PALS 2024/2025 POST-TEST QUESTIONS WITH
PRECISE AND FULLY SOLVED ANSWERS.(100%
PASS)
1) What ratio for compressions to breaths should be used for 1 rescuer infant CPR? Give
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _
30 compressions to 2 breaths -- Answer ✔✔
_ _ _ _ _ _ _ _
2) An 8 year old child is brought to the ED by ambulance after being involved in a MVC.
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Which finding would suggest that immediate intervention is needed? Decreased level of
_ _ _ _ _ _ _ _ _ _ _ _
consciousness -- Answer ✔✔ _ _ _ _
3) 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% -- Answer ✔✔ _ _ _ _
4) You are evaluating a 10 year old child who is febrile and tachycardia. The Childs cap refill
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
times 5 seconds. which parameter will determine if the child is in compensated shock?
_ _ _ _ _ _ _ _ _ _ _ _ _ _
blood pressure -- Answer ✔✔ _ _ _ _ _
5) 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 administration of the shock, what should you
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _
_say to you team members? "resume compressions" -- Answer ✔✔
_ _ _ _ _ _ _ _ _ _
6) You are caring for a 3 month old boy with a 2 day history of fever, vomiting and diarrhea.
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
His parents state that he has been sleeping much more. His HR is 190/min, temp is 38.3
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
degrees C (101 F) blood pressure is 59/29 mmHg, Resp rate is 70/min and shallow, and
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
oxygen sat is 94% on 100% oxygen. His capillary refills time is 4-5 seconds, and he has
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
mottled, cool extremities. The infant weighs 6 Kg. You have decided that this infant
_ _ _ _ _ _ _ _ _ _ _ _ _ _
, Needs fluid resuscitation. How much fluid should you administer? 20 ml/kg normal saline
_ _ _ _ _ _ _ _ _ _ _ _ _
-- Answer ✔✔
_ _ _
7) A 4 year old child in cardiac arrest is brought to the emergency department by
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _
ambulance. High quality CPR is being performed. The cardiac monitor displays the
_ _ _ _ _ _ _ _ _ _ _ _
rhythm strip shown here. The estimated weight of the child is 20 kg. What dose range
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
should you use for the initial defibrillation? 2-4 J/kg -- Answer ✔✔
_ _ _ _ _ _ _ _ _ _ _ _ _
8) 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 -- Answer ✔✔_ _ _ _ _ _
9) You are Caring for a 9 month old girl who has increased work of breathing, a fever, and a
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
cough. On assessment, you find an alert infant with stridor and retractions. The infants
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _
SpO2 is 94% On auscultation, the lungs are clear bilaterally. Which is the most likely
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _
cause of this infants respiratory distress? upper airway obstruction -- Answer ✔✔
_ _ _ _ _ _ _ _ _ _ _ _
10) You are Caring for a 9 month old girl who has increased work of breathing, a fever, and a
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
_cough. On assessment, you find an alert infant with stridor and retractions. The infants
_ _ _ _ _ _ _ _ _ _ _ _ _ _
SpO2 is 94% On auscultation, the lungs are clear bilaterally. Which medication should
_ _ _ _ _ _ _ _ _ _ _ _ _
you administer first? Epinephrine, nebulized -- Answer ✔✔
_ _ _ _ _ _ _ _
11) Which condition is characterized by a prolonged excretory phase and wheezing? Lower
_ _ _ _ _ _ _ _ _ _ _ _
airway obstruction -- Answer ✔✔ _ _ _ _ _
12) During a resuscitation attempt, the team leader asks you to administer an initial dose of
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Epinephrine at 0.1 mg/kg to be given IO. How should you respond? "I think the correct
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
dose is 0.01 mg/kg. should I give that dose instead?" -- Answer ✔✔
_ _ _ _ _ _ _ _ _ _ _ _ _
13) You are caring for a 12 year old girl with acute lymphoblastic leukemia. She is responsive
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
but she does not feel well and appears to be flushed. Her Temp is 39 degrees C (102.2
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
F), HR is 118/min, respiratory rate is 36/min, BP is 100/40 mmHg, and oxygen sat is 96%
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
on room air. Your assessment reveals mild increase in work of breathing and bounding
_ _ _ _ _ _ _ _ _ _ _ _ _ _
pulses. The child is receiving 100% Oxygen by NRB mask.--- Laboratory studies
_ _ _ _ _ _ _ _ _ _ _ _
document a lactic acidosis. On the basis of the patients clinical assessment and history.
