RQI PALS Entry QUESTIONS WITH CORRECT ANSWERS.
A 3-uear-old child is brought to the emergency department by his mother.
What is a normal finding for a 3-year-old child?
Blood pressure of 55/30 mm Hg
Respiratory rate of 24/min
Oxygenation saturation of 90%
Heart rate of 220/min - Respiratory rate of 24/min
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?
Temperature of 38.1 C (100.5 F)
Decreased level of consciousness
Warm, moist skin
Systolic blood pressure of 106 mm Hg - Decreased level of consciousness
A 10-year-old child is brought to the emergency department for fever and cough. You obtain an
oxygen saturation on the child.
What oxygenation saturation would indicate that immediate intervention is needed?
88% on 4L of nasal oxygen
95% on room air
96% on room air
97% on 50% oxygen - 88% on 4L of nasal oxygen
What condition is characterized by a prolonged phase and wheezing?
Hypovolemic shock
Lower airway obstruction
Disordered control of breathing
Upper airway obstruction - Lower airway obstruction
You are caring for a 9-month-ol girl who has increased work of breathing, a fever, and a cough.
On assessment, you find an alert infant with stridor and retractions.
The infant's SpO2 is 94%.
On auscultation, the lings are clear bilaterally.
What is the most likely cause of this infants distress?
, Upper airway obstruction
Lower airway obstruction
Disordered control of breathing
Parenchymal lung disease - Upper airway obstruction
A 3-year-old boy is brought to the emergency department by his mother.
He is lethargic, with retractions and nasal flaring.
He has a respiratory rate of 70/min, with warm extremities and brisk capillary refill.
Which immediate life-threatening condition could this child's condition most likely progress to if
left untreated?
Respiratory failure
Respiratory distress
Hypovolemic shock
Cardiogenic shock - Respiratory failure
After rectal administration of diazepam, an 8 year old boy with a history of seizures is now
unresponsive to painful stimulation.
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?
Reposition the patient and insert an oral airway
Administer naloxone
Increase nasal cannula flow
Perform endotracheal intubation - Reposition the patient and insert an oral airway
After rectal administration of diazepam, an 8 year old boy with a history of seizures is now
unresponsive to painful stimulation.
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.
If the patient continues to snore and exhibit poor chest and poor air entry bilaterally after your
initial intervention, what next step is most appropriate?
Perform nasal suctioning
Increase nasal cannula flow
Administer nebulized epinephrine
Provide bag-mask ventilation - Provide bag-mask ventilation
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.
A 3-uear-old child is brought to the emergency department by his mother.
What is a normal finding for a 3-year-old child?
Blood pressure of 55/30 mm Hg
Respiratory rate of 24/min
Oxygenation saturation of 90%
Heart rate of 220/min - Respiratory rate of 24/min
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?
Temperature of 38.1 C (100.5 F)
Decreased level of consciousness
Warm, moist skin
Systolic blood pressure of 106 mm Hg - Decreased level of consciousness
A 10-year-old child is brought to the emergency department for fever and cough. You obtain an
oxygen saturation on the child.
What oxygenation saturation would indicate that immediate intervention is needed?
88% on 4L of nasal oxygen
95% on room air
96% on room air
97% on 50% oxygen - 88% on 4L of nasal oxygen
What condition is characterized by a prolonged phase and wheezing?
Hypovolemic shock
Lower airway obstruction
Disordered control of breathing
Upper airway obstruction - Lower airway obstruction
You are caring for a 9-month-ol girl who has increased work of breathing, a fever, and a cough.
On assessment, you find an alert infant with stridor and retractions.
The infant's SpO2 is 94%.
On auscultation, the lings are clear bilaterally.
What is the most likely cause of this infants distress?
, Upper airway obstruction
Lower airway obstruction
Disordered control of breathing
Parenchymal lung disease - Upper airway obstruction
A 3-year-old boy is brought to the emergency department by his mother.
He is lethargic, with retractions and nasal flaring.
He has a respiratory rate of 70/min, with warm extremities and brisk capillary refill.
Which immediate life-threatening condition could this child's condition most likely progress to if
left untreated?
Respiratory failure
Respiratory distress
Hypovolemic shock
Cardiogenic shock - Respiratory failure
After rectal administration of diazepam, an 8 year old boy with a history of seizures is now
unresponsive to painful stimulation.
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?
Reposition the patient and insert an oral airway
Administer naloxone
Increase nasal cannula flow
Perform endotracheal intubation - Reposition the patient and insert an oral airway
After rectal administration of diazepam, an 8 year old boy with a history of seizures is now
unresponsive to painful stimulation.
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.
If the patient continues to snore and exhibit poor chest and poor air entry bilaterally after your
initial intervention, what next step is most appropriate?
Perform nasal suctioning
Increase nasal cannula flow
Administer nebulized epinephrine
Provide bag-mask ventilation - Provide bag-mask ventilation
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.
