2024 PALS POST TEST EXAM
QUESTIONS WITH CORRECT
ANSWERS
A 6 year old boy is being evaluated for difficulty breathing. Which finding
would suggest this child has respiratory distress? - CORRECT ANSWERS-
Audible inspiratory stridor
An 8 year old child is brought to the ED by his mother for difficulty breathing.
He has a history of asthma and nut allergies. He's mother tells you that he
recently ate a cookie at a family picnic. Which condition is most likely to be
present in this child? - CORRECT ANSWERS-upper airway obstruction
A 10 year old child is brought to the ED for fever and cough. You obtain an
O2 sat on the child. Which oxygen saturation would indicate that immediate
intervention is needed? - CORRECT ANSWERS-88% on 4L of Nasal oxygen
You are evaluating a 1 yer old child for respiratory distress. His HR is
168/min, and his respiratory rate has decreased from 65/min to 30/min. He
now appears more lethargic and continues to have severe subcostal
retractions. On the basis of your assessment, which is the most likely reason
for this change in the Childs condition. - CORRECT ANSWERS-The child has
signs of probable respiratory failure
The parents of a 7 year old child who is undergoing chemotherapy report
that the child has been febrile and has not been feeling well, with recent
onset of lethargy. Assessment reveals that the child is difficult to arouse and
her skin color is pale. The Childs HR is 160/min, respiratory rate is 38/min,
blood pressure is 76/45 mmHg, cap refill time is 5 to 6 seconds, and temp is
39.4 degrees C (103 F). IV access has been established, and blood cultures
have been obtained. which action should you perform next? - CORRECT
ANSWERS-Administer 20 ml/kg of isotonic crystalloid over 5 to 10 mins
A 7 year old child in cardiac arrest is brought to the ED by ambulance. No
palpable pulses are detected. The Childs ECG is shown here. How would you
characterize this Childs rhythm? - CORRECT ANSWERS-Pulseless Electrical
Activity
, A 6 month old infant is unresponsive. You begin checking for breathing at the
same time you check for the infants pulse. Which is the maximum time you
should spend when trying to simultaneously check for breathing and palpate
the infants pulse before starting CPR? - CORRECT ANSWERS-10 seconds
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. Which condition is most consistent with your
assessment? - CORRECT ANSWERS-Disordered Control of Breathing
An 8 year old child is brought to the emergency department with a 2 day
history of lethargy and polyuria. The child has new onset rapid, deep, and
labored breathing. Which diagnostic test should you order first? - CORRECT
ANSWERS-blood glucose
After rectal administration of diazepam, an 8 year old boy with a history of
seizures is no unresponsive to painful stimuli. His respirations are shallow, at
a rate of 10/min. His Oxygen saturation is 94% on 2L of NC oxygen. On
examination, the child is snoring with poor chest rise and poor air entry
bilaterally. What action should you take next? - CORRECT ANSWERS-
Reposition the patient, and insert an oral airway
After rectal administration of diazepam, an 8 year old boy with a history of
seizures is no unresponsive to painful stimuli. His respirations are shallow, at
a rate of 10/min. His Oxygen saturation is 94% on 2L of NC oxygen. On
examination, the child is snoring with poor chest rise and poor air entry
bilaterally. After repositioning the patient and you insert an Oral airway, the
patient continues to deteriorate. What next step is the most appropriate? -
CORRECT ANSWERS-Provide bag mask ventilation
A 6 year old child is found unresponsive, not breathing, and without a pulse.
one health care worker leaves to activate the emergency response system
and get the resuscitation equipment. You and another healthcare provider
immediatly begin CPR. Which compression to ventilation ratio do you use? -
CORRECT ANSWERS-15:2
In post resuscitation management after cardiac arrest, extra care should be
taken to avoid repercussion injury. what should the ideal oxygen saturation
range most likely be? - CORRECT ANSWERS-94%-99%
A 3 year old child is in cardiac arrest, and high quality CPR is in progress. You
are the team leader. The first rhythm check reveals the rhythm shown here.
