PALS Exam 2022 Questions and
Answers
10 seconds - ANSWER A 6 month old infant is unresponsive. You begin checking for
breathing at the same time you check for the infants pulse. Which is the maximum time
you should spend when trying to simultaneously check for breathing and palpate the
infants pulse before starting CPR?
Disordered Control of Breathing - ANSWER A 4 year old child is brought to the
emergency department for seizures. The seizures stopped a few minutes ago, but the
child continues to have slow and irregular respirations. Which condition is most
consistent with your assessment?
blood glucose - ANSWER An 8 year old child is brought to the emergency department
with a 2 day history of lethargy and polyuria. The child has new onset rapid, deep, and
labored breathing. Which diagnostic test should you order first?
Reposition the patient, and insert an oral airway - ANSWER After rectal administration
of diazepam, an 8 year old boy with a history of seizures is no unresponsive to painful
stimuli. His respirations are shallow, at a rate of 10/min. His Oxygen saturation is 94%
on 2L of NC oxygen. On examination, the child is snoring with poor chest rise and poor
air entry bilaterally. What action should you take next?
Provide bag mask ventilation - ANSWER After rectal administration of diazepam, an 8
year old boy with a history of seizures is no unresponsive to painful stimuli. His
respirations are shallow, at a rate of 10/min. His Oxygen saturation is 94% on 2L of NC
oxygen. On examination, the child is snoring with poor chest rise and poor air entry
bilaterally. After repositioning the patient and you insert an Oral airway, the patient
continues to deteriorate. What next step is the most appropriate?
15:2 - ANSWER A 6 year old child is found unresponsive, not breathing, and without a
pulse. one health care worker leaves to activate the emergency response system and
get the resuscitation equipment. You and another healthcare provider immediatly begin
CPR. Which compression to ventilation ratio do you use?
94%-99% - ANSWER In post resuscitation management after cardiac arrest, extra care
should be taken to avoid repercussion injury. what should the ideal oxygen saturation
range most likely be?
"resume compressions" - ANSWER 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?
, 2-4 J/kg - ANSWER 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. What
dose range should you use for the initial defibrillation?
40 Joules - ANSWER 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?
Allowing complete chest wall recoil after each compression - ANSWER You are the
team leader during a pediatric resuscitation attempt. which action is an element of high
quality CPR?
blood pressure - ANSWER You are caring for a 3 month old boy with a 2 day history of
fever, vomiting and diarrhea. His parents state that he has been sleeping much more.
His HR is 190/min, temp is 38.3 degrees C (101 F) blood pressure is 59/29 mmHg,
Resp rate is 70/min and shallow, and oxygen sat is 94% on 100% oxygen. His capillary
refills time is 4-5 seconds, and he has mottled, cool extremities. The infant weighs 6 Kg.
Which assessment finding indicates that the infant is in hypotensive shock?
hypovolemic shock - ANSWER You are caring for a 3 month old boy with a 2 day
history of fever, vomiting and diarrhea. His parents state that he has been sleeping
much more. His HR is 190/min, temp is 38.3 degrees C (101 F) blood pressure is 59/29
mmHg, Resp rate is 70/min and shallow, and oxygen sat is 94% on 100% oxygen. His
capillary refills time is 4-5 seconds, and he has mottled, cool extremities. The infant
weighs 6 Kg. On the basis of this infants presentation, which type of shock does this
infant have?
20 ml/kg normal saline - ANSWER You are caring for a 3 month old boy with a 2 day
history of fever, vomiting and diarrhea. His parents state that he has been sleeping
much more. His HR is 190/min, temp is 38.3 degrees C (101 F) blood pressure is 59/29
mmHg, Resp rate is 70/min and shallow, and oxygen sat is 94% on 100% oxygen. His
capillary refills time is 4-5 seconds, and he has mottled, cool extremities. The infant
weighs 6 Kg. You have decided that this infant Needs fluid resuscitation. How much
fluid should you administer?
It is Hypotensive - ANSWER 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?
Ask for a new task or role - ANSWER A team member is unable to perform an assigned
task because it is beyond the team members scope of practice. Which action should the
team member take?
