PALS-APP Test Exam 2025 With 100% Correct Answers

What ratio for compressions to breaths should be used for 1-rescuer infant CPR -30 compressions to 2 breaths -15 compressions to 2 breaths -15 compressions to 1 breath - 30:2 A 6mo infant is unresponsive. You begin checking for breathing at the same time you check for the infants pulse. what is the max time you should spend trying to simultaneously check for breathing and palpate the infants pulse before starting CPR -10 sec -30 sec -15 sec - 10 sec you respond to an infant who is unresponsive, is not breathing an does not have a pulse. you do not have a mobile device, and you shout for nerby help but no one arrives. what action should you take next? -begin cpr for 2 minutes before leaving to activate EMS -begin cpr for 1 minute before leaving to activate the EMS -activate the EMS after giving CPR for 5 minutes - begin CPR for 2 minutes before leaving to activate EMS a 6 yo child is found unresponsive, not breathing an without a pulse. one healthcare worker leaves to activate the EMS and get resuscitation equipment. you and another healthcare provider immediately begin performing CPR. what compression to ventilation ratio do you use -15:2 -30:2 -15:1 - 15:2 in management of post cardiac arrest patients, extra care should be taken to avoid reperfusion injury. what should the ideal oxygen saturation range most likely be? -94-99 -90-98 -98-100 - 94%-99% when should the initial dose of epinephrine be administered in pediatric cardiac arrest? -as early as possible, within 5 minutes after the start of compressions -after the first shock in a shockable rhythm -epinephrine is not recommended in pediatric cardiac arrest - as early as possible, within 5 minutes after the start of compressions what intervention may be considered for infants and children with septic shock unresponsive to fluids and requiring vasoactive support -stress dose corticosteroids -mechanical ventilation -faster fluid resuscucitation - stress dose coricosteroids After rectal administration of diazepam, an 8 year old boy with a history of seizures is now 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. if the patient continues to snore and exhibit poor chest rise and poor air entry bilaterally after your initial intervention, what next step is most appropriate? -provide bag mask ve - provide bag mask ventilation when performing CPR in infants and children with an advanced airway, what respiratory rate may be reasonable to target? -1 breath every 2:3 seconds (20-30 breaths/min) -1 breath every 1-2 seconds (30-60 breaths/min) -1 breath every 5-6 seconds (10-12 breaths/min) - 1 breath every 2-3 seconds (20-30 breaths/min) what is the recommended amount for fluid resuscitation in pediatric patient with septic shock? -10mL/kg or 20mL/kg with frequent reassessments -20mL/kg may repeat up to 4 boluses as needed -10mL/kg with reassessment after completion of boluses - 10mL/kg or 20mL/kg with frequent reassments a 10 year old child is being evaluated for a headache. what is a normal finding for this 10 year old child? -heart rate of 88 -RR of 8 -BP of 60/50 - HR of 88 a 2 week old infant is being evaluated for irritability and poor feeding. his BP is 55/40, and cap refill time is 5 seconds. which statement best describes your assessment of this infants BP -it is hypotensive -it is hypertensive -it is normal - it is hypotensive an 18 mo child has had vomiting and diarrhea for the past 2 days, the mother brings him to the ER because he is becoming more lethargic. what diagnositc test should you order first -BG -ABG -12 lead - BG 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? -reposition the patient and insert an oral airway -perform ET intubation -increase NC flow - reposition the patient and insert an oral airway an 8 year old child is brought to the ED by an ambulance after being involved in a MVC. what finding would suggest that immediate intervention is needed? -decreased LOC -temp of 38.1 -SBP of 106 - decreased LOC a 5 year old child is brought to the ER by ambulance after being involved in a MVC. you are using the primary assessment to evaluate the child. when assessing the Childs neurologic status, you note that he has spontaneous eye opening, is fully oriented and is able to follow commands. how would you document this Childs AVPU (alert, voice, painful, unresponsive) pediatric response scale finding? -alert -voice -unresponsive - alert you are caring for a 12 year old girl with acute lymphoblastic leukemia. she is responsive, but she does not feel well and appears to be flushed. her temp is 39, HR is 118, RR is 36, BP 100/40 and O2 is 96% on room air. your assessment reveals mild increase in work of breathing and bounding pulses. the child is placed on 100% oxygen nonrebreathing mask. what assessment finding is most important in your determination of the severity of the patients condition -BP -O2 -RR - BP a 3yo child is brought to the ER by his mother. what is normal finding for a 3 year old child -RR of 24 -BP 55/30 -O2 of 90% - RR 24