PALS Questions and answers
Terms in this set (50)
In which of the following situations may IO An extremity with slow a capillary refill time
access be used?
A. An extremity with signs of infection
B. An extremity with signs. of a crush
injury
C.An extremity with a
previous unsuccessful IO
attempt
D. An extremity with slow a
capillary refill time
A 2-week-old infant is being evaluated for It is hypotensive.
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
infant's blood pressure?
A. It represents compensated shock.
B.It is hypertensive.
C. It is hypotensive.
D.It is normal.
You are caring for patients in the A child who is grunting
emergency department. Which 2-year-old
child requires immediate intervention?
A. A child who is grunting
B. A child with an Spoz 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)
,A 3-year-old child is having difficulty Increased inspiratory effort with retractions
breathing. What 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
A team member is unable to perform an Ask for a new task or role
assigned task because it is beyond the
team member's scope of practice. What
action should the team member take?
A. Ask for a new task or role
B.Refuse to perform the task
C. Do it anyway
D.Seek expert consultation
You are the Team Leader during a pediatric Allowing complete chest wall recoil after each compression
resuscitation attempt. What 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
An 8-year-old child is brought to the Upper airway obstruction
emergency department by his mother
for difficulty breathing. He has a history
of asthma and nut allergies. His mother
tells you that he recently ate a cookie at a
family picnic. What 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
An 8-year-old child is brought to the Decreased level of consciousness
emergency department by ambulance
after being involved in a motor vehicle
collision. What finding would suggest that
immediate intervention is needed?
A. Decreased level of consciousness
B.Systolic blood pressure of 106 mm Hg
C.Temperature of 38.1°C (100.5°F)
D. Warm, moist skin
, A 6-year-old child is found unresponsive, 15:2
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?
A. 15:1
B.30:1
C. 15:2
D.30:2
A 3-year-old child is in cardiac arrest, "Resume compressions."
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?
A. "Check for a pulse."
B."Give epinephrine 0.01 mg/kg."
C. "Let's check the rhythm."
D."Resume compressions."
You are caring for a 5-year-old boy with Oxygen saturation
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?
A. Cough
B.Fever
C. Oxygen saturation
D.Respiratory rate
Terms in this set (50)
In which of the following situations may IO An extremity with slow a capillary refill time
access be used?
A. An extremity with signs of infection
B. An extremity with signs. of a crush
injury
C.An extremity with a
previous unsuccessful IO
attempt
D. An extremity with slow a
capillary refill time
A 2-week-old infant is being evaluated for It is hypotensive.
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
infant's blood pressure?
A. It represents compensated shock.
B.It is hypertensive.
C. It is hypotensive.
D.It is normal.
You are caring for patients in the A child who is grunting
emergency department. Which 2-year-old
child requires immediate intervention?
A. A child who is grunting
B. A child with an Spoz 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)
,A 3-year-old child is having difficulty Increased inspiratory effort with retractions
breathing. What 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
A team member is unable to perform an Ask for a new task or role
assigned task because it is beyond the
team member's scope of practice. What
action should the team member take?
A. Ask for a new task or role
B.Refuse to perform the task
C. Do it anyway
D.Seek expert consultation
You are the Team Leader during a pediatric Allowing complete chest wall recoil after each compression
resuscitation attempt. What 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
An 8-year-old child is brought to the Upper airway obstruction
emergency department by his mother
for difficulty breathing. He has a history
of asthma and nut allergies. His mother
tells you that he recently ate a cookie at a
family picnic. What 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
An 8-year-old child is brought to the Decreased level of consciousness
emergency department by ambulance
after being involved in a motor vehicle
collision. What finding would suggest that
immediate intervention is needed?
A. Decreased level of consciousness
B.Systolic blood pressure of 106 mm Hg
C.Temperature of 38.1°C (100.5°F)
D. Warm, moist skin
, A 6-year-old child is found unresponsive, 15:2
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?
A. 15:1
B.30:1
C. 15:2
D.30:2
A 3-year-old child is in cardiac arrest, "Resume compressions."
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?
A. "Check for a pulse."
B."Give epinephrine 0.01 mg/kg."
C. "Let's check the rhythm."
D."Resume compressions."
You are caring for a 5-year-old boy with Oxygen saturation
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?
A. Cough
B.Fever
C. Oxygen saturation
D.Respiratory rate
