PALS Updated FINAL EXAM LATEST REAL EXAM 150 QUESTIONS
AND CORRECT ANSWERS(VERIFIED ANSWERS)AGRADE
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? - ANSWER: 10 seconds
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? - ANSWER:
Disordered Control of Breathing
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? - ANSWER: blood glucose
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? - ANSWER: 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. After repositioning the
patient and you insert an Oral airway, the patient continues to deteriorate. What
next step is the most appropriate? - ANSWER: Provide bag mask ventilation
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? - ANSWER: 15:2
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? - ANSWER: 94%-99%
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? - ANSWER: "resume compressions"
, 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? - ANSWER: 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. As the team
leader, how many joules do you tell your team member to use to perform initial
Defib? - ANSWER: 40 Joules
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 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? - ANSWER:
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. On the basis
of this infants presentation, which type of shock does this infant have? - ANSWER:
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. You have
decided that this infant Needs fluid resuscitation. How much fluid should you
administer? - ANSWER: 20 ml/kg normal saline
A 2 week old infant is being evaluated for irritability and poor feeding. His BP is
55/40 mmHg, and cap refill time is 5 seconds. Which statement best describes your
assessment of this infants BP? - ANSWER: It is Hypotensive
A team member is unable to perform an assigned task because it is beyond the team
members scope of practice. Which action should the team member take? - ANSWER:
Ask for a new task or role
AND CORRECT ANSWERS(VERIFIED ANSWERS)AGRADE
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? - ANSWER: 10 seconds
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? - ANSWER:
Disordered Control of Breathing
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? - ANSWER: blood glucose
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? - ANSWER: 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. After repositioning the
patient and you insert an Oral airway, the patient continues to deteriorate. What
next step is the most appropriate? - ANSWER: Provide bag mask ventilation
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? - ANSWER: 15:2
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? - ANSWER: 94%-99%
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? - ANSWER: "resume compressions"
, 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? - ANSWER: 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. As the team
leader, how many joules do you tell your team member to use to perform initial
Defib? - ANSWER: 40 Joules
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 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? - ANSWER:
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. On the basis
of this infants presentation, which type of shock does this infant have? - ANSWER:
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. You have
decided that this infant Needs fluid resuscitation. How much fluid should you
administer? - ANSWER: 20 ml/kg normal saline
A 2 week old infant is being evaluated for irritability and poor feeding. His BP is
55/40 mmHg, and cap refill time is 5 seconds. Which statement best describes your
assessment of this infants BP? - ANSWER: It is Hypotensive
A team member is unable to perform an assigned task because it is beyond the team
members scope of practice. Which action should the team member take? - ANSWER:
Ask for a new task or role
