Pals Pre-Assessment 2: Test Questions Already
Graded A+ to Pass
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. - 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 - 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 - 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 - 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 - 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 - 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
Graded A+ to Pass
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. - 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 - 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 - 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 - 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 - 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 - 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
