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PALS Test Practice Questions 2024 with 100- correct answersPALS Test Practice Questions 2024 with 100- correct answers
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10/17/24, 10:50 AMPALS Test Practice Questions 2024 with 100% correct
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Terms in this set (55)
You are caring for a child who was Epinephrine IV
resuscitated after a drowning event. The
child is intubated & ventilated with 100%
oxygen with equal breath sounds &
exhaled C02 detected. The HR is slow & the
monitor shows sinus bradycardia. The skin is
cool, mottled, & moist; distal pulses are not
palpable & 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?
You are caring for a 5 yo patient with SVT. Provide synchronized cardioversion at 0.5 to 1 J/kg
The child is lethargic. The skin is pale & cool
with delayed capillary refill. Distal pulses
are not palpable. Which of the following
would be the best treatment to provide
without delay?
You are initiating treatment for a child with Administer repeated fluid boluses of isotonic crystalloid
septic shock & hypotension. While
administering high-flow oxygen you
determine that the child's respirations are
adequate & Sp02 is 100%. You have just
established vascular access & obtained
blood samples. Which of the following is
the next most appropriate therapy to
support systemic perfusion?
You are treating an 8 yo with ventricular Consider possible metabolic & toxicologic causes
tachycardia with pulses & adequate
perfusion. You attempted synchronized
cardioversion without success. While
seeking expert consultation, it would be
PALS Test Practice Questions
most appropriate to:
1/6
, 10/17/24, 10:50 AM
You are caring for a 2 yo unconscious pt Using a resuscitation bag provide manual ventilation with 100% oxygen
who is intubated & receiving mechanical
ventilation. The child's HR suddenly drops
to 40/min & his color becomes mottled.
You should respond to these changes by:
You are caring for a 9 mo pt with Provide BMV
pronounced respiratory distress. You
initiated high-flow oxygen using a
nonrebreathing mask about 10 minutes ago
& established IV access. Initially the infant's
HR was in the 150/min range with strong
pulses. Suddenly the infant's respiratory
rate falls to 6/min with significant
intercostal retractions, & little air movement
is heard. The infant becomes cyanotic & the
HR decreases to 95/min. Which of the
following treatments would be best for you
to provide now?
Which of the following is likely to be the Soliciting a history from the caregiver or family
most helpful technique to ID potentially
reversible metabolic & toxic causes during
the attempted resuscitation of a young
child in cardiac arrest?
You are caring for a pt who developed a Over the third rib at the midclavicular line
tension pneumothorax after several hours
of positive-pressure ventilation. Which of
the following would be the most
appropriate site for needle
decompression?
You attempted synchronized cardioversion Synchronized cardioversion at a dose of 2 J/kg
for an infant with SVT & poor perfusion. The
SVT persists after the initial 1 J/kg shock.
Which of the following should you attempt
now?
You are treating a 5 mo with a 2 day history Provide a rapid 20 mL/kg isotonic crystalloid fluid bolus
of vomiting & diarrhea. The pt is listless. The
RR is 52/min & unlabored. The HR is 170/min
& pulses are present but weak. Capillary
refill is delayed. You are administering high-
flow oxygen, & IV access is in place. At this
point the most important therapy is to:
Which of the following groups of clinical Normal SBP, decreased level of consciousness, cool extremities with delayed
findings would be most consistent with capillary refill, & faint or non-palpable distal pulses
categorizing a pt with compensated
shock?
2/6
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