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