PALS Exam Study Guide: Questions with Fully
Verified A+ Solutions
A 6-mon old infant is unresponsive. You begin checking for breathing at the same time you check for the
infant's pulse. Which is the max time you should spend when trying to simultaneously check for
breathing and palpate the infant's pulse before starting CPR? - Answer 10 secs
A 4 yr old child is brought to the emergency department for seizures. The seizures stopped a few
minutes ago, but the child continues to have slow and irregular respirations. Which condition is
consistent with your assessment? - Answer Disordered control of breathing
An 8 yr old is brought to the emergency department with a 2 day hx of lethargy and polyuria. The child
has new-onset rapid, deep and labored breathing. Which diagnostic test should you order first? -
Answer Blood glucose
After rectal administration of diazepam, an 8 yr old boy with a hx of seizures is now unresponsive to
painful stimulation. His respirations are shallow, at a rate of 10/min. His oxygen sat is 94% on 2L via NC.
On examination, the child is snoring with poor chest rise and poor air entry bilaterally. Which action
should you take next? - Answer Reposition the patient and insert an oral airway.
After rectal administration of diazepam, an 8 yr old boy with a hx of seizures is now unresponsive to
painful stimulation. His respirations are shallow, at a rate of 10/min. His oxygen sat is 94% on 2L via NC.
On examination, the child is snoring with poor chest rise and poor air entry bilaterally. If the patient
continues to deteriorate after your initial intervention, which next step is most appropriate? - Answer
Provide BVM respirations
A 6 yr old child is found unresponsive, not breathing, and without a pulse. One healthcare worker leaves
to activate the emergency response system and get the resuscitation equipment. you and another
healthcare provider immediately begin performing CPR. Which compression-to-ventilation ratio do you
use? - Answer 15:2
In postresusitation management after cardiac arrest, extra care should be taken to avoid reperfusion
injury. What should the ideal oxygen saturation range most likely be? - Answer 94%-99%
, A 3 yr old child is in cardiac arrest, and high-quality CPR is in progress. You are the team leader. The first
rhythm check reveals the rhythm shown here. (V-Fib) Defibrillation is attempted with a shock dose of 2
J/kg. After administration of the shock, what should you say to your team members? - Answer Resume
Compressions
A 4 yr old child in cardiac arrest is brought to the emergency dept. by ambulance. High-quality CPR is
being performed. The cardiac monitor displays the rhythm strip shown here. The estimated weight of
the child is 20kg. Which dosage range should you use the for initial defibrillation? - Answer 2-4 J/kg
A 4 yr old child in cardiac arrest is brought to the emergency dept. by ambulance. High-quality CPR is
being performed. The cardiac monitor displays the rhythm strip shown here. The estimated weight of
the child is 20kg. As the team leader, how many joules do you tell your team member to use to perform
initial defibrillation? - Answer 40 J
You are the team leader during a pediatric resuscitation attempt. Which action is an element of high
quality CPR? - Answer Allowing complete chest wall recoil after each compression
You are caring for a 3 month old boy with a 2 day hx of fever, vomiting, and diarrhea. His parents state
that he has been sleeping much more. His heart rate is 190, temp is 101F, BP is 59/29, RR is 70 and
shallow, an O2 sat is 94% on 100% O2. His cap refill time is 4 to 5 secs, and he has mottled, cool
extremities. The infant weighs 6kg. Which assessment finding indicates that the infant has hypotensive
shock? - Answer Blood pressure
You are caring for a 3 month old boy with a 2 day hx of fever, vomiting, and diarrhea. His parents state
that he has been sleeping much more. His heart rate is 190, temp is 101F, BP is 59/29, RR is 70 and
shallow, an O2 sat is 94% on 100% O2. His cap refill time is 4 to 5 secs, and he has mottled, cool
extremities. The infant weighs 6kg. On the basis of this infant's presentation, which type of shock does
this infant have? - Answer Hypovolemic
You are caring for a 3 month old boy with a 2 day hx of fever, vomiting, and diarrhea. His parents state
that he has been sleeping much more. His heart rate is 190, temp is 101F, BP is 59/29, RR is 70 and
shallow, an O2 sat is 94% on 100% O2. His cap refill time is 4 to 5 secs, and he has mottled, cool
extremities. The infant weighs 6kg. You have decided that this infant needs fluid resuscitation. How
much fluid should you administer? - Answer 20 mL/kg normal saline
Verified A+ Solutions
A 6-mon old infant is unresponsive. You begin checking for breathing at the same time you check for the
infant's pulse. Which is the max time you should spend when trying to simultaneously check for
breathing and palpate the infant's pulse before starting CPR? - Answer 10 secs
A 4 yr old child is brought to the emergency department for seizures. The seizures stopped a few
minutes ago, but the child continues to have slow and irregular respirations. Which condition is
consistent with your assessment? - Answer Disordered control of breathing
An 8 yr old is brought to the emergency department with a 2 day hx of lethargy and polyuria. The child
has new-onset rapid, deep and labored breathing. Which diagnostic test should you order first? -
Answer Blood glucose
After rectal administration of diazepam, an 8 yr old boy with a hx of seizures is now unresponsive to
painful stimulation. His respirations are shallow, at a rate of 10/min. His oxygen sat is 94% on 2L via NC.
