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PALS Systematic Approach Algorithm Quiz 4

This PALS Quiz focuses on the treatment of the critically ill child using the PALS Systematic Approach Algorithm.
Answer all 14 questions and then your practice test will be graded.

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  1. Question 1 of 14
    1. Question

    The final aspect of the evaluate component for the evaluate – identify – intervene sequence is diagnostic tests. What is the primary diagnostic test for assessing the severity of respiratory problems?

    Correct

    Incorrect

  2. Question 2 of 14
    2. Question

    Within the evaluate-identify-intervene sequence, there are three clinical assessments that occur. The three clinical assessments are primary assessment, secondary assessment, and _________ tests. (fill in the blank with the correct answer)

    Correct

    Incorrect

  3. Question 3 of 14
    3. Question

    An arterial blood gas is a diagnostic test that measures amounts of certain gasses and other constituents in the arterial blood. Match each result with the proper definition. (Drag and drop.)

    Sort elements
    • pH
    • PaO2
    • PaCO2
    • HCO3 (bicarbonate)
    • SaO2
    • This value tells us about the acid-base balance.
      • This value tells us whether oxygenation is adequate.
        • This value tells us whether ventilation is adequate.
          • This value is used to determine if the source of an acid-base disturbance is respiratory or metabolic.
            • This value tells us the percentage of hemoglobin saturated with oxygen.
              Correct

              Incorrect

            • Question 4 of 14
              4. Question

              (True or False) Hemoglobin concentration determines the oxygen-carrying capacity of the blood.

              Correct

              Incorrect

            • Question 5 of 14
              5. Question

              In the seriously ill or injured child, the arterial lactate level can __________ as a result of tissue hypoxia and anaerobic metabolism.

              Correct

              Incorrect

            • Question 6 of 14
              6. Question

              The D(disability) of the primary assessment is a quick evaluation of ________________.

              Correct

              Incorrect

            • Question 7 of 14
              7. Question

              Which of the following signs may be present with sudden and severe cerebral hypoxia? (Choose all correct answers)

              Correct

              Incorrect

            • Question 8 of 14
              8. Question

              Pupil response to light is an indicator of ______________ function.

              Correct

              Incorrect

            • Question 9 of 14
              9. Question

              The E of the ABCDE primary assessment acronym stands for ________________.

              Correct

              Incorrect

            • Question 10 of 14
              10. Question

              The D(disability) of the primary assessment is a quick evaluation of neurologic function. Which standard evaluations are included in this assessment? (Choose all correct answers.)

              Correct

              Incorrect

            • Question 11 of 14
              11. Question

              When cerebral hypoxia develops more gradually, the neurologic signs are the same as when severe cerebral hypoxia develops suddenly.

              Correct

              Incorrect

            • Question 12 of 14
              12. Question

              The AVPU scale is a scale used to evaluate cerebral cortex function and is used to rate a child's level of consciousness. What does the acronym AVPU stand for?

              Correct

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            • Question 13 of 14
              13. Question

              The Glasgow coma scale is used to evaluate a child's level of consciousness and neurologic status. The child's best eye-opening, verbal, and motor responses are scored. If a child is intubated, unconscious, or preverbal, the most important part of this scale is _____________ response.

              Correct

              Incorrect

            • Question 14 of 14
              14. Question

              After completion of the primary assessment, if the child does not have a life-threatening condition, the secondary assessment should be completed. The secondary assessment consists of which of the following components? (Choose all correct answers.)

              Correct

              Incorrect

            (2015-2020 Guidelines)

            Return to PALS Practice Test Library

            Comments

            1. Natalie Garcia says

              September 19, 2020 at 1:02 pm

              Where are the actual lessons for the Systematic Approach Algorithm block? I have read the first module which is very general, and then it takes me to the quizzes. I am passing them based on previous knowledge, but there must be lessons somewhere that I am missing.

              Reply
              • ACLS says

                September 22, 2020 at 3:29 pm

                You are not missing anything. The practice tests are designed to both teach and help you assess your understanding.

                This section involving the systematic approach algorithm was very bulky and redundant with much of the other information and so I thought it was best to reduce the written portion of the systematic approach by using the practice tests for both teaching and testing. Full rationales are provided when an answer is missed. This allows the learner to gain understanding while at the same time someone already familiar can test their knowledge.

                Hope that makes sense.

