2020 PALS EXAM A QUESTIONS AND
VERIFIED ANSWERS|100%
CORRECT|GRADE A+
In which of the following situations may IO access be used?
A. An extremity with signs of infection
B. An extremity with a sign of a crush injury
C. An extremity with a previous unsuccessful IO attempt
D. An extremity with slow a capillary refill time - ANSWER D. An extremity with slow a capillary refill time
A 2 week old infant is being evaluated for irritability and poor feeding. His BP is 55/40 mmHg, and cap
refill time is 5 seconds. Which statement best describes your assessment of this infants BP?
A. It represents compensated shock
B. It is hypertensive
C. It is Hypotensive
D. It is normal - ANSWER C. It is Hypotensive
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 Sp02 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) - ANSWER A. A child who is grunting
A 3 year old child is having difficulty breathing. Which 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 - ANSWER C. Increased inspiratory effort with retractions
A team member is unable to perform an assigned task because it is beyond the team members scope of
practice. Which 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 - ANSWER A. Ask for a new task or role
You are the team leader during a pediatric resuscitation attempt. which 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 - ANSWER C. Allowing complete chest wall recoil after each
compression
An 8 year old child is brought to the ED by his mother for difficulty breathing. He has a history of asthma
and nut allergies. He's mother tells you that he recently ate a cookie at a family picnic. Which 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 - ANSWER D. upper airway obstruction
VERIFIED ANSWERS|100%
CORRECT|GRADE A+
In which of the following situations may IO access be used?
A. An extremity with signs of infection
B. An extremity with a sign of a crush injury
C. An extremity with a previous unsuccessful IO attempt
D. An extremity with slow a capillary refill time - ANSWER D. An extremity with slow a capillary refill time
A 2 week old infant is being evaluated for irritability and poor feeding. His BP is 55/40 mmHg, and cap
refill time is 5 seconds. Which statement best describes your assessment of this infants BP?
A. It represents compensated shock
B. It is hypertensive
C. It is Hypotensive
D. It is normal - ANSWER C. It is Hypotensive
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 Sp02 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) - ANSWER A. A child who is grunting
A 3 year old child is having difficulty breathing. Which 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 - ANSWER C. Increased inspiratory effort with retractions
A team member is unable to perform an assigned task because it is beyond the team members scope of
practice. Which 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 - ANSWER A. Ask for a new task or role
You are the team leader during a pediatric resuscitation attempt. which 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 - ANSWER C. Allowing complete chest wall recoil after each
compression
An 8 year old child is brought to the ED by his mother for difficulty breathing. He has a history of asthma
and nut allergies. He's mother tells you that he recently ate a cookie at a family picnic. Which 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 - ANSWER D. upper airway obstruction
