PALS FINAL EXAM QUESTIONS WITH 100% VERIFIED CORRECT
ANSWERS
QUESTION>A 4-year-old child suddenly collapses in the playroom of the facility. A healthcare provider
observes the event and hurries over to assess the child. The healthcare provider completes which
assessment first? - CORRECT ANSWER~Rapid assessment
QUESTION>The PALS team leader is conducting a debriefing session with the team. Which topic(s)
would the team leader most likely address during the session? - CORRECT ANSWER~Discussion of the
pros and cons of the interventionsEvaluation of the objective data gathered during the event, Summary
of the event, including what actions were taken, Identification of ways to improve
QUESTION>A healthcare provider notices petechiae on the arms and legs while performing a rapid skin
assessment of a child with a high fever and respiratory distress. Based on this assessment, which
condition should the provider consider? - CORRECT ANSWER~Life-threatening systemic infection
QUESTION>After ROSC, a child is experiencing post-cardiac arrest hypoperfusion. The PALS resuscitation
team would administer which element to restore intravascular volume and optimize preload? - CORRECT
ANSWER~Isotonic fluid boluses
QUESTION >A provider is assessing a child with suspected shock. Which statement correctly describes
hypotension and shock? - CORRECT ANSWER~Hypotension is not a consistent feature of shock
presentation in children.
QUESTION>A 10-year-old child has collapsed in the gym of the elementary school. The school nurse
arrives and determines that the child is unresponsive. The school nurse then simultaneously checks for
breathing and a central pulse, limiting this assessment to which time frame? - CORRECT ANSWER~No
more than 10 seconds
QUESTION>A 4-year-old child is brought to the emergency department by the parents. Assessment
reveals that the child has only gasping respirations and the pulse rate is 65 beats per minute. Which
action would the provider initiate first? - CORRECT ANSWER~Deliver 1 BVM ventilation every 2 to 3
seconds.
QUESTION>A 7-year-old child collapses on the playground at school. The school nurse is called to the
scene and determines that the child is unresponsive and is not breathing and has no pulse. The nurse
, initiates CPR. At what rate and depth would the nurse deliver compressions to this child? - CORRECT
ANSWER~100 to 120 compressions per minute at a depth of about 2 inches
QUESTION>What is considered inadequate perfusion when assessing/caring for a pediatric patient with
an arrhythmia? - CORRECT ANSWER~Diminished peripheral pulses
Acutely altered mental status
Hypotension
QUESTION>A 9-year-old child is brought to the emergency department because the child suddenly
collapsed at school. The child's ECG reveals the following waveform, and primary assessment findings
indicate that the child has inadequate perfusion. Which primary assessment findings indicate this? -
CORRECT ANSWER~Signs of shock
Acutely altered mental status
Hypotension
QUESTION>A 9-year-old patient is presenting with diminished breath sounds, bradycardia, slowed
respiratory rate and a low O2 saturation level. The provider interprets these findings as indicating which
condition? - CORRECT ANSWER~Respiratory failure
QUESTION>A 6-year-old child is brought to the emergency department. The child has been experiencing
extremely watery stools over the past several days. After completing the assessment, the healthcare
provider suspects that the child may be experiencing shock. Which type of shock would the provider
most likely suspect? - CORRECT ANSWER~Hypovolemia
QUESTION>A 2-year-old child of unknown weight arrives at the emergency department in cardiac arrest.
When preparing to administer medications, which action would be appropriate for the team to take? -
CORRECT ANSWER~Estimate weight using a length-based resuscitation tape.
