PALS TEST EXAM QUESTIONS WITH
CORRECT DETAILED SOLUTIONS LATEST
UPDATE
A 9-year-old boy is agitated and leaning forward on the bed in obvious respiratory distress.
The patient is speaking in short phrases and tells you that he has asthma but does not carry an
inhaler. He has nasal flaring, severe suprasternal and intercoastal retractions, and decreased
air movement with prolonged expiratory time and wheezing. You administer 100% oxygen
by a NRB mask. His
SpO2 is 92%. Which medication do you prepare to give to this patient? - CORRECT
ANSWER Albuterol
A previously healthy infant with a history of vomiting and diarrhea is brought to the ER by
her parents. During your assessment, you find that the infant responds only to painful
stimulation. The infant's RR is 40/min, and central pulses are rapid and weak. The infant has
good bilateral breath sounds, cool extremities, and a capillary refill time of ore than 5
seconds. The infant's blood pressure is 85/65 mmHg, and glucose is 30 mg/dL (1.56
mmol/L). You administer 100% oxygen via facemsk and start an IV. Which treatment is the
most appropriate for this infant?
- CORRECT ANSWER Administer a bolus of isotonic crystalloid 20 ml/kg over 5-20
minutes, and also give D25W to 4 ml/kg IV
How can rescuers ensure that they are providing effective breaths when using a
bag-mask device? - CORRECT ANSWER By observing the chest rise with each
breath
Page 1 of 72
,You need to provide rescue breaths to a child victim with a pulse. What is the appropriate rate
for delivering breaths? - CORRECT ANSWER 1 breath every 3 to 5 seconds
You just assisted with elective endotracheal intubation of a child with respiratory failure and
perfusing rhythm. Which provide reliable , prompt assessment of correct endotracheal tube
placement in this child? - CORRECT ANSWER Adequate bilateral breath sounds and chest
expansion plus detection of ETCO2 with waveform capnography.
An 18 month-old child has 1 week history of cough and runny nose. The child has diffuse
cyanosis and responsive only to painful stimulation with slow respirations and rapid central
pulses. The child's respiratory has decreased from 65/min to 10/min, severe inspiratory
intercoastal retractions are present, HR is 160/min, SPO2 is 65% on RA, and capillary refill is
less than2 seconds. Which are the most appropriate immediate interventions for this toddler?
- CORRECT ANSWER Open the airway and provide positive-pressure ventilation using
100% O2 and a bagmask device.
You find an infant who is unresponsive, is not breathing, and does not have a pulse. You
shout for nearby help, but no one arrives. What action should you take next? - CORRECT
ANSWER Provide CPR about 2 minutes before leaving to activate the emergency response
system
You are caring for a 3 year old with vomitting and diarrhea. The child's pulses are palpable
but faint, and the child is now lethargic. The HR is variable (range, 44/min to 62/min). You
begin bag-mask ventilation with 100% oxygen. When the HR does not improve, you begin
chest comnpressions. The rhythm shown here is seen on the cardiac monitor (bradycardia).
Which would be the most appropriate therapy to consider next? - CORRECT ANSWER
Atropine 0.02 mg/kg IV The Secretary of the Commonwealth is authorized to appoint and
commission notaries public for a term of ______ years from the date of appointment. -
CORRECT
ANSWER 4 years
Page 2 of 72
,The jurisdiction of notaries public is coextensive with the boundaries of the
_________________. - CORRECT ANSWER Commonwealth
Any person who is _______ years of age or over, who resides or is employed within
this commonwealth and who is of good character, integrity and ability shall be
eligible for the office of notary public. - CORRECT ANSWER 18 years old
Any person who is a notary public and who resides outside this Commonwealth
shall be deemed to have irrevocably appointed the
____________________________________________ as the person's agent upon whom may
be served any summons, subpoena, order or other process. - CORRECT ANSWER
Secretary of the Commonwealth
Applications for appointment to the office of notary public shall be made to the
______________________________________________. - CORRECT ANSWER
Secretary of the Commonwealth
An applicant for notary public shall not have been convicted of or pled guilty or "nolo
contendere" to a felony or a lesser offense incompatible with the duties of a notary public
during the ______ year period preceding the date of the application. -
CORRECT ANSWER 5 years
A notary applicant must complete at least _____ hours of approved notary education within
the _____ month period immediately preceding his application. -
Page 3 of 72
, CORRECT ANSWER 3 hours, 6 months
Application for Reappointment.
Applications for reappointment to the office of notary public shall be filed at least ______
months prior to the expiration of the commission under which the notary is acting. -
CORRECT ANSWER 2 months
If the notary changes his office address within the Commonwealth, notice in writing or
electronically shall be given to the Secretary and the recorder of deeds of the county of
original appointment by the notary within _______ days of such change. - CORRECT
ANSWER 5 days
A notary public vacates his office by removing the notary's residence and _______________
address from the Commonwealth, and such removal shall constitute a resignation from the
office of notary public as of the date of removal.
- CORRECT ANSWER Business
In which of the following situations may IO access be used? - CORRECT ANSWER
An extremity with slow capillary refill time.
A 2 - week old infant is being evaluated 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? - CORRECT ANSWER It is Hypotensive
You are caring for patients in the emergency department. Which two year old requires
immediate interventions? - CORRECT ANSWER A child who is grunting
Page 4 of 72
CORRECT DETAILED SOLUTIONS LATEST
UPDATE
A 9-year-old boy is agitated and leaning forward on the bed in obvious respiratory distress.
