2024 PALS EXAM A WITH
CORRECT ANSWERS
A 10 year old child is being evaluated for a head ache. Which is a normal
finding for this 10 year old child?
A. Blood pressure of 60/50 mm Hg
B. Heart rate of 88/min
C. Respiratory of 8/min
D. Temperature of 39.6 C (103.2 F) - CORRECT ANSWERS-B. Heart rate of
88/min
A 6 year old boy is being evaluated for difficulty breathing. Which finding
would suggest this child has respiratory distress?
A. Audible inspiratory stridor
B. Decreased respiratory effort
C. Oxygen saturation of 95%
D. Respiratory rate of 8/min - CORRECT ANSWERS-A. Audible inspiratory
stridor
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?
A. 0.5 to 2 J/kg
B. 4 to 6 J/kg
C. 6 to 8 J/kg
D. 2-4 J/kg - CORRECT ANSWERS-D. 2-4 J/kg
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?
A. 10 Joules
B. 40 Joules
C. 100 Joules
D. 140 Joules - CORRECT ANSWERS-B. 40 Joules
, You respond to an infant who is unresponsive, in not breathing, and doe not
have a pulse. You shout for nearby help, but no one arrives. What action
should you take next?
A Begin CPR for 2 mins before leaving to activate the emergency response
system.
B. Begin CPR for 1 minute before leaving to activate the emergency response
system
C. Activate the emergency response system after giving CPR for 10 minutes
D. Activate the emergency response system after giving CPR for 5 minutes -
CORRECT ANSWERS-A Begin CPR for 2 mins before leaving to activate the
emergency response system.
In which of the following situations may IO access be used?
A. An extremity with signs of infection
B. An extremity with a sign of a crush injury
C. An extremity with a previous unsuccessful IO attempt
D. An extremity with slow a capillary refill time - CORRECT ANSWERS-D. An
extremity with slow a capillary refill time
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?
A. It represents compensated shock
B. It is hypertensive
C. It is Hypotensive
D. It is normal - CORRECT ANSWERS-C. It is Hypotensive
You are caring for patients in the emergency department. Which 2 year old
child requires immediate intervention?
A. A child who is grunting
B. A child with an Sp02 of 95% on room air
C. A child with a systolic blood pressure of 92 mm Hg
D. A child with a temperature of 37.4 C (99.3 F) - CORRECT ANSWERS-A. A
child who is grunting
A 3 year old child is having difficulty breathing. Which finding would most
likely lead you to suspect an upper airway obstruction in this child?
A. Expiratory breath sounds
B. Decreased expiratory effort
C. Increased inspiratory effort with retractions
CORRECT ANSWERS
A 10 year old child is being evaluated for a head ache. Which is a normal
finding for this 10 year old child?
A. Blood pressure of 60/50 mm Hg
B. Heart rate of 88/min
C. Respiratory of 8/min
D. Temperature of 39.6 C (103.2 F) - CORRECT ANSWERS-B. Heart rate of
88/min
A 6 year old boy is being evaluated for difficulty breathing. Which finding
would suggest this child has respiratory distress?
A. Audible inspiratory stridor
B. Decreased respiratory effort
C. Oxygen saturation of 95%
D. Respiratory rate of 8/min - CORRECT ANSWERS-A. Audible inspiratory
stridor
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?
A. 0.5 to 2 J/kg
B. 4 to 6 J/kg
C. 6 to 8 J/kg
D. 2-4 J/kg - CORRECT ANSWERS-D. 2-4 J/kg
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?
A. 10 Joules
B. 40 Joules
C. 100 Joules
D. 140 Joules - CORRECT ANSWERS-B. 40 Joules
, You respond to an infant who is unresponsive, in not breathing, and doe not
have a pulse. You shout for nearby help, but no one arrives. What action
should you take next?
A Begin CPR for 2 mins before leaving to activate the emergency response
system.
B. Begin CPR for 1 minute before leaving to activate the emergency response
system
C. Activate the emergency response system after giving CPR for 10 minutes
D. Activate the emergency response system after giving CPR for 5 minutes -
CORRECT ANSWERS-A Begin CPR for 2 mins before leaving to activate the
emergency response system.
In which of the following situations may IO access be used?
A. An extremity with signs of infection
B. An extremity with a sign of a crush injury
C. An extremity with a previous unsuccessful IO attempt
D. An extremity with slow a capillary refill time - CORRECT ANSWERS-D. An
extremity with slow a capillary refill time
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?
A. It represents compensated shock
B. It is hypertensive
C. It is Hypotensive
D. It is normal - CORRECT ANSWERS-C. It is Hypotensive
You are caring for patients in the emergency department. Which 2 year old
child requires immediate intervention?
A. A child who is grunting
B. A child with an Sp02 of 95% on room air
C. A child with a systolic blood pressure of 92 mm Hg
D. A child with a temperature of 37.4 C (99.3 F) - CORRECT ANSWERS-A. A
child who is grunting
A 3 year old child is having difficulty breathing. Which finding would most
likely lead you to suspect an upper airway obstruction in this child?
A. Expiratory breath sounds
B. Decreased expiratory effort
C. Increased inspiratory effort with retractions
