PALS UPDATED 2022 FINAL
EXAM(ANSWERED;GRADED A+)
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. On the basis of this
information, which of the following provides 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:
ANS>> Unreliable; supplemen- tary oxygen should be administered
2. 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:
ANS>> Septic shock
3. 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 pres- sure?
A. Hypotensive
B. Normal
,PALS UPDATED 2022 FINAL
EXAM(ANSWERED;GRADED A+)
C. Hypertensive
D. Compensated:
ANS>> Hypotensive
4. 4. During a resuscitation attempt, the team leader orders an
initial dose of epinephrine at 0.1 mg/kg to be given 10. What
should the team member do?
A. Administer the drug as ordered
B. Administer 0.01 mg/kg of epinephrine
,PALS UPDATED 2022 FINAL
EXAM(ANSWERED;GRADED A+)
C. Respectfully ask the team leader to clarify the dose
D. Refuse to administer the drug:
ANS>> Respectfully ask the team leader to clarify the dose
5. 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:
ANS>> Inadequate oxygenation and/or ventilation
6. 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:
ANS>> Lower airway obstruction
7. 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?
A. Vascular resistance
B. Pulse rate
C. Lung compliance
D. Control of breathing:
ANS>> Control of breathing
8. 8. What abnormality is most likely to be present in children with
acute respi- ratory distress caused by lung tissue disease?
,PALS UPDATED 2022 FINAL
EXAM(ANSWERED;GRADED A+)
A. Decreased oxygen saturation
B. Stridor
C. Normal respiratory rate
D. Decreased respiratory effort:
ANS>> Decreased oxygen saturation
9. 9. An alert 2-year-old child with an increased work of breathing
and pink color is being evaluated. Heart rate is 110/min, and
respiratory rate is 30/min. What would best describe this patient's
condition? A. Respiratory distress
B. Respiratory arrest
C. Respiratory failure
D. Disordered control of breathing:
ANS>> Respiratory distress
EXAM(ANSWERED;GRADED A+)
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. On the basis of this
information, which of the following provides 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:
ANS>> Unreliable; supplemen- tary oxygen should be administered
2. 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:
ANS>> Septic shock
3. 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 pres- sure?
A. Hypotensive
B. Normal
,PALS UPDATED 2022 FINAL
EXAM(ANSWERED;GRADED A+)
C. Hypertensive
D. Compensated:
ANS>> Hypotensive
4. 4. During a resuscitation attempt, the team leader orders an
initial dose of epinephrine at 0.1 mg/kg to be given 10. What
should the team member do?
A. Administer the drug as ordered
B. Administer 0.01 mg/kg of epinephrine
,PALS UPDATED 2022 FINAL
EXAM(ANSWERED;GRADED A+)
C. Respectfully ask the team leader to clarify the dose
D. Refuse to administer the drug:
ANS>> Respectfully ask the team leader to clarify the dose
5. 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:
ANS>> Inadequate oxygenation and/or ventilation
6. 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:
ANS>> Lower airway obstruction
7. 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?
A. Vascular resistance
B. Pulse rate
C. Lung compliance
D. Control of breathing:
ANS>> Control of breathing
8. 8. What abnormality is most likely to be present in children with
acute respi- ratory distress caused by lung tissue disease?
,PALS UPDATED 2022 FINAL
EXAM(ANSWERED;GRADED A+)
A. Decreased oxygen saturation
B. Stridor
C. Normal respiratory rate
D. Decreased respiratory effort:
ANS>> Decreased oxygen saturation
9. 9. An alert 2-year-old child with an increased work of breathing
and pink color is being evaluated. Heart rate is 110/min, and
respiratory rate is 30/min. What would best describe this patient's
condition? A. Respiratory distress
B. Respiratory arrest
C. Respiratory failure
D. Disordered control of breathing:
ANS>> Respiratory distress