                Kind regards,
                Jeff

                Reply
            2. Lori says

              July 8, 2020 at 8:41 pm

              Some of the drag and drops specifically the one on lab tests does not work on a iPhone because of spacing just FYI

              Reply
              • ACLS says

                July 14, 2020 at 3:47 am

                Hi Lori,
                Thank you for letting me know about this. Yes, we are trying to work on getting those issues corrected. The phone use does complicate that a bit. Kind regards, Jeff

                Reply
            3. Jade Slone says

              April 2, 2019 at 4:16 pm

              “(True or False) Hemoglobin concentration determines the oxygen-carrying capacity of the blood.”

              This is Loaded question. If this person has been in a house fire, the result will be false and a Co-Ox will have to be performed, as the blood will be loaded with Carbon Monoxide instead of Oxygen. This is my experience as an RRT anyway.

              Reply
              • Jeff with admin. says

                April 4, 2019 at 6:43 am

                Thank you for the feedback. This question was not meant to be loaded. The oxygen carrying capacity of the blood is determined by the hemoglobin concentration. Generally speaking, if the hemoglobin concentration is low then the oxygen carrying capacity will be low. If the hemoglobin concentration is normal then the oxygen carrying capacity will be normal.

                Kind regards,
                Jeff

                Reply
              • Mark Doucette says

                December 7, 2019 at 9:11 am

                When I answer the questions, sometimes I will highlight, for example, one answer, when all 4 are the correct answer. It says that the answer was correct, but it wasn’t; I didn’t answer all the other answers (which is the correct answer). Thank you

                Reply
                • ACLS says

                  December 7, 2019 at 1:26 pm

                  Hi Mark,
                  If you run into any problems with the quizzes can you take a picture of what is on the screen and text to to tech support at 316-243-7096.
                  Kind regards, Jeff

            4. Allan Moon says

              January 19, 2019 at 7:17 pm

              Isn’t the BG part of the diagnostic test instead of disability assessment?

              Reply
              • Jeff with admin. says

                January 22, 2019 at 10:16 am

                Blood glucose is not considered part of diagnostic tests within the systematic approach algorithm. Blood glucose is part of the primary assessment and is located under disability. See page 55 and 59 of the AHA PALS Provider manual. “Standard evaluations for disability include AVPU, Glasgow coma scale, pupil response to light, and blood glucose test.

                Hypoglycemia is a common occurrence in infants and children. In light of this, blood glucose is included within the disability section to ensure that the blood glucose test is carried out early within the primary assessment rather than after the secondary assessment when diagnostic assessments take place.

                Kind regards,
                Jeff

                Reply
            5. Jeanine Trucksess says

              January 9, 2019 at 11:49 am

              fabulous prep!

              Reply
            6. Diane Ferrier says

              September 3, 2018 at 1:21 pm

              These questions are great, and they give you an indication of what you know and what you don’t know! Thanks for doing this! Take the PALS certification for the first time next week.

              Reply
            7. Zandile says

              August 11, 2018 at 12:07 pm

              I,m so thankful I found these question and doing this for the first time ,and will be doing Pals soon ,the book is a necessary reference but too big here u get to understand the rationale of steps being followed for resuscitation and saving lives,an eye opener ,very informative

              Reply
            8. ybaird says

              August 6, 2018 at 7:47 pm

              This is my first time studying to take the PALS exam. I started reading the book, it was so much material, so I decided to sign up on your website. I believe this is a more concise way of studying for the written as well as the megacodes.

              Reply
            9. Erynn says

              December 30, 2017 at 1:25 am

              Thank you!!Please keep up the good work!

              Reply
            10. Charles Mead says

              September 17, 2017 at 11:06 am

              Great stuff on both ACLS and PALS pages.

              One questions: The links to the PALS-Post-Arrest tests don’t work. Is that intentional (i.e. content under development) or an oversight?

              Thanks again for this excellent web site!
              charlie

              Reply
            11. Michelle H says

              July 5, 2017 at 10:51 am

              Thank you for this. I am taking the PALS course now and I am taking these quizzes while following along with the videos and it is exponentially easier to learn and retain more information.

              Reply
            12. Terri Miller says

              May 13, 2017 at 7:00 pm

              This really helped to identify what I had glossed over in my reading. And to familiarize myself with where to find the information.

              Reply
            13. E. McKinney says

              March 5, 2017 at 6:43 pm

              I enjoyed taking these test, it gave me the opportunity to go back over the information in my book. It’s difficult to know what to retain and not. So this helped. Thanks.

              Reply
              • Eileen says

                March 26, 2017 at 2:19 pm

                I agree…..so much information given in the book and it all applies but what is necessary to go back over is important….key highlighted points!

                Reply
            14. Matthew Minarik says

              January 17, 2017 at 10:47 am

              This is good.

              Reply

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