PALS Final Exam
A provider is assessing a child with suspected shock. Which statement
correctly describes hypotension and shock? - correct answer ✔Hypotension
is not a consistent feature of shock presentation in children.
A 10-year-old child has collapsed in the gym of the elementary school. The
school nurse arrives and determines that the child is unresponsive. The
school nurse then simultaneously checks for breathing and a central pulse,
limiting this assessment to which time frame? - correct answer ✔No more
than 10 seconds
A 4-year-old child is brought to the emergency department by the parents.
Assessment reveals that the child has only gasping respirations and the pulse
rate is 65 beats per minute. Which action would the provider initiate first? -
correct answer ✔Deliver 1 BVM ventilation every 2 to 3 seconds.
A 7-year-old child collapses on the playground at school. The school nurse is
called to the scene and determines that the child is unresponsive and is not
breathing and has no pulse. The nurse initiates CPR. At what rate and depth
would the nurse deliver compressions to this child? - correct answer ✔100 to
120 compressions per minute at a depth of about 2 inches
What is considered inadequate perfusion when assessing/caring for a
pediatric patient with an arrhythmia? - correct answer ✔Diminished
peripheral pulses
Acutely altered mental status
Hypotension
A 9-year-old child is brought to the emergency department because the child
suddenly collapsed at school. The child's ECG reveals the following
, waveform, and primary assessment findings indicate that the child has
inadequate perfusion. Which primary assessment findings indicate this? -
correct answer ✔Signs of shock
Acutely altered mental status
Hypotension
A 9-year-old patient is presenting with diminished breath sounds, bradycardia,
slowed respiratory rate and a low O2 saturation level. The provider interprets
these findings as indicating which condition? - correct answer ✔Respiratory
failure
A 6-year-old child is brought to the emergency department. The child has
been experiencing extremely watery stools over the past several days. After
completing the assessment, the healthcare provider suspects that the child
may be experiencing shock. Which type of shock would the provider most
likely suspect? - correct answer ✔Hypovolemia
A 2-year-old child of unknown weight arrives at the emergency department in
cardiac arrest. When preparing to administer medications, which action would
be appropriate for the team to take? - correct answer ✔Estimate weight
using a length-based resuscitation tape.
An 11-year-old child develops ventricular tachycardia with a pulse with
inadequate perfusion. The PALS team would prepare the child for which
intervention? - correct answer ✔Synchronized electrical cardioversion
A 5-year-old child with a history of a chronic neuromuscular disease is
experiencing respiratory distress. The child is breathing spontaneously and
receiving supplemental oxygen. Which additional intervention is a critical
component of airway management for this patient? - correct answer ✔Airway
clearance (e.g., suctioning)
A provider is assessing a child with suspected shock. Which statement
correctly describes hypotension and shock? - correct answer ✔Hypotension
is not a consistent feature of shock presentation in children.
A 10-year-old child has collapsed in the gym of the elementary school. The
school nurse arrives and determines that the child is unresponsive. The
school nurse then simultaneously checks for breathing and a central pulse,
limiting this assessment to which time frame? - correct answer ✔No more
than 10 seconds
A 4-year-old child is brought to the emergency department by the parents.
Assessment reveals that the child has only gasping respirations and the pulse
rate is 65 beats per minute. Which action would the provider initiate first? -
correct answer ✔Deliver 1 BVM ventilation every 2 to 3 seconds.
A 7-year-old child collapses on the playground at school. The school nurse is
called to the scene and determines that the child is unresponsive and is not
breathing and has no pulse. The nurse initiates CPR. At what rate and depth
would the nurse deliver compressions to this child? - correct answer ✔100 to
120 compressions per minute at a depth of about 2 inches
What is considered inadequate perfusion when assessing/caring for a
pediatric patient with an arrhythmia? - correct answer ✔Diminished
peripheral pulses
Acutely altered mental status
Hypotension
A 9-year-old child is brought to the emergency department because the child
suddenly collapsed at school. The child's ECG reveals the following
, waveform, and primary assessment findings indicate that the child has
inadequate perfusion. Which primary assessment findings indicate this? -
correct answer ✔Signs of shock
Acutely altered mental status
Hypotension
A 9-year-old patient is presenting with diminished breath sounds, bradycardia,
slowed respiratory rate and a low O2 saturation level. The provider interprets
these findings as indicating which condition? - correct answer ✔Respiratory
failure
A 6-year-old child is brought to the emergency department. The child has
been experiencing extremely watery stools over the past several days. After
completing the assessment, the healthcare provider suspects that the child
may be experiencing shock. Which type of shock would the provider most
likely suspect? - correct answer ✔Hypovolemia
A 2-year-old child of unknown weight arrives at the emergency department in
cardiac arrest. When preparing to administer medications, which action would
be appropriate for the team to take? - correct answer ✔Estimate weight
using a length-based resuscitation tape.
An 11-year-old child develops ventricular tachycardia with a pulse with
inadequate perfusion. The PALS team would prepare the child for which
intervention? - correct answer ✔Synchronized electrical cardioversion
A 5-year-old child with a history of a chronic neuromuscular disease is
experiencing respiratory distress. The child is breathing spontaneously and
receiving supplemental oxygen. Which additional intervention is a critical
component of airway management for this patient? - correct answer ✔Airway
clearance (e.g., suctioning)
