PALS Test PALS Test Guide (Questions and Answers 2025)
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1. In which of the following situations may IO access be An extremity with slow
used? capillary refill time.
2. A 2 - week old infant is being evaluated irritability and It is Hypotensive
poor feeding. His blood pressure is 55/40 mm Hg and
capillary refill time is 5 seconds. Which statement best
describes your assessment of this infants blood pres-
sure?
3. You are caring for patients in the emergency depart- A child who is grunting
ment. Which two year old requires immediate inter-
ventions?
4. A 3 year old child is having difficulty breathing. What Increased inspiratory ef-
finding would most likely lead you to expect an upper fort with retractions
airway obstruction in this child?
5. A team member is unable to perform an assigned Ask for a new task or role.
task because it is beyond the team member's scope of
practice. What action should the team member take?
6. You are the team lead during a pediatric resuscitation Allow complete chest wall
attempt. Which action is high quality CPR? recoil after each compres-
sion.
7. A 8 year old child is brought to the emergency depart- Upper airy way obstruc-
ment by his mother for difficultly breathing. He has a tion
history is asthma and nut allergies. His mother tells
you that he has recently ate a cookie at a family picnic.
Which condition is most likely present with this child?
8. An 8-year-old child is brought to the emergency de- Decreased level of con-
partment by ambulance after being involved in a mo- sciousness
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, PALS Test PALS Test Guide (Questions and Answers 2025)
Study online at https://quizlet.com/_d3pxru
tor vehicle collision. What finding would suggest that
immediate intervention is needed?
9. A 6-year-old child is found unresponsive, not breath- 15:2
ing, and without a pulse. One healthcare worker
leaves to activate the emergency response system
and get the resuscitation equipment. You and anoth-
er healthcare provider immediately begin performing
CPR. What compression-to-ventilation -ratio do you
use?
10. A 3-year-old child is in cardiac arrest, and high-quality Resume compressions
CPR is in progress. You are the Team Leader. The first
rhythm check reveals the rhythm shown here. Defibril-
lation is attempted with a shock dose of 2 J/kg. After
shock administration, what should you say to your
team members?
11. You are caring for a 5-year-old boy with a 4-day his- Oxygen Saturation
tory of high fever and cough. He is having increasing
lethargy, grunting, and sleepiness. Now he is difficult
to arouse and is unresponsive to voice commands. His
oxygen saturation is 72% on room air and 89% when
on a nonrebreathing oxygen mask. He has shallow
respirations with a respiratory rate of 38/min. Auscul-
tation of the lungs reveals bilateral crackles.
11. What assessment finding is consistent with respi-
ratory failure in this child?
12. You are caring for a 5-year-old boy with a 4-day his- Antibiotics
tory of high fever and cough. He is having increasing
lethargy, grunting, and sleepiness. Now he is difficult
to arouse and is unresponsive to voice commands. His
www.stuvia.com
Study online at https://quizlet.com/_d3pxru
1. In which of the following situations may IO access be An extremity with slow
used? capillary refill time.
2. A 2 - week old infant is being evaluated irritability and It is Hypotensive
poor feeding. His blood pressure is 55/40 mm Hg and
capillary refill time is 5 seconds. Which statement best
describes your assessment of this infants blood pres-
sure?
3. You are caring for patients in the emergency depart- A child who is grunting
ment. Which two year old requires immediate inter-
ventions?
4. A 3 year old child is having difficulty breathing. What Increased inspiratory ef-
finding would most likely lead you to expect an upper fort with retractions
airway obstruction in this child?
5. A team member is unable to perform an assigned Ask for a new task or role.
task because it is beyond the team member's scope of
practice. What action should the team member take?
6. You are the team lead during a pediatric resuscitation Allow complete chest wall
attempt. Which action is high quality CPR? recoil after each compres-
sion.
7. A 8 year old child is brought to the emergency depart- Upper airy way obstruc-
ment by his mother for difficultly breathing. He has a tion
history is asthma and nut allergies. His mother tells
you that he has recently ate a cookie at a family picnic.
Which condition is most likely present with this child?
8. An 8-year-old child is brought to the emergency de- Decreased level of con-
partment by ambulance after being involved in a mo- sciousness
www.stuvia.com
, PALS Test PALS Test Guide (Questions and Answers 2025)
Study online at https://quizlet.com/_d3pxru
tor vehicle collision. What finding would suggest that
immediate intervention is needed?
9. A 6-year-old child is found unresponsive, not breath- 15:2
ing, and without a pulse. One healthcare worker
leaves to activate the emergency response system
and get the resuscitation equipment. You and anoth-
er healthcare provider immediately begin performing
CPR. What compression-to-ventilation -ratio do you
use?
10. A 3-year-old child is in cardiac arrest, and high-quality Resume compressions
CPR is in progress. You are the Team Leader. The first
rhythm check reveals the rhythm shown here. Defibril-
lation is attempted with a shock dose of 2 J/kg. After
shock administration, what should you say to your
team members?
11. You are caring for a 5-year-old boy with a 4-day his- Oxygen Saturation
tory of high fever and cough. He is having increasing
lethargy, grunting, and sleepiness. Now he is difficult
to arouse and is unresponsive to voice commands. His
oxygen saturation is 72% on room air and 89% when
on a nonrebreathing oxygen mask. He has shallow
respirations with a respiratory rate of 38/min. Auscul-
tation of the lungs reveals bilateral crackles.
11. What assessment finding is consistent with respi-
ratory failure in this child?
12. You are caring for a 5-year-old boy with a 4-day his- Antibiotics
tory of high fever and cough. He is having increasing
lethargy, grunting, and sleepiness. Now he is difficult
to arouse and is unresponsive to voice commands. His
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