Pediatric Advanced Life Support
(PALS) 5 PRACTICE EXAM’S
100% Guarantee Pass
Inside you will get:
Test your knowledge with our 5 PALS Practice Test.
Each practice exam consists of 40 multiple-choice questions and
answers with explanations
that are derived from the American Red Cross and American Heart
Association Pediatric Advanced Life Support (PALS) provider
handbooks and adhere to the latest AHA, ILCOR and ECC guidelines.
, PALS Practice Test 1
### 1. A 5-year-old child presents with lethargy, increased work of breathing,
and pale color. The primary assessment reveals that the airway is open and
the respiratory rate is 30/min, with crackles heard on auscultation. The
cardiac monitor shows sinus tachycardia at a rate of 165/min. The pulse
oximeter displays an oxygen saturation of 95% and a pulse rate of 93/min.
What is the best interpretation of the oxygen saturation of 95% by pulse
oximetry?
- A. Reliable; no supplementary oxygen is indicated
- B. Reliable; supplementary oxygen should be administered
- C. Unreliable; no supplementary oxygen is indicated
- D. Unreliable; supplementary oxygen should be administered
- Answer: D. Unreliable; supplementary oxygen should be administered.
- Explanation: The patient's clinical signs indicate that despite a saturation o
95%, they may not be adequately oxygenated. Supplemental oxygen should
be considered.
### 2. A 3-year-old child was recently diagnosed with leukemia and has been
treated with chemotherapy. The child presents with lethargy and a high fever
Heart rate is 195/min, respiratory rate is 36/min, blood pressure is 85/40 mm
Hg, and capillary refill time is less than 2 seconds. What is the child's most
likely condition?
- A. Septic shock
,- B. Hypovolemic shock
- C. Significant bradycardia
- D. Cardiogenic shock
- Answer: A. Septic shock.
- Explanation: The combination of fever, tachycardia, hypotension, and the
child’s leukemia history indicates septic shock possibly due to an infection.
### 3. A 2-week-old infant presents with irritability and a history of poor
feeding. Blood pressure is 55/40 mm Hg. What term describes this infant's
blood pressure?
- A. Hypotensive
- B. Normal
- C. Hypertensive
- D. Compensated
- Answer: A. Hypotensive.
- Explanation: The blood pressure reading of 55/40 mm Hg is below the
normal range for a 2-week-old infant, indicating hypotension.
### 4. During a resuscitation attempt, the team leader orders an initial dose
of epinephrine at 0.1 mg/kg to be given. What should the team member do?
- A. Administer the drug as ordered
- B. Administer 0.01 mg/kg of epinephrine
- C. Respectfully ask the team leader to clarify the dose
- D. Refuse to administer the drug
- Answer: C. Respectfully ask the team leader to clarify the dose.
, - Explanation: It is important to ensure that the medication dose is correct,
particularly in an emergency situation where errors can be critical.
### 5. Which of the following is a characteristic of respiratory failure?
- A. Inadequate oxygenation and/or ventilation
- B. Hypotension
- C. An increase in serum pH (alkalosis)
- D. Abnormal respiratory sounds
- Answer: A. Inadequate oxygenation and/or ventilation.
- Explanation: Respiratory failure is defined by insufficient gas exchange,
leading to inadequate oxygenation or ventilation.
### 6. Which of the following is most likely to produce a prolonged
expiratory phase and wheezing?
- A. Disordered control of breathing
- B. Hypovolemic shock
- C. Lower airway obstruction
- D. Upper airway obstruction
- Answer: C. Lower airway obstruction.
- Explanation: Conditions such as asthma or bronchitis can cause prolonged
expiration due to resistance in the lower airways.
### 7. A 4-year-old child presents with seizures and irregular respirations.
The seizures stopped a few minutes ago. Which of the following most likely
to be abnormal?
(PALS) 5 PRACTICE EXAM’S
100% Guarantee Pass
Inside you will get:
Test your knowledge with our 5 PALS Practice Test.
Each practice exam consists of 40 multiple-choice questions and
answers with explanations
that are derived from the American Red Cross and American Heart
Association Pediatric Advanced Life Support (PALS) provider
handbooks and adhere to the latest AHA, ILCOR and ECC guidelines.
, PALS Practice Test 1
### 1. A 5-year-old child presents with lethargy, increased work of breathing,
and pale color. The primary assessment reveals that the airway is open and
the respiratory rate is 30/min, with crackles heard on auscultation. The
cardiac monitor shows sinus tachycardia at a rate of 165/min. The pulse
oximeter displays an oxygen saturation of 95% and a pulse rate of 93/min.
What is the best interpretation of the oxygen saturation of 95% by pulse
oximetry?
- A. Reliable; no supplementary oxygen is indicated
- B. Reliable; supplementary oxygen should be administered
- C. Unreliable; no supplementary oxygen is indicated
- D. Unreliable; supplementary oxygen should be administered
- Answer: D. Unreliable; supplementary oxygen should be administered.
- Explanation: The patient's clinical signs indicate that despite a saturation o
95%, they may not be adequately oxygenated. Supplemental oxygen should
be considered.
### 2. A 3-year-old child was recently diagnosed with leukemia and has been
treated with chemotherapy. The child presents with lethargy and a high fever
Heart rate is 195/min, respiratory rate is 36/min, blood pressure is 85/40 mm
Hg, and capillary refill time is less than 2 seconds. What is the child's most
likely condition?
- A. Septic shock
,- B. Hypovolemic shock
- C. Significant bradycardia
- D. Cardiogenic shock
- Answer: A. Septic shock.
- Explanation: The combination of fever, tachycardia, hypotension, and the
child’s leukemia history indicates septic shock possibly due to an infection.
### 3. A 2-week-old infant presents with irritability and a history of poor
feeding. Blood pressure is 55/40 mm Hg. What term describes this infant's
blood pressure?
- A. Hypotensive
- B. Normal
- C. Hypertensive
- D. Compensated
- Answer: A. Hypotensive.
- Explanation: The blood pressure reading of 55/40 mm Hg is below the
normal range for a 2-week-old infant, indicating hypotension.
### 4. During a resuscitation attempt, the team leader orders an initial dose
of epinephrine at 0.1 mg/kg to be given. What should the team member do?
- A. Administer the drug as ordered
- B. Administer 0.01 mg/kg of epinephrine
- C. Respectfully ask the team leader to clarify the dose
- D. Refuse to administer the drug
- Answer: C. Respectfully ask the team leader to clarify the dose.
, - Explanation: It is important to ensure that the medication dose is correct,
particularly in an emergency situation where errors can be critical.
### 5. Which of the following is a characteristic of respiratory failure?
- A. Inadequate oxygenation and/or ventilation
- B. Hypotension
- C. An increase in serum pH (alkalosis)
- D. Abnormal respiratory sounds
- Answer: A. Inadequate oxygenation and/or ventilation.
- Explanation: Respiratory failure is defined by insufficient gas exchange,
leading to inadequate oxygenation or ventilation.
### 6. Which of the following is most likely to produce a prolonged
expiratory phase and wheezing?
- A. Disordered control of breathing
- B. Hypovolemic shock
- C. Lower airway obstruction
- D. Upper airway obstruction
- Answer: C. Lower airway obstruction.
- Explanation: Conditions such as asthma or bronchitis can cause prolonged
expiration due to resistance in the lower airways.
### 7. A 4-year-old child presents with seizures and irregular respirations.
The seizures stopped a few minutes ago. Which of the following most likely
to be abnormal?
