PALS TEST EXAM QUESTIONS
WITH CORRECT
DETAILED ANSWERS || ALREADY
GRADED A+ < LATEST VERSION >
1. In which of the following situations may IO access be used? - ANSWER 🗸
An extremity with slow capillary refill time.
2. A 2 - week old infant is being evaluated irritability and poor feeding. His
blood pressure is 55/40 mm Hg and capillary refill time is 5 seconds. Which
statement best describes your assessment of this infants blood pressure? -
ANSWER 🗸 It is Hypotensive
3. You are caring for patients in the emergency department. Which two year
old requires immediate interventions? - ANSWER 🗸 A child who is
grunting
4. 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 shock
administration, what should you say to your team members? - ANSWER 🗸
Resume compressions
,5. You are caring for a 5-year-old boy with a 4-day history of high fever and
cough. He is having increasing lethargy, grunting, and sleepiness. Now he is
difficult to arouse and is unresponsive to voice commands. His oxygen
saturation is 72% on room air and 89% when on a nonrebreathing oxygen
mask. He has shallow respirations with a respiratory rate of 38/min.
Auscultation of the lungs reveals bilateral crackles.
What assessment finding is consistent with respiratory failure in this child? -
ANSWER 🗸 Oxygen Saturation
6. You are caring for a 5-year-old boy with a 4-day history of high fever and
cough. He is having increasing lethargy, grunting, and sleepiness. Now he is
difficult to arouse and is unresponsive to voice commands. His oxygen
saturation is 72% on room air and 89% when on a nonrebreathing oxygen
mask. He has shallow respirations with a respiratory rate of 38/min.
Auscultation of the lungs reveals bilateral crackles.
What medication would be most appropriate? - ANSWER 🗸 Antibiotics
7. During a resuscitation attempt, the Team Leader asks you to administer an
initial dose of epinephrine at 0.1 mg/kg to be given IO. How should you
respond? - ANSWER 🗸 I think the correct dose is 0.01 mg/kg. Should I give
that dose instead?'
8. A 6-month-old infant is unresponsive. You begin checking for breathing at
the same time you check for the infant's pulse. What is the maximum time
you should spend trying to simultaneously check for breathing and palpate
the infant's pulse before starting CPR? - ANSWER 🗸 10 seconds
9. A 10-year-old child is being evaluated for a headache. What is a normal
finding for this 10-year-old child? - ANSWER 🗸 Heart rate of 88 bpm
,10.A 6-year-old boy is being evaluated for difficulty breathing. What finding
would suggest this child has respiratory distress? - ANSWER 🗸 Audible
inspiratory stridor
11.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 dosage range should you use for initial defibrillation? - ANSWER
🗸 2 to 4 J/kg
12.A 3 year old child is having difficulty breathing. What finding would most
likely lead you to expect an upper airway obstruction in this child? -
ANSWER 🗸 Increased inspiratory effort with retractions
13.A team member is unable to perform an assigned task because it is beyond
the team member's scope of practice. What action should the team member
take? - ANSWER 🗸 Ask for a new task or role.
14.You are the team lead during a pediatric resuscitation attempt. Which action
is high quality CPR? - ANSWER 🗸 Allow complete chest wall recoil after
each compression.
15.A 8 year old child is brought to the emergency department by his mother for
difficultly breathing. He has a history is asthma and nut allergies. His mother
tells you that he has recently ate a cookie at a family picnic. Which condition
is most likely present with this child? - ANSWER 🗸 Upper airy way
obstruction
16.An 8-year-old child is brought to the emergency department by ambulance
after being involved in a motor vehicle collision. What finding would
, suggest that immediate intervention is needed? - ANSWER 🗸 Decreased
level of consciousness
17.A 6-year-old child is found unresponsive, not breathing, and without a pulse.
One healthcare worker leaves to activate the emergency response system and
get the resuscitation equipment. You and another healthcare provider
immediately begin performing CPR. What compression-to-ventilation -ratio
do you use? - ANSWER 🗸 15:2
18.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 heart rate is 190/min, temperature is 38.3°C (101°F), blood
pressure is 59/29 mm Hg, respiratory rate is 70/min and shallow, and oxygen
saturation is 94% on 100% oxygen. His capillary refili time is 4 to 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? - ANSWER 🗸 20 ml/kg normal saline
19.What abnormality helps identify children with acute respiratory distress
caused by lung tissue disease? - ANSWER 🗸 Crackles
20.You are caring for a 9-month-old girl who has increased work of breathing,
a fever, and a cough. On assessment, you find an alert infant with stridor and
retractions. The infant's spoz is 94%. On auscultation, the lungs are clear
bilaterally.
