PALS QUESTIONS
w
Howwlongwshouldwassessingwforwbreathingwandwawpulsewtake?
A) nowlongerwthanq5wseconds
B) nowlongerwthanw15wseconds
C) nowlongerwthanw20wseconds
D) nowlongerwthanq10wsecondsw
-wD
Whatwshouldwyouwdowtowcheckwforwbreathing?
A) listenwforwlungwsounds
B) lookwatwthewnosewtowcheckwforwnasalwflaring
C) lookwforwchestwrisewandwfall
D) holdwawmirrorwoverwthewmouth,wlookingwforwcondensationw
-wC
Wherewcanwyouwcheckwawpulsewonwanwinfant?w-
wBrachial
Wherewcanwyouwcheckwawpulsewonwawchild?w-
wFemoral
Ifwthewchildwdoeswnotwhavewnormalwbreathingwandwawpulsewofw64/minwiswpresent,wyouwwillwneedwto
A) monitor
C) providewrescuewbreathing
D) beginwCPRw
-wB
Forwanwunwitnessedwcardiacwarrest,wwhatwshouldwyouwdowafterwdeterminingwunresponsivenesswan
dwtherewiswnowbreathingwandqnowpulse?
A) shoutwforwhelp
B) providewrescuewbreaths
C) performwhigh-qualitywCPRqforw2wminutes
D) activatewthewemergencywresponsewsystemw
-wC
Theqappropriatewrateqforwcompressionswforwchildrenwisw100wtow120/min.wWhatwiswthewcorrectwdept
hqw forwchildren?
A) approximatelyw4winchesw(twowthirdswAPwdiameter)
B) approximatelyw3winchesw(onewhalfwAPwdiameter)
C) approximatelyw2winchesw(onewthirdwAPwdiameter)w
-wC
Whatwiswthewcompression-to-ventilationwratiowforw1wandw2wrescuerwCPRqforwchildrenwandwinfants?
A) singlewrescuerw15-2;w2wrescuersw30-2
B) 15-2wforwboth
C) 30-2
D) singlewrescuerw30-2;w2wrescuersw15-2w-
1w|wPw aw gw e
, D
Howwshouldw1wrescuerwinfantwcompressionswbewdelivered?
A) withw1whandworw2wfingers
B) withw2whandsworw2wfingers
C) withw2wfingersworw2wthumbs
D) withq1wfingerworw2wthumbsw
-wC
Whatwiswthewpreferredwtechniquewforwinfantwcompressionswwhenqtherewarew2worwmorewrescuerswpre
swent?
A) 2wfingerwtechnique
B) 1wthumb-encirclingwhandswtechnique
C) 1wfingerwtechnique
D) 2wthumbwencirclingwhandswtechniquew
-wD
Whatwarewthew4wuniversalwstepswforwoperationwofqanwAED?w-
1. TurnwonwthewAED
2. Attachqpadswtowthewpatient
3. Analyzewtheqheartwrhythm
4. Deliverwindicatedwshock
IfwthewAEDwindicateswnowshockwadvised,wwhatwshouldwbeqthewnextwaction?
A) callwforwhelp
B) givew2wrescuewbreaths
C) analyzewheartwrhythmqagain
D) startwchestwcompressionsw
-wD
WhatwdoesqtheqA-B-Cwinqthewpediatricwassessmentwtrianglew(PAT)wstandwfor?w-
wAppearance
Workwofwbreathin
gwCirculation
Whenwiswthewpediatricwassessmentwtrianglew(PAT)wperformedwtowmakeqanqinitialwassessment?
