2025 Pals Exam A Questions and
Answers
In which of the following situations may IO access be used?
A. An extremity with signs of infection
B. An extremity with a sign of a crush injury
C. An extremity with a previous unsuccessful IO attempt
D. An extremity with slow a capillary refill time - ANSWER✔✔-D. An extremity with slow a
capillary refill time
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 - ANSWER✔✔-C. It is Hypotensive
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,You are caring for patients in the emergency department. Which 2 year old child requires immediate
intervention?
A. A child who is grunting
B. A child with an Sp02 of 95% on room air
C. A child with a systolic blood pressure of 92 mm Hg
D. A child with a temperature of 37.4 C (99.3 F) - ANSWER✔✔-A. A child who is grunting
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 - ANSWER✔✔-C. Increased inspiratory effort with retractions
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?
A. Ask for a new task or role
B. Refuse to perform the task
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, C. Do it anyway
D. Seek expert consultation - ANSWER✔✔-A. Ask for a new task or role
You are the team leader during a pediatric resuscitation attempt. which action is an element of high
quality CPR?
A. Providing a compression depth of one fourth the depth of the chest
B. Providing a compression rate of 80 to 100/min
C. Allowing complete chest wall recoil after each compression
D. Performing pulse checks every minute - ANSWER✔✔-C. Allowing complete chest wall recoil
after each compression
An 8 year old child is brought to the ED by his mother for difficulty breathing. He has a history of
asthma and nut allergies. He's mother tells you that he recently ate a cookie at a family picnic. Which
condition is most likely to be present in this child?
A. Disordered control of breathing
B. Hypovolemic shock
C. Lung tissue disease
D. upper airway obstruction - ANSWER✔✔-D. upper airway obstruction
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Answers
In which of the following situations may IO access be used?
A. An extremity with signs of infection
B. An extremity with a sign of a crush injury
C. An extremity with a previous unsuccessful IO attempt
D. An extremity with slow a capillary refill time - ANSWER✔✔-D. An extremity with slow a
capillary refill time
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 - ANSWER✔✔-C. It is Hypotensive
FOR STUDY PURPOSES ONLY COPYRIGHT © 2025 ALL RIGHTS RESERVED 1
,You are caring for patients in the emergency department. Which 2 year old child requires immediate
intervention?
A. A child who is grunting
B. A child with an Sp02 of 95% on room air
C. A child with a systolic blood pressure of 92 mm Hg
D. A child with a temperature of 37.4 C (99.3 F) - ANSWER✔✔-A. A child who is grunting
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 - ANSWER✔✔-C. Increased inspiratory effort with retractions
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?
A. Ask for a new task or role
B. Refuse to perform the task
FOR STUDY PURPOSES ONLY COPYRIGHT © 2025 ALL RIGHTS RESERVED 2
, C. Do it anyway
D. Seek expert consultation - ANSWER✔✔-A. Ask for a new task or role
You are the team leader during a pediatric resuscitation attempt. which action is an element of high
quality CPR?
A. Providing a compression depth of one fourth the depth of the chest
B. Providing a compression rate of 80 to 100/min
C. Allowing complete chest wall recoil after each compression
D. Performing pulse checks every minute - ANSWER✔✔-C. Allowing complete chest wall recoil
after each compression
An 8 year old child is brought to the ED by his mother for difficulty breathing. He has a history of
asthma and nut allergies. He's mother tells you that he recently ate a cookie at a family picnic. Which
condition is most likely to be present in this child?
A. Disordered control of breathing
B. Hypovolemic shock
C. Lung tissue disease
D. upper airway obstruction - ANSWER✔✔-D. upper airway obstruction
FOR STUDY PURPOSES ONLY COPYRIGHT © 2025 ALL RIGHTS RESERVED 3
