2020 PALS EXAM A (ACTUAL EXAM)
QUESTIONS WITH VERY ELABORATED
ANSWERS CORRECTRY WELL ORGANIZED
LATEST 2024 – 2025 ALREADY GRADED A+
You are caring for a 12 year old girl with acute lymphoblastic leukemia. She is
responsive but she does not feel well and appears to be flushed. Her Temp is 39
degrees C (102.2 F), HR is 118/min, respiratory rate is 36/min, BP is 100/40
mmHg, and oxygen sat is 96% on room air. Your assessment reveals mild increase
in work of breathing and bounding pulses. The child is receiving 100% Oxygen by
NRB mask.--- Which assessment finding is the most important in your
determination of the severity of the patients condition? - ANSWERS-blood
pressure
You are caring for a 12 year old girl with acute lymphoblastic leukemia. She is
responsive but she does not feel well and appears to be flushed. Her Temp is 39
degrees C (102.2 F), HR is 118/min, respiratory rate is 36/min, BP is 100/40
mmHg, and oxygen sat is 96% on room air. Your assessment reveals mild increase
in work of breathing and bounding pulses. The child is receiving 100% Oxygen by
,NRB mask.--- Which NS bolus is most appropriate for this patient? - ANSWERS-10
to 20 ml/kg
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 O2 sat is 72% on room air and
89% when on a NRB O2 mask. He has shallow respirations, with a respiratory rate
of 38/min. Auscultation of the lungs reveals bilateral crackles. Which medication
would be most appropriate? - ANSWERS-an antibiotic
A 10 year old child is brought to the ED for fever and cough. You obtain an O2 sat
on the child. Which oxygen saturation would indicate that immediate intervention
is needed? - ANSWERS-88% on 4L of Nasal oxygen
An unresponsive 9 year old boy is pale and cool to the touch his blood pressure is
70/45 mmHg, heart rate is 190/min and respiratory rate is 12/min. The SpO2 is
not detectable Cap refill time is 5 seconds. An IV is in place. The cardiac monitor
displays the rhythm shown here. What rhythm is seen on the patient cardiac
monitor? - ANSWERS-Supraventricular tachycardia
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) - 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
D. Normal inspiratory sounds - ANSWERS-C. Increased inspiratory effort with
retractions
A team member is unable to perform an assigned task because it is beyond the
team members scope of practice. Which action should the team member take?
A. Ask for a new task or role
B. Refuse to perform the task
C. Do it anyway
D. Seek expert consultation - ANSWERS-A. Ask for a new task or role
You are the team leader during a pediatric resuscitation attempt. which action is
an element of high quality CPR?
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