_ _ _ _ _ _ _ _ _ _ _ _ _ _
PRECISE AND FULLY SOLVED ANSWERS.(100%
PASS)
1) What ratio for compressions to breaths should be used for 1 rescuer infant CPR? Give
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _
30 compressions to 2 breaths -- Answer ✔✔
_ _ _ _ _ _ _ _
2) An 8 year old child is brought to the ED by ambulance after being involved in a MVC.
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Which finding would suggest that immediate intervention is needed? Decreased level of
_ _ _ _ _ _ _ _ _ _ _ _
consciousness -- Answer ✔✔ _ _ _ _
3) 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% -- Answer ✔✔ _ _ _ _
4) You are evaluating a 10 year old child who is febrile and tachycardia. The Childs cap refill
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
times 5 seconds. which parameter will determine if the child is in compensated shock?
_ _ _ _ _ _ _ _ _ _ _ _ _ _
blood pressure -- Answer ✔✔ _ _ _ _ _
5) 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 administration of the shock, what should you
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _
_say to you team members? "resume compressions" -- Answer ✔✔
_ _ _ _ _ _ _ _ _ _
6) You are caring for a 3 month old boy with a 2 day history of fever, vomiting and diarrhea.
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
His parents state that he has been sleeping much more. His HR is 190/min, temp is 38.3
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
degrees C (101 F) blood pressure is 59/29 mmHg, Resp rate is 70/min and shallow, and
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
oxygen sat is 94% on 100% oxygen. His capillary refills time is 4-5 seconds, and he has
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
mottled, cool extremities. The infant weighs 6 Kg. You have decided that this infant
_ _ _ _ _ _ _ _ _ _ _ _ _ _
, Needs fluid resuscitation. How much fluid should you administer? 20 ml/kg normal saline
_ _ _ _ _ _ _ _ _ _ _ _ _
-- Answer ✔✔
_ _ _
7) A 4 year old child in cardiac arrest is brought to the emergency department by
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _
ambulance. High quality CPR is being performed. The cardiac monitor displays the
_ _ _ _ _ _ _ _ _ _ _ _
rhythm strip shown here. The estimated weight of the child is 20 kg. What dose range
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
should you use for the initial defibrillation? 2-4 J/kg -- Answer ✔✔
_ _ _ _ _ _ _ _ _ _ _ _ _
8) 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 -- Answer ✔✔_ _ _ _ _ _
9) You are Caring for a 9 month old girl who has increased work of breathing, a fever, and a
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
cough. On assessment, you find an alert infant with stridor and retractions. The infants
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _
SpO2 is 94% On auscultation, the lungs are clear bilaterally. Which is the most likely
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _
cause of this infants respiratory distress? upper airway obstruction -- Answer ✔✔
_ _ _ _ _ _ _ _ _ _ _ _
10) You are Caring for a 9 month old girl who has increased work of breathing, a fever, and a
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
_cough. On assessment, you find an alert infant with stridor and retractions. The infants
_ _ _ _ _ _ _ _ _ _ _ _ _ _
SpO2 is 94% On auscultation, the lungs are clear bilaterally. Which medication should
_ _ _ _ _ _ _ _ _ _ _ _ _
you administer first? Epinephrine, nebulized -- Answer ✔✔
_ _ _ _ _ _ _ _
11) Which condition is characterized by a prolonged excretory phase and wheezing? Lower
_ _ _ _ _ _ _ _ _ _ _ _
airway obstruction -- Answer ✔✔ _ _ _ _ _
12) During a resuscitation attempt, the team leader asks you to administer an initial dose of
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Epinephrine at 0.1 mg/kg to be given IO. How should you respond? "I think the correct
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
dose is 0.01 mg/kg. should I give that dose instead?" -- Answer ✔✔
_ _ _ _ _ _ _ _ _ _ _ _ _
13) You are caring for a 12 year old girl with acute lymphoblastic leukemia. She is responsive
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
but she does not feel well and appears to be flushed. Her Temp is 39 degrees C (102.2
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
F), HR is 118/min, respiratory rate is 36/min, BP is 100/40 mmHg, and oxygen sat is 96%
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
on room air. Your assessment reveals mild increase in work of breathing and bounding
_ _ _ _ _ _ _ _ _ _ _ _ _ _
pulses. The child is receiving 100% Oxygen by NRB mask.--- Laboratory studies
_ _ _ _ _ _ _ _ _ _ _ _
document a lactic acidosis. On the basis of the patients clinical assessment and history.
_ _ _ _ _ _ _ _ _ _ _ _ _ _
