PALS Certification Exam Prep
If the child does not have normal breathing and a pulse C) provide rescue breathing
of 64 bpm is present, you will need to:
A) begin CPR
B) monitor
C) provide rescue breathing
For an unwitnessed cardiac arrest, what should you do B) perform high quality CPR for 2 minutes
after determining unresponsiveness and there is no
breathing and no pulse?
A) shout for help
B) perform high quality CPR for 2 minutes
C) provide rescue breaths
D) activate the emergency response system
The appropriate rate for compressions for children is A) approximately 2 inches (one third the AP diameter)
100-120/min. What is the correct depth for children?
A) approximately 2 inches (one third the AP diameter)
B) approximately 3 inches (one half AP diameter)
C) approximately 4 inches (two thirds AP diameter)
What is the compression to ventilation ratio for 1- and 2- D) single rescuer 30:2, 2 rescuers 15:2
rescuer CPR for children and infants?
A) 15:2 for both
B) 30:2 for both
C) single rescuer 15:2, 2 rescuers 30:2
D) single rescuer 30:2, 2 rescuers 15:2
How should 1-rescuer infant compressions be A) with 2 fingers or 2 thumbs
delivered?
A) with 2 fingers or 2 thumbs
B) with 1 finger or 2 thumbs
C) with 2 hands or 2 fingers
D) with 1 hand or 2 fingers
What is the preferred technique for infant compressions C) 2 thumb encircling hands technique
when there are 2 or more rescuers present?
A) 1 finger technique
B) 1 thumb encircling hands technique
C) 2 thumb encircling hands technique
D) 2 finger technique
If the AED indicates no shock advised, what should be A) start chest compressions
the next action?
A) start chest compressions
B) call for help
C) remove AED pads
D) give 2 rescue breaths
, PALS Certification Exam Prep
When is the Pediatric Assessment Triangle (PAT) A) during the "from the doorway" observation
performed to make an initial assessment?
A) during the "from the doorway" observation
B) during the primary assessment
C) during the transfer of care
D) during the secondary assessment
The evaluate-identify-intervene sequence should be A) the child is stable
continued until:
A) the child is stable
B) the child is ready for transport
C) the child is ready for discharge
D) interventions are provided for the child
In the primary assessment, how should you open the D) with a head tilt-chin lift
airway of a child who is not suspected of having a c-
spine injury?
A) with ET intubation
B) with a jaw thrust
C) by flexing the neck
D) with a head tilt-chin lift
Hypotension for children 1-10 years of age is a SBP of C) 70 + (2 x age in years)
less than:
A) 50 + (2 x age in years)
B) 40 + (2 x age in years)
C) 70 + (2 x age in years)
D) 60 + (2 x age in years)
What does a prolonged capillary refill time indicate? D) low cardiac output
A) low cardiac rate
B) increased stroke volume
C) increased cardiac output
D) low cardiac output
What pulses should be assessed to monitor systemic C) peripheral and central
perfusion in a child?
A) carotid and brachial
B) pedal and radial
C) peripheral and central
D) femoral and carotid
, PALS Certification Exam Prep
What do weak central pulses indicate a need for D) cardiac arrest
immediate intervention to prevent?
A) hypovolemia
B) sepsis
C) respiratory arrest
D) cardiac arrest
Which resuscitation strategy will result in an improved A) hovering over the chest during compression pauses
chest compression fraction?
A) hovering over the chest during compression pauses
B) switching compressors every 2 minutes
C) implementing physiologic monitoring devices
D) adhering to recommended drug dosing intervals
What is one way to increase chest compression fraction C) charging the defibrillator 15 seconds before a rhythm check
during a code?
A) switching the airway and compressor roles during
CPR
B) starting an IV/IO during rhythm analysis
C) charging the defibrillator 15 seconds before a
rhythm check
D) giving epinephrine during a rhythm analysis
What is chest compression fraction? B) proportion of time that compressions are performed
A) proportion of time that compression are not
performed
B) proportion of time that compressions are performed
C) proportion of time that recoil is adequate in
compressions
D) proportion of time that depth is adequate in
compressions
Children develop hypoxemia and tissue hypoxia more C) higher metabolic rate
quickly than adults because of their:
A) lower respiratory rate
B) higher HGB
C) higher metabolic rate
D) lower oxygen demand
Which of the following describes laminar or normal A) low airway resistance and a small driving pressure
airflow?
