PALS QUESTIONS WITH CORRECT ANSWERS.
What is the preferred technique for infant compressions when there are 2 or more rescuers
present?
A) 1 finger technique
B) 1 thumb encircling hands technique
C) 2 thumb encircling hands technique
D) 2 finger technique - C) 2 thumb encircling hands technique
If the AED indicates no shock advised, what should be the next action?
A) start chest compressions
B) call for help
C) remove AED pads
D) give 2 rescue breaths - A) start chest compressions
When is the Pediatric Assessment Triangle (PAT) performed to make an initial assessment?
A) during the "from the doorway" observation
B) during the primary assessment
C) during the transfer of care
D) during the secondary assessment - A) during the "from the doorway" observation
The evaluate-identify-intervene sequence should be continued until:
A) the child is stable
B) the child is ready for transport
C) the child is ready for discharge
D) interventions are provided for the child - A) the child is stable
In the primary assessment, how should you open the airway of a child who is not suspected of
having a c-spine injury?
A) with ET intubation
B) with a jaw thrust
C) by flexing the neck
D) with a head tilt-chin lift - D) with a head tilt-chin lift
Hypotension for children 1-10 years of age is a SBP of less than:
A) 50 + (2 x age in years)
B) 40 + (2 x age in years)
C) 70 + (2 x age in years)
D) 60 + (2 x age in years) - C) 70 + (2 x age in years)
What does a prolonged capillary refill time indicate?
A) low cardiac rate
B) increased stroke volume
C) increased cardiac output
D) low cardiac output - D) low cardiac output
,What pulses should be assessed to monitor systemic perfusion in a child?
A) carotid and brachial
B) pedal and radial
C) peripheral and central
D) femoral and carotid - C) peripheral and central
What do weak central pulses indicate a need for immediate intervention to prevent?
A) hypovolemia
B) sepsis
C) respiratory arrest
D) cardiac arrest - D) cardiac arrest
Which resuscitation strategy will result in an improved chest compression fraction?
A) hovering over the chest during compression pauses
B) switching compressors every 2 minutes
C) implementing physiologic monitoring devices
D) adhering to recommended drug dosing intervals - A) hovering over the chest during
compression pauses
What is one way to increase chest compression fraction during a code?
A) switching the airway and compressor roles during CPR
B) starting an IV/IO during rhythm analysis
C) charging the defibrillator 15 seconds before a rhythm check
D) giving epinephrine during a rhythm analysis - C) charging the defibrillator 15 seconds before
a rhythm check
What is chest compression fraction?
A) proportion of time that compression are not performed
B) proportion of time that compressions are performed
C) proportion of time that recoil is adequate in compressions
D) proportion of time that depth is adequate in compressions - B) proportion of time that
compressions are performed
Children develop hypoxemia and tissue hypoxia more quickly than adults because of their:
A) lower respiratory rate
B) higher HGB
C) higher metabolic rate
D) lower oxygen demand - C) higher metabolic rate
Which of the following describes laminar or normal airflow?
A) low airway resistance and a small driving pressure
B) smaller airways need increased airways resistance
C) larger airways need increased airway resistance
D) high airway resistance and low driving pressure - A) low airway resistance and a small
driving pressure
, Which of the following is true about airway resistance?
A) the smaller the airway, the lower the airway resistance
B) impedance to airflow is decreased when the airways constrict
C) airway resistance decreases as lung volume remains unchanged
D) when airway resistance increases, work of breathing increases - D) when airway resistance
increases, work of breathing increases
What do central chemoreceptors respond to?
A) CO2 in the CSF
B) serum pH
C) CO2 in the bloodstream
D) hydrogen ions in the CSF - D) hydrogen ions in the CSF
What is the function of the nonrebreathing outlet valve of a self-inflating bag?
A) keeps exhaled gases contained
B) opens when the child exhales
C) prevents rebreathing of CO2
D) allows the child to exhale - C) prevents rebreathing of CO2
Which of the following is required to appropriately ventilate a child with a self-inflating bag?
A) the oxygen flow rate must remain constant
B) face masks do not need to be fitted to the child
C) tidal volume needs to be delivered at the correct rate
D) the outlet control valve must not be changed - C) tidal volume needs to be delivered at the
correct rate
How is sniffing position achieved in an infant or child?
A) place the infant in a prone position
B) flex the neck behind the level of the shoulder
C) hyperextend the neck
D) ensure the external ear canal is anterior to the shoulder - D) ensure the external ear canal is
anterior to the shoulder
Which of these factors can override brainstem control of breathing in an infant?
A) turbulent airflow
B) breathing normally
C) laminar airflow
D) breath holding - D) breath holding
What does the EC clamp technique include?
A) using the thumb and index finger of the same hand to hold the face mask
B) pressing on the soft tissue under the chin to lift the jaw
C) using the third, fourth, and fifth fingers of one hand along the jaw to lift it forward
D) using the second and third fingers of one hand to hold the face mask - A and C
What is the preferred technique for infant compressions when there are 2 or more rescuers
present?
