PALS EXAM QUESTIONS GUIDE WITH
CORRECT ANSWERS
10 seconds - CORRECT ANSWER✅✅✅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?
Disordered Control of Breathing - CORRECT ANSWER✅✅✅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?
blood glucose - CORRECT ANSWER✅✅✅An 8 year old child is brought to the emergency
department with a 2 day history of lethargy and polyuria. The child has new onset rapid, deep,
and labored breathing. Which diagnostic test should you order first?
Reposition the patient, and insert an oral airway - CORRECT ANSWER✅✅✅After rectal
administration of diazepam, an 8 year old boy with a history of seizures is no unresponsive to
painful stimuli. His respirations are shallow, at a rate of 10/min. His Oxygen saturation is 94%
on 2L of NC oxygen. On examination, the child is snoring with poor chest rise and poor air entry
bilaterally. What action should you take next?
Provide bag mask ventilation - CORRECT ANSWER✅✅✅After rectal administration of
diazepam, an 8 year old boy with a history of seizures is no unresponsive to painful stimuli. His
respirations are shallow, at a rate of 10/min. His Oxygen saturation is 94% on 2L of NC oxygen.
On examination, the child is snoring with poor chest rise and poor air entry bilaterally. After
repositioning the patient and you insert an Oral airway, the patient continues to deteriorate. What
next step is the most appropriate?
15:2 - CORRECT ANSWER✅✅✅A 6 year old child is found unresponsive, not breathing,
and without a pulse. one health care worker leaves to activate the emergency response system
and get the resuscitation equipment. You and another healthcare provider immediatly begin CPR.
Which compression to ventilation ratio do you use?
, 94%-99% - CORRECT ANSWER✅✅✅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?
"resume compressions" - CORRECT ANSWER✅✅✅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?
2-4 J/kg - CORRECT ANSWER✅✅✅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?
40 Joules - CORRECT ANSWER✅✅✅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?
Allowing complete chest wall recoil after each compression - CORRECT
ANSWER✅✅✅You are the team leader during a pediatric resuscitation attempt. which
action is an element of high quality CPR?
blood pressure - CORRECT ANSWER✅✅✅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?
hypovolemic shock - CORRECT ANSWER✅✅✅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
CORRECT ANSWERS
10 seconds - CORRECT ANSWER✅✅✅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?
Disordered Control of Breathing - CORRECT ANSWER✅✅✅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?
blood glucose - CORRECT ANSWER✅✅✅An 8 year old child is brought to the emergency
department with a 2 day history of lethargy and polyuria. The child has new onset rapid, deep,
and labored breathing. Which diagnostic test should you order first?
Reposition the patient, and insert an oral airway - CORRECT ANSWER✅✅✅After rectal
administration of diazepam, an 8 year old boy with a history of seizures is no unresponsive to
painful stimuli. His respirations are shallow, at a rate of 10/min. His Oxygen saturation is 94%
on 2L of NC oxygen. On examination, the child is snoring with poor chest rise and poor air entry
bilaterally. What action should you take next?
Provide bag mask ventilation - CORRECT ANSWER✅✅✅After rectal administration of
diazepam, an 8 year old boy with a history of seizures is no unresponsive to painful stimuli. His
respirations are shallow, at a rate of 10/min. His Oxygen saturation is 94% on 2L of NC oxygen.
On examination, the child is snoring with poor chest rise and poor air entry bilaterally. After
repositioning the patient and you insert an Oral airway, the patient continues to deteriorate. What
next step is the most appropriate?
15:2 - CORRECT ANSWER✅✅✅A 6 year old child is found unresponsive, not breathing,
and without a pulse. one health care worker leaves to activate the emergency response system
and get the resuscitation equipment. You and another healthcare provider immediatly begin CPR.
Which compression to ventilation ratio do you use?
, 94%-99% - CORRECT ANSWER✅✅✅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?
"resume compressions" - CORRECT ANSWER✅✅✅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?
2-4 J/kg - CORRECT ANSWER✅✅✅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?
40 Joules - CORRECT ANSWER✅✅✅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?
Allowing complete chest wall recoil after each compression - CORRECT
ANSWER✅✅✅You are the team leader during a pediatric resuscitation attempt. which
action is an element of high quality CPR?
blood pressure - CORRECT ANSWER✅✅✅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?
hypovolemic shock - CORRECT ANSWER✅✅✅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