The patient is speaking in short phrases and tells you that he has asthma but does not carry an
inhaler. He has nasal flaring, severe suprasternal and intercoastal retractions, and decreased
air movement with prolonged expiratory time and wheezing. You administer 100% oxygen
by a NRB mask. His
SpO2 is 92%. Which medication do you prepare to give to this patient? - CORRECT
ANSWER Albuterol
A previously healthy infant with a history of vomiting and diarrhea is brought to the ER by
her parents. During your assessment, you find that the infant responds only to painful
stimulation. The infant's RR is 40/min, and central pulses are rapid and weak. The infant has
good bilateral breath sounds, cool extremities, and a capillary refill time of ore than 5
seconds. The infant's blood pressure is 85/65 mmHg, and glucose is 30 mg/dL (1.56
mmol/L). You administer 100% oxygen via facemsk and start an IV. Which treatment is the
most appropriate for this infant?
- CORRECT ANSWER Administer a bolus of isotonic crystalloid 20 ml/kg over 5-20
minutes, and also give D25W to 4 ml/kg IV
How can rescuers ensure that they are providing effective breaths when using a
bag-mask device? - CORRECT ANSWER By observing the chest rise with each
breath
Page 1 of 72
,You need to provide rescue breaths to a child victim with a pulse. What is the appropriate rate
for delivering breaths? - CORRECT ANSWER 1 breath every 3 to 5 seconds
You just assisted with elective endotracheal intubation of a child with respiratory failure and
perfusing rhythm. Which provide reliable , prompt assessment of correct endotracheal tube
placement in this child? - CORRECT ANSWER Adequate bilateral breath sounds and chest
expansion plus detection of ETCO2 with waveform capnography.
An 18 month-old child has 1 week history of cough and runny nose. The child has diffuse
cyanosis and responsive only to painful stimulation with slow respirations and rapid central
pulses. The child's respiratory has decreased from 65/min to 10/min, severe inspiratory
intercoastal retractions are present, HR is 160/min, SPO2 is 65% on RA, and capillary refill is
less than2 seconds. Which are the most appropriate immediate interventions for this toddler?
- CORRECT ANSWER Open the airway and provide positive-pressure ventilation using
100% O2 and a bagmask device.
You find an infant who is unresponsive, is not breathing, and does not have a pulse. You
shout for nearby help, but no one arrives. What action should you take next? - CORRECT
ANSWER Provide CPR about 2 minutes before leaving to activate the emergency response
system
You are caring for a 3 year old with vomitting and diarrhea. The child's pulses are palpable
but faint, and the child is now lethargic. The HR is variable (range, 44/min to 62/min). You
begin bag-mask ventilation with 100% oxygen. When the HR does not improve, you begin
chest comnpressions. The rhythm shown here is seen on the cardiac monitor (bradycardia).
Which would be the most appropriate therapy to consider next? - CORRECT ANSWER
Atropine 0.02 mg/kg IV The Secretary of the Commonwealth is authorized to appoint and
commission notaries public for a term of ______ years from the date of appointment. -
CORRECT
ANSWER 4 years
Page 2 of 72
,The jurisdiction of notaries public is coextensive with the boundaries of the
_________________. - CORRECT ANSWER Commonwealth
Any person who is _______ years of age or over, who resides or is employed within
this commonwealth and who is of good character, integrity and ability shall be
eligible for the office of notary public. - CORRECT ANSWER 18 years old
Any person who is a notary public and who resides outside this Commonwealth
shall be deemed to have irrevocably appointed the
____________________________________________ as the person's agent upon whom may
be served any summons, subpoena, order or other process. - CORRECT ANSWER
Secretary of the Commonwealth
Applications for appointment to the office of notary public shall be made to the
______________________________________________. - CORRECT ANSWER
Secretary of the Commonwealth
An applicant for notary public shall not have been convicted of or pled guilty or "nolo
contendere" to a felony or a lesser offense incompatible with the duties of a notary public
during the ______ year period preceding the date of the application. -
CORRECT ANSWER 5 years
A notary applicant must complete at least _____ hours of approved notary education within
the _____ month period immediately preceding his application. -
Page 3 of 72
, CORRECT ANSWER 3 hours, 6 months
Application for Reappointment.
Applications for reappointment to the office of notary public shall be filed at least ______
months prior to the expiration of the commission under which the notary is acting. -
CORRECT ANSWER 2 months
If the notary changes his office address within the Commonwealth, notice in writing or
electronically shall be given to the Secretary and the recorder of deeds of the county of
original appointment by the notary within _______ days of such change. - CORRECT
ANSWER 5 days
A notary public vacates his office by removing the notary's residence and _______________
address from the Commonwealth, and such removal shall constitute a resignation from the
office of notary public as of the date of removal.
- CORRECT ANSWER Business
In which of the following situations may IO access be used? - CORRECT ANSWER
An extremity with slow capillary refill time.
A 2 - week old infant is being evaluated 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? - CORRECT ANSWER It is Hypotensive
You are caring for patients in the emergency department. Which two year old requires
immediate interventions? - CORRECT ANSWER A child who is grunting
Page 4 of 72
