PALS Practice Test Sampling of 20 questions found on the certification exam

1 A 5-year-old child in supraventricular tachycardia has adequate pulses with the rhythm. Supplemental oxygen is in place and vital signs are stable except for the elevated heart rate. The most appropriate next intervention for this child is:

1 A 5-year-old child in supraventricular tachycardia has adequate pulses with the rhythm. Supplemental oxygen is in place and vital signs are stable except for the elevated heart rate. The most appropriate next intervention for this child is:

  • Key A
    A
  • Key B
    B
  • Key C
    C
  • Key D
    D

2 A child has an advanced airway in place during cardiac arrest. How frequently should ventilations be given?

2 A child has an advanced airway in place during cardiac arrest. How frequently should ventilations be given?

  • Key A
    A
  • Key B
    B
  • Key C
    C
  • Key D
    D

3 You are using a bag-valve mask to resuscitate an infant, while another rescuer is performing chest compressions. What is the correct ratio of chest compressions to ventilations?

3 You are using a bag-valve mask to resuscitate an infant, while another rescuer is performing chest compressions. What is the correct ratio of chest compressions to ventilations?

  • Key A
    A
  • Key B
    B
  • Key C
    C
  • Key D
    D

4 You are alone performing infant CPR. What is the correct ratio of chest compressions to ventilations?

4 You are alone performing infant CPR. What is the correct ratio of chest compressions to ventilations?

  • Key A
    A
  • Key B
    B
  • Key C
    C
  • Key D
    D

5 A 7 month old appears to be unconscious and not breathing. You check for a pulse at the ________ artery.

5 A 7 month old appears to be unconscious and not breathing. You check for a pulse at the ________ artery.

  • Key A
    A
  • Key B
    B
  • Key C
    C
  • Key D
    D

6 A clear sign of upper airway obstruction is:

6 A clear sign of upper airway obstruction is:

  • Key A
    A
  • Key B
    B
  • Key C
    C
  • Key D
    D

7 In children, which of the following is the most common form of arrest?

7 In children, which of the following is the most common form of arrest?

  • Key A
    A
  • Key B
    B
  • Key C
    C
  • Key D
    D

8 In small children, a rescue breath should be given:

8 In small children, a rescue breath should be given:

  • Key A
    A
  • Key B
    B
  • Key C
    C
  • Key D
    D

9 What is the normal range of heart rates for an 8-year-old child?

9 What is the normal range of heart rates for an 8-year-old child?

  • Key A
    A
  • Key B
    B
  • Key C
    C
  • Key D
    D

10 The child you are caring for is very pale. You know that this pallor can be caused by all of the following EXCEPT:

10 The child you are caring for is very pale. You know that this pallor can be caused by all of the following EXCEPT:

  • Key A
    A
  • Key B
    B
  • Key C
    C
  • Key D
    D

11 Clinical signs of respiratory distress may include all of the following EXCEPT:

11 Clinical signs of respiratory distress may include all of the following EXCEPT:

  • Key A
    A
  • Key B
    B
  • Key C
    C
  • Key D
    D

12 Late and ominous signs of respiratory failure include all of the following EXCEPT:

12 Late and ominous signs of respiratory failure include all of the following EXCEPT:

  • Key A
    A
  • Key B
    B
  • Key C
    C
  • Key D
    D

13 The 8-year-old child you are treating has a palpable pulse and a heart rate of 200. You look at the monitor and see a rapid rhythm with narrow QRS complexes. There are no discernible P waves on the monitor. The rhythm is probably:  

13 The 8-year-old child you are treating has a palpable pulse and a heart rate of 200. You look at the monitor and see a rapid rhythm with narrow QRS complexes. There are no discernible P waves on the monitor. The rhythm is probably:  

  • Key A
    A
  • Key B
    B
  • Key C
    C
  • Key D
    D

14 You are doing CPR on a child with symptomatic bradycardia. An intravenous line is in place. What is the first drug of choice for the patient?  

14 You are doing CPR on a child with symptomatic bradycardia. An intravenous line is in place. What is the first drug of choice for the patient?  

  • Key A
    A
  • Key B
    B
  • Key C
    C
  • Key D
    D

15 High-quality CPR for young children includes:

15 High-quality CPR for young children includes:

  • Key A
    A
  • Key B
    B
  • Key C
    C
  • Key D
    D

16 You are the team leader on a team resuscitating a child without a pulse or respirations. When you look at the monitor, you see a disorganized rhythm with chaotic electrical activity. This rhythm is most likely:

16 You are the team leader on a team resuscitating a child without a pulse or respirations. When you look at the monitor, you see a disorganized rhythm with chaotic electrical activity. This rhythm is most likely:

  • Key A
    A
  • Key B
    B
  • Key C
    C
  • Key D
    D

17 The goal of the PALS team in the treatment of shock is to:

17 The goal of the PALS team in the treatment of shock is to:

  • Key A
    A
  • Key B
    B
  • Key C
    C
  • Key D
    D

18 When evaluating a child's bradycardia, it is important to consider the child's:

18 When evaluating a child's bradycardia, it is important to consider the child's:

  • Key A
    A
  • Key B
    B
  • Key C
    C
  • Key D
    D

19 For asystole, the team should do CPR until IV or IO access is achieved. The drug of choice for asystole is:

19 For asystole, the team should do CPR until IV or IO access is achieved. The drug of choice for asystole is:

  • Key A
    A
  • Key B
    B
  • Key C
    C
  • Key D
    D

20 In school age children and infants, the two most common initial rhythms seen in pediatric cardiac arrest are:

20 In school age children and infants, the two most common initial rhythms seen in pediatric cardiac arrest are:

  • Key A
    A
  • Key B
    B
  • Key C
    C
  • Key D
    D

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