PALS 2021 Exam with all the correct answer
10 seconds
A 6 month old infant is unresponsive. You begin checking for breathing at the same time
you check for the infants pulse. Which is the maximum time you should spend when
trying to simultaneously check for breathing and palpate the infants pulse before starting
CPR?
Disordered Control of Breathing
A 4 year 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 most consistent with your assessment?
blood glucose
An 8 year old child is brought to the emergency department with a 2 day history of
lethargy and polyuria. The child has new onset rapid, deep, and labored breathing.
Which diagnostic test should you order first?
Reposition the patient, and insert an oral airway
After rectal administration of diazepam, an 8 year old boy with a history of seizures is no
unresponsive to painful stimuli. His respirations are shallow, at a rate of 10/min. His
Oxygen saturation is 94% on 2L of NC oxygen. On examination, the child is snoring with
poor chest rise and poor air entry bilaterally. What action should you take next?
Provide bag mask ventilation
After rectal administration of diazepam, an 8 year old boy with a history of seizures is no
unresponsive to painful stimuli. His respirations are shallow, at a rate of 10/min. His
Oxygen saturation is 94% on 2L of NC oxygen. On examination, the child is snoring with
poor chest rise and poor air entry bilaterally. After repositioning the patient and you
insert an Oral airway, the patient continues to deteriorate. What next step is the most
appropriate?
15:2
A 6 year old child is found unresponsive, not breathing, and without a pulse. one health
care worker leaves to activate the emergency response system and get the
resuscitation equipment. You and another healthcare provider immediatly begin CPR.
Which compression to ventilation ratio do you use?
94%-99%
In post resuscitation management after cardiac arrest, extra care should be taken to
avoid repercussion injury. what should the ideal oxygen saturation range most likely be?
"resume compressions"
A 3 year 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. Defibrillation is
attempted with a shock dose of 2 J/kg. after administration of the shock, what should
you say to you team members?
, 2-4 J/kg
A 4 year old child in cardiac arrest is brought to the emergency department by
ambulance. High quality CPR is being performed. The cardiac monitor displays the
rhythm strip shown here. The estimated weight of the child is 20 kg. What dose range
should you use for the initial defibrillation?
40 Joules
A 4 year old child in cardiac arrest is brought to the emergency department by
ambulance. High quality CPR is being performed. The cardiac monitor displays the
rhythm strip shown here. The estimated weight of the child is 20 kg. As the team leader,
how many joules do you tell your team member to use to perform initial Defib?
Allowing complete chest wall recoil after each compression
You are the team leader during a pediatric resuscitation attempt. which action is an
element of high quality CPR?
blood pressure
You are caring for a 3 month old boy with a 2 day history of fever, vomiting and
diarrhea. His parents state that he has been sleeping much more. His HR is 190/min,
temp is 38.3 degrees C (101 F) blood pressure is 59/29 mmHg, Resp rate is 70/min and
shallow, and oxygen sat is 94% on 100% oxygen. His capillary refills time is 4-5
seconds, and he has mottled, cool extremities. The infant weighs 6 Kg. Which
assessment finding indicates that the infant is in hypotensive shock?
hypovolemic shock
You are caring for a 3 month old boy with a 2 day history of fever, vomiting and
diarrhea. His parents state that he has been sleeping much more. His HR is 190/min,
temp is 38.3 degrees C (101 F) blood pressure is 59/29 mmHg, Resp rate is 70/min and
shallow, and oxygen sat is 94% on 100% oxygen. His capillary refills time is 4-5
seconds, and he has mottled, cool extremities. The infant weighs 6 Kg. On the basis of
this infants presentation, which type of shock does this infant have?
20 ml/kg normal saline
You are caring for a 3 month old boy with a 2 day history of fever, vomiting and
diarrhea. His parents state that he has been sleeping much more. His HR is 190/min,
temp is 38.3 degrees C (101 F) blood pressure is 59/29 mmHg, Resp rate is 70/min and
shallow, and oxygen sat is 94% on 100% oxygen. His capillary refills time is 4-5
seconds, and he has mottled, cool extremities. The infant weighs 6 Kg. You have
decided that this infant Needs fluid resuscitation. How much fluid should you
administer?
