PALS ALL QUESTIONS AND ANSWERS LATEST UPDATED
2024/2025 A COMPLETE EXAM SOLUTION WITH 100%
CORRECT VERIFIED/DETAILED ANSWERS BEST GRADED
A+ FOR SUCCESS
You are assessing a 6-year-old child who appears unconscious after striking his head on a concrete step.
You pinch the patient's chest and the patient grabs your hand. You would document this response as:
Decerebrate posturing
Decorticate posturing
Withdrawal from a painful stimulus
Localization of a painful stimulus - CORRECT ANSWERS Localization of a painful stimulus
You are caring for an 8-year-old child who was struck by a car. The child is alert, very anxious, and in
respiratory distress. The child is receiving high-flow oxygen by face mask, has a respiratory rate of
60/min, the heart rate is 150/min, systolic blood pressure is 70 mm Hg, and a SpO2 of 86% and falling.
Breath sounds and chest rise are absent over the right chest. Which of the following is the most likely
cause of this child's distress?
Tension Pneumothorax
Cardiac temponade
Severe hypovolemia
Cardiac asthma - CORRECT ANSWERS Tension Pneumothorax
You are treating a 10-year-old victim of multisystem trauma. The child is very anxious and confused. The
respiratory rate is 44/min and unlabored. the pulse is rapid and weak. Capillary refill is delayed. High-
flow oxygen and an intravenous line are in place. The most appropriate initial fluid for rapid volume
expansion is:
10% dextrose in water
5% dextrose in Ringer's lactate
5% dextrose in normal saline
,PALS ALL QUESTIONS AND ANSWERS LATEST UPDATED
2024/2025 A COMPLETE EXAM SOLUTION WITH 100%
CORRECT VERIFIED/DETAILED ANSWERS BEST GRADED
A+ FOR SUCCESS
Normal saline or Ringer's lactate - CORRECT ANSWERS Normal saline or Ringer's lactate
When monitoring the quality of chest compressions during a resuscitation, you should ensure that
providers are:
Pushing hard - ensure that the chest is compressed 3/4 of the anterior-posterior diameter
Pushing fast - compress at a rate of 150/min
Allowing complete recoil - let the chest return to its original position between compressions
Minimizing interruptions - do not permit interruptions for more than 1 minute - CORRECT
ANSWERS Allowing complete recoil - let the chest return to its original position between
compressions
You are treating an 8-year-old with ventricular tachycardia (VT) with pulses and adequate perfusion. You
attempted synchronized cardioversion without success. While seeking expert consultation, it would be
most appropriate to:
Administer a loading dose of milrinone
Initiate overdrive pacing transcutaneously
Consider possible metabolic and toxicologic causes
Deliver an unsynchronized shock - CORRECT ANSWERS Consider possible metabolic and
toxicologic causes
You are caring for a patient who developed a tension pneumothorax after several hours of positive-
pressure ventilation. Which of the following would be the most appropriate site for needle
decompression?
Over the third rib (ie, second intercostal space) at the mid-clavicular line
Under the eighth rib at the midaxillary line
, PALS ALL QUESTIONS AND ANSWERS LATEST UPDATED
2024/2025 A COMPLETE EXAM SOLUTION WITH 100%
CORRECT VERIFIED/DETAILED ANSWERS BEST GRADED
A+ FOR SUCCESS
Over the fifth rib at the sternal border
Under the sixth rib at the midclavicular line - CORRECT ANSWERS Over the third rib (ie, second
intercostal space) at the mid-clavicular line
You are initiating treatment for a child with septic shock and hypotension. While administering high-flow
oxygen, you determine that the child's respirations are adequate and SpO2 is 100%. You have just
established vascular access and obtained blood samples. Which of the following is the next most
appropriate therapy to support systemic perfusion?
Administer repeated fluid boluses of isotonic colloidge
Administer repeated fluid boluses of isotonic crystalloid
Begin immediate dopamine infusion
Begin immediate dobutamine infusion - CORRECT ANSWERS Administer repeated fluid boluses
of isotonic crystalloid
You are caring for a 5-year-old patient with supraventricular tachycardia (SVT) (heart rate is 220/min).
The child is lethargic. The skin is pale and cool with delayed capillary refill. Distal pulses are not palpable.
Which of the following would be the best treatment to provide without delay?
Provide synchronized cardioversion at 0.5 to 1 J/kg
Place cold packs on the distal upper and lower extremities
Ask the child to blow through a small straw
Exert light pressure on the eyes bilaterally - CORRECT ANSWERS Provide synchronized
cardioversion at 0.5 to 1 J/kg
You attempted synchronized cardioversion for an infant with SVT and poor perfusion. The SVT persists
after the initial shock of 1 J/kg. Which of the following should you attempt now?
