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PALS
PRETEST
PALS PRETEST
PALS PRETEST
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1. A child with a fever, immune system compromise, poor perfusion
and hypotension is most likely to be experiencing which type of
shock
– A. cardiogenic
– B. Neurogenic
– C. Septic
– D. Hypovolemic
2. A 7 year old child presents with agitation, respiratory distress and
dehydration. His heart rate is 120, his respiration rate is 34 and his
cap refill is delayed. His skin color is mottled. His blood pressure is
within normal limits for his age. His condition is best described as
A. Decompensated shock
B. Compensated shock
C. Compensated shock with poor perfusion
D. Decompensated shock with poor perfusion
3. A 4 week old girl is admitter to your ER complaining of stomach
pain , vomiting and diarrhea. Her blood pressure is 55/42. .Her
condition would be described as
A. Normal
B. Compensated
C. Hypertensive
D. Hypotensive
PALS PRETEST
PALS PRETEST
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4. A 5year old child has just had a seizure and appears with
increased work of breathing. The respiration rate is 32 and the
heart rate is 105. What best describes the patients condition
– A. Respiratory distress
– B. Upper airway obstruction
– C. Lower airway obstruction
– D, Disordered control of breathing
5. A 4 year old is admitted with croup moderate stridor and
retractions. What is the best initial treatment.
A. Stat chest x-ray
B. An epinephrine autoinjector
C. Nebulized epinephrine
D. Intubate
6. The optimum oxygen saturation for an arrest victim with return
of normal circulation is
A. 93-100%
B. 92-99%
C. 94-99%
D. 94-100%
PALS PRETEST
PALS PRETEST
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7. The preferred vagal maneuver for a 6 month infant with stable
SVT and adequate perfusion is
– A. Valsalva
– B. Ice to the face
– C. Carotid massage
– D. Pressure above the eye
8. A child presents with a severe symptomatic bradycardia with no
evidence of vagal etiology. The bradycardia persists despite
adequate oxygenation and ventilation. Which drug would you
administer?
A. Atropine
B. Epinephrine
C. Adenosine
D. Dopamine
9. A child is admitted to the ER in pulsed ventricular tachycardia.
What would you consider when evaluating the patient?
A. A new onset of hypertension
B. An immediate of epinephrine
C. This rhythm is normal for this child
D. A toxin or metabolic disorder
PALS PRETEST
PALS PRETEST
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10. Which of the following characterizes respiratory failure
– A. Increases in serum pH
– B. Increased work of breathing
– C. Changes in heart rate and blood pressure
– D. inadequate oxygenation and ventilation
11. Children with lung tissue disease will usually have
A. Stridor
B. Decreased respiratory effort
C. Hypertension
D. decreased oxygen saturation
12. A 6year old child presents with difficulty breathing and
pronounced stridor. He most likely has
A. A lower airway obstruction
B. An upper airway obstruction
C, Disordered control of breathing
D. Lung tissue disease
13. The difference between compensated and decompensated
shock is
A. Hypotension
B. Skin color
C. capillary refill
PALS PRETEST
PALS PRETEST
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14. A 5 year old child is admitted for dehydration resulting from
vomiting and diarrhea. He is hypotensive and you have
administered a fluid bolus but he still remains hypotensive. You
should next
– A. Start a dopamine drip
– B. Start whole blood after cross and match
– C. administer a 20ml/kg bolus of a crystalloid
– D. Administer 20ml/kg bolus of a colloid
15. A 15 year old is admitted for severe respiratory distress. He was
playing football and had the wind knocked out. Breath sounds are
heard only on the right side and the trachea deviates to the left. You
should next
A. Obtain a stat chest x-ray
B. Intubate the patient
C. Administer 100% oxygen
D. Perform a needle chest decompression
16. The correct initial shock dose for pulseless Vtach and Vfib is
