(PALS) EXAM
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Inside you will get:
PALS Test exam consists of 50 multiple-choice questions
Each question exam consists of multiple-choice questions and answers
with explanations
questions that are derived from the American Red Cross and American
Heart Association Pediatric Advanced Life Support (PALS) provider
handbooks and adhere to the latest AHA, ILCOR and ECC guidelines.
,1. In which of the following situations may intraosseous (IO) access be
used?
- A. An extremity with signs of infection
- B. An extremity with a sign of a crush injury
- C. An extremity with a previous unsuccessful IO attempt
- D. An extremity with slow capillary refill time
Answer: D. An extremity with slow capillary refill time
Explanation: IO access is typically indicated in cases where intravenous
access is difficult, often seen in patients with poor perfusion.
2. A 2-week-old infant is being evaluated for irritability and poor feeding. His
BP is 55/40 mmHg, and capillary refill time is 5 seconds. Which statement
best describes your assessment of this infant's BP?
- A. It represents compensated shock
- B. It is hypertensive
- C. It is hypotensive
- D. It is normal
Answer: C. It is hypotensive
Explanation: A blood pressure of 55/40 mmHg indicates hypotension in a 2-
week-old due to low blood volume or inadequate perfusion.
3. You are caring for patients in the emergency department. Which 2-year-
old child requires immediate intervention?
- A. A child who is grunting
, - B. A child with an SpO2 of 95% on room air
- C. A child with a systolic blood pressure of 92 mm Hg
- D. A child with a temperature of 37.4 C (99.3 F)
Answer: A. A child who is grunting
Explanation: Grunting indicates respiratory distress, suggesting that
intervention is urgently needed.
4. A 3-year-old child is having difficulty breathing. Which finding would
most likely lead you to suspect an upper airway obstruction in this child?
- A. Expiratory breath sounds
- B. Decreased expiratory effort
- C. Increased inspiratory effort with retractions
- D. Normal inspiratory sounds
Answer: C. Increased inspiratory effort with retractions
Explanation: Increased inspiratory effort accompanied by retractions often
suggests upper airway obstruction.
5. A team member is unable to perform an assigned task because it is
beyond their scope of practice. Which action should the team member take?
- A. Ask for a new task or role
- B. Refuse to perform the task
- C. Do it anyway
- D. Seek expert consultation
Answer: A. Ask for a new task or role
Explanation: The team member should communicate their limitations and