PALS Pretest

PALS

PRETEST

PALS Pretest

• 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

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PALS Pretest

• 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 epinepherine autoinjector

C. Nebulized epinepherine

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

• 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. Epinepherine

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 epinepherine

C. This rhythm is normal for this child

D. A toxin or metabolic disorder

PALS PRETEST

PALS Pretest

• 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

• 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. Nebularized albuterol

– B. Epinepherine 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 epinepherine 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

• 20. A 4 year old child experiences a confirmed choking episode. He

is alert but cyanodic. and unable to talk. The best initial therapy is

– A. 5 Back blows and 5 chest thrests

– B. Perform a blind finger sweep

– C. Give abdominal thrusts

– D. When the victim is unconscious do abdominal thrusts

• 21. A 6 month boy presents with a heart rate of 280 bpm. The

monitor shows narrow complex SVT. He is responsive but cyanodic,

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

• 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

• 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

• 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 epinepherine 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

• 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 oer 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

– A. Give epinepherine 0.01 mg/kg iv/io

– B. Insert an advanced airway

– C. Defibrillate at 2 J/kg

– D. Give atropine 0.02 mg/kg

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PALS Pretest

• 1 C 17. B

• 2 C 18. C

• 3 D 19. A

• 4 D 20. C

• 5 C 21. C

• 6 C 22. B

• 7 B 23. A

• 8 B 24. B

• 9 D 25. B

• 10. D 26. A

• 11. D 27. D

• 12. B 28 . B

• 13. A 29. B

• 14 . C 30. A

• 15. D

• 16. B

PALS PRETEST

ANSWERS