PALS PEDIATRIC EMERGENCY CARE ACTUAL EXAM 2025 |
151 QUESTIONS WITH 100% ACCURATE SOLUTIONS
1. A pediatric patient presents with signs of increased intracranial pressure
after a head injury. In addition to maintaining the head in a midline position
with 30-degree elevation, which other intervention should the PALS team
consider to ensure effective management?
Administering high-flow oxygen to improve oxygenation.
Performing immediate intubation to secure the
airway. Initiating high-quality CPR to restore
circulation.
Administering intravenous fluids to increase blood volume.
2. Which of the following is TRUE regarding work of breathing?
Palpation of the accessory muscles can identify increased work of
breathing.
Intercostal retractions and nasal flaring may indicate increased
work of breathing.
Due to higher energy levels, children can tolerate an increased
work of breathing better than adults.
The fatigue associated with increased work of breathing results in a
decreased metabolism.
3. A newborn is unresponsive with gasping respirations and a heart rate of
58. What should you do?
Assist ventilations with a BVM.
Begin chest compressions.
Administer atropine 0.5 mg.
Administer epinephrine 0.01 mg/kg.
,4. A pediatric patient presents with signs of shock due to dehydration.
As part of the emergency response, which intervention would best
help restore the balance between tissue perfusion and metabolic
demand?
Administering high-flow oxygen
Initiating fluid resuscitation with isotonic fluids
Performing chest compressions immediately
Administering bronchodilators
5. In pediatric emergency scenarios, what is the maximum time frame
allowed for checking a child's breathing and central pulse before initiating
CPR?
3 seconds
5 seconds
10 seconds
15 seconds
6. Explain why hypovolemic shock is a likely diagnosis for a child
presenting with severe diarrhea and dehydration.
It is caused by an infection that leads to fluid retention.
It results from a decrease in blood volume due to fluid loss.
It occurs when the heart cannot pump effectively.
It is characterized by an obstruction in blood flow.
7. What is one of the key topics that a PALS team leader would likely
cover during a debriefing session?
Summary of the event, including what actions were taken
Discussion of the team's personal feelings about the event
Review of the hospital's policies on pediatric emergencies
Analysis of the financial costs associated with the interventions
,8. A 7-year-old patient with septic shock has received three
balanced/buffered crystalloid fluid boluses (60-mL/kg) and reassessment
reveals capillary refill of 3 seconds, diminished pulses, narrow pulse
pressure, and cool, mottled extremities. The emergency response team
interprets these findings as indicating which type of septic shock?
Fluid-responsive
Hypertensive
Fluid-refractory
Mild
9. Which of the following clinical signs would differentiate septic shock from
hypovolemic shock?
warm or hot skin
weak, thready pulse
AMS
severe hypotension
10. A pediatric patient who has just been resuscitated from cardiac arrest
shows signs of hypotension. Which intervention should the healthcare
team prioritize to improve the patient's condition based on the principles
of post-cardiac arrest care?
Administer high-flow oxygen.
Initiate fluid resuscitation to increase MAP.
Perform immediate defibrillation.
Increase the rate of chest compressions.
11. What treatment methods are often implemented in patients
with Supraventricular Tachycardia (SVT)?
Vagal Stimulation and Cardioversion
, Defibrillation
Cardioversion and Defibrillation
Coupage
12. Explain the significance of identifying a second-degree heart block in a
pediatric patient and how it may impact the management of their care.
It indicates a need for immediate defibrillation.
It suggests a benign condition that requires no intervention.
It may require monitoring and possible pacing depending
on symptoms.
It is a sign of impending cardiac arrest.
13. Explain why pallor may be a significant circulation finding in a child
with respiratory distress.
It indicates an increase in blood flow to the skin.
It suggests inadequate oxygenation and potential hypoxia.
It shows that the child is experiencing a fever.
It reflects normal circulation in a healthy child.
14. What are the key signs and symptoms that indicate a patient may
be experiencing cardiogenic shock?
Tachycardia, tachypnea, cold extremities, and weak pulses
Fever, rash, and abdominal pain
Cyanosis, bradycardia, and hypotension
Hyperventilation, chest pain, and confusion
15. A respiratory therapist is providing bag-mask ventilation to a 3-year-old
child following endotracheal intubation. Which of the following should the
respiratory therapist do next to confirm tracheal placement of the ETT?
