Pediatric Advanced Life Support Exam Questions With
Accurate Answers.
Signs of poor perfusion - accurate answers-Temperature, AMS, Pulses, Skin
(pale, mottling, and cyanosis)
Adult pads on the AED - accurate answers-Use adult pads on victims 8 years of
age and older
Initial impression assessment - accurate answers-Appearance: LOC,
interactiveness, consolability, look/gaze/stare/ and speech/cry
circulation: Skin color, petechiae or purport or visible bleeding wounds
work of breathing: including position, and any audible breath sounds,
respiratory effort
Evaluate - accurate answers-If no life-threatening condition is present,
evaluate the child's condition by using the clinical assessment tool
Primary Assessment: ABCDE including vital signs
Primary Assessment - accurate answers-Airway
Breathing
Circulation
Disability
Exposure
Evaluate Airway - accurate answers-To assess the airway, determine if is is
patent: Look for movement of the chest of abdomen, listen for air movement
and breath sounds, feel for movement of air at the nose and mouth
S/S Upper Airway obstruction - accurate answers-Increased inspiratory effort
with retractions
Abnormal inspiratory sounds (snoring or high-pitches stridor)
Episodes where no airway or breath sounds are present despite respiratory
effort (Complete upper airway obstruction*
*If upper airway is obstructed, determine if you can open and maintain the
airway with simple measures or if you need advanced interventions
, Simple measures to maintain the airway - accurate answers-Positioning: For
responsive child allow a position of comfort or elevate the head of the bed. For
unresponsive child turn on side or use a head told chin lift
Suctioning
Relief techniques for foreign-body airway obstruction
Airway Adjuncts: Oropharyngeal airway to keep the tongue from falling back
and obstructing the airway
Relief techniques for foreign body airway obstruction: Abdominal thrusts and
back slaps
Advanced Airway Interventions - accurate answers-Endotracheal intubation
Laryngoscopy
Cricothyrotomy
Assessment of breathing - accurate answers-Respiratory rate and pattern
Respiratory effort
Chest expansion and air movement
Lung and airway sounds
Oxygen saturation and pulse ox
Normal respiratory rate - accurate answers-Infant: 30-53
Toddler: 22-37
Preschool:20-28
School-aged child: 18-25
Adolescent: 12-20
Causes of bradypnea - accurate answers-Respiratory muscle fatigue
Central nervous system injury
Severe hypoxia
Severe shock
Hypothermia
Drugs that depress the respiratory drive
Some muscle diseases that cause muscle weakness
Increased respiratory effort - accurate answers-Nasal flaring
Accurate Answers.
Signs of poor perfusion - accurate answers-Temperature, AMS, Pulses, Skin
(pale, mottling, and cyanosis)
Adult pads on the AED - accurate answers-Use adult pads on victims 8 years of
age and older
Initial impression assessment - accurate answers-Appearance: LOC,
interactiveness, consolability, look/gaze/stare/ and speech/cry
circulation: Skin color, petechiae or purport or visible bleeding wounds
work of breathing: including position, and any audible breath sounds,
respiratory effort
Evaluate - accurate answers-If no life-threatening condition is present,
evaluate the child's condition by using the clinical assessment tool
Primary Assessment: ABCDE including vital signs
Primary Assessment - accurate answers-Airway
Breathing
Circulation
Disability
Exposure
Evaluate Airway - accurate answers-To assess the airway, determine if is is
patent: Look for movement of the chest of abdomen, listen for air movement
and breath sounds, feel for movement of air at the nose and mouth
S/S Upper Airway obstruction - accurate answers-Increased inspiratory effort
with retractions
Abnormal inspiratory sounds (snoring or high-pitches stridor)
Episodes where no airway or breath sounds are present despite respiratory
effort (Complete upper airway obstruction*
*If upper airway is obstructed, determine if you can open and maintain the
airway with simple measures or if you need advanced interventions
, Simple measures to maintain the airway - accurate answers-Positioning: For
responsive child allow a position of comfort or elevate the head of the bed. For
unresponsive child turn on side or use a head told chin lift
Suctioning
Relief techniques for foreign-body airway obstruction
Airway Adjuncts: Oropharyngeal airway to keep the tongue from falling back
and obstructing the airway
Relief techniques for foreign body airway obstruction: Abdominal thrusts and
back slaps
Advanced Airway Interventions - accurate answers-Endotracheal intubation
Laryngoscopy
Cricothyrotomy
Assessment of breathing - accurate answers-Respiratory rate and pattern
Respiratory effort
Chest expansion and air movement
Lung and airway sounds
Oxygen saturation and pulse ox
Normal respiratory rate - accurate answers-Infant: 30-53
Toddler: 22-37
Preschool:20-28
School-aged child: 18-25
Adolescent: 12-20
Causes of bradypnea - accurate answers-Respiratory muscle fatigue
Central nervous system injury
Severe hypoxia
Severe shock
Hypothermia
Drugs that depress the respiratory drive
Some muscle diseases that cause muscle weakness
Increased respiratory effort - accurate answers-Nasal flaring