A) duringwthewtransferwofwcare
B) duringwthewsecondarywassessment
C) duringwthewprimarywassessment
D) duringwthew"fromwthewdoorway"wobservationw
-wD
Whatwsequencewiswusedwwhenwcaringwforwaqseriouslywillworwinjuredwchildwtowhelpwdeterminewthewbe
stwtreatmentworwintervention?wThew ,w ,w sequencew-
Evaluate,widentify,wandwintervene
Theqevaluatew-identify-intervenewsequencewshouldwbeqcontinuedwuntil
A) thewchildwiswstable
B) thewchildwiswreadywforwdischarge
C) interventionswarewprovidedwforwthewchild
2w|wPw aw gw e
,D) thewchildwiswreadywforwtransportw
-wA
TheqprimarywassessmentwincludeswthewABCDEwapproach.wWhatwdoesqitwassess?
A) airway,wbreathing,wcirculation,wdisability,wandwexposure
B) assessment,wbreathing,wcolor,wdisability,wandwexposure
C) airway,wbreathwsounds,wcirculation,wdisability,wandwexposure
D) assessment,wbreathwsounds,wcirculation,wdisabilitywandwexposurew
-wA
Howwiswthewairwaywassessed?
A) hecklingwtheqpulse
B) immediatelywcallingqforwhelp
C) determiningwifwthewairwaywiswopen/patent
D) lookingwforwthewpatientwtowmovew
-wC
Inwthewprimarywassessment,whowwshouldwyouwpenwthewairwaywofwawchildwwhowiswnotwsuspectedwofw
hawvingwawcervicalwspinewinjury?
A) withqawjawwthrust
B) bywflexingwthewneck
C) withwawheadwtilt-chinwlift
D) withqendotrachealwintubationw
-wC
Inwinfants,wthewabdomenwmaywmovew thewchest
A) lesswthan
B) morewthanw
-wB
Whatwiswawcharacteristicwofwnormalwchestwrise?
A) asymmetricalwduringwinspirationq
B) symmetricalwduringwexpiration
C) asymmetricalwduringwexpiration
D) symmetricalwduringwinspirationw
-wD
iswusuallywhigh-
pitchedwbreathingwduringwinspiration,wwhereasw
isqusuallywduringwexpirationw
-wStridor,wwheezing
Snoringwandwgurglingwarewawresultw airwaywobstruction
A) upper
B) lowerw-
A
Crackleswhappenwduringw ,wandwgruntingwhappenswduring
A) inspiration,winspiration
B) expiration,wexpiration
C) inspiration,wexpiration
3w|wPw aw gw e
, D) expiration,winspirationq
-wC
Oxygenwsaturationwlesswthanw
indicateswlowwoxygenwsaturation,wwhichwiswknownwaswhyp
owxemia
A) 98%
B) 96%
C) 94%w-
C
Pulsewoximetrywindicateswoxygenw butwnotwoxygenwdelivery
A) inhalation
B) levels
C) saturationw-
wC
Conditionswthatw airwresistancewleadwtowincreasedqrespiratory -
wIncrease,weffort
Whatwarewsignswofwincreasedwrespiratoryweffortwthatwcanwleadwtowfatiguewandqrespiratorywfailure?
1. Retractions
2. Nasalwflaring
3. Apnea
4. Headwbobbingq
5. Unlaboredwbreathing
6. Seesawwrespirationsw
-w1,w2,w4,w6
Determinewthewrespiratorywratewbywcountingwthewnumberwofwtimeswthewchestwriseswinq
seconwdswandwmultiplyingwby -
30,w2
Tachypneawiswoftenwthewfastwsignwofwrespiratoryw inwinfants
A) arrest
B) failure
C) distressw-
C
Hypotensionwforwchildrenw1wtow10.wYearswofwagewiswawsystolicwbloodwpressurewofwlesswthanq
A) 40wmmwHgw+w(2xwthewageqinwyears)
B) 60wmmwHgw+w(2xwthewagewinwyears)
C) 70wmmwHgw+w(2xwthewagewinwyears)
D) 50wmmwHgw+w(2xwthewageqinwyears)w
-wC
Automatedwbloodwpressurewcuffswmaywprovidew readingswwhenqthewchildwiswinwshock
A) inaccuratelywlow
B) inaccuratelywhigh
C) accurateq-
B
4w|wPw aw gw e
w
Howwlongwshouldwassessingwforwbreathingwandwawpulsewtake?
