PALS Test Practice Questions & Answers 100% Correct
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Course
PALS
Institution
PALS
You are caring for a child who was resuscitated after a drowning event. The child is intubated & ventilated with 100% oxygen with equal breath sounds & exhaled C02 detected. The HR is slow & the monitor shows sinus bradycardia. The skin is cool, mottled, & moist; distal pulses are not palpable & th...
PALS Test Practice 2023-2024 Questions
& Answers 100% Correct
You are caring for a child who was resuscitated after a drowning event. The child is
intubated & ventilated with 100% oxygen with equal breath sounds & exhaled C02
detected. The HR is slow & the monitor shows sinus bradycardia. The skin is cool,
mottled, & moist; distal pulses are not palpable & the central pulses are weak.
Intravenous access has been established. The core temperature is 37.3oC. Based on
the PALS bradycardia algorithm, which of the following should be provided first? -
ANSWER-Epinephrine IV
You are caring for a 5 yo patient with SVT. The child is lethargic. The skin is pale & cool
with delayed capillary refill. Distal pulses are not palpable. Which of the following would
be the best treatment to provide without delay? - ANSWER-Provide synchronized
cardioversion at 0.5 to 1 J/kg
You are initiating treatment for a child with septic shock & hypotension. While
administering high-flow oxygen you determine that the child's respirations are adequate
& Sp02 is 100%. You have just established vascular access & obtained blood samples.
Which of the following is the next most appropriate therapy to support systemic
perfusion? - ANSWER-Administer repeated fluid boluses of isotonic crystalloid
You are treating an 8 yo with ventricular tachycardia with pulses & adequate perfusion.
You attempted synchronized cardioversion without success. While seeking expert
consultation, it would be most appropriate to: - ANSWER-Consider possible metabolic &
toxicologic causes
You are caring for a 2 yo unconscious pt who is intubated & receiving mechanical
ventilation. The child's HR suddenly drops to 40/min & his color becomes mottled. You
should respond to these changes by: - ANSWER-Using a resuscitation bag provide
manual ventilation with 100% oxygen
You are caring for a 9 mo pt with pronounced respiratory distress. You initiated high-
flow oxygen using a nonrebreathing mask about 10 minutes ago & established IV
access. Initially the infant's HR was in the 150/min range with strong pulses. Suddenly
the infant's respiratory rate falls to 6/min with significant intercostal retractions, & little air
movement is heard. The infant becomes cyanotic & the HR decreases to 95/min. Which
of the following treatments would be best for you to provide now? - ANSWER-Provide
BMV
, Which of the following is likely to be the most helpful technique to ID potentially
reversible metabolic & toxic causes during the attempted resuscitation of a young child
in cardiac arrest? - ANSWER-Soliciting a history from the caregiver or family
You are caring for a pt 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? - ANSWER-Over the third rib at the midclavicular line
You attempted synchronized cardioversion for an infant with SVT & poor perfusion. The
SVT persists after the initial 1 J/kg shock. Which of the following should you attempt
now? - ANSWER-Synchronized cardioversion at a dose of 2 J/kg
You are treating a 5 mo with a 2 day history of vomiting & diarrhea. The pt is listless.
The RR is 52/min & unlabored. The HR is 170/min & pulses are present but weak.
Capillary refill is delayed. You are administering high-flow oxygen, & IV access is in
place. At this point the most important therapy is to: - ANSWER-Provide a rapid 20
mL/kg isotonic crystalloid fluid bolus
Which of the following groups of clinical findings would be most consistent with
categorizing a pt with compensated shock? - ANSWER-Normal SBP, decreased level of
consciousness, cool extremities with delayed capillary refill, & faint or non-palpable
distal pulses
You are treating a 10 yo pt after a MVC. The pt is unresponsive & flexes his arms at the
elbow in response to a painful stimulus. An ETT is in place with position confirmed. You
are ventilating using a resuscitation bag with oxygen, & the child has an Sp02 of 95% &
good chest excursion bilaterally. The BP is 130/70 mmHg, & the HR is 90/min with good
perfusion. You have established IV access. Which of the following actions would be
most appropriate at this time? - ANSWER-Obtain a CT scan of the head and neck
You arrive on the scene of a 12 yo child who suddenly collapsed on the playground.
The child is unresponsive, apneic, & pulseless & CPR is in progress. a lay rescuer just
brought the school AED, turned it on, & attached it. The AED recommends a shock.
Which of the following should be done next? - ANSWER-Attempt defibrillation
You are caring for a child in persistent ventricular fibrillation. Which of the following
would be best describe the child's cardiac condition? - ANSWER-The heart is not
pumping blood at all
You are called to treat a 5 yo with a 3 day history of worsening respiratory distress. The
child responds only to pain. The HR is initially 45/min & regular with poor capillary refill.
You provide BMB with high-flow oxygen that produces good chest rise with full & clear
bilateral breath sounds. The HR rises in response to ventilation, but after you suction
the posterior pharynx, bradycardia recurs (40/min). Which of the following interventions
would be most appropriate for you to do first? - ANSWER-Resume BMV
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