PALS Test Questions with Complete
Solutions9
In which of the following situations may IO access be used? - ANSWERS-An extremity with slow
capillary refill time.
A 2 - week old infant is being evaluated irritability and poor feeding. His blood pressure is 55/40
mm Hg and capillary refill time is 5 seconds. Which statement best describes your assessment of
this infants blood pressure? - ANSWERS-It is Hypotensive
You are caring for patients in the emergency department. Which two year old requires
immediate interventions? - ANSWERS-A child who is grunting
A 3 year old child is having difficulty breathing. What finding would most likely lead you to
expect an upper airway obstruction in this child? - ANSWERS-Increased inspiratory effort with
retractions
A team member is unable to perform an assigned task because it is beyond the team member's
scope of practice. What action should the team member take? - ANSWERS-Ask for a new task or
role.
You are the team lead during a pediatric resuscitation attempt. Which action is high quality
CPR? - ANSWERS-Allow complete chest wall recoil after each compression.
A 8 year old child is brought to the emergency department by his mother for difficultly
breathing. He has a history is asthma and nut allergies. His mother tells you that he has recently
ate a cookie at a family picnic. Which condition is most likely present with this child? -
ANSWERS-Upper airy way obstruction
, An 8-year-old child is brought to the emergency department by ambulance after being involved
in a motor vehicle collision. What finding would suggest that immediate intervention is needed?
- ANSWERS-Decreased level of consciousness
A 6-year-old child is found unresponsive, not breathing, and without a pulse. One healthcare
worker leaves to activate the emergency response system and get the resuscitation equipment.
You and another healthcare provider immediately begin performing CPR. What compression-to-
ventilation -ratio do you use? - ANSWERS-15:2
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 shock administration, what should you say to your team members? -
ANSWERS-Resume compressions
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 oxygen saturation is 72% on room air and 89% when on a
nonrebreathing oxygen mask. He has shallow respirations with a respiratory rate of 38/min.
Auscultation of the lungs reveals bilateral crackles.
11. What assessment finding is consistent with respiratory failure in this child? - ANSWERS-
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 oxygen saturation is 72% on room air and 89% when on a
nonrebreathing oxygen mask. He has shallow respirations with a respiratory rate of 38/min.
Auscultation of the lungs reveals bilateral crackles.
What medication would be most appropriate? - ANSWERS-Antibiotics
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? - ANSWERS-I think the
correct dose is 0.01 mg/kg. Should I give that dose instead?'
Solutions9
In which of the following situations may IO access be used? - ANSWERS-An extremity with slow
capillary refill time.
A 2 - week old infant is being evaluated irritability and poor feeding. His blood pressure is 55/40
mm Hg and capillary refill time is 5 seconds. Which statement best describes your assessment of
this infants blood pressure? - ANSWERS-It is Hypotensive
You are caring for patients in the emergency department. Which two year old requires
immediate interventions? - ANSWERS-A child who is grunting
A 3 year old child is having difficulty breathing. What finding would most likely lead you to
expect an upper airway obstruction in this child? - ANSWERS-Increased inspiratory effort with
retractions
A team member is unable to perform an assigned task because it is beyond the team member's
scope of practice. What action should the team member take? - ANSWERS-Ask for a new task or
role.
You are the team lead during a pediatric resuscitation attempt. Which action is high quality
CPR? - ANSWERS-Allow complete chest wall recoil after each compression.
A 8 year old child is brought to the emergency department by his mother for difficultly
breathing. He has a history is asthma and nut allergies. His mother tells you that he has recently
ate a cookie at a family picnic. Which condition is most likely present with this child? -
ANSWERS-Upper airy way obstruction
, An 8-year-old child is brought to the emergency department by ambulance after being involved
in a motor vehicle collision. What finding would suggest that immediate intervention is needed?
- ANSWERS-Decreased level of consciousness
A 6-year-old child is found unresponsive, not breathing, and without a pulse. One healthcare
worker leaves to activate the emergency response system and get the resuscitation equipment.
You and another healthcare provider immediately begin performing CPR. What compression-to-
ventilation -ratio do you use? - ANSWERS-15:2
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 shock administration, what should you say to your team members? -
ANSWERS-Resume compressions
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 oxygen saturation is 72% on room air and 89% when on a
nonrebreathing oxygen mask. He has shallow respirations with a respiratory rate of 38/min.
Auscultation of the lungs reveals bilateral crackles.
11. What assessment finding is consistent with respiratory failure in this child? - ANSWERS-
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 oxygen saturation is 72% on room air and 89% when on a
nonrebreathing oxygen mask. He has shallow respirations with a respiratory rate of 38/min.
Auscultation of the lungs reveals bilateral crackles.
What medication would be most appropriate? - ANSWERS-Antibiotics
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? - ANSWERS-I think the
correct dose is 0.01 mg/kg. Should I give that dose instead?'