A. 4 J/kg
B. 2J/kg
C. 9J.kg
D. Do not shock but use drug therapy
PALS PRETEST
PALS PRETEST
• 17. The most appropriate drug for anaphylaxis with
respiratory distress after ingestion is
– A. Nebulized albuterol
– B. Epinephrine IM
– C. Crystalloid bolus
– D. Methylprednisolone
• 18. For an infant in cardiac arrest what best describes
the use of the AED
– A. Do not use the AED on an infant
– B. Use only pediatric pads
– C. If pediatric pads are not available use adult
pads
– D. Cut down the adult pads until they fit
• 19 The correct dose of epinephrine for cardiac arrest
is
• A. 0.01mg/kg 1/10000 solution IV/IO
• B. 0.01mg/kg 1/1000 solution IV/IO
• C. 0.1 mg/kg 1/10000 solution IV/IO
• D. 0.01 mg/kg 1/10000 solution ET
PALS PRETEST
PALS PRETEST
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20. A 4 year old child experiences a confirmed choking episode. He
is alert but cyanotic. and unable to talk. The best initial therapy is
– A. 5 Back blows and 5 chest thrusts
– B. Perform a blind finger sweep
– C. Give abdominal thrusts
– D. When the victim is unconscious do abdominal thrusts
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21. A 6 month boy presents with a heart rate of 280 bpm. The
monitor shows narrow complex SVT. He is responsive but cyanotic,
is unable to talk and not moving air. The most appropriate
intervention is
– A. Make an appointment with a pediatric cardiologist
B. Consider vagal maneuvers
C. Perform immediate synchronized cardioversion
D. Administer a 20mg/kg bolus of a crystalloid
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22. The pulse for a 2 month old infant should be taken at the
– A. Carotid
– B. Brachial
– C. Femoral
– D. Radial
PALS PRETEST
PALS PRETEST
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23. The pulse check for a pediatric patient should not take
longer than
– A. 10 Seconds
– B. 20 Seconds
– C. 30 Seconds
– D. 15 seconds
24. The correct dose for amiodarone in arrest is
– A. 1 mg/kg
– B. 5 mg/kg
– C. 15 mg
– D. 30 mg/kg
25. You have just shocked a cardiac arrest victim at 2 J/kg. He
remains in arrest. The next shock should be given at
A. 2J/kg
B. 4J/kg
C. 6J/kg
D. Only 1 shock should be given
PALS PRETEST
PALS PRETEST
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26. 4 year old child has a blood pressure of 84/54 with delayed
cap refill. By the AHA standards this child is
– A. Hypotensive
– B. In compensated shock
– C. No longer in shock
– D. In septic shock
27. An infant with respiratory distress experiences a drop in heart
rate from 145 bpm to 70 bpm and remains alert with good
perfusion. The next appropriate intervention is
A . IV/IO access and give epinephrine 0.01 mg/kg
B. IV/IO and give atropine 0.02 mg/kg
C. Begin pacing
D. Give oxygen, insure adequate ventilation and be prepared to
intervene if the heart rate does not increase
28. A child in respiratory failure has a heart rate of 90 bpm and
experiences a drop in respirations from 50 to 10 bpm. What should
you do next
A. Initiate chest compressions
B. Rescue breaths at 12-20 breaths /min
PALS PRETEST
PALS PRETEST
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29. A 7 year old is admitted for palpitations and light headedness.
His heart rate is 240 bpm. He is alert and oriented ,blood pressure
id 100/70 and the respiration rate is 28. What do you do next
– A. Synchronized cardioversion at 0.5 – 1 j/kg
– B. Attempt vagal maneuvers
– C. Give adenosine 0.1 mg/kg over 5 minutes
– D. Give amiodarone 5/mg/kg
30. A pulseless infant is in PEA and CPR is in progress. Vascular
access has been established. The next step is
–
–
–
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A. Give epinephrine 0.01 mg/kg iv/io
B. Insert an advanced airway
C. Defibrillate at 2 J/kg
D. Give atropine 0.02 mg/kg
PALS PRETEST
PALS PRETEST
ANSWER KEY
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1 C
2 C
3 D
4 D
5 C
6 C
7 B
8 B
9 D
10. D
11. D
12. B
13. A
14 . C
15. D
16. B
17. B
18. C
19. A
20. C
21. C
22. B
23. A
24. B
25. B
26. A
27. D
28 . B
29. B
30. A
PALS PRETEST