PALS PREASSESSMENT 2 EXAM
QUESTIONS & DETAILED ANSWERS
PASSED 100% LATEST VERSION
You and additional providers have been caring for an infant in respiratory arrest with a
central pulse rate of 50 bpm and inadequate perfusion despite adequate oxygenation
and ventilation. After 2 minutes, you reassess the infant for breathing and a central
pulse. What should you do if the central pulse rate increases to 65 bpm and perfusion
improves?
Stop CPR but continue ventilations (1 every 2 to 3 seconds) until the patient is
ventilating sufficiently.
Continue cycles of 15 compressions and 2 ventilations.
Perform a secondary assessment.
Place the patient in the recovery position and monitor them until EMS, the rapid
response or the resuscitation team arrive. - Correct Answer ✔✔ Stop CPR but continue
ventilations (1 every 2 to 3 seconds) until the patient is ventilating sufficiently.
A 7-year-old patient is brought to the emergency department with difficulty breathing
and angioedema. The parent states, "My child is allergic to peanuts, but ate some
during lunch today!" Which medication should the healthcare provider prepare first?
Albuterol
Acetaminophen
Epinephrine
Dopamine - Correct Answer ✔✔ Epinephrine
A newly admitted infant has been diagnosed with bronchiolitis. The provider
understands bronchiolitis is most often caused by which pathogen?
Haemophilus influenzae
Respiratory syncytial virus (RSV)
Bordetella pertussis
Streptococcus pneumoniae - Correct Answer ✔✔ Respiratory syncytial virus (RSV)
A 5-year-old patient is brought to the emergency department with a temperature of
102.4° F and a cough. Upon assessment, the healthcare provider observes decreased
breath sounds and localized crackles and tachycardia. The provider suspects these
findings most likely indicate which disorder?
Pneumonia
Croup
, Asthma
Bronchiolitis - Correct Answer ✔✔ Pneumonia
Which of the following oxygen delivery devices may be preferred for children younger
than 5 years in respiratory distress who only need low concentration to maintain O2
saturation of 94% to 99%?
Nasal cannula
Non-rebreather face mask
Simple mask
Oxygen tent - Correct Answer ✔✔ Nasal cannula
A child was admitted to the pediatric intensive care unit (PICU) after a severe head
injury and has been placed on mechanical ventilation. The healthcare provider is most
concerned about increasing intracranial pressure if which assessment findings are
present?
Irregular, decreased respirations
Increased respirations and stridor
Intercostal retractions and rapid respirations
Shallow, rapid respirations and nasal flaring - Correct Answer ✔✔ Irregular, decreased
respirations
The nurse notes a change in the patient's breath sounds and suspects impending
respiratory failure. Which new finding does the nurse most likely assess?
Diminished breath sounds
Stridor
Wheezing
Crackles - Correct Answer ✔✔ Diminished breath sounds
The physician is informed by the nurse of a patient with possible partial upper airway
obstruction. When examining the patient, which breath sound does the provider most
likely anticipate?
Rhonchi
Grunting
Wheezing
Stridor - Correct Answer ✔✔ Stridor
A PALS team member caring for a patient experiencing a respiratory emergency
suggests collecting a sputum culture and performing a chest x-ray. During which
assessment stage should these actions be performed?
Initial assessment
Primary assessment
QUESTIONS & DETAILED ANSWERS
PASSED 100% LATEST VERSION
You and additional providers have been caring for an infant in respiratory arrest with a
central pulse rate of 50 bpm and inadequate perfusion despite adequate oxygenation
and ventilation. After 2 minutes, you reassess the infant for breathing and a central
pulse. What should you do if the central pulse rate increases to 65 bpm and perfusion
improves?
Stop CPR but continue ventilations (1 every 2 to 3 seconds) until the patient is
ventilating sufficiently.
Continue cycles of 15 compressions and 2 ventilations.
Perform a secondary assessment.
Place the patient in the recovery position and monitor them until EMS, the rapid
response or the resuscitation team arrive. - Correct Answer ✔✔ Stop CPR but continue
ventilations (1 every 2 to 3 seconds) until the patient is ventilating sufficiently.
A 7-year-old patient is brought to the emergency department with difficulty breathing
and angioedema. The parent states, "My child is allergic to peanuts, but ate some
during lunch today!" Which medication should the healthcare provider prepare first?
Albuterol
Acetaminophen
Epinephrine
Dopamine - Correct Answer ✔✔ Epinephrine
A newly admitted infant has been diagnosed with bronchiolitis. The provider
understands bronchiolitis is most often caused by which pathogen?
Haemophilus influenzae
Respiratory syncytial virus (RSV)
Bordetella pertussis
Streptococcus pneumoniae - Correct Answer ✔✔ Respiratory syncytial virus (RSV)
A 5-year-old patient is brought to the emergency department with a temperature of
102.4° F and a cough. Upon assessment, the healthcare provider observes decreased
breath sounds and localized crackles and tachycardia. The provider suspects these
findings most likely indicate which disorder?
Pneumonia
Croup
, Asthma
Bronchiolitis - Correct Answer ✔✔ Pneumonia
Which of the following oxygen delivery devices may be preferred for children younger
than 5 years in respiratory distress who only need low concentration to maintain O2
saturation of 94% to 99%?
Nasal cannula
Non-rebreather face mask
Simple mask
Oxygen tent - Correct Answer ✔✔ Nasal cannula
A child was admitted to the pediatric intensive care unit (PICU) after a severe head
injury and has been placed on mechanical ventilation. The healthcare provider is most
concerned about increasing intracranial pressure if which assessment findings are
present?
Irregular, decreased respirations
Increased respirations and stridor
Intercostal retractions and rapid respirations
Shallow, rapid respirations and nasal flaring - Correct Answer ✔✔ Irregular, decreased
respirations
The nurse notes a change in the patient's breath sounds and suspects impending
respiratory failure. Which new finding does the nurse most likely assess?
Diminished breath sounds
Stridor
Wheezing
Crackles - Correct Answer ✔✔ Diminished breath sounds
The physician is informed by the nurse of a patient with possible partial upper airway
obstruction. When examining the patient, which breath sound does the provider most
likely anticipate?
Rhonchi
Grunting
Wheezing
Stridor - Correct Answer ✔✔ Stridor
A PALS team member caring for a patient experiencing a respiratory emergency
suggests collecting a sputum culture and performing a chest x-ray. During which
assessment stage should these actions be performed?
Initial assessment
Primary assessment
