PALS Post Test Questions and Answers
1. 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?: blood pressure
2. 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. On the basis of this infants presentation, which type of shock
does this infant have?: hypovolemic shock
3. 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
1/
14
, seconds, and he has mottled, cool extremities. The infant
weighs 6 Kg. You have decided that this infant Needs fluid
resuscitation. How much fluid should you administer?: 20 ml/kg normal
saline
4. A 2 week old infant is being evaluated for irritability and poor
feeding. His BP is 55/40 mmHg, and cap refill time is 5 seconds.
Which statement best describes your assessment of this infants BP?: It
is Hypotensive
5. 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?: 10 seconds
6. 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?: Disordered Control of Breathing
7. 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?: blood glucose
2/
14
1. 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?: blood pressure
2. 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. On the basis of this infants presentation, which type of shock
does this infant have?: hypovolemic shock
3. 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
1/
14
, seconds, and he has mottled, cool extremities. The infant
weighs 6 Kg. You have decided that this infant Needs fluid
resuscitation. How much fluid should you administer?: 20 ml/kg normal
saline
4. A 2 week old infant is being evaluated for irritability and poor
feeding. His BP is 55/40 mmHg, and cap refill time is 5 seconds.
Which statement best describes your assessment of this infants BP?: It
is Hypotensive
5. 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?: 10 seconds
6. 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?: Disordered Control of Breathing
7. 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?: blood glucose
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14