Defibrillation is attempted with a shock dose of 2 J/kg. after administration of
the shock, what should you say to you team members? - CORRECT
ANSWERS-"resume compressions"
QUESTIONS WITH CORRECT
ANSWERS
A 6 year old boy is being evaluated for difficulty breathing. Which finding
would suggest this child has respiratory distress? - CORRECT ANSWERS-
Audible inspiratory stridor
An 8 year old child is brought to the ED by his mother for difficulty breathing.
He has a history of asthma and nut allergies. He's mother tells you that he
recently ate a cookie at a family picnic. Which condition is most likely to be
present in this child? - CORRECT ANSWERS-upper airway obstruction
A 10 year old child is brought to the ED for fever and cough. You obtain an
O2 sat on the child. Which oxygen saturation would indicate that immediate
intervention is needed? - CORRECT ANSWERS-88% on 4L of Nasal oxygen
You are evaluating a 1 yer old child for respiratory distress. His HR is
168/min, and his respiratory rate has decreased from 65/min to 30/min. He
now appears more lethargic and continues to have severe subcostal
retractions. On the basis of your assessment, which is the most likely reason
for this change in the Childs condition. - CORRECT ANSWERS-The child has
signs of probable respiratory failure
The parents of a 7 year old child who is undergoing chemotherapy report
that the child has been febrile and has not been feeling well, with recent
onset of lethargy. Assessment reveals that the child is difficult to arouse and
her skin color is pale. The Childs HR is 160/min, respiratory rate is 38/min,
blood pressure is 76/45 mmHg, cap refill time is 5 to 6 seconds, and temp is
39.4 degrees C (103 F). IV access has been established, and blood cultures
have been obtained. which action should you perform next? - CORRECT
ANSWERS-Administer 20 ml/kg of isotonic crystalloid over 5 to 10 mins
A 7 year old child in cardiac arrest is brought to the ED by ambulance. No
palpable pulses are detected. The Childs ECG is shown here. How would you
characterize this Childs rhythm? - CORRECT ANSWERS-Pulseless Electrical
Activity
, A 6 month old infant is unresponsive. You begin checking for breathing at the
same time you check for the infants pulse. Which is the maximum time you
should spend when trying to simultaneously check for breathing and palpate
the infants pulse before starting CPR? - CORRECT ANSWERS-10 seconds
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. Which condition is most consistent with your
assessment? - CORRECT ANSWERS-Disordered Control of Breathing
An 8 year old child is brought to the emergency department with a 2 day
history of lethargy and polyuria. The child has new onset rapid, deep, and
labored breathing. Which diagnostic test should you order first? - CORRECT
ANSWERS-blood glucose
After rectal administration of diazepam, an 8 year old boy with a history of
seizures is no unresponsive to painful stimuli. His respirations are shallow, at
a rate of 10/min. His Oxygen saturation is 94% on 2L of NC oxygen. On
examination, the child is snoring with poor chest rise and poor air entry
bilaterally. What action should you take next? - CORRECT ANSWERS-
Reposition the patient, and insert an oral airway
After rectal administration of diazepam, an 8 year old boy with a history of
seizures is no unresponsive to painful stimuli. His respirations are shallow, at
a rate of 10/min. His Oxygen saturation is 94% on 2L of NC oxygen. On
examination, the child is snoring with poor chest rise and poor air entry
bilaterally. After repositioning the patient and you insert an Oral airway, the
patient continues to deteriorate. What next step is the most appropriate? -
CORRECT ANSWERS-Provide bag mask ventilation
A 6 year old child is found unresponsive, not breathing, and without a pulse.
one health care worker leaves to activate the emergency response system
and get the resuscitation equipment. You and another healthcare provider
immediatly begin CPR. Which compression to ventilation ratio do you use? -
CORRECT ANSWERS-15:2
In post resuscitation management after cardiac arrest, extra care should be
taken to avoid repercussion injury. what should the ideal oxygen saturation
range most likely be? - CORRECT ANSWERS-94%-99%
A 3 year old child is in cardiac arrest, and high quality CPR is in progress. You
are the team leader. The first rhythm check reveals the rhythm shown here.
Defibrillation is attempted with a shock dose of 2 J/kg. after administration of
the shock, what should you say to you team members? - CORRECT
ANSWERS-"resume compressions"
