Pediatric Advanced Life Support Exam A and B
50 Questions
Please do not mark on this exam. Record the best answer on the separate
answer sheet. (CORRECT ANSWERS ARE HIGHLIGHED)
1. In which of the following situations may IO 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
2. A 2-week-old infant is being evaluated for 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.
3. 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 SpO2 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)
4. A 3-year-old child is having difficulty 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
5. A team member is unable to perform an 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
6. You are the Team Leader during a pediatric 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
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, 7. An 8-year-old child is brought to the 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
8. An 8-year-old child is brought to the 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
9. A 6-year-old child is found unresponsive, 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
10. 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 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.”
Use this scenario to answer the next 2 questions:
You are caring for a 5-year-old boy with 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.
11. What assessment finding is consistent with respiratory failure in this child?
A.Cough
B.Fever
C. Oxygen saturation
D.Respiratory rate
This study source was downloaded by 100000847097152 from CourseHero.com on 01-31-2024 11:29:53 GMT -06:00
https://www.coursehero.com/file/169866961/PALS-SCRIPT-Copypdf/
50 Questions
Please do not mark on this exam. Record the best answer on the separate
answer sheet. (CORRECT ANSWERS ARE HIGHLIGHED)
1. In which of the following situations may IO 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
2. A 2-week-old infant is being evaluated for 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.
3. 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 SpO2 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)
4. A 3-year-old child is having difficulty 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
5. A team member is unable to perform an 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
6. You are the Team Leader during a pediatric 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
This study source was downloaded by 100000847097152 from CourseHero.com on 01-31-2024 11:29:53 GMT -06:00
https://www.coursehero.com/file/169866961/PALS-SCRIPT-Copypdf/
, 7. An 8-year-old child is brought to the 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
8. An 8-year-old child is brought to the 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
9. A 6-year-old child is found unresponsive, 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
10. 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 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.”
Use this scenario to answer the next 2 questions:
You are caring for a 5-year-old boy with 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.
11. What assessment finding is consistent with respiratory failure in this child?
A.Cough
B.Fever
C. Oxygen saturation
D.Respiratory rate
This study source was downloaded by 100000847097152 from CourseHero.com on 01-31-2024 11:29:53 GMT -06:00
https://www.coursehero.com/file/169866961/PALS-SCRIPT-Copypdf/
