PALS Final Review exam 2024-2025 with 100%
correct answers
Mikey, a 2-year-old boy, is sitting upright on a hospital bed in
room 3 of your emergency department. Your initial impression
from the door does not raise immediate concern. On your entry to
the room, you are able to look at Mikey more closely and notice
on inhalation his nostrils are flaring. This is a sign of: -
✔ANASWER✔-Respiratory distress
The proper site for a peripheral pulse assessment in the infant
patient is: - ✔ANASWER✔-brachial
You are called to the scene of a 3-year-old patient who was found
anxious, *cyanotic* and lethargic after a fall down a flight of stairs.
On assessing the patient, you find vital signs with a respiratory
,rate of 30, regular pulse rate of 130, regular capillary refill time of
4 seconds, and a blood pressure of 102/61. What kind of shock is
the patient experiencing? - ✔ANASWER✔-compensate shock?
A mnemonic that aids in performing a primary assessment is: -
✔ANASWER✔-ABCDE
A consideration of treatment for a pediatric patient with acute
fulminant myocarditis who is in cardiac arrest or at a high risk of
cardiac arrest is: - ✔ANASWER✔-Extracorporeal membrane
oxygenation (ECMO)
Which of the following is the correct meaning for one of the
individual letters in the AVPU scale? - ✔ANASWER✔-Alert - The
child is alert and awake and responds to normal stimuli based
upon age and environment
The recommended route of vascular access on a hypotensive
pediatric patient is: - ✔ANASWER✔-central IV
You are called to the bedside of a 12-year-old male patient who
was admitted after a week of persistent vomiting, diarrhea and
limiting oral intake of both solids and liquids. The patient's airway
is patent, ventilatory rate is within normal limits and the patient's
circulatory status presents with tachycardia, a blood pressure of
70/40 and a capillary refill time of 5 seconds. The patient is
speaking incoherently. The patient has no history of cardiac
, problems or congenital defects. The appropriate fluid
administration dose for this patient is: - ✔ANASWER✔-20 ml/kg
0.9% NaCl over 10 minutes
You suspect your 8-year-old female patient of being hypovolemic.
Her parents brought her to the emergency department with
persistent vomiting and diarrhea for 5 days. The patient presents
with *mottled skin* and reports of periods where "she just stopped
breathing!" according to her parents. The patient is being
managed with a BVM and supplemental oxygen. What is the best
route of establishing vascular access for the purpose of fluid
resuscitation? - ✔ANASWER✔-IV
Which of the following cannot be administered through an ETT? -
✔ANASWER✔-Sodium bicarbonate
You are examining the rhythm strip of a patient who presents with
bradycardia. Which of the following characteristics may you notice
in the rhythm? - ✔ANASWER✔-The most obvious sign of
bradycardia on an ECG is slow heart rate. The characteristics of
P-waves and the QRS complex may vary. When looking at an
EKG, the following characteristics are seen with bradycardia
patients: Slow heart rate, P-waves may not be noticeable, QRS
complex may be wide or narrow, and P-waves and QRS complex
may not be related to bradycardia.
How do children's metabolic rates compare to adults'? -
✔ANASWER✔-higher
correct answers
Mikey, a 2-year-old boy, is sitting upright on a hospital bed in
room 3 of your emergency department. Your initial impression
from the door does not raise immediate concern. On your entry to
the room, you are able to look at Mikey more closely and notice
on inhalation his nostrils are flaring. This is a sign of: -
✔ANASWER✔-Respiratory distress
The proper site for a peripheral pulse assessment in the infant
patient is: - ✔ANASWER✔-brachial
You are called to the scene of a 3-year-old patient who was found
anxious, *cyanotic* and lethargic after a fall down a flight of stairs.
On assessing the patient, you find vital signs with a respiratory
,rate of 30, regular pulse rate of 130, regular capillary refill time of
4 seconds, and a blood pressure of 102/61. What kind of shock is
the patient experiencing? - ✔ANASWER✔-compensate shock?
A mnemonic that aids in performing a primary assessment is: -
✔ANASWER✔-ABCDE
A consideration of treatment for a pediatric patient with acute
fulminant myocarditis who is in cardiac arrest or at a high risk of
cardiac arrest is: - ✔ANASWER✔-Extracorporeal membrane
oxygenation (ECMO)
Which of the following is the correct meaning for one of the
individual letters in the AVPU scale? - ✔ANASWER✔-Alert - The
child is alert and awake and responds to normal stimuli based
upon age and environment
The recommended route of vascular access on a hypotensive
pediatric patient is: - ✔ANASWER✔-central IV
You are called to the bedside of a 12-year-old male patient who
was admitted after a week of persistent vomiting, diarrhea and
limiting oral intake of both solids and liquids. The patient's airway
is patent, ventilatory rate is within normal limits and the patient's
circulatory status presents with tachycardia, a blood pressure of
70/40 and a capillary refill time of 5 seconds. The patient is
speaking incoherently. The patient has no history of cardiac
, problems or congenital defects. The appropriate fluid
administration dose for this patient is: - ✔ANASWER✔-20 ml/kg
0.9% NaCl over 10 minutes
You suspect your 8-year-old female patient of being hypovolemic.
Her parents brought her to the emergency department with
persistent vomiting and diarrhea for 5 days. The patient presents
with *mottled skin* and reports of periods where "she just stopped
breathing!" according to her parents. The patient is being
managed with a BVM and supplemental oxygen. What is the best
route of establishing vascular access for the purpose of fluid
resuscitation? - ✔ANASWER✔-IV
Which of the following cannot be administered through an ETT? -
✔ANASWER✔-Sodium bicarbonate
You are examining the rhythm strip of a patient who presents with
bradycardia. Which of the following characteristics may you notice
in the rhythm? - ✔ANASWER✔-The most obvious sign of
bradycardia on an ECG is slow heart rate. The characteristics of
P-waves and the QRS complex may vary. When looking at an
EKG, the following characteristics are seen with bradycardia
patients: Slow heart rate, P-waves may not be noticeable, QRS
complex may be wide or narrow, and P-waves and QRS complex
may not be related to bradycardia.
How do children's metabolic rates compare to adults'? -
✔ANASWER✔-higher