A) low airway resistance and a small driving pressure
B) smaller airways need increased airways resistance
C) larger airways need increased airway resistance
D) high airway resistance and low driving pressure
If the child does not have normal breathing and a pulse C) provide rescue breathing
of 64 bpm is present, you will need to:
A) begin CPR
B) monitor
C) provide rescue breathing
For an unwitnessed cardiac arrest, what should you do B) perform high quality CPR for 2 minutes
after determining unresponsiveness and there is no
breathing and no pulse?
A) shout for help
B) perform high quality CPR for 2 minutes
C) provide rescue breaths
D) activate the emergency response system
The appropriate rate for compressions for children is A) approximately 2 inches (one third the AP diameter)
100-120/min. What is the correct depth for children?
A) approximately 2 inches (one third the AP diameter)
B) approximately 3 inches (one half AP diameter)
C) approximately 4 inches (two thirds AP diameter)
What is the compression to ventilation ratio for 1- and 2- D) single rescuer 30:2, 2 rescuers 15:2
rescuer CPR for children and infants?
A) 15:2 for both
B) 30:2 for both
C) single rescuer 15:2, 2 rescuers 30:2
D) single rescuer 30:2, 2 rescuers 15:2
How should 1-rescuer infant compressions be A) with 2 fingers or 2 thumbs
delivered?
A) with 2 fingers or 2 thumbs
B) with 1 finger or 2 thumbs
C) with 2 hands or 2 fingers
D) with 1 hand or 2 fingers
What is the preferred technique for infant compressions C) 2 thumb encircling hands technique
when there are 2 or more rescuers present?
A) 1 finger technique
B) 1 thumb encircling hands technique
C) 2 thumb encircling hands technique
D) 2 finger technique
If the AED indicates no shock advised, what should be A) start chest compressions
the next action?
A) start chest compressions
B) call for help
C) remove AED pads
D) give 2 rescue breaths
, PALS Certification Exam Prep
When is the Pediatric Assessment Triangle (PAT) A) during the "from the doorway" observation
performed to make an initial assessment?
A) during the "from the doorway" observation
B) during the primary assessment
C) during the transfer of care
D) during the secondary assessment
The evaluate-identify-intervene sequence should be A) the child is stable
continued until:
A) the child is stable
B) the child is ready for transport
C) the child is ready for discharge
D) interventions are provided for the child
In the primary assessment, how should you open the D) with a head tilt-chin lift
airway of a child who is not suspected of having a c-
spine injury?
A) with ET intubation
B) with a jaw thrust
C) by flexing the neck
D) with a head tilt-chin lift
Hypotension for children 1-10 years of age is a SBP of C) 70 + (2 x age in years)
less than:
A) 50 + (2 x age in years)
B) 40 + (2 x age in years)
C) 70 + (2 x age in years)
D) 60 + (2 x age in years)
What does a prolonged capillary refill time indicate? D) low cardiac output
A) low cardiac rate
B) increased stroke volume
C) increased cardiac output
D) low cardiac output
What pulses should be assessed to monitor systemic C) peripheral and central
perfusion in a child?
A) carotid and brachial
B) pedal and radial
C) peripheral and central
D) femoral and carotid
, PALS Certification Exam Prep
What do weak central pulses indicate a need for D) cardiac arrest
immediate intervention to prevent?
A) hypovolemia
B) sepsis
C) respiratory arrest
D) cardiac arrest
Which resuscitation strategy will result in an improved A) hovering over the chest during compression pauses
chest compression fraction?
A) hovering over the chest during compression pauses
B) switching compressors every 2 minutes
C) implementing physiologic monitoring devices
D) adhering to recommended drug dosing intervals
What is one way to increase chest compression fraction C) charging the defibrillator 15 seconds before a rhythm check
during a code?
A) switching the airway and compressor roles during
CPR
B) starting an IV/IO during rhythm analysis
C) charging the defibrillator 15 seconds before a
rhythm check
D) giving epinephrine during a rhythm analysis
What is chest compression fraction? B) proportion of time that compressions are performed
A) proportion of time that compression are not
performed
B) proportion of time that compressions are performed
C) proportion of time that recoil is adequate in
compressions
D) proportion of time that depth is adequate in
compressions
Children develop hypoxemia and tissue hypoxia more C) higher metabolic rate
quickly than adults because of their:
A) lower respiratory rate
B) higher HGB
C) higher metabolic rate
D) lower oxygen demand
Which of the following describes laminar or normal A) low airway resistance and a small driving pressure
airflow?
A) low airway resistance and a small driving pressure
B) smaller airways need increased airways resistance
C) larger airways need increased airway resistance
D) high airway resistance and low driving pressure
