PALS Test With Answers
1. In which of the following situations may IO access be used?: An extremity
with slow capillary refill time.
2. A 2 - week old infant is being evaluated irritability and poor feeding. His
blood pressure is 55/40 mm Hg and capillary refill time is 5 seconds. Which
statement best describes your assessment of this infants blood pressure?: It
is Hypotensive
3. You are caring for patients in the emergency department. Which two year
old requires immediate interventions?: A child who is grunting
4. A 3 year old child is having difficulty breathing. What finding would most
likely lead you to expect an upper airway obstruction in this child?: Increased
inspiratory effort with retractions
5. A team member is unable to perform an assigned task because it is beyond
the team member's scope of practice. What action should the team member
take?: Ask for a new task or role.
6. You are the team lead during a pediatric resuscitation attempt. Which action
is high quality CPR?: Allow complete chest wall recoil after each compression.
7. A 8 year old child is brought to the emergency department by his mother for
difficultly breathing. He has a history is asthma and nut allergies. His mother
tells you that he has recently ate a cookie at a family picnic. Which condition
is most likely present with this child?: Upper airy way obstruction
8. An 8-year-old child is brought to the emergency department by ambulance
after being involved in a motor vehicle collision. What finding would suggest
that immediate intervention is needed?: Decreased level of consciousness
9. A 6-year-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. What compression-to-ventilation -ratio do
you use?: 15:2
10. 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 shock
administration, what should you say to your team members?: Resume com-
pressions
11. You are caring for a 5-year-old boy with a 4-day history of high fever and
cough. He is having increasing lethargy, grunting, and sleepiness. Now he is
difficult to arouse and is unresponsive to voice commands. His oxygen satu-
ration is 72% on room air and 89% when on a nonrebreathing oxygen mask.
He has shallow respirations with a respiratory rate of 38/min. Auscultation of
the lungs reveals bilateral crackles.
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, PALS Test With Answers
11. What assessment finding is consistent with respiratory failure in this
child?: Oxygen Saturation
12. You are caring for a 5-year-old boy with a 4-day history of high fever and
cough. He is having increasing lethargy, grunting, and sleepiness. Now he is
difficult to arouse and is unresponsive to voice commands. His oxygen satu-
ration is 72% on room air and 89% when on a nonrebreathing oxygen mask.
He has shallow respirations with a respiratory rate of 38/min. Auscultation of
the lungs reveals bilateral crackles.
What medication would be most appropriate?: Antibiotics
13. During a resuscitation attempt, the Team Leader asks you to administer
an initial dose of epinephrine at 0.1 mg/kg to be given IO. How should you
respond?: I think the correct dose is 0.01 mg/kg. Should I give that dose instead?'
14. A 6-month-old infant is unresponsive. You begin checking for breathing at
the same time you check for the infant's pulse. What is the maximum time you
should spend trying to simultaneously check for breathing and palpate the
infant's pulse before starting CPR?: 10 seconds
15. A 10-year-old child is being evaluated for a headache. What is a normal
finding for this 10-year-old child?: Heart rate of 88 bpm
16. A 6-year-old boy is being evaluated for difficulty breathing. What finding
would suggest this child has respiratory distress?: Audible inspiratory stridor
17. 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 dosage range should you use for initial defibrillation?: 2 to 4 J/kg
18. 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 defibrillation?: 40J
19. You respond to an infant who is unresponsive, is not breathing, and does
not have a pulse. You do not have a mobile device, and you shout for nearby
help but no one arrives. What action should you take next?: Begin CPR for 2
minutes before leaving to activate the emergency response system
20. What ratio for compressions to breaths should be used for 1-rescuer infant
CPR?: Give 30 compressions to 2 breaths
21. A 3-year-old boy is brought to the emergency department by his mother.
He is lethargic, with retractions and nasal flaring. He has a respiratory rate
of 70/min, with warm extremities and brisk capillary refill. Which immediate
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1. In which of the following situations may IO access be used?: An extremity
with slow capillary refill time.