A) nowlongerwthanq5wseconds
B) nowlongerwthanw15wseconds
C) nowlongerwthanw20wseconds
D) nowlongerwthanq10wsecondsw
-wD
Whatwshouldwyouwdowtowcheckwforwbreathing?
A) listenwforwlungwsounds
B) lookwatwthewnosewtowcheckwforwnasalwflaring
C) lookwforwchestwrisewandwfall
D) holdwawmirrorwoverwthewmouth,wlookingwforwcondensationw
-wC
Wherewcanwyouwcheckwawpulsewonwanwinfant?w-
wBrachial
Wherewcanwyouwcheckwawpulsewonwawchild?w-
wFemoral
Ifwthewchildwdoeswnotwhavewnormalwbreathingwandwawpulsewofw64/minwiswpresent,wyouwwillwneedwto
A) monitor
C) providewrescuewbreathing
D) beginwCPRw
-wB
Forwanwunwitnessedwcardiacwarrest,wwhatwshouldwyouwdowafterwdeterminingwunresponsivenesswan
dwtherewiswnowbreathingwandqnowpulse?
A) shoutwforwhelp
B) providewrescuewbreaths
C) performwhigh-qualitywCPRqforw2wminutes
D) activatewthewemergencywresponsewsystemw
-wC
Theqappropriatewrateqforwcompressionswforwchildrenwisw100wtow120/min.wWhatwiswthewcorrectwdept
hqw forwchildren?
A) approximatelyw4winchesw(twowthirdswAPwdiameter)
B) approximatelyw3winchesw(onewhalfwAPwdiameter)
C) approximatelyw2winchesw(onewthirdwAPwdiameter)w
-wC
Whatwiswthewcompression-to-ventilationwratiowforw1wandw2wrescuerwCPRqforwchildrenwandwinfants?
A) singlewrescuerw15-2;w2wrescuersw30-2
B) 15-2wforwboth
C) 30-2
D) singlewrescuerw30-2;w2wrescuersw15-2w-
1w|wPw aw gw e
, D
Howwshouldw1wrescuerwinfantwcompressionswbewdelivered?
A) withw1whandworw2wfingers
B) withw2whandsworw2wfingers
C) withw2wfingersworw2wthumbs
D) withq1wfingerworw2wthumbsw
-wC
Whatwiswthewpreferredwtechniquewforwinfantwcompressionswwhenqtherewarew2worwmorewrescuerswpre
swent?
A) 2wfingerwtechnique
B) 1wthumb-encirclingwhandswtechnique
C) 1wfingerwtechnique
D) 2wthumbwencirclingwhandswtechniquew
-wD
Whatwarewthew4wuniversalwstepswforwoperationwofqanwAED?w-
1. TurnwonwthewAED
2. Attachqpadswtowthewpatient
3. Analyzewtheqheartwrhythm
4. Deliverwindicatedwshock
IfwthewAEDwindicateswnowshockwadvised,wwhatwshouldwbeqthewnextwaction?
A) callwforwhelp
B) givew2wrescuewbreaths
C) analyzewheartwrhythmqagain
D) startwchestwcompressionsw
-wD
WhatwdoesqtheqA-B-Cwinqthewpediatricwassessmentwtrianglew(PAT)wstandwfor?w-
wAppearance
Workwofwbreathin
gwCirculation
Whenwiswthewpediatricwassessmentwtrianglew(PAT)wperformedwtowmakeqanqinitialwassessment?