2024/2025 A COMPLETE EXAM SOLUTION WITH 100%
CORRECT VERIFIED/DETAILED ANSWERS BEST GRADED
A+ FOR SUCCESS
You are assessing a 6-year-old child who appears unconscious after striking his head on a concrete step.
You pinch the patient's chest and the patient grabs your hand. You would document this response as:
Decerebrate posturing
Decorticate posturing
Withdrawal from a painful stimulus
Localization of a painful stimulus - CORRECT ANSWERS Localization of a painful stimulus
You are caring for an 8-year-old child who was struck by a car. The child is alert, very anxious, and in
respiratory distress. The child is receiving high-flow oxygen by face mask, has a respiratory rate of
60/min, the heart rate is 150/min, systolic blood pressure is 70 mm Hg, and a SpO2 of 86% and falling.
Breath sounds and chest rise are absent over the right chest. Which of the following is the most likely
cause of this child's distress?
Tension Pneumothorax
Cardiac temponade
Severe hypovolemia
Cardiac asthma - CORRECT ANSWERS Tension Pneumothorax
You are treating a 10-year-old victim of multisystem trauma. The child is very anxious and confused. The
respiratory rate is 44/min and unlabored. the pulse is rapid and weak. Capillary refill is delayed. High-
flow oxygen and an intravenous line are in place. The most appropriate initial fluid for rapid volume
expansion is:
10% dextrose in water
5% dextrose in Ringer's lactate
5% dextrose in normal saline
,PALS ALL QUESTIONS AND ANSWERS LATEST UPDATED
2024/2025 A COMPLETE EXAM SOLUTION WITH 100%
CORRECT VERIFIED/DETAILED ANSWERS BEST GRADED
A+ FOR SUCCESS
Normal saline or Ringer's lactate - CORRECT ANSWERS Normal saline or Ringer's lactate
When monitoring the quality of chest compressions during a resuscitation, you should ensure that
providers are:
Pushing hard - ensure that the chest is compressed 3/4 of the anterior-posterior diameter
Pushing fast - compress at a rate of 150/min
Allowing complete recoil - let the chest return to its original position between compressions
Minimizing interruptions - do not permit interruptions for more than 1 minute - CORRECT
ANSWERS Allowing complete recoil - let the chest return to its original position between
compressions
You are treating an 8-year-old with ventricular tachycardia (VT) with pulses and adequate perfusion. You
attempted synchronized cardioversion without success. While seeking expert consultation, it would be
most appropriate to:
Administer a loading dose of milrinone
Initiate overdrive pacing transcutaneously
Consider possible metabolic and toxicologic causes
Deliver an unsynchronized shock - CORRECT ANSWERS Consider possible metabolic and
toxicologic causes
You are caring for a patient who developed a tension pneumothorax after several hours of positive-
pressure ventilation. Which of the following would be the most appropriate site for needle
decompression?
Over the third rib (ie, second intercostal space) at the mid-clavicular line
Under the eighth rib at the midaxillary line
, PALS ALL QUESTIONS AND ANSWERS LATEST UPDATED
2024/2025 A COMPLETE EXAM SOLUTION WITH 100%
CORRECT VERIFIED/DETAILED ANSWERS BEST GRADED
A+ FOR SUCCESS
Over the fifth rib at the sternal border
Under the sixth rib at the midclavicular line - CORRECT ANSWERS Over the third rib (ie, second
intercostal space) at the mid-clavicular line
You are initiating treatment for a child with septic shock and hypotension. While administering high-flow
oxygen, you determine that the child's respirations are adequate and SpO2 is 100%. You have just
established vascular access and obtained blood samples. Which of the following is the next most
appropriate therapy to support systemic perfusion?
Administer repeated fluid boluses of isotonic colloidge
Administer repeated fluid boluses of isotonic crystalloid
Begin immediate dopamine infusion
Begin immediate dobutamine infusion - CORRECT ANSWERS Administer repeated fluid boluses
of isotonic crystalloid
You are caring for a 5-year-old patient with supraventricular tachycardia (SVT) (heart rate is 220/min).
The child is lethargic. The skin is pale and cool with delayed capillary refill. Distal pulses are not palpable.
Which of the following would be the best treatment to provide without delay?
Provide synchronized cardioversion at 0.5 to 1 J/kg
Place cold packs on the distal upper and lower extremities
Ask the child to blow through a small straw
Exert light pressure on the eyes bilaterally - CORRECT ANSWERS Provide synchronized
cardioversion at 0.5 to 1 J/kg
You attempted synchronized cardioversion for an infant with SVT and poor perfusion. The SVT persists
after the initial shock of 1 J/kg. Which of the following should you attempt now?