2. A 2 - week old infant is being evaluated irritability and poor feeding. His
blood pressure is 55/40 mm Hg and capillary refill time is 5 seconds. Which
statement best describes your assessment of this infants blood pressure?: It
is Hypotensive
3. You are caring for patients in the emergency department. Which two year
old requires immediate interventions?: A child who is grunting
4. A 3 year old child is having difficulty breathing. What finding would most
likely lead you to expect an upper airway obstruction in this child?: Increased
inspiratory effort with retractions
5. A team member is unable to perform an assigned task because it is beyond
the team member's scope of practice. What action should the team member
take?: Ask for a new task or role.
6. You are the team lead during a pediatric resuscitation attempt. Which action
is high quality CPR?: Allow complete chest wall recoil after each compression.
7. A 8 year old child is brought to the emergency department by his mother for
difficultly breathing. He has a history is asthma and nut allergies. His mother
tells you that he has recently ate a cookie at a family picnic. Which condition
is most likely present with this child?: Upper airy way obstruction
8. An 8-year-old child is brought to the emergency department by ambulance
after being involved in a motor vehicle collision. What finding would suggest
that immediate intervention is needed?: Decreased level of consciousness
9. A 6-year-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. What compression-to-ventilation -ratio do
you use?: 15:2
10. 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 shock
administration, what should you say to your team members?: Resume com-
pressions
11. You are caring for a 5-year-old boy with a 4-day history of high fever and
cough. He is having increasing lethargy, grunting, and sleepiness. Now he is
difficult to arouse and is unresponsive to voice commands. His oxygen satu-
ration is 72% on room air and 89% when on a nonrebreathing oxygen mask.
He has shallow respirations with a respiratory rate of 38/min. Auscultation of
the lungs reveals bilateral crackles.
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, PALS Test With Answers
11. What assessment finding is consistent with respiratory failure in this
child?: Oxygen Saturation
12. You are caring for a 5-year-old boy with a 4-day history of high fever and
cough. He is having increasing lethargy, grunting, and sleepiness. Now he is
difficult to arouse and is unresponsive to voice commands. His oxygen satu-
ration is 72% on room air and 89% when on a nonrebreathing oxygen mask.
He has shallow respirations with a respiratory rate of 38/min. Auscultation of
the lungs reveals bilateral crackles.
What medication would be most appropriate?: Antibiotics
13. During a resuscitation attempt, the Team Leader asks you to administer
an initial dose of epinephrine at 0.1 mg/kg to be given IO. How should you
respond?: I think the correct dose is 0.01 mg/kg. Should I give that dose instead?'
14. A 6-month-old infant is unresponsive. You begin checking for breathing at
the same time you check for the infant's pulse. What is the maximum time you
should spend trying to simultaneously check for breathing and palpate the
infant's pulse before starting CPR?: 10 seconds
15. A 10-year-old child is being evaluated for a headache. What is a normal
finding for this 10-year-old child?: Heart rate of 88 bpm
16. A 6-year-old boy is being evaluated for difficulty breathing. What finding
would suggest this child has respiratory distress?: Audible inspiratory stridor
17. 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 dosage range should you use for initial defibrillation?: 2 to 4 J/kg
18. 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 defibrillation?: 40J
19. You respond to an infant who is unresponsive, is not breathing, and does
not have a pulse. You do not have a mobile device, and you shout for nearby
help but no one arrives. What action should you take next?: Begin CPR for 2
minutes before leaving to activate the emergency response system
20. What ratio for compressions to breaths should be used for 1-rescuer infant
CPR?: Give 30 compressions to 2 breaths
21. A 3-year-old boy is brought to the emergency department by his mother.
He is lethargic, with retractions and nasal flaring. He has a respiratory rate
of 70/min, with warm extremities and brisk capillary refill. Which immediate
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