QUESTION>An 11-year-old child develops ventricular tachycardia with a pulse with inadequate
perfusion. The PALS team would prepare the child for which intervention? - CORRECT
ANSWER~Synchronized electrical cardioversion
QUESTION>A 5-year-old child with a history of a chronic neuromuscular disease is experiencing
respiratory distress. The child is breathing spontaneously and receiving supplemental oxygen. Which
ANSWERS
QUESTION>A 4-year-old child suddenly collapses in the playroom of the facility. A healthcare provider
observes the event and hurries over to assess the child. The healthcare provider completes which
assessment first? - CORRECT ANSWER~Rapid assessment
QUESTION>The PALS team leader is conducting a debriefing session with the team. Which topic(s)
would the team leader most likely address during the session? - CORRECT ANSWER~Discussion of the
pros and cons of the interventionsEvaluation of the objective data gathered during the event, Summary
of the event, including what actions were taken, Identification of ways to improve
QUESTION>A healthcare provider notices petechiae on the arms and legs while performing a rapid skin
assessment of a child with a high fever and respiratory distress. Based on this assessment, which
condition should the provider consider? - CORRECT ANSWER~Life-threatening systemic infection
QUESTION>After ROSC, a child is experiencing post-cardiac arrest hypoperfusion. The PALS resuscitation
team would administer which element to restore intravascular volume and optimize preload? - CORRECT
ANSWER~Isotonic fluid boluses
QUESTION >A provider is assessing a child with suspected shock. Which statement correctly describes
hypotension and shock? - CORRECT ANSWER~Hypotension is not a consistent feature of shock
presentation in children.
QUESTION>A 10-year-old child has collapsed in the gym of the elementary school. The school nurse
arrives and determines that the child is unresponsive. The school nurse then simultaneously checks for
breathing and a central pulse, limiting this assessment to which time frame? - CORRECT ANSWER~No
more than 10 seconds
QUESTION>A 4-year-old child is brought to the emergency department by the parents. Assessment
reveals that the child has only gasping respirations and the pulse rate is 65 beats per minute. Which
action would the provider initiate first? - CORRECT ANSWER~Deliver 1 BVM ventilation every 2 to 3
seconds.
QUESTION>A 7-year-old child collapses on the playground at school. The school nurse is called to the
scene and determines that the child is unresponsive and is not breathing and has no pulse. The nurse
, initiates CPR. At what rate and depth would the nurse deliver compressions to this child? - CORRECT
ANSWER~100 to 120 compressions per minute at a depth of about 2 inches
QUESTION>What is considered inadequate perfusion when assessing/caring for a pediatric patient with
an arrhythmia? - CORRECT ANSWER~Diminished peripheral pulses
Acutely altered mental status
Hypotension
QUESTION>A 9-year-old child is brought to the emergency department because the child suddenly
collapsed at school. The child's ECG reveals the following waveform, and primary assessment findings
indicate that the child has inadequate perfusion. Which primary assessment findings indicate this? -
CORRECT ANSWER~Signs of shock
Acutely altered mental status
Hypotension
QUESTION>A 9-year-old patient is presenting with diminished breath sounds, bradycardia, slowed
respiratory rate and a low O2 saturation level. The provider interprets these findings as indicating which
condition? - CORRECT ANSWER~Respiratory failure
QUESTION>A 6-year-old child is brought to the emergency department. The child has been experiencing
extremely watery stools over the past several days. After completing the assessment, the healthcare
provider suspects that the child may be experiencing shock. Which type of shock would the provider
most likely suspect? - CORRECT ANSWER~Hypovolemia
QUESTION>A 2-year-old child of unknown weight arrives at the emergency department in cardiac arrest.
When preparing to administer medications, which action would be appropriate for the team to take? -
CORRECT ANSWER~Estimate weight using a length-based resuscitation tape.
QUESTION>An 11-year-old child develops ventricular tachycardia with a pulse with inadequate
perfusion. The PALS team would prepare the child for which intervention? - CORRECT
ANSWER~Synchronized electrical cardioversion
QUESTION>A 5-year-old child with a history of a chronic neuromuscular disease is experiencing
respiratory distress. The child is breathing spontaneously and receiving supplemental oxygen. Which
