2020 Pals Exam A Study Guide Questions And
Answers Verified 100% Correct
You are caring for a 5 year old boy with a 4 day history of high fever and cough.
He is having increasing lethargy, grunting, and sleepiness. Now he is difficult to
arouse and is unresponsive to voice commands. His O2 sat is 72% on room air and
89% when on a NRB O2 mask. He has shallow respirations, with a respiratory rate
of 38/min. Auscultation of the lungs reveals bilateral crackles. Which assessment
finding is consistent with respiratory failure in this child?
A. Cough
B. Fever
C. Oxygen saturation
D. Respiratory rate - ANSWER -C. Oxygen saturation
You are caring for a 5 year old boy with a 4 day history of high fever and cough.
He is having increasing lethargy, grunting, and sleepiness. Now he is difficult to
arouse and is unresponsive to voice commands. His O2 sat is 72% on room air and
89% when on a NRB O2 mask. He has shallow respirations, with a respiratory rate
of 38/min. Auscultation of the lungs reveals bilateral crackles. Which medication
would be most appropriate?
A. A bronchodilator
B. An antibiotic
C. A cortcosteroid
D. A vasopressor - ANSWER -B. An antibiotic
During a resuscitation attempt, the team leader asks you to administer an initial
dose of Epinephrine at 0.1 mg/kg to be given IO. How should you respond?
A. "I can't administer the drug at the dose you ordered
B. "OK, but will administer epinephrine 0.01 mg/kg"
C. "OK, I will administer epinephrine 0.1 mg/kg
, D. "I think the correct dose is 0.01 mg/kg. should I give that dose instead?" -
ANSWER -D. "I think the correct dose is 0.01 mg/kg. should I give that dose
instead?"
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. 30 seconds
D. 60 seconds - ANSWER -A. 10 seconds
A 10 year old child is being evaluated for a head ache. Which is a normal finding
for this 10 year old child?
A. Blood pressure of 60/50 mm Hg
B. Heart rate of 88/min
C. Respiratory of 8/min
D. Temperature of 39.6 C (103.2 F) - ANSWER -B. Heart rate of 88/min
A 6 year old boy is being evaluated for difficulty breathing. Which finding would
suggest this child has respiratory distress?
A. Audible inspiratory stridor
B. Decreased respiratory effort
C. Oxygen saturation of 95%
D. Respiratory rate of 8/min - ANSWER -A. Audible inspiratory stridor
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?
Answers Verified 100% Correct
You are caring for a 5 year old boy with a 4 day history of high fever and cough.
He is having increasing lethargy, grunting, and sleepiness. Now he is difficult to
arouse and is unresponsive to voice commands. His O2 sat is 72% on room air and
89% when on a NRB O2 mask. He has shallow respirations, with a respiratory rate
of 38/min. Auscultation of the lungs reveals bilateral crackles. Which assessment
finding is consistent with respiratory failure in this child?
A. Cough
B. Fever
C. Oxygen saturation
D. Respiratory rate - ANSWER -C. Oxygen saturation
You are caring for a 5 year old boy with a 4 day history of high fever and cough.
He is having increasing lethargy, grunting, and sleepiness. Now he is difficult to
arouse and is unresponsive to voice commands. His O2 sat is 72% on room air and
89% when on a NRB O2 mask. He has shallow respirations, with a respiratory rate
of 38/min. Auscultation of the lungs reveals bilateral crackles. Which medication
would be most appropriate?
A. A bronchodilator
B. An antibiotic
C. A cortcosteroid
D. A vasopressor - ANSWER -B. An antibiotic
During a resuscitation attempt, the team leader asks you to administer an initial
dose of Epinephrine at 0.1 mg/kg to be given IO. How should you respond?
A. "I can't administer the drug at the dose you ordered
B. "OK, but will administer epinephrine 0.01 mg/kg"
C. "OK, I will administer epinephrine 0.1 mg/kg
, D. "I think the correct dose is 0.01 mg/kg. should I give that dose instead?" -
ANSWER -D. "I think the correct dose is 0.01 mg/kg. should I give that dose
instead?"
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. 30 seconds
D. 60 seconds - ANSWER -A. 10 seconds
A 10 year old child is being evaluated for a head ache. Which is a normal finding
for this 10 year old child?
A. Blood pressure of 60/50 mm Hg
B. Heart rate of 88/min
C. Respiratory of 8/min
D. Temperature of 39.6 C (103.2 F) - ANSWER -B. Heart rate of 88/min
A 6 year old boy is being evaluated for difficulty breathing. Which finding would
suggest this child has respiratory distress?
A. Audible inspiratory stridor
B. Decreased respiratory effort
C. Oxygen saturation of 95%
D. Respiratory rate of 8/min - ANSWER -A. Audible inspiratory stridor
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?
