PALS Test
In which of the following situations may IO access be used? - ANS-An extremity with
slow capillary refill time.
A 2 - week old infant is being evaluated irritability and poor feeding. His blood pressure
is 55/40 mm Hg and capillary refill time is 5 seconds. Which statement best describes
your assessment of this infants blood pressure? - ANS-It is Hypotensive
You are caring for patients in the emergency department. Which two year old requires
immediate interventions? - ANS-A child who is grunting
A 3 year old child is having difficulty breathing. What finding would most likely lead you
to expect an upper airway obstruction in this child? - ANS-Increased inspiratory effort
with retractions
A team member is unable to perform an assigned task because it is beyond the team
member's scope of practice. What action should the team member take? - ANS-Ask for
a new task or role.
You are the team lead during a pediatric resuscitation attempt. Which action is high
quality CPR? - ANS-Allow complete chest wall recoil after each compression.
A 8 year old child is brought to the emergency department by his mother for difficultly
breathing. He has a history is asthma and nut allergies. His mother tells you that he has
recently ate a cookie at a family picnic. Which condition is most likely present with this
child? - ANS-Upper airy way obstruction
An 8-year-old child is brought to the emergency department by ambulance after being
involved in a motor vehicle collision. What finding would suggest that immediate
intervention is needed? - ANS-Decreased level of consciousness
A 6-year-old child is found unresponsive, not breathing, and without a pulse. One
healthcare worker leaves to activate the emergency response system and get the
resuscitation equipment. You and another healthcare provider immediately begin
performing CPR. What compression-to-ventilation -ratio do you use? - ANS-15:2
, 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 shock administration, what should you say
to your team members? - ANS-Resume compressions
You are caring for a 5-year-old boy with a 4-day history of high fever and cough. He is
having increasing lethargy, grunting, and sleepiness. Now he is difficult to arouse and is
unresponsive to voice commands. His oxygen saturation is 72% on room air and 89%
when on a nonrebreathing oxygen mask. He has shallow respirations with a respiratory
rate of 38/min. Auscultation of the lungs reveals bilateral crackles.
11. What assessment finding is consistent with respiratory failure in this child? -
ANS-Oxygen Saturation
You are caring for a 5-year-old boy with a 4-day history of high fever and cough. He is
having increasing lethargy, grunting, and sleepiness. Now he is difficult to arouse and is
unresponsive to voice commands. His oxygen saturation is 72% on room air and 89%
when on a nonrebreathing oxygen mask. He has shallow respirations with a respiratory
rate of 38/min. Auscultation of the lungs reveals bilateral crackles.
What medication would be most appropriate? - ANS-Antibiotics
During a resuscitation attempt, the Team Leader asks you to administer an initial dose
of epinephrine at 0.1 mg/kg to be given IO. How should you respond? - ANS-I think the
correct dose is 0.01 mg/kg. Should I give that dose instead?'
A 6-month-old infant is unresponsive. You begin checking for breathing at the same time
you check for the infant's pulse. What is the maximum time you should spend trying to
simultaneously check for breathing and palpate the infant's pulse before starting CPR? -
ANS-10 seconds
A 10-year-old child is being evaluated for a headache. What is a normal finding for this
10-year-old child? - ANS-Heart rate of 88 bpm
A 6-year-old boy is being evaluated for difficulty breathing. What finding would suggest
this child has respiratory distress? - ANS-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 dosage range
should you use for initial defibrillation? - ANS-2 to 4 J/kg
In which of the following situations may IO access be used? - ANS-An extremity with
slow capillary refill time.
A 2 - week old infant is being evaluated irritability and poor feeding. His blood pressure
is 55/40 mm Hg and capillary refill time is 5 seconds. Which statement best describes
your assessment of this infants blood pressure? - ANS-It is Hypotensive
You are caring for patients in the emergency department. Which two year old requires
immediate interventions? - ANS-A child who is grunting
A 3 year old child is having difficulty breathing. What finding would most likely lead you
to expect an upper airway obstruction in this child? - ANS-Increased inspiratory effort
with retractions
A team member is unable to perform an assigned task because it is beyond the team
member's scope of practice. What action should the team member take? - ANS-Ask for
a new task or role.
You are the team lead during a pediatric resuscitation attempt. Which action is high
quality CPR? - ANS-Allow complete chest wall recoil after each compression.
A 8 year old child is brought to the emergency department by his mother for difficultly
breathing. He has a history is asthma and nut allergies. His mother tells you that he has
recently ate a cookie at a family picnic. Which condition is most likely present with this
child? - ANS-Upper airy way obstruction
An 8-year-old child is brought to the emergency department by ambulance after being
involved in a motor vehicle collision. What finding would suggest that immediate
intervention is needed? - ANS-Decreased level of consciousness
A 6-year-old child is found unresponsive, not breathing, and without a pulse. One
healthcare worker leaves to activate the emergency response system and get the
resuscitation equipment. You and another healthcare provider immediately begin
performing CPR. What compression-to-ventilation -ratio do you use? - ANS-15:2
, 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 shock administration, what should you say
to your team members? - ANS-Resume compressions
You are caring for a 5-year-old boy with a 4-day history of high fever and cough. He is
having increasing lethargy, grunting, and sleepiness. Now he is difficult to arouse and is
unresponsive to voice commands. His oxygen saturation is 72% on room air and 89%
when on a nonrebreathing oxygen mask. He has shallow respirations with a respiratory
rate of 38/min. Auscultation of the lungs reveals bilateral crackles.
11. What assessment finding is consistent with respiratory failure in this child? -
ANS-Oxygen Saturation
You are caring for a 5-year-old boy with a 4-day history of high fever and cough. He is
having increasing lethargy, grunting, and sleepiness. Now he is difficult to arouse and is
unresponsive to voice commands. His oxygen saturation is 72% on room air and 89%
when on a nonrebreathing oxygen mask. He has shallow respirations with a respiratory
rate of 38/min. Auscultation of the lungs reveals bilateral crackles.
What medication would be most appropriate? - ANS-Antibiotics
During a resuscitation attempt, the Team Leader asks you to administer an initial dose
of epinephrine at 0.1 mg/kg to be given IO. How should you respond? - ANS-I think the
correct dose is 0.01 mg/kg. Should I give that dose instead?'
A 6-month-old infant is unresponsive. You begin checking for breathing at the same time
you check for the infant's pulse. What is the maximum time you should spend trying to
simultaneously check for breathing and palpate the infant's pulse before starting CPR? -
ANS-10 seconds
A 10-year-old child is being evaluated for a headache. What is a normal finding for this
10-year-old child? - ANS-Heart rate of 88 bpm
A 6-year-old boy is being evaluated for difficulty breathing. What finding would suggest
this child has respiratory distress? - ANS-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 dosage range
should you use for initial defibrillation? - ANS-2 to 4 J/kg
