PALS PRE-COURSE SELF-ASSESSMENT
REVIEWED EXAM LATEST 2025-2026 UPDATE|
GRADE A+ GUARANTEE
Initial impression of a 2-year-old girl shows her to be alert with mild
breathing difficulty during inspiration and pale skin color. On primary
assessment, she makes high-pitched inspiratory sounds (mild stridor)
when agitated; otherwise, her breathing is quiet. Her SP02 is 92% on
room air, and she has mild inspiratory intercostal retractions. Lung
auscultation reveals transmitted upper airway sounds with adequate
distal breath sounds bilaterally Which is the most appropriate initial
intervention for this child? - Answer-Humidified oxygen as tolerated.
A previously healthy infant with a history of vomiting and diarrhea is
brought to the emergency department by her parents. During your
assessment, you find that the infant responds only too painful
stimulation. The infant's respiratory rate is 40 breaths per minute, and
central pulses are rapid and weak. The infant has good bilateral breaths
sounds, cool extremities, and a capillary refill time of more that 5
seconds. The infant's blood pressure is 85/65 mmHg, and glucose is 30
mg/dL (1.65 mmol/L). You administer 100% oxygen via face mask and
start an IV> Which treatment is most appropriate for this infant? -
Answer-Administer a bolus of isotonic crystalloid 20mL/kg over 5 to 20
minutes, and also give D25W 2 to 4 mL/kg IV.
Which statement is correct about the use of calcium chloride in
pediatric patients?
,A.) Route administration is not indicated during cardiac arrest.
B.) It has the same bioavailability of elemental calcium as calcium
gluconate.
C.) The recommended dose is 1 to 2 mg/kg.
D.) It is indicated for hypercalcemia, hypokalemia, and
hypomagnesemia. - Answer-A.) Route administration is not indicated
during cardiac arrest.
Which statement is correct about the effects of epinephrine during
attempted resuscitation?
A.) Epinephrine stimulates spontaneous contractions when systole is
present.
B.) Epinephrine decreases peripheral vascular resistance and reduces
myocardial after load.
C.) Epinephrine is contraindicated in ventricular fibrillation.
D.) Epinephrine decreases myocardial oxygen consumption. - Answer-
A.) Epinephrine stimulates spontaneous contractions when systole is
present.
Which statement is correct about endotracheal drug administration
during resuscitative efforts for pediatric patients?
A.) It is the least desirable route of administration.
B.) The drug dose used is lower than the intravenous dose.
C.) The intravenous drug dose should be used.
, D.) It is preferred route of drug administration. - Answer-A.) It is the
least desirable route of administration.
You are part of a team attempting to resuscitate a child with ventricular
fibrillation cardiac arrest. You delieved 2 unsynchronized shocks. A
team member establishes IO access, so you give a dose of epinephrine,
0.01 mg/kg IO. At the next rhythm check, persistent ventricular
fibrillation is p resent. You administer a 4-J/kg shock and resume CPR.
Which drug and dose should be administered next?
A.) Magnesium sulfate 25 to 50 mg/kg IO
B.) Epinephrine 0.1 mg/kg IO
C.) Atropine 0.02 mg/kg IO
D.) Amiodarone 5mg/kg IO - Answer-D.) Amiodarone 5mg/kg IO
Which oxygen delivery system most reliably delivers a high ( 90% or
greater) concentration of inspired oxygen to a 7 year old child?
A.) Simple oxygen mask
B.) Nonrebreathing face mask
C.) Nasal cannula
D.) Face tent - Answer-B.) Nonrebreathing face mask
Paramedics are called to the home of a 1 year old child. Their initial
assessment reveals a child who responds only to painful stimuli and has
irregular breathing, faint central pulses, bruises over the abdomen,
REVIEWED EXAM LATEST 2025-2026 UPDATE|
GRADE A+ GUARANTEE
Initial impression of a 2-year-old girl shows her to be alert with mild
breathing difficulty during inspiration and pale skin color. On primary
assessment, she makes high-pitched inspiratory sounds (mild stridor)
when agitated; otherwise, her breathing is quiet. Her SP02 is 92% on
room air, and she has mild inspiratory intercostal retractions. Lung
auscultation reveals transmitted upper airway sounds with adequate
distal breath sounds bilaterally Which is the most appropriate initial
intervention for this child? - Answer-Humidified oxygen as tolerated.
A previously healthy infant with a history of vomiting and diarrhea is
brought to the emergency department by her parents. During your
assessment, you find that the infant responds only too painful
stimulation. The infant's respiratory rate is 40 breaths per minute, and
central pulses are rapid and weak. The infant has good bilateral breaths
sounds, cool extremities, and a capillary refill time of more that 5
seconds. The infant's blood pressure is 85/65 mmHg, and glucose is 30
mg/dL (1.65 mmol/L). You administer 100% oxygen via face mask and
start an IV> Which treatment is most appropriate for this infant? -
Answer-Administer a bolus of isotonic crystalloid 20mL/kg over 5 to 20
minutes, and also give D25W 2 to 4 mL/kg IV.
Which statement is correct about the use of calcium chloride in
pediatric patients?
,A.) Route administration is not indicated during cardiac arrest.
B.) It has the same bioavailability of elemental calcium as calcium
gluconate.
C.) The recommended dose is 1 to 2 mg/kg.
D.) It is indicated for hypercalcemia, hypokalemia, and
hypomagnesemia. - Answer-A.) Route administration is not indicated
during cardiac arrest.
Which statement is correct about the effects of epinephrine during
attempted resuscitation?
A.) Epinephrine stimulates spontaneous contractions when systole is
present.
B.) Epinephrine decreases peripheral vascular resistance and reduces
myocardial after load.
C.) Epinephrine is contraindicated in ventricular fibrillation.
D.) Epinephrine decreases myocardial oxygen consumption. - Answer-
A.) Epinephrine stimulates spontaneous contractions when systole is
present.
Which statement is correct about endotracheal drug administration
during resuscitative efforts for pediatric patients?
A.) It is the least desirable route of administration.
B.) The drug dose used is lower than the intravenous dose.
C.) The intravenous drug dose should be used.
, D.) It is preferred route of drug administration. - Answer-A.) It is the
least desirable route of administration.
You are part of a team attempting to resuscitate a child with ventricular
fibrillation cardiac arrest. You delieved 2 unsynchronized shocks. A
team member establishes IO access, so you give a dose of epinephrine,
0.01 mg/kg IO. At the next rhythm check, persistent ventricular
fibrillation is p resent. You administer a 4-J/kg shock and resume CPR.
Which drug and dose should be administered next?
A.) Magnesium sulfate 25 to 50 mg/kg IO
B.) Epinephrine 0.1 mg/kg IO
C.) Atropine 0.02 mg/kg IO
D.) Amiodarone 5mg/kg IO - Answer-D.) Amiodarone 5mg/kg IO
Which oxygen delivery system most reliably delivers a high ( 90% or
greater) concentration of inspired oxygen to a 7 year old child?
A.) Simple oxygen mask
B.) Nonrebreathing face mask
C.) Nasal cannula
D.) Face tent - Answer-B.) Nonrebreathing face mask
Paramedics are called to the home of a 1 year old child. Their initial
assessment reveals a child who responds only to painful stimuli and has
irregular breathing, faint central pulses, bruises over the abdomen,
