PALS Test Practice Questions and Answers
Top rated A+ 2025
1. You are caring for a 2 yo unconscious pt who is intubated & receiving
mechanical ventilation. The child's HR suddenly drops to 40/min & his color
becomes mottled. You should respond to these changes by:: Using a resus-
citation bag provide manual ventilation with 100% oxygen
2. You are caring for a 9 mo pt with pronounced respiratory distress. You
initiated high-flow oxygen using a nonrebreathing mask about 10 minutes
ago & established IV access. Initially the infant's HR was in the 150/min range
with strong pulses. Suddenly the infant's respiratory rate falls to 6/min with
significant intercostal retractions, & little air movement is heard. The infant
becomes cyanotic & the HR decreases to 95/min. Which of the following
treatments would be best for you to provide now✔✔✔ Provide BMV
3. Which of the following is likely to be the most helpful technique to ID poten-
tially reversible metabolic & toxic causes during the attempted resuscitation
of a young child in cardiac arrest✔✔✔ Soliciting a history from the caregiver
or family
1/6
, 4. You are caring for a pt who developed a tension pneumothorax after
several hours of positive-pressure ventilation. Which of the following would
be the most appropriate site for needle decompression✔✔✔ Over the third
rib atthe midclavicular line
5. You attempted synchronized cardioversion for an infant with SVT & poor
perfusion. The SVT persists after the initial 1 J/kg shock. Which of the follow-
ing should you attempt now✔✔✔ Synchronized cardioversion at a dose of 2
J/kg
6. You are treating a 5 mo with a 2 day history of vomiting & diarrhea. The
pt is listless. The RR is 52/min & unlabored. The HR is 170/min & pulses are
present but weak. Capillary refill is delayed. You are administering high-flow
oxygen, & IV access is in place. At this point the most important therapy is
to:: Provide a rapid 20 mL/kg isotonic crystalloid fluid bolus
7. Which of the following groups of clinical findings would be most consis-
tent with categorizing a pt with compensated shock✔✔✔ Normal SBP,
decreased level of consciousness, cool extremities with delayed capillary refill, &
faint or
non-palpable distal pulses
8. You are treating a 10 yo pt after a MVC. The pt is unresponsive & flexes
his arms at the elbow in response to a painful stimulus. An ETT is in place
with position confirmed. You are ventilating using a resuscitation bag with
oxygen, & the child has an Sp02 of 95% & good chest excursion bilaterally.
The BP is 130/70 mmHg, & the HR is 90/min with good perfusion. You have
established IV access. Which of the following actions would be most appro-
2/6
Top rated A+ 2025
1. You are caring for a 2 yo unconscious pt who is intubated & receiving
mechanical ventilation. The child's HR suddenly drops to 40/min & his color
becomes mottled. You should respond to these changes by:: Using a resus-
citation bag provide manual ventilation with 100% oxygen
2. You are caring for a 9 mo pt with pronounced respiratory distress. You
initiated high-flow oxygen using a nonrebreathing mask about 10 minutes
ago & established IV access. Initially the infant's HR was in the 150/min range
with strong pulses. Suddenly the infant's respiratory rate falls to 6/min with
significant intercostal retractions, & little air movement is heard. The infant
becomes cyanotic & the HR decreases to 95/min. Which of the following
treatments would be best for you to provide now✔✔✔ Provide BMV
3. Which of the following is likely to be the most helpful technique to ID poten-
tially reversible metabolic & toxic causes during the attempted resuscitation
of a young child in cardiac arrest✔✔✔ Soliciting a history from the caregiver
or family
1/6
, 4. You are caring for a pt who developed a tension pneumothorax after
several hours of positive-pressure ventilation. Which of the following would
be the most appropriate site for needle decompression✔✔✔ Over the third
rib atthe midclavicular line
5. You attempted synchronized cardioversion for an infant with SVT & poor
perfusion. The SVT persists after the initial 1 J/kg shock. Which of the follow-
ing should you attempt now✔✔✔ Synchronized cardioversion at a dose of 2
J/kg
6. You are treating a 5 mo with a 2 day history of vomiting & diarrhea. The
pt is listless. The RR is 52/min & unlabored. The HR is 170/min & pulses are
present but weak. Capillary refill is delayed. You are administering high-flow
oxygen, & IV access is in place. At this point the most important therapy is
to:: Provide a rapid 20 mL/kg isotonic crystalloid fluid bolus
7. Which of the following groups of clinical findings would be most consis-
tent with categorizing a pt with compensated shock✔✔✔ Normal SBP,
decreased level of consciousness, cool extremities with delayed capillary refill, &
faint or
non-palpable distal pulses
8. You are treating a 10 yo pt after a MVC. The pt is unresponsive & flexes
his arms at the elbow in response to a painful stimulus. An ETT is in place
with position confirmed. You are ventilating using a resuscitation bag with
oxygen, & the child has an Sp02 of 95% & good chest excursion bilaterally.
The BP is 130/70 mmHg, & the HR is 90/min with good perfusion. You have
established IV access. Which of the following actions would be most appro-
2/6
