2025 Pals Exam A
A 10 year old child is being evaluated for a head ache. Which is a normal finding
for this 10 year old child?
A. Blood pressure of 60/50 mm Hg
B. Heart rate of 88/min
C. Respiratory of 8/min
D. Temperature of 39.6 C (103.2 F) - ANS - B. Heart rate of 88/min
\A 10 year old child is brought to the ED for fever and cough. You obtain an O2
sat on the child. Which oxygen saturation would indicate that immediate
intervention is needed? - ANS - 88% on 4L of Nasal oxygen
\A 2 week old infant is being evaluated for irritability and poor feeding. His BP is
55/40 mmHg, and cap refill time is 5 seconds. Which statement best describes
your assessment of this infants BP?
A. It represents compensated shock
B. It is hypertensive
C. It is Hypotensive
D. It is normal - ANS - C. It is Hypotensive
\A 3 year old boy is brought to the ED by his mother. His is lethargic, with
retractions and nasal flaring. He has a respiratory rate of 70/min, with warm
extremities and brisk cap refill. To which immediate life treating condition could
this Childs condition most likely progress if left untreated?
A. Cardiogenic shock
B. Hypovolemic shock
C. Respiratory distress
D. Respiratory failure - ANS - D. Respiratory failure
\A 3 year old child is brought to the emergency department by his mother. Which
is a normal finding for a 3 year old child? - ANS - Respiratory rate of 24/min
\A 3 year old child is having difficulty breathing. Which finding would most likely
lead you to suspect an upper airway obstruction in this child?
A. Expiratory breath sounds
B. Decreased expiratory effort
C. Increased inspiratory effort with retractions
, D. Normal inspiratory sounds - ANS - C. Increased inspiratory effort with
retractions
\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?
A. Check for a pulse
B. Give epinephrine 0.01 mg/kg
C. Let's check the rhythm
D. Resume compressions - ANS - D. Resume compressions
\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?
A. 10 Joules
B. 40 Joules
C. 100 Joules
D. 140 Joules - ANS - B. 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. What
dose range should you use for the initial defibrillation?
A. 0.5 to 2 J/kg
B. 4 to 6 J/kg
C. 6 to 8 J/kg
D. 2-4 J/kg - ANS - D. 2-4 J/kg
\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?
A. Disordered Control of Breathing
B. Lower airway obstruction
C. Lung tissue disease
D. Upper airway obstruction - ANS - A. Disordered Control of Breathing
\A 5 year old child is brought to the emergency department by ambulance after
being involved in a MVC. You are using the primary assessment to evaluate the
A 10 year old child is being evaluated for a head ache. Which is a normal finding
for this 10 year old child?
A. Blood pressure of 60/50 mm Hg
B. Heart rate of 88/min
C. Respiratory of 8/min
D. Temperature of 39.6 C (103.2 F) - ANS - B. Heart rate of 88/min
\A 10 year old child is brought to the ED for fever and cough. You obtain an O2
sat on the child. Which oxygen saturation would indicate that immediate
intervention is needed? - ANS - 88% on 4L of Nasal oxygen
\A 2 week old infant is being evaluated for irritability and poor feeding. His BP is
55/40 mmHg, and cap refill time is 5 seconds. Which statement best describes
your assessment of this infants BP?
A. It represents compensated shock
B. It is hypertensive
C. It is Hypotensive
D. It is normal - ANS - C. It is Hypotensive
\A 3 year old boy is brought to the ED by his mother. His is lethargic, with
retractions and nasal flaring. He has a respiratory rate of 70/min, with warm
extremities and brisk cap refill. To which immediate life treating condition could
this Childs condition most likely progress if left untreated?
A. Cardiogenic shock
B. Hypovolemic shock
C. Respiratory distress
D. Respiratory failure - ANS - D. Respiratory failure
\A 3 year old child is brought to the emergency department by his mother. Which
is a normal finding for a 3 year old child? - ANS - Respiratory rate of 24/min
\A 3 year old child is having difficulty breathing. Which finding would most likely
lead you to suspect an upper airway obstruction in this child?
A. Expiratory breath sounds
B. Decreased expiratory effort
C. Increased inspiratory effort with retractions
, D. Normal inspiratory sounds - ANS - C. Increased inspiratory effort with
retractions
\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?
A. Check for a pulse
B. Give epinephrine 0.01 mg/kg
C. Let's check the rhythm
D. Resume compressions - ANS - D. Resume compressions
\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?
A. 10 Joules
B. 40 Joules
C. 100 Joules
D. 140 Joules - ANS - B. 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. What
dose range should you use for the initial defibrillation?
A. 0.5 to 2 J/kg
B. 4 to 6 J/kg
C. 6 to 8 J/kg
D. 2-4 J/kg - ANS - D. 2-4 J/kg
\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?
A. Disordered Control of Breathing
B. Lower airway obstruction
C. Lung tissue disease
D. Upper airway obstruction - ANS - A. Disordered Control of Breathing
\A 5 year old child is brought to the emergency department by ambulance after
being involved in a MVC. You are using the primary assessment to evaluate the