151 QUESTIONS WITH 100% ACCURATE SOLUTIONS
1. A pediatric patient presents with signs of increased intracranial pressure
after a head injury. In addition to maintaining the head in a midline position
with 30-degree elevation, which other intervention should the PALS team
consider to ensure effective management?
Administering high-flow oxygen to improve oxygenation.
Performing immediate intubation to secure the
airway. Initiating high-quality CPR to restore
circulation.
Administering intravenous fluids to increase blood volume.
2. Which of the following is TRUE regarding work of breathing?
Palpation of the accessory muscles can identify increased work of
breathing.
Intercostal retractions and nasal flaring may indicate increased
work of breathing.
Due to higher energy levels, children can tolerate an increased
work of breathing better than adults.
The fatigue associated with increased work of breathing results in a
decreased metabolism.
3. A newborn is unresponsive with gasping respirations and a heart rate of
58. What should you do?
Assist ventilations with a BVM.
Begin chest compressions.
Administer atropine 0.5 mg.
Administer epinephrine 0.01 mg/kg.
,4. A pediatric patient presents with signs of shock due to dehydration.
As part of the emergency response, which intervention would best
help restore the balance between tissue perfusion and metabolic
demand?
Administering high-flow oxygen
Initiating fluid resuscitation with isotonic fluids
Performing chest compressions immediately
Administering bronchodilators
5. In pediatric emergency scenarios, what is the maximum time frame
allowed for checking a child's breathing and central pulse before initiating
CPR?
3 seconds
5 seconds
10 seconds
15 seconds
6. Explain why hypovolemic shock is a likely diagnosis for a child
presenting with severe diarrhea and dehydration.
It is caused by an infection that leads to fluid retention.
It results from a decrease in blood volume due to fluid loss.
It occurs when the heart cannot pump effectively.
It is characterized by an obstruction in blood flow.
7. What is one of the key topics that a PALS team leader would likely
cover during a debriefing session?
Summary of the event, including what actions were taken
Discussion of the team's personal feelings about the event
Review of the hospital's policies on pediatric emergencies
Analysis of the financial costs associated with the interventions
,8. A 7-year-old patient with septic shock has received three
balanced/buffered crystalloid fluid boluses (60-mL/kg) and reassessment
reveals capillary refill of 3 seconds, diminished pulses, narrow pulse
pressure, and cool, mottled extremities. The emergency response team
interprets these findings as indicating which type of septic shock?
Fluid-responsive
Hypertensive
Fluid-refractory
Mild
9. Which of the following clinical signs would differentiate septic shock from
hypovolemic shock?
warm or hot skin
weak, thready pulse
AMS
severe hypotension
10. A pediatric patient who has just been resuscitated from cardiac arrest
shows signs of hypotension. Which intervention should the healthcare
team prioritize to improve the patient's condition based on the principles
of post-cardiac arrest care?
Administer high-flow oxygen.
Initiate fluid resuscitation to increase MAP.
Perform immediate defibrillation.
Increase the rate of chest compressions.
11. What treatment methods are often implemented in patients
with Supraventricular Tachycardia (SVT)?
Vagal Stimulation and Cardioversion
, Defibrillation
Cardioversion and Defibrillation
Coupage
12. Explain the significance of identifying a second-degree heart block in a
pediatric patient and how it may impact the management of their care.
It indicates a need for immediate defibrillation.
It suggests a benign condition that requires no intervention.
It may require monitoring and possible pacing depending
on symptoms.
It is a sign of impending cardiac arrest.
13. Explain why pallor may be a significant circulation finding in a child
with respiratory distress.
It indicates an increase in blood flow to the skin.
It suggests inadequate oxygenation and potential hypoxia.
It shows that the child is experiencing a fever.
It reflects normal circulation in a healthy child.
14. What are the key signs and symptoms that indicate a patient may
be experiencing cardiogenic shock?
Tachycardia, tachypnea, cold extremities, and weak pulses
Fever, rash, and abdominal pain
Cyanosis, bradycardia, and hypotension
Hyperventilation, chest pain, and confusion
15. A respiratory therapist is providing bag-mask ventilation to a 3-year-old
child following endotracheal intubation. Which of the following should the
respiratory therapist do next to confirm tracheal placement of the ETT?
