PALS 2021 Exam Questions &Answers with
Complete Solutions
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?
a. 10 seconds
b. 15 seconds
c. 20 seconds
d. 1 min - ANSWER -a. 10 seconds
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?
A. Vascular resistance
B. Pulse rate
C. Lung compliance
D. Disordered Control of breathing - ANSWER -D. Disordered Control of Breathing
An 8 year (or 18 months or toddler) old child is brought to the emergency department
with a 2 day history of (vomiting and diarrhea.) lethargy and polyuria. The child has new
onset rapid, deep, and labored breathing. Which diagnostic test should you order first?
A. Arterial blood gas
B. Serum potassium concentration
C. Glucose
D. A 12-lead ECG - ANSWER -C. blood glucose
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? -
ANSWER -Reposition the patient, and insert an oral airway
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? - ANSWER -Provide bag mask ventilation
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?
a. 15:2
b. 30:2
c. 15:1
d. 30:1 - ANSWER -a. 15:2
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?
A. 92% to 100%
B. 92% to 99%
C. 94% to 99%
D. 94% to 100% - ANSWER -c. 94%-99%
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?
A. Resume CPR, beginning with chest compressions
B. Check for a pulse
C. Analyze the rhythm
D. Administer epinephrine - ANSWER -A. Resume CPR, beginning with chest
compressions
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. 4-6 J/kg
b. 6-8 J/kg
c. 0.5-2 J/kg
d. 2-4 J/kg - ANSWER -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. 100 Joules
b. 40 Joules
c. 140 Joules
d. 10 Joules - ANSWER -b. 40 Joules
You are the team leader during a pediatric resuscitation attempt. which action is an
element of high quality CPR?
A. A depth of compressions of about one fourth the anterior-posterior depth of the chest
B. A compression rate of 80/min
Complete Solutions
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?
a. 10 seconds
b. 15 seconds
c. 20 seconds
d. 1 min - ANSWER -a. 10 seconds
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?
A. Vascular resistance
B. Pulse rate
C. Lung compliance
D. Disordered Control of breathing - ANSWER -D. Disordered Control of Breathing
An 8 year (or 18 months or toddler) old child is brought to the emergency department
with a 2 day history of (vomiting and diarrhea.) lethargy and polyuria. The child has new
onset rapid, deep, and labored breathing. Which diagnostic test should you order first?
A. Arterial blood gas
B. Serum potassium concentration
C. Glucose
D. A 12-lead ECG - ANSWER -C. blood glucose
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? -
ANSWER -Reposition the patient, and insert an oral airway
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? - ANSWER -Provide bag mask ventilation
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?
a. 15:2
b. 30:2
c. 15:1
d. 30:1 - ANSWER -a. 15:2
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?
A. 92% to 100%
B. 92% to 99%
C. 94% to 99%
D. 94% to 100% - ANSWER -c. 94%-99%
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?
A. Resume CPR, beginning with chest compressions
B. Check for a pulse
C. Analyze the rhythm
D. Administer epinephrine - ANSWER -A. Resume CPR, beginning with chest
compressions
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. 4-6 J/kg
b. 6-8 J/kg
c. 0.5-2 J/kg
d. 2-4 J/kg - ANSWER -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. 100 Joules
b. 40 Joules
c. 140 Joules
d. 10 Joules - ANSWER -b. 40 Joules
You are the team leader during a pediatric resuscitation attempt. which action is an
element of high quality CPR?
A. A depth of compressions of about one fourth the anterior-posterior depth of the chest
B. A compression rate of 80/min