Answers
10 seconds - ANSWER A 6 month old infant is unresponsive. You begin checking for
breathing at the same time you check for the infants pulse. Which is the maximum time
you should spend when trying to simultaneously check for breathing and palpate the
infants pulse before starting CPR?
Disordered Control of Breathing - ANSWER A 4 year old child is brought to the
emergency department for seizures. The seizures stopped a few minutes ago, but the
child continues to have slow and irregular respirations. Which condition is most
consistent with your assessment?
blood glucose - ANSWER An 8 year old child is brought to the emergency department
with a 2 day history of lethargy and polyuria. The child has new onset rapid, deep, and
labored breathing. Which diagnostic test should you order first?
Reposition the patient, and insert an oral airway - ANSWER After rectal administration
of diazepam, an 8 year old boy with a history of seizures is no unresponsive to painful
stimuli. His respirations are shallow, at a rate of 10/min. His Oxygen saturation is 94%
on 2L of NC oxygen. On examination, the child is snoring with poor chest rise and poor
air entry bilaterally. What action should you take next?
Provide bag mask ventilation - ANSWER After rectal administration of diazepam, an 8
year old boy with a history of seizures is no unresponsive to painful stimuli. His
respirations are shallow, at a rate of 10/min. His Oxygen saturation is 94% on 2L of NC
oxygen. On examination, the child is snoring with poor chest rise and poor air entry
bilaterally. After repositioning the patient and you insert an Oral airway, the patient
continues to deteriorate. What next step is the most appropriate?
15:2 - ANSWER A 6 year old child is found unresponsive, not breathing, and without a
pulse. one health care worker leaves to activate the emergency response system and
get the resuscitation equipment. You and another healthcare provider immediatly begin
CPR. Which compression to ventilation ratio do you use?
94%-99% - ANSWER In post resuscitation management after cardiac arrest, extra care
should be taken to avoid repercussion injury. what should the ideal oxygen saturation
range most likely be?
"resume compressions" - ANSWER 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?
, 2-4 J/kg - ANSWER 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. What
dose range should you use for the initial defibrillation?
40 Joules - ANSWER 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?
Allowing complete chest wall recoil after each compression - ANSWER You are the
team leader during a pediatric resuscitation attempt. which action is an element of high
quality CPR?
blood pressure - ANSWER You are caring for a 3 month old boy with a 2 day history of
fever, vomiting and diarrhea. His parents state that he has been sleeping much more.
His HR is 190/min, temp is 38.3 degrees C (101 F) blood pressure is 59/29 mmHg,
Resp rate is 70/min and shallow, and oxygen sat is 94% on 100% oxygen. His capillary
refills time is 4-5 seconds, and he has mottled, cool extremities. The infant weighs 6 Kg.
Which assessment finding indicates that the infant is in hypotensive shock?
hypovolemic shock - ANSWER You are caring for a 3 month old boy with a 2 day
history of fever, vomiting and diarrhea. His parents state that he has been sleeping
much more. His HR is 190/min, temp is 38.3 degrees C (101 F) blood pressure is 59/29
mmHg, Resp rate is 70/min and shallow, and oxygen sat is 94% on 100% oxygen. His
capillary refills time is 4-5 seconds, and he has mottled, cool extremities. The infant
weighs 6 Kg. On the basis of this infants presentation, which type of shock does this
infant have?
20 ml/kg normal saline - ANSWER You are caring for a 3 month old boy with a 2 day
history of fever, vomiting and diarrhea. His parents state that he has been sleeping
much more. His HR is 190/min, temp is 38.3 degrees C (101 F) blood pressure is 59/29
mmHg, Resp rate is 70/min and shallow, and oxygen sat is 94% on 100% oxygen. His
capillary refills time is 4-5 seconds, and he has mottled, cool extremities. The infant
weighs 6 Kg. You have decided that this infant Needs fluid resuscitation. How much
fluid should you administer?
It is Hypotensive - ANSWER 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?
Ask for a new task or role - ANSWER A team member is unable to perform an assigned
task because it is beyond the team members scope of practice. Which action should the
team member take?
