PALS Practice Test

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Question 1
What ECG finding might you expect to find in a patient with hypothermia?
A
Prolonged PR intervals.
B
Tall T waves.
C
Osborne waves.
D
A prolonged QT interval.
Question 1 Explanation: 
You may find J waves or Osborne waves in hypothermic patients.
Question 2
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 8 seconds.
B
deliver 1 breath every 3 seconds.
C
deliver 1 breath every 12 seconds.
D
deliver 1 breath every 5 seconds.
Question 2 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 3
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 3 Explanation: 
Neurogenic shock is most often caused by an injury to the high cervical spine.
Question 4
Which of the following choices is not an advantage of using a nasal cannula?
A
It allows for talking and eating.
B
It can be used in mouth breathers.
C
It helps to keep the mucus membranes moist.
D
It disallows rebreathing of expired air.
Question 4 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 5
Disordered control of breathing typically include all of the following pathologies except:
A
seizures.
B
hydrocephalus.
C
atelectasis.
D
neuromuscular disease.
Question 5 Explanation: 
Disordered control of breathing is usually caused by neurological disorders in children. This does not include alveolar collapse.
Question 6
If glucose levels are low and the patient is symptomatic:
A
glucose should be given buccally.
B
glucose should be given IM.
C
glucose should be administered orally.
D
glucose should be given IV.
Question 6 Explanation: 
In symptomatic hypoglycemic children, glucose should be given via the IV route.
Question 7
During the general assessment of the child's circulation:
A
the provider should look at the skin color and for obvious bleeding.
B
the provider should look for skin color, assess for temperature, and look for obvious bleeding.
C
the provider should look at the skin color.
D
the provider should look for skin color, assess for temperature, determine whether or not a pulse is present, and look for obvious bleeding.
Question 7 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 8
When assessing the skin temperature in a pediatric patient, the rescuer should use the:
A
back of their hand.
B
fingertips.
C
palm of their hand.
D
cheek.
Question 8 Explanation: 
Use the back of your hand when assessing the patient. It has thinner skin and is more sensitive to differences in temperature.
Question 9
Synchronized shocks should always be delivered to pediatrics in lower energy doses:
A
to avoid triggering VF.
B
to limit the strength of the cardiac contraction.
C
to avoid throwing the rhythm into asystole.
D
to allow for a stronger myocardial contraction.
Question 9 Explanation: 
Synchronized shocks should always be delivered in lower energy doses to avoid triggering VF.
Question 10
What is the most common cause of a seizure in a child up to the age of 5 years old?
A
Neurological Defect
B
Fever
C
Allergies
D
Respiratory compromise
Question 10 Explanation: 
Febrile seizures are the most common type of seizure among pediatric patients.
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