Actual Exam Review Q&A with
Pals Exam A /
Quiz_________________?
A 10 year old child is being evaluated for a head ache. Which is a normal finding for this 10
year old child?
A. Blood pressure of 60/50 mm Hg
B. Heart rate of 88/min
C. Respiratory of 8/min
D. Temperature of 39.6 C (103.2 F) -
Answer✅
B. Heart rate of 88/min
Quiz_________________?
A 10 year old child is brought to the ED for fever and cough. You obtain an O2 sat on the
child. Which oxygen saturation would indicate that immediate intervention is needed? -
Answer✅
88% on 4L of Nasal oxygen
Quiz_________________?
1
, 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?
A. It represents compensated shock
B. It is hypertensive
C. It is Hypotensive
D. It is normal -
Answer✅
C. It is Hypotensive
Quiz_________________?
A 3 year old boy is brought to the ED by his mother. His is lethargic, with retractions and
nasal flaring. He has a respiratory rate of 70/min, with warm extremities and brisk cap refill.
To which immediate life treating condition could this Childs condition most likely progress if
left untreated?
A. Cardiogenic shock
B. Hypovolemic shock
C. Respiratory distress
D. Respiratory failure -
Answer✅
D. Respiratory failure
Quiz_________________?
A 3 year old child is brought to the emergency department by his mother. Which is a
normal finding for a 3 year old child? -
Answer✅
Respiratory rate of 24/min
Quiz_________________?
2
, 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
Quiz_________________?
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?
A. Check for a pulse
B. Give epinephrine 0.01 mg/kg
C. Let's check the rhythm
D. Resume compressions -
Answer✅
D. Resume compressions
Quiz_________________?
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?
A. 10 Joules
B. 40 Joules
3