On examination, the child is snoring with poor chest rise and poor air entry bilaterally. Which action
should you take next? - Answer Reposition the patient and insert an oral airway.
After rectal administration of diazepam, an 8 yr old boy with a hx of seizures is now unresponsive to
painful stimulation. His respirations are shallow, at a rate of 10/min. His oxygen sat is 94% on 2L via NC.
On examination, the child is snoring with poor chest rise and poor air entry bilaterally. If the patient
continues to deteriorate after your initial intervention, which next step is most appropriate? - Answer
Provide BVM respirations
A 6 yr old child is found unresponsive, not breathing, and without a pulse. One healthcare worker leaves
to activate the emergency response system and get the resuscitation equipment. you and another
healthcare provider immediately begin performing CPR. Which compression-to-ventilation ratio do you
use? - Answer 15:2
In postresusitation management after cardiac arrest, extra care should be taken to avoid reperfusion
injury. What should the ideal oxygen saturation range most likely be? - Answer 94%-99%
, A 3 yr old child is in cardiac arrest, and high-quality CPR is in progress. You are the team leader. The first
rhythm check reveals the rhythm shown here. (V-Fib) Defibrillation is attempted with a shock dose of 2
J/kg. After administration of the shock, what should you say to your team members? - Answer Resume
Compressions
A 4 yr old child in cardiac arrest is brought to the emergency dept. by ambulance. High-quality CPR is
being performed. The cardiac monitor displays the rhythm strip shown here. The estimated weight of
the child is 20kg. Which dosage range should you use the for initial defibrillation? - Answer 2-4 J/kg
A 4 yr old child in cardiac arrest is brought to the emergency dept. by ambulance. High-quality CPR is
being performed. The cardiac monitor displays the rhythm strip shown here. The estimated weight of
the child is 20kg. As the team leader, how many joules do you tell your team member to use to perform
initial defibrillation? - Answer 40 J
You are the team leader during a pediatric resuscitation attempt. Which action is an element of high
quality CPR? - Answer Allowing complete chest wall recoil after each compression
You are caring for a 3 month old boy with a 2 day hx of fever, vomiting, and diarrhea. His parents state
that he has been sleeping much more. His heart rate is 190, temp is 101F, BP is 59/29, RR is 70 and
shallow, an O2 sat is 94% on 100% O2. His cap refill time is 4 to 5 secs, and he has mottled, cool
extremities. The infant weighs 6kg. Which assessment finding indicates that the infant has hypotensive
shock? - Answer Blood pressure
You are caring for a 3 month old boy with a 2 day hx of fever, vomiting, and diarrhea. His parents state
that he has been sleeping much more. His heart rate is 190, temp is 101F, BP is 59/29, RR is 70 and
shallow, an O2 sat is 94% on 100% O2. His cap refill time is 4 to 5 secs, and he has mottled, cool
extremities. The infant weighs 6kg. On the basis of this infant's presentation, which type of shock does
this infant have? - Answer Hypovolemic
You are caring for a 3 month old boy with a 2 day hx of fever, vomiting, and diarrhea. His parents state
that he has been sleeping much more. His heart rate is 190, temp is 101F, BP is 59/29, RR is 70 and
shallow, an O2 sat is 94% on 100% O2. His cap refill time is 4 to 5 secs, and he has mottled, cool
extremities. The infant weighs 6kg. You have decided that this infant needs fluid resuscitation. How
much fluid should you administer? - Answer 20 mL/kg normal saline
