PALS 2021 QUESTIONS & ANSWERS
WITH VERIFIED SOLUTION
o10 seconds - 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 - 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 - 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 - 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 - 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 - 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% - 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" - 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 - 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 - 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 - You are the team leader during a pediatric
resuscitation attempt. which action is an element of high quality CPR?
blood pressure - 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?
hypovolemic shock - 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?
20 ml/kg normal saline - 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. You have decided that this infant Needs fluid resuscitation. How much fluid should you
administer?
WITH VERIFIED SOLUTION
o10 seconds - 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 - 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 - 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 - 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 - 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 - 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% - 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" - 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 - 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 - 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 - You are the team leader during a pediatric
resuscitation attempt. which action is an element of high quality CPR?
blood pressure - 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?
hypovolemic shock - 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?
20 ml/kg normal saline - 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. You have decided that this infant Needs fluid resuscitation. How much fluid should you
administer?
