RQI PALS Entry questions and answers
2025\2026 A+ Grade
A 4-year-old child is brought to the emergency department for seizures. The seizures stopped a few
minutes ago, but the child continues to have slow and irregular respirations.
What condition is most consistent with your assessment?
Lung tissue disease
Upper airway obstruction
Lower airway obstruction
Disordered control of breathing
- correct answer Disordered control of breathing
A 2-week-old infant is being evaluated for irritability and poor feeding. His blood pressure is 55/40 mm
HG, and capillary refill time is 5 seconds.
Which statement best describes your assessment of this infants blood pressure?
It is hypotensive
It is hypertensive
It is normal
It represents compensated shock
- correct answer It is hypotensive
You are performing the airway component of the primary assessment.
, What finding would lead you to conclude that the child has an upper airway obstruction?
Dry, nonproductive cough
Inspiratory stridor
Subcostal retractions
Wheezing
- correct answer Inspiratory stridor
A 5-year-old child is brought to the emergency department by ambulance after being involved in a
motor vehicle collision.
You are using the primary assessment to evaluate the child.
When assessing the child's neurologic status, you note that he has spontaneous eye opening, is fully
oriented, and is able to follow commands.
How would you document this child's AVPU Scale finding?
Alert
Unresponsive
Painful
Voice
- correct answer Alert
A 3-uear-old child is brought to the emergency department by his mother.
What is a normal finding for a 3-year-old child?
Blood pressure of 55/30 mm Hg
Respiratory rate of 24/min
2025\2026 A+ Grade
A 4-year-old child is brought to the emergency department for seizures. The seizures stopped a few
minutes ago, but the child continues to have slow and irregular respirations.
What condition is most consistent with your assessment?
Lung tissue disease
Upper airway obstruction
Lower airway obstruction
Disordered control of breathing
- correct answer Disordered control of breathing
A 2-week-old infant is being evaluated for irritability and poor feeding. His blood pressure is 55/40 mm
HG, and capillary refill time is 5 seconds.
Which statement best describes your assessment of this infants blood pressure?
It is hypotensive
It is hypertensive
It is normal
It represents compensated shock
- correct answer It is hypotensive
You are performing the airway component of the primary assessment.
, What finding would lead you to conclude that the child has an upper airway obstruction?
Dry, nonproductive cough
Inspiratory stridor
Subcostal retractions
Wheezing
- correct answer Inspiratory stridor
A 5-year-old child is brought to the emergency department by ambulance after being involved in a
motor vehicle collision.
You are using the primary assessment to evaluate the child.
When assessing the child's neurologic status, you note that he has spontaneous eye opening, is fully
oriented, and is able to follow commands.
How would you document this child's AVPU Scale finding?
Alert
Unresponsive
Painful
Voice
- correct answer Alert
A 3-uear-old child is brought to the emergency department by his mother.
What is a normal finding for a 3-year-old child?
Blood pressure of 55/30 mm Hg
Respiratory rate of 24/min
