PALS EXAM QUESTIONS AND ANSWERS
1. 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?: 10 seconds
2. 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?: Disordered Control of Breathing
3. 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?: blood glucose
4. 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?: Reposition the patient,
1/
14
, and insert an oral airway
5. 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?: Provide bag mask
ventilation
6. 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 immediately begin CPR. Which
compression to ventilation ratio do you use?: 15:2
7. 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?: 94%-99%
8. 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
2/
14
1. 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?: 10 seconds
2. 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?: Disordered Control of Breathing
3. 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?: blood glucose
4. 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?: Reposition the patient,
1/
14
, and insert an oral airway
5. 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?: Provide bag mask
ventilation
6. 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 immediately begin CPR. Which
compression to ventilation ratio do you use?: 15:2
7. 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?: 94%-99%
8. 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
2/
14
