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2024 PALS ALL EXAM QUESTIONS WITH CORRECT ANSWERS
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2024 PALS ALL EXAM QUESTIONS WITH CORRECT ANSWERS
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2024 PALS ALL EXAM QUESTIONSWITH CORRECT ANSWERS
You are caring for a 7-year-old with respiratory distress that has worsened
over the past few hours. The child is alert and in moderate respiratory
distress with prolonged exhalation time. The respiratory rate is 28/min with
bilateral expiratory wheezes. The heart rate is 112/min with good capillary
refill. The wheezing in this patient indicates:
Disordered control of breathing
Lung tissue (parenchymal) lung disease
Lower airway obstruction
Upper airway obstruction - CORRECT-ANSWERSLower airway obstruction
Which of the following assessments is most useful in evaluating the
effectiveness of bagmask ventilation?
Hearing an air leak around the mask when the bag is fully compressed
Seeing the abdomen rise during ventilationcation
Observation of visible chest rise
A normal systolic, diastolic, and mean arterial pressure - CORRECT-
ANSWERSObservation of visible chest rise
You are caring for a child who was resuscitated after a drowning event. The
child is intubated and ventilated with 100% oxygen with equal breath sounds
and exhaled CO2 detected. The heart rate is slow and the monitor shows
sinus bradycardia. The skin is cool, mottled, and moist; distal pulses are not
palpable and 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?
Epinephrine IV
Transcutaneous pacing
Atropine IV
Dobutamine IV infusion - CORRECT-ANSWERSEpinephrine IV
You are caring for a 5-year-old patient with supraventricular tachycardia
(heart rate = 220/min). The child is lethargic. The skin is pale and cool with
delayed capillary refill. Distal pulses are not palpable. Which of the following
would be the best treatment to provide without delay?
, Place cold packs on the distal upper and lower extremities
Ask the child to blow through a small straw
Exert light pressure on the eyes bilaterally
Provide synchronized cardioversion at 0.5 to 1 J/kg - CORRECT-
ANSWERSProvide synchronized cardioversion at 0.5 to 1 J/kg
You are initiating treatment for a child with septic shock and hypotension.
While administering high-flow oxygen you determine that the child's
respirations are adequate and SpO2 is 100%. You have just established
vascular access and obtained blood samples. Which of the following is the
next most appropriate therapy to support systemic perfusion?
Administer repeated fluid boluses of isotonic colloid
Administer repeated fluid boluses of isotonic crystalloid
Begin immediate dopamine infusion
Begin immediate dobutamine infusion - CORRECT-ANSWERSAdminister
repeated fluid boluses of isotonic crystalloid
You are treating an 8-year-old with ventricular tachycardia with pulses and
adequate perfusion. You attempted synchronized cardioversion without
success. While seeking expert consultation, it would be most appropriate to:
Administer a loading dose of milrinone
Consider possible metabolic and toxicologic causes
Initiate overdrive pacing transcutaneously
Deliver an unsynchronized shock - CORRECT-ANSWERSConsider possible
metabolic and toxicologic causes
You are caring for a 2-year-old unconscious patient who is intubated and
receiving mechanical ventilation. The child's heart rate suddenly drops to
40/min and his color becomes mottled. You should respond to these changes
by:
Increasing the ventilator rate
Increasing tidal volume
Increasing positive end-expiratory pressure (PEEP)
Using a resuscitation bag provide manual ventilation with 100% oxygen -
CORRECT-ANSWERSUsing a resuscitation bag provide manual ventilation
with 100% oxygen
You are caring for a 9-month-old patient with pronounced respiratory
distress. You initiated high-flow oxygen using a nonrebreathing mask about
10 minutes ago and established intravenous access. Initially the infant's
heart rate was in the 150/min range with strong pulses. Suddenly the infant's
respiratory rate falls to 6/min with significant intercostals retractions, and
little air movement is heard. The infant becomes cyanotic and the heart rate
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