PALS post test QUESTIONS WITH CORRECT ANSWERS.
2-4 J/kg - 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?
40 Joules - 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. As the team leader, how many joules do you tell your team
member to use to perform initial Defib?
Allowing complete chest wall recoil after each compression - You are the team leader during a pediatric
resuscitation attempt. which action is an element of high quality CPR?
blood pressure - 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. Which assessment finding indicates that the infant is in hypotensive shock?
hypovolemic shock - 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. On the basis of this infants presentation, which type of shock does this infant have?
20 ml/kg normal saline - 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?
It is Hypotensive - 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?
, Ask for a new task or role - 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?
crackles - Which abnormality helps identify children with acute respiratory distress caused by lung tissue
disease?
cardiac arrest - Which condition in a child would IO access most likely be attempted before vascular
access?
Begin CPR for 2 mins before leaving to activate the emergency response system. - You respond to an
infant who is unresponsive, in not breathing, and doe not have a pulse. You shout for nearby help, but no
one arrives. What action should you take next?
Supraventricular tachycardia - An unresponsive 9 year old boy is pale and cool to the touch his blood
pressure is 70/45 mmHg, heart rate is 190/min and respiratory rate is 12/min. The SpO2 is not detectable
Cap refill time is 5 seconds. An IV is in place. The cardiac monitor displays the rhythm shown here. What
rhythm is seen on the patient cardiac monitor?
Syncronized cardioversion. - An unresponsive 9 year old boy is pale and cool to the touch his blood
pressure is 70/45 mmHg, heart rate is 190/min and respiratory rate is 12/min. The SpO2 is not detectable
Cap refill time is 5 seconds. An IV is in place. The cardiac monitor displays the rhythm shown here. If
initial treatment is unavailable or delayed, which intervention is indicated?
inspiratory stridor - You are performing the airway component of the primary assessment. Which finding
would lead you to conclude that the child has an upper airway obstruction?
Increased inspiratory effort with retractions - 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 child who is grunting - You are caring for patients in the emergency department. Which 2 year old
child requires immediate intervention?
blood pressure - 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?
2-4 J/kg - 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?
40 Joules - 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. As the team leader, how many joules do you tell your team
member to use to perform initial Defib?
Allowing complete chest wall recoil after each compression - You are the team leader during a pediatric
resuscitation attempt. which action is an element of high quality CPR?
blood pressure - 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. Which assessment finding indicates that the infant is in hypotensive shock?
hypovolemic shock - 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. On the basis of this infants presentation, which type of shock does this infant have?
20 ml/kg normal saline - 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?
It is Hypotensive - 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?
, Ask for a new task or role - 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?
crackles - Which abnormality helps identify children with acute respiratory distress caused by lung tissue
disease?
cardiac arrest - Which condition in a child would IO access most likely be attempted before vascular
access?
Begin CPR for 2 mins before leaving to activate the emergency response system. - You respond to an
infant who is unresponsive, in not breathing, and doe not have a pulse. You shout for nearby help, but no
one arrives. What action should you take next?
Supraventricular tachycardia - An unresponsive 9 year old boy is pale and cool to the touch his blood
pressure is 70/45 mmHg, heart rate is 190/min and respiratory rate is 12/min. The SpO2 is not detectable
Cap refill time is 5 seconds. An IV is in place. The cardiac monitor displays the rhythm shown here. What
rhythm is seen on the patient cardiac monitor?
Syncronized cardioversion. - An unresponsive 9 year old boy is pale and cool to the touch his blood
pressure is 70/45 mmHg, heart rate is 190/min and respiratory rate is 12/min. The SpO2 is not detectable
Cap refill time is 5 seconds. An IV is in place. The cardiac monitor displays the rhythm shown here. If
initial treatment is unavailable or delayed, which intervention is indicated?
inspiratory stridor - You are performing the airway component of the primary assessment. Which finding
would lead you to conclude that the child has an upper airway obstruction?
Increased inspiratory effort with retractions - 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 child who is grunting - You are caring for patients in the emergency department. Which 2 year old
child requires immediate intervention?
blood pressure - 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?
