PALS POST TEST QUESTIONS WITH CORRECT
DETAILED ANSWERS
10 seconds - CORRECT ANSWER - A 6 month old infant is unresponsive. You begin
checking for breathing at the same time you check for the infants pulse. Which is the
maximum time you should spend when trying to simultaneously check for breathing and
palpate the infants pulse before starting CPR?
Disordered Control of Breathing - CORRECT ANSWER - 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?
blood glucose - CORRECT ANSWER - An 8 year old child is brought to the emergency
department with a 2 day history of lethargy and polyuria. The child has new onset rapid,
deep, and labored breathing. Which diagnostic test should you order first?
Reposition the patient, and insert an oral airway - CORRECT ANSWER - 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?
Provide bag mask ventilation - CORRECT ANSWER - 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. After repositioning the patient and you insert an Oral airway, the
patient continues to deteriorate. What next step is the most appropriate?
15:2 - CORRECT ANSWER - A 6 year old child is found unresponsive, not breathing,
and without a pulse. one health care worker leaves to activate the emergency response
system and get the resuscitation equipment. You and another healthcare provider
immediatly begin CPR. Which compression to ventilation ratio do you use?
94%-99% - CORRECT ANSWER - In post resuscitation management after cardiac
arrest, extra care should be taken to avoid repercussion injury. what should the ideal
oxygen saturation range most likely be?
"resume compressions" - CORRECT ANSWER - 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?
, 2-4 J/kg - CORRECT ANSWER - 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?
40 Joules - CORRECT ANSWER - 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?
Allowing complete chest wall recoil after each compression - CORRECT ANSWER -
You are the team leader during a pediatric resuscitation attempt. which action is an
element of high quality CPR?
blood pressure - CORRECT ANSWER - 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 HR is 190/min, temp is 38.3 degrees C (101 F) blood pressure is 59/29
mmHg, Resp rate is 70/min and shallow, and oxygen sat is 94% on 100% oxygen. His
capillary refills time is 4-5 seconds, and he has mottled, cool extremities. The infant
weighs 6 Kg. Which assessment finding indicates that the infant is in hypotensive
shock?
hypovolemic shock - CORRECT ANSWER - 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 HR is 190/min, temp is 38.3 degrees C (101 F) blood pressure
is 59/29 mmHg, Resp rate is 70/min and shallow, and oxygen sat is 94% on 100%
oxygen. His capillary refills time is 4-5 seconds, and he has mottled, cool extremities.
The infant weighs 6 Kg. On the basis of this infants presentation, which type of shock
does this infant have?
20 ml/kg normal saline - CORRECT ANSWER - 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 HR is 190/min, temp is 38.3 degrees C (101 F) blood pressure
is 59/29 mmHg, Resp rate is 70/min and shallow, and oxygen sat is 94% on 100%
oxygen. His capillary refills time is 4-5 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?
It is Hypotensive - CORRECT ANSWER - 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?
Ask for a new task or role - CORRECT ANSWER - A team member is unable to perform
an assigned task because it is beyond the team members scope of practice. Which
action should the team member take?
DETAILED ANSWERS
10 seconds - CORRECT ANSWER - A 6 month old infant is unresponsive. You begin
checking for breathing at the same time you check for the infants pulse. Which is the
maximum time you should spend when trying to simultaneously check for breathing and
palpate the infants pulse before starting CPR?
Disordered Control of Breathing - CORRECT ANSWER - 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?
blood glucose - CORRECT ANSWER - An 8 year old child is brought to the emergency
department with a 2 day history of lethargy and polyuria. The child has new onset rapid,
deep, and labored breathing. Which diagnostic test should you order first?
Reposition the patient, and insert an oral airway - CORRECT ANSWER - 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?
Provide bag mask ventilation - CORRECT ANSWER - 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. After repositioning the patient and you insert an Oral airway, the
patient continues to deteriorate. What next step is the most appropriate?
15:2 - CORRECT ANSWER - A 6 year old child is found unresponsive, not breathing,
and without a pulse. one health care worker leaves to activate the emergency response
system and get the resuscitation equipment. You and another healthcare provider
immediatly begin CPR. Which compression to ventilation ratio do you use?
94%-99% - CORRECT ANSWER - In post resuscitation management after cardiac
arrest, extra care should be taken to avoid repercussion injury. what should the ideal
oxygen saturation range most likely be?
"resume compressions" - CORRECT ANSWER - 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?
, 2-4 J/kg - CORRECT ANSWER - 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?
40 Joules - CORRECT ANSWER - 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?
Allowing complete chest wall recoil after each compression - CORRECT ANSWER -
You are the team leader during a pediatric resuscitation attempt. which action is an
element of high quality CPR?
blood pressure - CORRECT ANSWER - 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 HR is 190/min, temp is 38.3 degrees C (101 F) blood pressure is 59/29
mmHg, Resp rate is 70/min and shallow, and oxygen sat is 94% on 100% oxygen. His
capillary refills time is 4-5 seconds, and he has mottled, cool extremities. The infant
weighs 6 Kg. Which assessment finding indicates that the infant is in hypotensive
shock?
hypovolemic shock - CORRECT ANSWER - 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 HR is 190/min, temp is 38.3 degrees C (101 F) blood pressure
is 59/29 mmHg, Resp rate is 70/min and shallow, and oxygen sat is 94% on 100%
oxygen. His capillary refills time is 4-5 seconds, and he has mottled, cool extremities.
The infant weighs 6 Kg. On the basis of this infants presentation, which type of shock
does this infant have?
20 ml/kg normal saline - CORRECT ANSWER - 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 HR is 190/min, temp is 38.3 degrees C (101 F) blood pressure
is 59/29 mmHg, Resp rate is 70/min and shallow, and oxygen sat is 94% on 100%
oxygen. His capillary refills time is 4-5 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?
It is Hypotensive - CORRECT ANSWER - 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?
Ask for a new task or role - CORRECT ANSWER - A team member is unable to perform
an assigned task because it is beyond the team members scope of practice. Which
action should the team member take?
