PALS TEST EXAM WITH ALL ANSWERS

PALS TEST EXAM WITH ALL ANSWERS




InbwhichbofbthebfollowingbsituationsbmaybIObaccessbbebused?b-bcorrectbanswer-
Anbextremitybwithbslowbcapillarybrefillbtime.

Ab2b-
bweekboldbinfantbisbbeingbevaluatedbirritabilitybandbpoorbfeeding.bHisbbloodbpressurebisb5

5/40bmmbHgbandbcapillarybrefillbtimebisb5bseconds.bWhichbstatementbbestbdescribesbyou
rbassessmentbofbthisbinfantsbbloodbpressure?b-bcorrectbanswer-ItbisbHypotensive

Youbarebcaringbforbpatientsbinbthebemergencybdepartment.bWhichbtwobyearboldbrequiresb
immediatebinterventions?b-bcorrectbanswer-Abchildbwhobisbgrunting

Ab3byearboldbchildbisbhavingbdifficultybbreathing.bWhatbfindingbwouldbmostblikelybleadbyou
btobexpectbanbupperbairwaybobstructionbinbthisbchild?b-bcorrectbanswer-

Increasedbinspiratorybeffortbwithbretractions

Abteambmemberbisbunablebtobperformbanbassignedbtaskbbecausebitbisbbeyondbthebteamb
member'sbscopebofbpractice.bWhatbactionbshouldbthebteambmemberbtake?b-
bcorrectbanswer-Askbforbabnewbtaskborbrole.




Youbarebthebteambleadbduringbabpediatricbresuscitationbattempt.bWhichbactionbisbhighbqu
alitybCPR?b-bcorrectbanswer-Allowbcompletebchestbwallbrecoilbafterbeachbcompression.

Ab8byearboldbchildbisbbroughtbtobthebemergencybdepartmentbbybhisbmotherbforbdifficultlyb
breathing.bHebhasbabhistorybisbasthmabandbnutballergies.bHisbmotherbtellsbyoubthatbhebha
sbrecentlybatebabcookiebatbabfamilybpicnic.bWhichbconditionbisbmostblikelybpresentbwithbthi
sbchild?b-bcorrectbanswer-Upperbairybwaybobstruction

Anb8-year-
oldbchildbisbbroughtbtobthebemergencybdepartmentbbybambulancebafterbbeingbinvolvedbin

, abmotorbvehiclebcollision.bWhatbfindingbwouldbsuggestbthatbimmediatebinterventionbisbn
b

eeded?b-bcorrectbanswer-Decreasedblevelbofbconsciousness

Ab6-year-
oldbchildbisbfoundbunresponsive,bnotbbreathing,bandbwithoutbabpulse.bOnebhealthcarebwo
rkerbleavesbtobactivatebthebemergencybresponsebsystembandbgetbthebresuscitationbequi
pment.bYoubandbanotherbhealthcarebproviderbimmediatelybbeginbperformingbCPR.bWha
tbcompression-to-ventilationb-ratiobdobyoubuse?b-bcorrectbanswer-15:2

Ab3-year-oldbchildbisbinbcardiacbarrest,bandbhigh-
qualitybCPRbisbinbprogress.bYoubarebthebTeambLeader.bThebfirstbrhythmbcheckbrevealsbt
hebrhythmbshownbhere.bDefibrillationbisbattemptedbwithbabshockbdosebofb2bJ/kg.bAfterbsh
ockbadministration,bwhatbshouldbyoubsaybtobyourbteambmembers?b-bcorrectbanswer-
Resumebcompressions

Youbarebcaringbforbab5-year-oldbboybwithbab4-
daybhistorybofbhighbfeverbandbcough.bHebisbhavingbincreasingblethargy,bgrunting,bandbsle
epiness.bNowbhebisbdifficultbtobarousebandbisbunresponsivebtobvoicebcommands.bHisboxy
genbsaturationbisb72%bonbroombairbandb89%bwhenbonbabnonrebreathingboxygenbmask.b
Hebhasbshallowbrespirationsbwithbabrespiratorybratebofb38/min.bAuscultationbofbtheblungsb
revealsbbilateralbcrackles.
11.bWhatbassessmentbfindingbisbconsistentbwithbrespiratorybfailurebinbthisbchild?b-
bcorrectbanswer-OxygenbSaturation




Youbarebcaringbforbab5-year-oldbboybwithbab4-
daybhistorybofbhighbfeverbandbcough.bHebisbhavingbincreasingblethargy,bgrunting,bandbsle
epiness.bNowbhebisbdifficultbtobarousebandbisbunresponsivebtobvoicebcommands.bHisboxy
genbsaturationbisb72%bonbroombairbandb89%bwhenbonbabnonrebreathingboxygenbmask.b
Hebhasbshallowbrespirationsbwithbabrespiratorybratebofb38/min.bAuscultationbofbtheblungsb
revealsbbilateralbcrackles.
Whatbmedicationbwouldbbebmostbappropriate?b-bcorrectbanswer-Antibiotics

Duringbabresuscitationbattempt,bthebTeambLeaderbasksbyoubtobadministerbanbinitialbdose
bofbepinephrinebatb0.1bmg/kgbtobbebgivenbIO.bHowbshouldbyoubrespond?b-

bcorrectbanswer-

Ibthinkbthebcorrectbdosebisb0.01bmg/kg.bShouldbIbgivebthatbdosebinstead?'

Ab6-month-
oldbinfantbisbunresponsive.bYoubbeginbcheckingbforbbreathingbatbthebsamebtimebyoubche
ckbforbthebinfant'sbpulse.bWhatbisbthebmaximumbtimebyoubshouldbspendbtryingbtobsimulta
neouslybcheckbforbbreathingbandbpalpatebthebinfant'sbpulsebbeforebstartingbCPR?b-
bcorrectbanswer-10bseconds




Ab10-year-
oldbchildbisbbeingbevaluatedbforbabheadache.bWhatbisbabnormalbfindingbforbthisb10-year-
oldbchild?b-bcorrectbanswer-Heartbratebofb88bbpm

Ab6-year-
oldbboybisbbeingbevaluatedbforbdifficultybbreathing.bWhatbfindingbwouldbsuggestbthisbchil
dbhasbrespiratorybdistress?b-bcorrectbanswer-Audiblebinspiratorybstridor