PALS Pediatric Advanced
Life Support
Practice Test Questions
1. Children have _________ metabolic rates compared to adults.
a. Lower
b. Higher
c. Equal
d. Unpredictable
2. The primary assessment includes all of the following assessments EXCEPT:
a. Airway
b. Breathing
c. Choking
d. Exposure
3. Which of the following is a sign of upper airway obstruction?
a. Fever
b. Stridor
c. Nasal flaring
d. Itching
4. The following is a sign of poor ventilation:
a. Hypertension
b. Hyperthyroidism
c. Hypercarbia
d. None of the above
5. The following cause sinus tachycardia EXCEPT:
a. Metabolic stress
b. Mobitz type II block
c. Fever
d. Acute blood loss
PALS Pediatric Advanced
Life Support
Practice Test Questions
6. Common causes of acute community-acquired pneumonia include which of the following?
a. Streptococcus pneumonia
b. Mycoplasma pneumonia
c. Chlamydia pneumonia
d. All of the above
7. Hypoxemia is defined as a room air SpO2 reading less than _____ in a child.
a. 98%
b. 94%
c. 90%
d. 96%
8. Common causes of upper airway obstruction include all of the following EXCEPT:
a. Aspirated foreign body
b. Asthma
c. Allergic reactions
d. Peritonsillar abscess
9. The following medications may be used in for the treatment of croup:
a. Dexamethasone
b. Nebulized epinephrine
c. Both A and B
d. All of the above
10. Which statement concerning asystole is NOT correct?
a. A state of no myocardial contractions and no cardiac output or blood flow.
b. An asystolic patient has no detectable electrical activity.
c. A flat line on an ECG always indicates asystole.
d. Asystole is one of the rhythms associated with cardiac arrest.
11. Types of shock include all of the following EXCEPT:
a. Anaphylactic shock
b. Hypovolemic shock
c. Cardiogenic shock
d. Hypothermic shock
PALS Pediatric Advanced
Life Support
Practice Test Questions
12. When providing fluid resuscitation in children, how should intravenous fluid boluses be given?
a. 15 mL/kg bolus over 5 to 20 minutes
b. 20 mL/kg bolus over 5 to 20 minutes
c. 25 mL/kg bolus over 5 to 20 minutes
d. 30 mL/kg bolus over 5 to 20 minutes
13. Effectiveness of fluid resuscitation and medication therapy should be frequently monitored by
which of the following?
a. Heart rate
b. Blood pressure
c. Mental status
d. All of the above
14. Common signs and symptoms of compensated shock include:
a. Excessive sweating
b. Increased heart rate
c. Wide pulse pressure
d. Hypertension
15. When should vasopressors be administered during the management of septic shock?
a. If the patient is responding to fluid resuscitation
b. If the patient is severely hypotensive despite proper fluid management
c. Always indicated as soon as IV access is obtained
d. Vasopressors are never used for septic shock
16. For fluid resuscitation in hemorrhagic shock, give about _____ of crystalloid for every _____ of
blood lost.
a. 1 mL, 2 mL
b. 3 mL, 2 mL
c. 3 mL, 1 mL
d. 2 mL, 3 mL
17. Hypoglycemia is defined as _____ in infants, children, and adolescents is:
a. Greater than or equal to 40 mg/dL
b. Greater than or equal to 50 mg/dL
c. Less than or equal to 60 mg/dL
d. Less than or equal to 70 mg/dL
PALS Pediatric Advanced
Life Support
Practice Test Questions
18. The gold standard treatment for anaphylactic shock is:
a. Milrinone
b. Epinephrine
c. Dopamine
d. Dobutamine
19. The preferred order of drug delivery routes is:
a. IV route, IO route, ET route
b. ET route, IV route, IO route
c. IO route, ET route, IV route
d. IV route, ET route, IO route
20. Which rhythm should be shocked?
a. Ventricular fibrillation
b. Pulseless ventricular tachycardia
c. Pulseless electrical activity (PEA)
d. Both A and B
Answers on Next Page »
PALS Pediatric Advanced
Life Support
Practice Test Questions
ANSWERS
1. B
Higher
2. C
Choking
3. B
Stridor
4. C
Hypercarbia
5. B
Mobitz type II block
6. D
All of the above
7. B
94%
8. B
Asthma
9. D
All of the above
10. C
A flat line on an ECG always indicates asystole.
11. D
Hypothermic shock
12. B
20 mL/kg bolus over 5 to 20 minutes
PALS Pediatric Advanced
Life Support
Practice Test Questions
ANSWERS
13. D
All of the above
14. D
Increased heart rate
15. B
If the patient is severely hypotensive despite proper fluid management
16. C
3 mL, 1 mL
17. C
Less than or equal to 60 mg/dL
18. B
Epinephrine
19. A
IV route, IO route, ET route
20. D
Ventricular fibrillation and pulseless ventricular tachycardia
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