It is Hypotensive
10 seconds
A 6 month old infant is unresponsive. You begin checking for breathing at the same time
you check for the infants pulse. Which is the maximum time you should spend when
trying to simultaneously check for breathing and palpate the infants pulse before starting
CPR?
Disordered Control of Breathing
A 4 year 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 most consistent with your assessment?
blood glucose
An 8 year old child is brought to the emergency department with a 2 day history of
lethargy and polyuria. The child has new onset rapid, deep, and labored breathing.
Which diagnostic test should you order first?
Reposition the patient, and insert an oral airway
After rectal administration of diazepam, an 8 year old boy with a history of seizures is no
unresponsive to painful stimuli. His respirations are shallow, at a rate of 10/min. His
Oxygen saturation is 94% on 2L of NC oxygen. On examination, the child is snoring with
poor chest rise and poor air entry bilaterally. What action should you take next?
Provide bag mask ventilation
After rectal administration of diazepam, an 8 year old boy with a history of seizures is no
unresponsive to painful stimuli. His respirations are shallow, at a rate of 10/min. His
Oxygen saturation is 94% on 2L of NC oxygen. On examination, the child is snoring with
poor chest rise and poor air entry bilaterally. After repositioning the patient and you
insert an Oral airway, the patient continues to deteriorate. What next step is the most
appropriate?
15:2
A 6 year old child is found unresponsive, not breathing, and without a pulse. one health
care worker leaves to activate the emergency response system and get the
resuscitation equipment. You and another healthcare provider immediatly begin CPR.
Which compression to ventilation ratio do you use?
94%-99%
In post resuscitation management after cardiac arrest, extra care should be taken to
avoid repercussion injury. what should the ideal oxygen saturation range most likely be?
"resume compressions"
A 3 year 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. Defibrillation is
attempted with a shock dose of 2 J/kg. after administration of the shock, what should
you say to you team members?
, 2-4 J/kg
A 4 year old child in cardiac arrest is brought to the emergency department by
ambulance. High quality CPR is being performed. The cardiac monitor displays the
rhythm strip shown here. The estimated weight of the child is 20 kg. What dose range
should you use for the initial defibrillation?
40 Joules
A 4 year old child in cardiac arrest is brought to the emergency department by
ambulance. High quality CPR is being performed. The cardiac monitor displays the
rhythm strip shown here. The estimated weight of the child is 20 kg. As the team leader,
how many joules do you tell your team member to use to perform initial Defib?
Allowing complete chest wall recoil after each compression
You are the team leader during a pediatric resuscitation attempt. which action is an
element of high quality CPR?
blood pressure
You are caring for a 3 month old boy with a 2 day history of fever, vomiting and
diarrhea. His parents state that he has been sleeping much more. His HR is 190/min,
temp is 38.3 degrees C (101 F) blood pressure is 59/29 mmHg, Resp rate is 70/min and
shallow, and oxygen sat is 94% on 100% oxygen. His capillary refills time is 4-5
seconds, and he has mottled, cool extremities. The infant weighs 6 Kg. Which
assessment finding indicates that the infant is in hypotensive shock?
hypovolemic shock
You are caring for a 3 month old boy with a 2 day history of fever, vomiting and
diarrhea. His parents state that he has been sleeping much more. His HR is 190/min,
temp is 38.3 degrees C (101 F) blood pressure is 59/29 mmHg, Resp rate is 70/min and
shallow, and oxygen sat is 94% on 100% oxygen. His capillary refills time is 4-5
seconds, and he has mottled, cool extremities. The infant weighs 6 Kg. On the basis of
this infants presentation, which type of shock does this infant have?
20 ml/kg normal saline
You are caring for a 3 month old boy with a 2 day history of fever, vomiting and
diarrhea. His parents state that he has been sleeping much more. His HR is 190/min,
temp is 38.3 degrees C (101 F) blood pressure is 59/29 mmHg, Resp rate is 70/min and
shallow, and oxygen sat is 94% on 100% oxygen. His capillary refills time is 4-5
seconds, and he has mottled, cool extremities. The infant weighs 6 Kg. You have
decided that this infant Needs fluid resuscitation. How much fluid should you
administer?
It is Hypotensive
