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PALS Recertification Exam

  • The exam is contrived of 50 multiple-choice questions.
  • Questions are crafted in accordance with the most recent PALS manual which is AHA endorsed.
  • There is no time limit. Additionally, there is no time frame requirements to submit your answer selection. Complete at the pace you choose.
  • You must click the “FINISH” button on the bottom of the exam in order for our advisors to receive your answer selection. Failure to do so will require you to retake the entire exam as the test selection cannot be saved.
  • You must score at least  80% to pass the exam.
  • Pay only after passing your exam to get your instant certification card on email and by post.
  • A free hard copy card will be mailed according to the shipping selection made by the individual.
  • You are not required to attend an in-person skills evaluation in order to receive your certification card.
  • If you score lower than 80%, you may study then retake the test and submit your new answer selection.

 

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#1. Signs of impending respiratory arrest include:

#2. In order to ensure that team members hear, understand, and carry out instructions correctly, a resuscitative team utilizes:

#3. Tissue death, respiratory arrest, and cardiac arrest may be prevented in a child suffering from shock by:

#4. The blood pressure of a child suffering from shock may be:

#5. A child has a normal blood pressure, yet shows a sign of inadequate perfusion is likely to be suffering from:

#6. A child who is suffering from cardiogenic shock should:

#7. Signs of cardiac tamponade include:

#8. Pulsusparadoxusis defined as:

#9. Decreased breath sounds, hyperresonance andhyperexpansion of one side of the thorax, and deviated trachea indicates the presence of:

#10. What form of shock is caused by pulmonary embolism?

#11. What form of shock is caused by sepsis?

#12. What form of shock is caused by severe, prolonged vomiting and diarrhea?

#13. What form of respiratory distress does anaphylaxis cause?

#14. What form of respiratory distress does asthma cause?

#15. What form of respiratory distress does severe head trauma cause?

#16. What form of respiratory distress does croup cause?

#17. Your awake, healthy patient has a heart rate of 75. This is normal. How old is your patient?

#18. Your 7-year-old patient has a systolic blood pressure of 75 bpm. This blood pressure would be considered:

#19. Your 7-year-old patient has respiratory rate of 14 breaths per minute. This would be considered:

#20. Your 7-year-old patient is in cardiac arrest. The rhythm is ventricular fibrillation. You are doing CPR, have tried unsynchronized cardioversion three times, and have given epinephrine. What drug should you use now?

#21. A hemorrhaging child who is hemodynamically unstable after receiving 3 rapidly administered boluses of crystalloid solution may benefit most by the administration of:

#22. When treating hemorrhagic shock, replace each milliliter of blood lost with:

#23. Hypotension, a wide pulse pressure, and hypothermia are signs of this type of shock:

#24. Needle decompression is used to treat:

#25. The most common site used to obtain intraosseous access is the:

#26. A 6-year-old child who has a pulse rate of less than 60 beats per minute and demonstrates signs of poor tissue perfusion despite adequate oxygenation and ventilation should be treated with:

#27. Unless a child has a history of SVT with aberrant beats,his or her wide QRS complex tachyarrhythmia should be treated as:

#28. Synchronized cardioversion is used to treat:

#29. The initial pediatric energy dose used for synchronized cardioversion is:

#30. The initial pediatric energy dose used for unsynchronized cardioversion (“shock”) is:

#31. Adequate urine output for young children is:

#32. Adequate urine output for an adolescent is:

#33. Post arrest, after the return of spontaneous circulation (ROSC), titrate oxygen saturation (SpO2) levels to:

#34. What is the correct depth for a chest compression in a small child?

#35. What is the correct rate for chest compressions in a small child?

#36. You are alone, talking to your friend on your cell phone. You find a small, unresponsive child. After securing the scene, which is the correct first step?

#37. You are alone without a cell phone. You find a small, unresponsive child. After securing the scene and shouting for help, which is the correct first step?

#38. You are alone without a cell phone. You find a small, unresponsive child. After securing the scene and shouting for help, you check for a pulse and breathing. No pulse or breathing is detected. What do you do next?

#39. You estimate a child’s blood loss to be about 20%. This is considered:

#40. A 6-year-old child has symptomatic bradycardia. You are maintaining the airway, ventilating, giving oxygen, have IO access, and obtained a 12-lead ECG. You check the heart rate and it is 40 beats per minute. What should you do first?

#41. As part of a team in PALS, where is the “defibrillator” member of the team positioned?

#42. As part of a team in PALS, where is the “airway” member of the team positioned?

#43. An appropriate maintenance fluid amount for a 10 kg toddler is:

#44. When describing level of consciousness using the AVPU acronym, the “P” stands for:

#45. When describing level of consciousness using the AVPU acronym, the “A” stands for:

#46. Ventricular tachycardia is always a form of cardiac arrest.

#47. Asystole is a “shockable” rhythm(i.e. a shock is one of the first interventions for asystole)

#48. Ventricular fibrillation is a “shockable” rhythm. (i.e. a shock is one of the first interventions for ventricular fibrillation)

#49. The most common cause of cardiac arrest in pediatric patients is respiratory arrest

#50. Aggressive fluid resuscitation is always the best treatment for all forms of shock

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