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PALS Practice Test
Enhance your Pediatric Advanced Life Support (PALS) skills with the step-by-step PALS practice tests below. Receive instant feedback, monitor your progress, and retake the quizzes as often as needed to achieve mastery. Aim for a score of 84% or higher to confidently succeed on this PALS test.
1. What would your next step be if you found an unresponsive infant or child?
- Apply Automated External Defibrillator (AED)
- Tell a bystander to call 911
- Look for a parent
- Provide rescue breaths
2. Where is the brachial pulse located?
- Wrist - thumb side
- Elbow - inside near forearm
- Upper arm - inside
- Neck - either side of the trachea
3. The easy mnemonic to aid in the assessment of mental status is the following:
- AVPU
- SAMPLE
- ABCDE
- NRP
4. What drug would you consider using for a 10-year-old with a racing pulse and SVT (Supraventricular Tachycardia)?
- Vasopressin
- Lidocaine
- Bretylium
- Adenosine
5. What type of sounds would you expect to hear when there is an obstruction in the upper airway?
- Stridor
- Burping
- Rales
- Apnea
6. Why would you only give a child with toxin ingestion, resulting in bradycardia, the minimum dose of 0.1 mg of Atropine in their IV?
- Rebound tachycardIncorrect response
- May worsen bradycardia
- Apnea
- Cardiac arrest
7. Which of the following is not a life-threatening arrhythmia?
- Torsades de pointes Incorrect response
- Ventricular fibrillation
- Ventricular tachycardia
- Sinus tachycardia
8. What would be the most common reason for low blood pressure in a seven-year-old child that has been hit by a car and hypotensive?
- Anaphylactic shock Incorrect response
- Hypovolemic shock
- Cardiogenic shock
- Obstructive shock
9. The reversible sources of cardiac arrest are the following:
- Hyperthermia Incorrect response
- Hypoxia
- Tetanus
- Theophylline overdose
10. Which basic airway skill is the most commonly used method for providing positive-pressure ventilation?
- Mouth-to-mouth
- Mouth-to-barrier device
- Bag-mask ventilation
- Jaw thrust without head extension
11. Warning signs and symptoms of a stroke include:
- Trouble speaking, dizziness, sudden severe headache, sudden confusion
- Sudden numbness, shortness of breath, sudden severe headache, sudden confusion
- Trouble seeing in one eye, dizziness, vomiting, sudden confusion
- Trouble speaking, dizziness, sudden severe headache, memory loss
12. What is the first sign of the body's defensive response when a child or infant is in shock?
- Body temperature drop
- Body temperature rise
- Heart rate increase
- Heart rate decrease
13. Which of the following is not one of the 3 physical findings that the CPSS uses to identify strokes?
- Facial drops
- Vertigo
- Arm drift
- Abnormal speech
14. An Ischemic stroke…
- Accounts for 75% of all strokes and is usually caused by an occlusion of an artery to a region of the brain.
- Accounts for 85% of all strokes and is usually caused by an occlusion of vein to a region of the brain.
- Accounts for 85% of all strokes and is usually caused by an occlusion of an artery to a region of the brain.
- Accounts for 15% of all strokes and occurs when a blood vessel in the brain suddenly ruptures into the surrounding tissue.
15. Which of the following is not one of the 7 D’s of Stroke Care?
- Dispatch
- Delivery
- Dispense
- Data
16. Which of the following is not a symptom of unstable tachycardia?
- Shortness of breath
- Blurred vision
- Altered mental status
- Fatigue
17 Which of the following is a recommended agent to be administered to patients under evaluation for unstable tachycardia?
- No agents are recommended
- Morphine
- Oxygen
- Aspirin
18. A rhythm disorder with a heart rate of greater than 100 bpm is __________.
- Acute Coronary Syndrome
- Bradycardia
- Ventricular Fibrillation
- Tachyarrthythmia
19. TCP is not a recommended treatment for which of the following?
- Standby pacing
- Bracycardia with escape rhythms
- Asystole
- Hemodynamically significant bradyarrhythmia
20. What is an adverse sign of bradycardia?
- Congestive heart failure
- Hypertension
- Chest pain
- Impaired speech
21. Secondary to respiratory failure or shock, pediatric cardiac arrest is typically the result of what condition?
- Tissue hypoxia
- Coronary occlusion
- Pulmonary embolism
- Hypovolemia
22. Which of the following is not typically a common cause of sudden cardiac arrest in children?
- Long QT syndrome
- Hypertrophic cardiomyopathy
- Myocarditis
- Drug intoxication
23. Cardiovascular afterload may need to be increased or decreased during the post-cardiac phase. What is the best method for achieving this?
- IV fluid bolus therapyIncorrect response
- Vasopressors and vasodilators
- External cardiac pacing
- Oxygen therapy
24. Which of the following conditions does not contribute to shock by increasing tissue demand for oxygen and nutrients?
- Respiratory distress
- Pain
- Infection
- Fever
25. Septic shock is the most common form of which type of shock?
- Distributive
- Hypovolemic
- Cardiogenic
- Obstructive