PALS PRETEST EXAM SCRIPT TESTED
QUESTIONS WITH VERIFIED ANSWERS
PRACTICE SOLUTION GRADED A+
⩥ Treatment for PTX should not be delayed. Based on the child's
assessment, what immediate intervention should be performed?
A) CXR
B) needle decompression
C) fluid bolus
D) pericardiocentesis.
Answer: B) needle decompression
⩥ Where should the needle be inserted for proper needle
decompression?
A) left side of the chest, over the top of the third rib (second intercostal
space), in the midclavicular line
B) right side of the chest, between the first and second ribs in the
midclavicular line
C) right side of the chest, over the third rib (second intercostal space), in
the midclavicular line
D) left side of the chest, in the third intercostal space in the
midclavicular line.
,Answer: C) right side of the chest, over the third rib (second intercostal
space), in the midclavicular line
⩥ Needle decompression is performed on the patient. As the needle is
inserted, there is a rush of air coming from the hub of the needle. Vital
signs are reassessed and are now HR 134 bpm, BP 70/40, and SpO2
82%. The patient still has labored breathing. Her SpO2 does not go
above 82%. Her lung sounds are now present but diminished on the right
side. Which of the following interventions is appropriate to do next?
A) administer nebulized albuterol
B) administer 20 mL/kg NS or LR bolus
C) obtain a CXR
D) perform a thoracostomy for chest tube placement.
Answer: D) perform a thoracostomy for chest tube placement
⩥ After a chest tube is inserted, the patient's breathing and oxygenation
are improved. Her vital signs are HR 98 bpm, BP 108/72, RR 18/min
and normal, and SpO2 98%. How should proper chest tube placement be
confirmed?
A) obtain a CXR
B) ask the patient to breathe deeply
C) auscultate lung sounds
D) use waveform capnography.
Answer: A) obtain a CXR
, ⩥ Whenever a child has an abnormal heart rate or rhythm, what must be
done quickly?
A) transport the child to the ED or pediatric ICU
B) seek expert consultation
C) contact family and collaboratively develop a plan for medical
management
D) determine if the arrhythmia is causing hemodynamic instability or
other signs of deterioration.
Answer: D) determine if the arrhythmia is causing hemodynamic
instability or other signs of deterioration
⩥ What is the priority in initially managing arrhythmias?
A) obtain a SAMPLE history
B) evaluate the potential reversible causes (Hs and Ts)
C) support the ABCs
D) identify the underlying cause before initiating interventions.
Answer: C) support the ABCs
⩥ What is the leading cause of symptomatic bradycardia in children?
A) poor cardiac function
B) congenital abnormality
C) myocarditis
QUESTIONS WITH VERIFIED ANSWERS
PRACTICE SOLUTION GRADED A+
⩥ Treatment for PTX should not be delayed. Based on the child's
assessment, what immediate intervention should be performed?
A) CXR
B) needle decompression
C) fluid bolus
D) pericardiocentesis.
Answer: B) needle decompression
⩥ Where should the needle be inserted for proper needle
decompression?
A) left side of the chest, over the top of the third rib (second intercostal
space), in the midclavicular line
B) right side of the chest, between the first and second ribs in the
midclavicular line
C) right side of the chest, over the third rib (second intercostal space), in
the midclavicular line
D) left side of the chest, in the third intercostal space in the
midclavicular line.
,Answer: C) right side of the chest, over the third rib (second intercostal
space), in the midclavicular line
⩥ Needle decompression is performed on the patient. As the needle is
inserted, there is a rush of air coming from the hub of the needle. Vital
signs are reassessed and are now HR 134 bpm, BP 70/40, and SpO2
82%. The patient still has labored breathing. Her SpO2 does not go
above 82%. Her lung sounds are now present but diminished on the right
side. Which of the following interventions is appropriate to do next?
A) administer nebulized albuterol
B) administer 20 mL/kg NS or LR bolus
C) obtain a CXR
D) perform a thoracostomy for chest tube placement.
Answer: D) perform a thoracostomy for chest tube placement
⩥ After a chest tube is inserted, the patient's breathing and oxygenation
are improved. Her vital signs are HR 98 bpm, BP 108/72, RR 18/min
and normal, and SpO2 98%. How should proper chest tube placement be
confirmed?
A) obtain a CXR
B) ask the patient to breathe deeply
C) auscultate lung sounds
D) use waveform capnography.
Answer: A) obtain a CXR
, ⩥ Whenever a child has an abnormal heart rate or rhythm, what must be
done quickly?
A) transport the child to the ED or pediatric ICU
B) seek expert consultation
C) contact family and collaboratively develop a plan for medical
management
D) determine if the arrhythmia is causing hemodynamic instability or
other signs of deterioration.
Answer: D) determine if the arrhythmia is causing hemodynamic
instability or other signs of deterioration
⩥ What is the priority in initially managing arrhythmias?
A) obtain a SAMPLE history
B) evaluate the potential reversible causes (Hs and Ts)
C) support the ABCs
D) identify the underlying cause before initiating interventions.
Answer: C) support the ABCs
⩥ What is the leading cause of symptomatic bradycardia in children?
A) poor cardiac function
B) congenital abnormality
C) myocarditis
