PALS- Pediatric Advanced Life Support| questions
with complete solutions
The PALS systemic approach algorithm begins with the initial impression. This is an assessment
of which 3 characteristics? Correct Answer: 1. Consciousness
2. Breathing
3. Color
The right branch of the systemic approach algorithm focuses on what sequence to prevent
cardiopulmonary arrest? Correct Answer: Evaluate, Identify, Intervene
The evaluate portion of the sequence consists of three assessment tools: Correct Answer: 1.
Primary
2. Secondary
3. Diagnostic
What is included in the primary assessment of a patient? Correct Answer: A
B
C
D
E
Vitals
What is included in the secondary assessment of a patient? Correct Answer: Focused history and
a focused physical exam
The initial impression of the PALS systematic approach algorithm includes which of the
following characteristics? (Choose all correct answers.)
1. Appearance
2. Breathing
3. Restlessness
4. Color
5. Pain Correct Answer: 1, 2, 4
The second box of the PALS systematic approach algorithm contains a question. (Fill in the
blank to complete the question.)
Is the child ____________ or is immediate intervention needed? Correct Answer: unresponsive
In the PALS systematic approach algorithm, if the child is determined to be unresponsive or
immediate intervention is needed what will be your next step?
1. Start CPR
2. Apply breathing with a bag valve mask
3. Activate emergency response
4. Check for a pulse Correct Answer: 3.
, After the emergency response is activated, the next intervention is to ____________.
1. Lightly shake the child's shoulders.
2. Look, listen, and feel.
3. Open the airway.
4. Check for breathing and a pulse Correct Answer: 4.
After it is determined that the child has no pulse, what should be done?
1. Call for help
2. Begin CPR
3. Provide 2 rescue breaths
4. Start an IV Correct Answer: 2.
A child is unresponsive and is not breathing. You have activated the emergency response system
and your pulse check reveals that the child has a pulse. What should you do now?
1. Perform a brief head to toe assessment.
2. Place the child in the recovery position.
3. Give epinephrine 1mg IV push
4. Open the airway and provide ventilations and oxygen. Correct Answer: 4.
A child is unresponsive and is not breathing. Emergency response was activated and now a pulse
check shows that the child does have a pulse. You then open the airway, provide age-appropriate
ventilations, and 100% oxygen with a bag valve mask. The child's pulse is < 60/min, and the
child has signs of poor perfusion. What is your next intervention?
1. Begin CPR
2. Provide a 500ml NS bolus
3. Perform an ABG.
4. Intubate the patient. Correct Answer: 1.
The right branch of the PALS systematic approach algorithm is a sequence of three actions. In
the proper sequence, the three actions are: (Fill in the blanks)
__________, __________, __________ Correct Answer: evaluate, identify, intervene
The evaluate portion of the evaluate-identify-intervene sequence consists of what clinical
assessment tools? (Choose all correct answers)
1. Diagnostic tests
2. Pain assessment
3. Secondary assessment
4. Primary assessment Correct Answer: 1, 3, 4
(True or False) The sequence of evaluate-identify-intervene should be used before and after each
intervention and should continue until the child is stable.
1. True
2. False Correct Answer: 1.
A consistent respiratory rate less than 10 or more than _____ breaths per minute in a child of any
age is abnormal and suggests the presence of a potentially serious problem.
with complete solutions
The PALS systemic approach algorithm begins with the initial impression. This is an assessment
of which 3 characteristics? Correct Answer: 1. Consciousness
2. Breathing
3. Color
The right branch of the systemic approach algorithm focuses on what sequence to prevent
cardiopulmonary arrest? Correct Answer: Evaluate, Identify, Intervene
The evaluate portion of the sequence consists of three assessment tools: Correct Answer: 1.
Primary
2. Secondary
3. Diagnostic
What is included in the primary assessment of a patient? Correct Answer: A
B
C
D
E
Vitals
What is included in the secondary assessment of a patient? Correct Answer: Focused history and
a focused physical exam
The initial impression of the PALS systematic approach algorithm includes which of the
following characteristics? (Choose all correct answers.)
1. Appearance
2. Breathing
3. Restlessness
4. Color
5. Pain Correct Answer: 1, 2, 4
The second box of the PALS systematic approach algorithm contains a question. (Fill in the
blank to complete the question.)
Is the child ____________ or is immediate intervention needed? Correct Answer: unresponsive
In the PALS systematic approach algorithm, if the child is determined to be unresponsive or
immediate intervention is needed what will be your next step?
1. Start CPR
2. Apply breathing with a bag valve mask
3. Activate emergency response
4. Check for a pulse Correct Answer: 3.
, After the emergency response is activated, the next intervention is to ____________.
1. Lightly shake the child's shoulders.
2. Look, listen, and feel.
3. Open the airway.
4. Check for breathing and a pulse Correct Answer: 4.
After it is determined that the child has no pulse, what should be done?
1. Call for help
2. Begin CPR
3. Provide 2 rescue breaths
4. Start an IV Correct Answer: 2.
A child is unresponsive and is not breathing. You have activated the emergency response system
and your pulse check reveals that the child has a pulse. What should you do now?
1. Perform a brief head to toe assessment.
2. Place the child in the recovery position.
3. Give epinephrine 1mg IV push
4. Open the airway and provide ventilations and oxygen. Correct Answer: 4.
A child is unresponsive and is not breathing. Emergency response was activated and now a pulse
check shows that the child does have a pulse. You then open the airway, provide age-appropriate
ventilations, and 100% oxygen with a bag valve mask. The child's pulse is < 60/min, and the
child has signs of poor perfusion. What is your next intervention?
1. Begin CPR
2. Provide a 500ml NS bolus
3. Perform an ABG.
4. Intubate the patient. Correct Answer: 1.
The right branch of the PALS systematic approach algorithm is a sequence of three actions. In
the proper sequence, the three actions are: (Fill in the blanks)
__________, __________, __________ Correct Answer: evaluate, identify, intervene
The evaluate portion of the evaluate-identify-intervene sequence consists of what clinical
assessment tools? (Choose all correct answers)
1. Diagnostic tests
2. Pain assessment
3. Secondary assessment
4. Primary assessment Correct Answer: 1, 3, 4
(True or False) The sequence of evaluate-identify-intervene should be used before and after each
intervention and should continue until the child is stable.
1. True
2. False Correct Answer: 1.
A consistent respiratory rate less than 10 or more than _____ breaths per minute in a child of any
age is abnormal and suggests the presence of a potentially serious problem.
