PALS TEST QUESTIONS WITH CORRECT SOLUTIONS
GRADED TO PASS
In which of the following situations may IO access be used?
An extremity with slow capillary refill time.
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
You are caring for patients in the emergency department. Which two year old requires immediate
interventions?
A child who is grunting
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
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.
We have an expert-written solution to this problem!
You are the team lead during a pediatric resuscitation attempt. Which action is high quality CPR?
Allow complete chest wall recoil after each compression.
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
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
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
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 compressions
, 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 saturation 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.
11. What assessment finding is consistent with respiratory failure in this child?
Oxygen Saturation
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 saturation 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
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?'
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
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
We have an expert-written solution to this problem!
A 6-year-old boy is being evaluated for difficulty breathing. What finding would suggest this child has
respiratory distress?
Audible inspiratory stridor
We have an expert-written solution to this problem!
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
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
GRADED TO PASS
In which of the following situations may IO access be used?
An extremity with slow capillary refill time.
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
You are caring for patients in the emergency department. Which two year old requires immediate
interventions?
A child who is grunting
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
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.
We have an expert-written solution to this problem!
You are the team lead during a pediatric resuscitation attempt. Which action is high quality CPR?
Allow complete chest wall recoil after each compression.
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
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
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
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 compressions
, 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 saturation 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.
11. What assessment finding is consistent with respiratory failure in this child?
Oxygen Saturation
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 saturation 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
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?'
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
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
We have an expert-written solution to this problem!
A 6-year-old boy is being evaluated for difficulty breathing. What finding would suggest this child has
respiratory distress?
Audible inspiratory stridor
We have an expert-written solution to this problem!
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
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