A) duringwthewtransferwofwcare
B) duringwthewsecondarywassessment
C) duringwthewprimarywassessment
D) duringwthew"fromwthewdoorway"wobservationw
-wD
Whatwsequencewiswusedwwhenwcaringwforwaqseriouslywillworwinjuredwchildwtowhelpwdeterminewthewbe
stwtreatmentworwintervention?wThew ,w ,w sequencew-
Evaluate,widentify,wandwintervene
Theqevaluatew-identify-intervenewsequencewshouldwbeqcontinuedwuntil
A) thewchildwiswstable
B) thewchildwiswreadywforwdischarge
C) interventionswarewprovidedwforwthewchild
2w|wPw aw gw e
,D) thewchildwiswreadywforwtransportw
-wA
TheqprimarywassessmentwincludeswthewABCDEwapproach.wWhatwdoesqitwassess?
A) airway,wbreathing,wcirculation,wdisability,wandwexposure
B) assessment,wbreathing,wcolor,wdisability,wandwexposure
C) airway,wbreathwsounds,wcirculation,wdisability,wandwexposure
D) assessment,wbreathwsounds,wcirculation,wdisabilitywandwexposurew
-wA
Howwiswthewairwaywassessed?
A) hecklingwtheqpulse
B) immediatelywcallingqforwhelp
C) determiningwifwthewairwaywiswopen/patent
D) lookingwforwthewpatientwtowmovew
-wC
Inwthewprimarywassessment,whowwshouldwyouwpenwthewairwaywofwawchildwwhowiswnotwsuspectedwofw
hawvingwawcervicalwspinewinjury?
A) withqawjawwthrust
B) bywflexingwthewneck
C) withwawheadwtilt-chinwlift
D) withqendotrachealwintubationw
-wC
Inwinfants,wthewabdomenwmaywmovew thewchest
A) lesswthan
B) morewthanw
-wB
Whatwiswawcharacteristicwofwnormalwchestwrise?
A) asymmetricalwduringwinspirationq
B) symmetricalwduringwexpiration
C) asymmetricalwduringwexpiration
D) symmetricalwduringwinspirationw
-wD
iswusuallywhigh-
pitchedwbreathingwduringwinspiration,wwhereasw
isqusuallywduringwexpirationw
-wStridor,wwheezing
Snoringwandwgurglingwarewawresultw airwaywobstruction
A) upper
B) lowerw-
A
Crackleswhappenwduringw ,wandwgruntingwhappenswduring
A) inspiration,winspiration
B) expiration,wexpiration
C) inspiration,wexpiration
3w|wPw aw gw e
, D) expiration,winspirationq
-wC
Oxygenwsaturationwlesswthanw
indicateswlowwoxygenwsaturation,wwhichwiswknownwaswhyp
owxemia
A) 98%
B) 96%
C) 94%w-
C
Pulsewoximetrywindicateswoxygenw butwnotwoxygenwdelivery
A) inhalation
B) levels
C) saturationw-
wC
Conditionswthatw airwresistancewleadwtowincreasedqrespiratory -
wIncrease,weffort
Whatwarewsignswofwincreasedwrespiratoryweffortwthatwcanwleadwtowfatiguewandqrespiratorywfailure?
1. Retractions
2. Nasalwflaring
3. Apnea
4. Headwbobbingq
5. Unlaboredwbreathing
6. Seesawwrespirationsw
-w1,w2,w4,w6
Determinewthewrespiratorywratewbywcountingwthewnumberwofwtimeswthewchestwriseswinq
seconwdswandwmultiplyingwby -
30,w2
Tachypneawiswoftenwthewfastwsignwofwrespiratoryw inwinfants
A) arrest
B) failure
C) distressw-
C
Hypotensionwforwchildrenw1wtow10.wYearswofwagewiswawsystolicwbloodwpressurewofwlesswthanq
A) 40wmmwHgw+w(2xwthewageqinwyears)
B) 60wmmwHgw+w(2xwthewagewinwyears)
C) 70wmmwHgw+w(2xwthewagewinwyears)
D) 50wmmwHgw+w(2xwthewageqinwyears)w
-wC
Automatedwbloodwpressurewcuffswmaywprovidew readingswwhenqthewchildwiswinwshock
A) inaccuratelywlow
B) inaccuratelywhigh
C) accurateq-
B
4w|wPw aw gw e