A) 1 finger technique
B) 1 thumb encircling hands technique
C) 2 thumb encircling hands technique
D) 2 finger technique - C) 2 thumb encircling hands technique
If the AED indicates no shock advised, what should be the next action?
A) start chest compressions
B) call for help
C) remove AED pads
D) give 2 rescue breaths - A) start chest compressions
When is the Pediatric Assessment Triangle (PAT) performed to make an initial assessment?
A) during the "from the doorway" observation
B) during the primary assessment
C) during the transfer of care
D) during the secondary assessment - A) during the "from the doorway" observation
The evaluate-identify-intervene sequence should be continued until:
A) the child is stable
B) the child is ready for transport
C) the child is ready for discharge
D) interventions are provided for the child - A) the child is stable
In the primary assessment, how should you open the airway of a child who is not suspected of
having a c-spine injury?
A) with ET intubation
B) with a jaw thrust
C) by flexing the neck
D) with a head tilt-chin lift - D) with a head tilt-chin lift
Hypotension for children 1-10 years of age is a SBP of less than:
A) 50 + (2 x age in years)
B) 40 + (2 x age in years)
C) 70 + (2 x age in years)
D) 60 + (2 x age in years) - C) 70 + (2 x age in years)
What does a prolonged capillary refill time indicate?
A) low cardiac rate
B) increased stroke volume
C) increased cardiac output
D) low cardiac output - D) low cardiac output
,What pulses should be assessed to monitor systemic perfusion in a child?
A) carotid and brachial
B) pedal and radial
C) peripheral and central
D) femoral and carotid - C) peripheral and central
What do weak central pulses indicate a need for immediate intervention to prevent?
A) hypovolemia
B) sepsis
C) respiratory arrest
D) cardiac arrest - D) cardiac arrest
Which resuscitation strategy will result in an improved chest compression fraction?
A) hovering over the chest during compression pauses
B) switching compressors every 2 minutes
C) implementing physiologic monitoring devices
D) adhering to recommended drug dosing intervals - A) hovering over the chest during
compression pauses
What is one way to increase chest compression fraction during a code?
A) switching the airway and compressor roles during CPR
B) starting an IV/IO during rhythm analysis
C) charging the defibrillator 15 seconds before a rhythm check
D) giving epinephrine during a rhythm analysis - C) charging the defibrillator 15 seconds before
a rhythm check
What is chest compression fraction?
A) proportion of time that compression are not performed
B) proportion of time that compressions are performed
C) proportion of time that recoil is adequate in compressions
D) proportion of time that depth is adequate in compressions - B) proportion of time that
compressions are performed
Children develop hypoxemia and tissue hypoxia more quickly than adults because of their:
A) lower respiratory rate
B) higher HGB
C) higher metabolic rate
D) lower oxygen demand - C) higher metabolic rate
Which of the following describes laminar or normal airflow?
A) low airway resistance and a small driving pressure
B) smaller airways need increased airways resistance
C) larger airways need increased airway resistance
D) high airway resistance and low driving pressure - A) low airway resistance and a small
driving pressure
, Which of the following is true about airway resistance?
A) the smaller the airway, the lower the airway resistance
B) impedance to airflow is decreased when the airways constrict
C) airway resistance decreases as lung volume remains unchanged
D) when airway resistance increases, work of breathing increases - D) when airway resistance
increases, work of breathing increases
What do central chemoreceptors respond to?
A) CO2 in the CSF
B) serum pH
C) CO2 in the bloodstream
D) hydrogen ions in the CSF - D) hydrogen ions in the CSF
What is the function of the nonrebreathing outlet valve of a self-inflating bag?
A) keeps exhaled gases contained
B) opens when the child exhales
C) prevents rebreathing of CO2
D) allows the child to exhale - C) prevents rebreathing of CO2
Which of the following is required to appropriately ventilate a child with a self-inflating bag?
A) the oxygen flow rate must remain constant
B) face masks do not need to be fitted to the child
C) tidal volume needs to be delivered at the correct rate
D) the outlet control valve must not be changed - C) tidal volume needs to be delivered at the
correct rate
How is sniffing position achieved in an infant or child?
A) place the infant in a prone position
B) flex the neck behind the level of the shoulder
C) hyperextend the neck
D) ensure the external ear canal is anterior to the shoulder - D) ensure the external ear canal is
anterior to the shoulder
Which of these factors can override brainstem control of breathing in an infant?
A) turbulent airflow
B) breathing normally
C) laminar airflow
D) breath holding - D) breath holding
What does the EC clamp technique include?
A) using the thumb and index finger of the same hand to hold the face mask
B) pressing on the soft tissue under the chin to lift the jaw
C) using the third, fourth, and fifth fingers of one hand along the jaw to lift it forward
D) using the second and third fingers of one hand to hold the face mask - A and C
