RQI PALS Entry Exam Questions
&Answers (GRADED A)
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.
What condition is most consistent with your assessment?
Lung tissue disease
Upper airway obstruction
Lower airway obstruction
Disordered control of breathing -ANSWER- Disordered control of breathing
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 infants blood pressure?
It is hypotensive
It is hypertensive
It is normal
It represents compensated shock -ANSWER- It is hypotensive
You are performing the airway component of the primary assessment.
What finding would lead you to conclude that the child has an upper airway obstruction?
Dry, nonproductive cough
Inspiratory stridor
Subcostal retractions
Wheezing -ANSWER- Inspiratory stridor
A 5-year-old child is brought to the emergency department by ambulance after being
involved in a motor vehicle collision.
You are using the primary assessment to evaluate the child.
When assessing the child's neurologic status, you note that he has spontaneous eye
opening, is fully oriented, and is able to follow commands.
How would you document this child's AVPU Scale finding?
, Alert
Unresponsive
Painful
Voice -ANSWER- Alert
A 3-uear-old child is brought to the emergency department by his mother.
What is a normal finding for a 3-year-old child?
Blood pressure of 55/30 mm Hg
Respiratory rate of 24/min
Oxygenation saturation of 90%
Heart rate of 220/min -ANSWER- Respiratory rate of 24/min
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?
Temperature of 38.1 C (100.5 F)
Decreased level of consciousness
Warm, moist skin
Systolic blood pressure of 106 mm Hg -ANSWER- Decreased level of consciousness
A 10-year-old child is brought to the emergency department for fever and cough. You
obtain an oxygen saturation on the child.
What oxygenation saturation would indicate that immediate intervention is needed?
88% on 4L of nasal oxygen
95% on room air
96% on room air
97% on 50% oxygen -ANSWER- 88% on 4L of nasal oxygen
What condition is characterized by a prolonged phase and wheezing?
Hypovolemic shock
Lower airway obstruction
Disordered control of breathing
Upper airway obstruction -ANSWER- Lower airway obstruction
You are caring for a 9-month-ol girl who has increased work of breathing, a fever, and a
cough.
On assessment, you find an alert infant with stridor and retractions.
The infant's SpO2 is 94%.
On auscultation, the lings are clear bilaterally.
&Answers (GRADED A)
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.
What condition is most consistent with your assessment?
Lung tissue disease
Upper airway obstruction
Lower airway obstruction
Disordered control of breathing -ANSWER- Disordered control of breathing
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 infants blood pressure?
It is hypotensive
It is hypertensive
It is normal
It represents compensated shock -ANSWER- It is hypotensive
You are performing the airway component of the primary assessment.
What finding would lead you to conclude that the child has an upper airway obstruction?
Dry, nonproductive cough
Inspiratory stridor
Subcostal retractions
Wheezing -ANSWER- Inspiratory stridor
A 5-year-old child is brought to the emergency department by ambulance after being
involved in a motor vehicle collision.
You are using the primary assessment to evaluate the child.
When assessing the child's neurologic status, you note that he has spontaneous eye
opening, is fully oriented, and is able to follow commands.
How would you document this child's AVPU Scale finding?
, Alert
Unresponsive
Painful
Voice -ANSWER- Alert
A 3-uear-old child is brought to the emergency department by his mother.
What is a normal finding for a 3-year-old child?
Blood pressure of 55/30 mm Hg
Respiratory rate of 24/min
Oxygenation saturation of 90%
Heart rate of 220/min -ANSWER- Respiratory rate of 24/min
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?
Temperature of 38.1 C (100.5 F)
Decreased level of consciousness
Warm, moist skin
Systolic blood pressure of 106 mm Hg -ANSWER- Decreased level of consciousness
A 10-year-old child is brought to the emergency department for fever and cough. You
obtain an oxygen saturation on the child.
What oxygenation saturation would indicate that immediate intervention is needed?
88% on 4L of nasal oxygen
95% on room air
96% on room air
97% on 50% oxygen -ANSWER- 88% on 4L of nasal oxygen
What condition is characterized by a prolonged phase and wheezing?
Hypovolemic shock
Lower airway obstruction
Disordered control of breathing
Upper airway obstruction -ANSWER- Lower airway obstruction
You are caring for a 9-month-ol girl who has increased work of breathing, a fever, and a
cough.
On assessment, you find an alert infant with stridor and retractions.
The infant's SpO2 is 94%.
On auscultation, the lings are clear bilaterally.
