2025 PALS POST-TEST
ACTUAL QUESTIONS & VERIFIED ANSWERS
MULTIPLE CHOICE[A-D]
1. D. An extremity with a slow capillary refill time: In which of the following situations may
IO access e used?
A. An extremity w/ signs of infection
B. An extremity with a previous successful IO attempt
C. An evtremity w/ signs of crush injury
D. An Extremity w/ a low capillary refil time
2. B. Hypotensive: A 2-week old infant is being evaluated for irritability and poor feeding. BP 55/40, cap refills
time is 5 sec. Which statement describes your best assessment of the infants BP?
A. Normal
B. Hypotensive
C. Hypertensive
D. Represents compensated shock
3. D. A child who is grunting: You are caring for a PT in the ED. Which 2 y/o child requires immediate
intervention?
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, A. A child with a systolic BP of 92 mmHg
B. A child with an SPO2 of 95% on room air
C. A child with a temp of 37.4 C (99.3 F)
D. A child who is grunting
4. B. Increased inspiration effort with retractions: A 3 y/o child is having DB. What finding
would most likely lead you to suspect an upper airway obstruction in this child?
A. Expiratory breath sounds.
B. Increased inspiratory ettorts with retractions
C. Normal inspiratory sounds
D. Decreased expiratory ettort
5. D. Ask for a new task or role: You are assigned a task that you can't do. What action should you take?
A. Do it anyway
B. Refuse to perform the task
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, C. Seek expert consultation
D. Ask for a new task or role
6. B. Allowing complete chest wall recoil after each compression: What action is an
element of high-quality CPR?
A. Provide compression rate of 80-100/min
B. Allow complete chest wall recoil after each compression
C. Providing a compression depth of one fourth of the chest
D. Perform pulse checks every minute
7. D. Upper airway obstruction: An 8 y/o child is brought to the ED for DB. History of asthma and nut
allergy. His mother tells you that he recently ate a cookie. What condition is most likely to be present in this child?
A. Disordered control of breathing
B. Lung tissue disease
C. Hypovolemic Shock
D. Upper airway obstruction
8. A. Decreased LOC: An 8 y/o child is brought to the ED after an MVA. What finding suggests that immediate
intervention is needed?
A. Decreased LOC
B. Temp of 38.1 C (100.5 F)
C. Warm, moist skin
D. Systolic BP of 106 mmHg
9. A. 15:2: What is the ratio of chest compressions to breaths for 2 person CPR?
A. 30:2
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ACTUAL QUESTIONS & VERIFIED ANSWERS
MULTIPLE CHOICE[A-D]
1. D. An extremity with a slow capillary refill time: In which of the following situations may
IO access e used?
A. An extremity w/ signs of infection
B. An extremity with a previous successful IO attempt
C. An evtremity w/ signs of crush injury
D. An Extremity w/ a low capillary refil time
2. B. Hypotensive: A 2-week old infant is being evaluated for irritability and poor feeding. BP 55/40, cap refills
time is 5 sec. Which statement describes your best assessment of the infants BP?
A. Normal
B. Hypotensive
C. Hypertensive
D. Represents compensated shock
3. D. A child who is grunting: You are caring for a PT in the ED. Which 2 y/o child requires immediate
intervention?
https://www.stuvia.com/user/MBOFFIN
, A. A child with a systolic BP of 92 mmHg
B. A child with an SPO2 of 95% on room air
C. A child with a temp of 37.4 C (99.3 F)
D. A child who is grunting
4. B. Increased inspiration effort with retractions: A 3 y/o child is having DB. What finding
would most likely lead you to suspect an upper airway obstruction in this child?
A. Expiratory breath sounds.
B. Increased inspiratory ettorts with retractions
C. Normal inspiratory sounds
D. Decreased expiratory ettort
5. D. Ask for a new task or role: You are assigned a task that you can't do. What action should you take?
A. Do it anyway
B. Refuse to perform the task
https://www.stuvia.com/user/MBOFFIN
, C. Seek expert consultation
D. Ask for a new task or role
6. B. Allowing complete chest wall recoil after each compression: What action is an
element of high-quality CPR?
A. Provide compression rate of 80-100/min
B. Allow complete chest wall recoil after each compression
C. Providing a compression depth of one fourth of the chest
D. Perform pulse checks every minute
7. D. Upper airway obstruction: An 8 y/o child is brought to the ED for DB. History of asthma and nut
allergy. His mother tells you that he recently ate a cookie. What condition is most likely to be present in this child?
A. Disordered control of breathing
B. Lung tissue disease
C. Hypovolemic Shock
D. Upper airway obstruction
8. A. Decreased LOC: An 8 y/o child is brought to the ED after an MVA. What finding suggests that immediate
intervention is needed?
A. Decreased LOC
B. Temp of 38.1 C (100.5 F)
C. Warm, moist skin
D. Systolic BP of 106 mmHg
9. A. 15:2: What is the ratio of chest compressions to breaths for 2 person CPR?
A. 30:2
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