. Decreased respiratory effort or crackles