PALS Certification Exam
10 seconds - correct answer A 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?
Disordered Control of Breathing - correct answer 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?
blood glucose - correct answer An 8 year old child is brought to the emergency department
with a 2 day history of lethargy and polyuria. The child has new onset rapid, deep, and labored
breathing. Which diagnostic test should you order first?
Reposition the patient, and insert an oral airway - correct answer 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?
Provide bag mask ventilation - correct answer 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?
15:2 - correct answer 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?
94%-99% - correct answer 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?
"resume compressions" - correct answer 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?
, PALS Certification Exam
2-4 J/kg - correct answer 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?
40 Joules - correct answer 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?
Allowing complete chest wall recoil after each compression - correct answer You are the team
leader during a pediatric resuscitation attempt. which action is an element of high quality CPR?
blood pressure - correct answer You are caring for a 3 month old boy with a 2 day history of
fever, vomiting and diarrhea. His parents state that he has been sleeping much more. His HR is
190/min, temp is 38.3 degrees C (101 F) blood pressure is 59/29 mmHg, Resp rate is 70/min
and shallow, and oxygen sat is 94% on 100% oxygen. His capillary refills time is 4-5 seconds, and
he has mottled, cool extremities. The infant weighs 6 Kg. Which assessment finding indicates
that the infant is in hypotensive shock?
hypovolemic shock - correct answer You are caring for a 3 month old boy with a 2 day history
of fever, vomiting and diarrhea. His parents state that he has been sleeping much more. His HR
is 190/min, temp is 38.3 degrees C (101 F) blood pressure is 59/29 mmHg, Resp rate is 70/min
and shallow, and oxygen sat is 94% on 100% oxygen. His capillary refills time is 4-5 seconds, and
he has mottled, cool extremities. The infant weighs 6 Kg. On the basis of this infants
presentation, which type of shock does this infant have?
20 ml/kg normal saline - correct answer You are caring for a 3 month old boy with a 2 day
history of fever, vomiting and diarrhea. His parents state that he has been sleeping much more.
His HR is 190/min, temp is 38.3 degrees C (101 F) blood pressure is 59/29 mmHg, Resp rate is
70/min and shallow, and oxygen sat is 94% on 100% oxygen. His capillary refills time is 4-5
seconds, and he has mottled, cool extremities. The infant weighs 6 Kg. You have decided that
this infant Needs fluid resuscitation. How much fluid should you administer?
It is Hypotensive - correct answer A 2 week old infant is being evaluated for irritability and
poor feeding. His BP is 55/40 mmHg, and cap refill time is 5 seconds. Which statement best
describes your assessment of this infants BP?
Ask for a new task or role - correct answer 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?
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