PALS post test questions with
complete solutions8
10 seconds - ANSWERS-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 - ANSWERS-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 - ANSWERS-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 - ANSWERS-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 - ANSWERS-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 - ANSWERS-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% - ANSWERS-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" - ANSWERS-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 - ANSWERS-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 - ANSWERS-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 - ANSWERS-You are the team leader
during a pediatric resuscitation attempt. which action is an element of high quality CPR?
blood pressure - ANSWERS-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
complete solutions8
10 seconds - ANSWERS-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 - ANSWERS-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 - ANSWERS-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 - ANSWERS-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 - ANSWERS-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 - ANSWERS-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% - ANSWERS-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" - ANSWERS-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 - ANSWERS-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 - ANSWERS-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 - ANSWERS-You are the team leader
during a pediatric resuscitation attempt. which action is an element of high quality CPR?
blood pressure - ANSWERS-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