21.What is the most likely cause of this infant's respiratory distress? -
ANSWER 🗸 Upper airway obstruction
22.You are caring for a 9-month-old girl who has increased work of breathing,
a fever, and a cough. On assessment, you find an alert infant with stridor and
WITH CORRECT
DETAILED ANSWERS || ALREADY
GRADED A+ < LATEST VERSION >
1. In which of the following situations may IO access be used? - ANSWER 🗸
An extremity with slow capillary refill time.
2. A 2 - week old infant is being evaluated irritability and poor feeding. His
blood pressure is 55/40 mm Hg and capillary refill time is 5 seconds. Which
statement best describes your assessment of this infants blood pressure? -
ANSWER 🗸 It is Hypotensive
3. You are caring for patients in the emergency department. Which two year
old requires immediate interventions? - ANSWER 🗸 A child who is
grunting
4. 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 shock
administration, what should you say to your team members? - ANSWER 🗸
Resume compressions
,5. You are caring for a 5-year-old boy with a 4-day history of high fever and
cough. He is having increasing lethargy, grunting, and sleepiness. Now he is
difficult to arouse and is unresponsive to voice commands. His oxygen
saturation is 72% on room air and 89% when on a nonrebreathing oxygen
mask. He has shallow respirations with a respiratory rate of 38/min.
Auscultation of the lungs reveals bilateral crackles.
What assessment finding is consistent with respiratory failure in this child? -
ANSWER 🗸 Oxygen Saturation
6. You are caring for a 5-year-old boy with a 4-day history of high fever and
cough. He is having increasing lethargy, grunting, and sleepiness. Now he is
difficult to arouse and is unresponsive to voice commands. His oxygen
saturation is 72% on room air and 89% when on a nonrebreathing oxygen
mask. He has shallow respirations with a respiratory rate of 38/min.
Auscultation of the lungs reveals bilateral crackles.
What medication would be most appropriate? - ANSWER 🗸 Antibiotics
7. During a resuscitation attempt, the Team Leader asks you to administer an
initial dose of epinephrine at 0.1 mg/kg to be given IO. How should you
respond? - ANSWER 🗸 I think the correct dose is 0.01 mg/kg. Should I give
that dose instead?'
8. A 6-month-old infant is unresponsive. You begin checking for breathing at
the same time you check for the infant's pulse. What is the maximum time
you should spend trying to simultaneously check for breathing and palpate
the infant's pulse before starting CPR? - ANSWER 🗸 10 seconds
9. A 10-year-old child is being evaluated for a headache. What is a normal
finding for this 10-year-old child? - ANSWER 🗸 Heart rate of 88 bpm
,10.A 6-year-old boy is being evaluated for difficulty breathing. What finding
would suggest this child has respiratory distress? - ANSWER 🗸 Audible
inspiratory stridor
11.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 dosage range should you use for initial defibrillation? - ANSWER
🗸 2 to 4 J/kg
12.A 3 year old child is having difficulty breathing. What finding would most
likely lead you to expect an upper airway obstruction in this child? -
ANSWER 🗸 Increased inspiratory effort with retractions
13.A team member is unable to perform an assigned task because it is beyond
the team member's scope of practice. What action should the team member
take? - ANSWER 🗸 Ask for a new task or role.
14.You are the team lead during a pediatric resuscitation attempt. Which action
is high quality CPR? - ANSWER 🗸 Allow complete chest wall recoil after
each compression.
15.A 8 year old child is brought to the emergency department by his mother for
difficultly breathing. He has a history is asthma and nut allergies. His mother
tells you that he has recently ate a cookie at a family picnic. Which condition
is most likely present with this child? - ANSWER 🗸 Upper airy way
obstruction
16.An 8-year-old child is brought to the emergency department by ambulance
after being involved in a motor vehicle collision. What finding would
, suggest that immediate intervention is needed? - ANSWER 🗸 Decreased
level of consciousness
17.A 6-year-old child is found unresponsive, not breathing, and without a pulse.
One healthcare worker leaves to activate the emergency response system and
get the resuscitation equipment. You and another healthcare provider
immediately begin performing CPR. What compression-to-ventilation -ratio
do you use? - ANSWER 🗸 15:2
18.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 heart rate is 190/min, temperature is 38.3°C (101°F), blood
pressure is 59/29 mm Hg, respiratory rate is 70/min and shallow, and oxygen
saturation is 94% on 100% oxygen. His capillary refili time is 4 to 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? - ANSWER 🗸 20 ml/kg normal saline
19.What abnormality helps identify children with acute respiratory distress
caused by lung tissue disease? - ANSWER 🗸 Crackles
20.You are caring for a 9-month-old girl who has increased work of breathing,
a fever, and a cough. On assessment, you find an alert infant with stridor and
retractions. The infant's spoz is 94%. On auscultation, the lungs are clear
bilaterally.
21.What is the most likely cause of this infant's respiratory distress? -
ANSWER 🗸 Upper airway obstruction
22.You are caring for a 9-month-old girl who has increased work of breathing,
a fever, and a cough. On assessment, you find an alert infant with stridor and
