PALS STUDY GUIDE QUESTIONS AND
VERIFIED ANSWERS|100%
CORRECT|GRADE A+
If the pulse rate on the pulse ox differs from the EKG monitor the O2 saturation reading is - ANSWER not
reliable, the child needs oxygen in spite of possible O2 saturation above 94%.
A BP reading of what in a neonate is considered hypotension when? - ANSWER of less than 60 systolic
What airway obstruction is characterized by tachypnea, increased respiratory effort, cough, stridor, and
poor air oxygenation? - ANSWER upper airway obstruction
Typical signs and symptoms of upper airway obstruction occur predomintly during the what phase of
respiratory cycle? - ANSWER inspiratory phase
This is an abnormal breathing pattern that produces inadequate respiratory rate or effort that is usually
associated with neurological disorders such as brain tumors, seizures, head injury, hydrocephalus or
neuromuscular disease? - ANSWER disordered control of breathing
Increased work of breathing and tachypnea in a toddler may be classified as what? - ANSWER as
respiratory distress rather than failure
Moderate stridor and retractions along with a seal bark cough in a toddler may be best managed by
administration of what? - ANSWER nebulizer epi
The child who presents with severe respiratory distress and signs of anaphylaxis must be treated
promptly with what? - ANSWER IM/IV epi/corticosteroids as well as nebulized albuterol.
Defined as a critical condition that results from inadequate tissue delivery of O2 and nutrients to meet
tissue metabolic demands? - ANSWER shock
Infants have tiny hearts and increase their cardiac output primarily by what? - ANSWER increasing heart
rate
, In order to recognize shock early, the health care provider must recognize signs of compensated shock
such as what? - ANSWER tachycardia, increased stroke volume, and increased cardiac contractility
Increased systemic vascular resistance or vasoconstriction may be recognized clinically in the child who
has what? - ANSWER cold extremities, poorly palpable peripheral pulses, delated capillary refill time
Stroke volume may be maintained in early shock by increased what? - ANSWER increased contraction
and venoconstriction which increases venous return to the heart, thus increasing preload.
Anxiety, tachycardia, delayed capillary refill time, and a normal BP in a young child indicate what type of
shock? - ANSWER compensated shock
Elevated temperature, lethargy, tachycardia, tachypnea may be associated with what type of shock? -
ANSWER distributive shock
The child who is febrile, lethargic, tachycardia, apthypneic, hypotensive, with a delayed capillary refill
time needs immediate IV/IO access and administration of what? - ANSWER fluid bolus such as normal
saline or ringers lactate at 20 ml/kg over 5-10 minutes.
The appropriate fluid bolus for shock resuscitation in the child with a normal heart is what? - ANSWER 20
ml/kg of isotonic crystalloid (normal saline)
In a child with serious signs and symptoms of hypovolemic shock, the quickest and best way to establish
vascular access is via the what route? - ANSWER IO route
the correct intervention when a child presents with severe respiratory distress, low oxygen saturation,
absent breath sounds on the right side of the chest, and signs of obstructive shock is what - ANSWER
needle decompression of the right chest
when an infants heart rate falls to 70 bpm when suctioned, the health care provider must administer
what - ANSWER oxygen and ensure adequate oxygenation
VERIFIED ANSWERS|100%
CORRECT|GRADE A+
If the pulse rate on the pulse ox differs from the EKG monitor the O2 saturation reading is - ANSWER not
reliable, the child needs oxygen in spite of possible O2 saturation above 94%.
A BP reading of what in a neonate is considered hypotension when? - ANSWER of less than 60 systolic
What airway obstruction is characterized by tachypnea, increased respiratory effort, cough, stridor, and
poor air oxygenation? - ANSWER upper airway obstruction
Typical signs and symptoms of upper airway obstruction occur predomintly during the what phase of
respiratory cycle? - ANSWER inspiratory phase
This is an abnormal breathing pattern that produces inadequate respiratory rate or effort that is usually
associated with neurological disorders such as brain tumors, seizures, head injury, hydrocephalus or
neuromuscular disease? - ANSWER disordered control of breathing
Increased work of breathing and tachypnea in a toddler may be classified as what? - ANSWER as
respiratory distress rather than failure
Moderate stridor and retractions along with a seal bark cough in a toddler may be best managed by
administration of what? - ANSWER nebulizer epi
The child who presents with severe respiratory distress and signs of anaphylaxis must be treated
promptly with what? - ANSWER IM/IV epi/corticosteroids as well as nebulized albuterol.
Defined as a critical condition that results from inadequate tissue delivery of O2 and nutrients to meet
tissue metabolic demands? - ANSWER shock
Infants have tiny hearts and increase their cardiac output primarily by what? - ANSWER increasing heart
rate
, In order to recognize shock early, the health care provider must recognize signs of compensated shock
such as what? - ANSWER tachycardia, increased stroke volume, and increased cardiac contractility
Increased systemic vascular resistance or vasoconstriction may be recognized clinically in the child who
has what? - ANSWER cold extremities, poorly palpable peripheral pulses, delated capillary refill time
Stroke volume may be maintained in early shock by increased what? - ANSWER increased contraction
and venoconstriction which increases venous return to the heart, thus increasing preload.
Anxiety, tachycardia, delayed capillary refill time, and a normal BP in a young child indicate what type of
shock? - ANSWER compensated shock
Elevated temperature, lethargy, tachycardia, tachypnea may be associated with what type of shock? -
ANSWER distributive shock
The child who is febrile, lethargic, tachycardia, apthypneic, hypotensive, with a delayed capillary refill
time needs immediate IV/IO access and administration of what? - ANSWER fluid bolus such as normal
saline or ringers lactate at 20 ml/kg over 5-10 minutes.
The appropriate fluid bolus for shock resuscitation in the child with a normal heart is what? - ANSWER 20
ml/kg of isotonic crystalloid (normal saline)
In a child with serious signs and symptoms of hypovolemic shock, the quickest and best way to establish
vascular access is via the what route? - ANSWER IO route
the correct intervention when a child presents with severe respiratory distress, low oxygen saturation,
absent breath sounds on the right side of the chest, and signs of obstructive shock is what - ANSWER
needle decompression of the right chest
when an infants heart rate falls to 70 bpm when suctioned, the health care provider must administer
what - ANSWER oxygen and ensure adequate oxygenation
