PALS Practice Test

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Question 1
You are on the scene of a 10 year old female who is in cardiac arrest.  An ALS crew has already placed an advanced airway and asks you to take over the ventilations.  You should:
A
deliver 1 breath every 3 seconds.
B
deliver 1 breath every 12 seconds.
C
deliver 1 breath every 5 seconds.
D
deliver 1 breath every 8 seconds.
Question 1 Explanation: 
Once an advanced airway is in place, the rate of ventilations should be delivered approximately 1 every 8 seconds in an adult/adolescent. The compressions should be given at a rate of 100 per minute and there is no longer a need to pause while those ventilations are being delivered.
Question 2
Disordered control of breathing typically include all of the following pathologies except:
A
atelectasis.
B
neuromuscular disease.
C
seizures.
D
hydrocephalus.
Question 2 Explanation: 
Disordered control of breathing is usually caused by neurological disorders in children. This does not include alveolar collapse.
Question 3
If glucose levels are low and the patient is symptomatic:
A
glucose should be administered orally.
B
glucose should be given IV.
C
glucose should be given IM.
D
glucose should be given buccally.
Question 3 Explanation: 
In symptomatic hypoglycemic children, glucose should be given via the IV route.
Question 4
Neurogenic shock is most often caused by:
A
a cervical spine injury.
B
a thoracic spine injury.
C
an intra-abdominal injury.
D
a head injury with ICP.
Question 4 Explanation: 
Neurogenic shock is most often caused by an injury to the high cervical spine.
Question 5
What ECG finding might you expect to find in a patient with hypothermia?
A
Tall T waves.
B
A prolonged QT interval.
C
Osborne waves.
D
Prolonged PR intervals.
Question 5 Explanation: 
You may find J waves or Osborne waves in hypothermic patients.
Question 6
During the general assessment of the child's circulation:
A
the provider should look at the skin color.
B
the provider should look for skin color, assess for temperature, determine whether or not a pulse is present, and look for obvious bleeding.
C
the provider should look for skin color, assess for temperature, and look for obvious bleeding.
D
the provider should look at the skin color and for obvious bleeding.
Question 6 Explanation: 
The general impression is a visual examination of the patient. Therefore the provider should look at the skin color and for obvious bleeding.
Question 7
What is the most common cause of a seizure in a child up to the age of 5 years old?
A
Allergies
B
Neurological Defect
C
Fever
D
Respiratory compromise
Question 7 Explanation: 
Febrile seizures are the most common type of seizure among pediatric patients.
Question 8
Which of the following choices is not an advantage of using a nasal cannula?
A
It can be used in mouth breathers.
B
It disallows rebreathing of expired air.
C
It allows for talking and eating.
D
It helps to keep the mucus membranes moist.
Question 8 Explanation: 
The nasal cannula is a great tool for moderate supplemental oxygen administration but can dry, not moisten, the mucus membranes within the nasal cavity.
Question 9
When assessing the skin temperature in a pediatric patient, the rescuer should use the:
A
fingertips.
B
palm of their hand.
C
back of their hand.
D
cheek.
Question 9 Explanation: 
Use the back of your hand when assessing the patient. It has thinner skin and is more sensitive to differences in temperature.
Question 10
Synchronized shocks should always be delivered to pediatrics in lower energy doses:
A
to avoid throwing the rhythm into asystole.
B
to limit the strength of the cardiac contraction.
C
to avoid triggering VF.
D
to allow for a stronger myocardial contraction.
Question 10 Explanation: 
Synchronized shocks should always be delivered in lower energy doses to avoid triggering VF.
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