PALS Practice Test Questions

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

Thank You for Your Participation.
Best of Luck!

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