ACLS PEDS QUESTIONS
1. A child was admitted to the pediatric intensive care unit (PICU) after a severe head injury
and has been placed on mechanical ventilation. The healthcare provider is most concerned
about increasing intracranial pressureif which assessment findings are present?:
2. You and additional providers have been caring for an infant in respiratoryarrest with a
central pulse rate of 50 bpm and inadequate perfusion despite adequate oxygenation and
ventilation. After 2 minutes, you reassess the infantfor breathing and a central pulse. What
should you do if the central pulse rate increases to 65 bpm and perfusion improves?
Answer: Stop CPR but continue ventilations (1 every 2 to 3 seconds) until the patient is
ventilating sufficiently.
3. Providers have been assisting ventilation and ensuring oxygenation for a child in
respiratory failure in the emergency department. Despite these measures, the child's pulse falls
to 60 bpm and there are signs of inadequate perfusion. What is the priority action for the
healthcare provider to take?
Answer: begincompressions
4. A patient with respiratory distress caused by increased intracranial pressure (ICP) is
being treated in the pediatric intensive care unit. You know you need to ensure adequate
cerebral perfusion pressure (CPP). Which of the following are measures used to ensure
adequate CPP?
Answer: Ensure adequate CPP(head midline, pharmacologic therapy for ICP, avoid
hypotension, aggressively treatfever)
5. The physician is informed by the nurse of a patient with possible partial upper airway
obstruction. When examining the patient, which breath sound does the provider most likely
anticipate?
Answer: stridor
6. A child is admitted to the pediatric intensive care unit with pulmonary edema (non-
cardiogenic).Which of the following are included in the treatmentfor this lung tissue disease?
Answer: Manage oxygenation and ventilation according to protocols for PARDS
Correct hypoxemia with ventilation strategies and PEEP
, Consider hypercapnia, as indicated
7. A newly admitted infant has been diagnosed with bronchiolitis. The
provider understands bronchiolitis is most often caused by which pathogen?-
Answer: RSV
8. The healthcare provider understands that characteristics of asthma include which
findings?
Answer: Inflammation and spasm of the lower airways
9. Which of the following oxygen delivery devices may be preferred for children younger
than 5 years in respiratory distress who only need low concentration to maintain O2 saturation
of 94% to 99%?
Answer: NC
10. A PALS team member caring for a patient experiencing a respiratory emergency suggests
collecting a sputum culture and performing a chest x-ray.
During which assessment stage should these actions be performed?
Answer: secondary assessment
11. The parents of a child in respiratory failure told the PALS team that theirchild ingested
some of a grandparent's opioid pain medication that was left over from knee surgery. Which
of the following might be an appropriateintervention?
Answer: naloxone
12. The nurse notes a change in the patient's breath sounds and suspects impending
respiratory failure. Which new finding does the nurse most likelyassess?
Answer: diminished breath sounds
13. The healthcare provider is preparing treatment for a child with a moderateasthma
exacerbation. Which medication does the provider anticipate to be included in the initial care
measures?
Answer: nebulized albuterol
14. A child is being treated for mild croup in the urgent care clinic and is breathing warm,
humidified air. Which additional medication does the health-care provider consider giving?
Answer: corticosteroids
15. Based on the primary assessment, Mark suspects which of the followingis the cause of
Sullivan's respiratory distress?
Answer: croup
1. A child was admitted to the pediatric intensive care unit (PICU) after a severe head injury
and has been placed on mechanical ventilation. The healthcare provider is most concerned
about increasing intracranial pressureif which assessment findings are present?:
2. You and additional providers have been caring for an infant in respiratoryarrest with a
central pulse rate of 50 bpm and inadequate perfusion despite adequate oxygenation and
ventilation. After 2 minutes, you reassess the infantfor breathing and a central pulse. What
should you do if the central pulse rate increases to 65 bpm and perfusion improves?
Answer: Stop CPR but continue ventilations (1 every 2 to 3 seconds) until the patient is
ventilating sufficiently.
3. Providers have been assisting ventilation and ensuring oxygenation for a child in
respiratory failure in the emergency department. Despite these measures, the child's pulse falls
to 60 bpm and there are signs of inadequate perfusion. What is the priority action for the
healthcare provider to take?
Answer: begincompressions
4. A patient with respiratory distress caused by increased intracranial pressure (ICP) is
being treated in the pediatric intensive care unit. You know you need to ensure adequate
cerebral perfusion pressure (CPP). Which of the following are measures used to ensure
adequate CPP?
Answer: Ensure adequate CPP(head midline, pharmacologic therapy for ICP, avoid
hypotension, aggressively treatfever)
5. The physician is informed by the nurse of a patient with possible partial upper airway
obstruction. When examining the patient, which breath sound does the provider most likely
anticipate?
Answer: stridor
6. A child is admitted to the pediatric intensive care unit with pulmonary edema (non-
cardiogenic).Which of the following are included in the treatmentfor this lung tissue disease?
Answer: Manage oxygenation and ventilation according to protocols for PARDS
Correct hypoxemia with ventilation strategies and PEEP
, Consider hypercapnia, as indicated
7. A newly admitted infant has been diagnosed with bronchiolitis. The
provider understands bronchiolitis is most often caused by which pathogen?-
Answer: RSV
8. The healthcare provider understands that characteristics of asthma include which
findings?
Answer: Inflammation and spasm of the lower airways
9. Which of the following oxygen delivery devices may be preferred for children younger
than 5 years in respiratory distress who only need low concentration to maintain O2 saturation
of 94% to 99%?
Answer: NC
10. A PALS team member caring for a patient experiencing a respiratory emergency suggests
collecting a sputum culture and performing a chest x-ray.
During which assessment stage should these actions be performed?
Answer: secondary assessment
11. The parents of a child in respiratory failure told the PALS team that theirchild ingested
some of a grandparent's opioid pain medication that was left over from knee surgery. Which
of the following might be an appropriateintervention?
Answer: naloxone
12. The nurse notes a change in the patient's breath sounds and suspects impending
respiratory failure. Which new finding does the nurse most likelyassess?
Answer: diminished breath sounds
13. The healthcare provider is preparing treatment for a child with a moderateasthma
exacerbation. Which medication does the provider anticipate to be included in the initial care
measures?
Answer: nebulized albuterol
14. A child is being treated for mild croup in the urgent care clinic and is breathing warm,
humidified air. Which additional medication does the health-care provider consider giving?
Answer: corticosteroids
15. Based on the primary assessment, Mark suspects which of the followingis the cause of
Sullivan's respiratory distress?
Answer: croup
