PALS in-hospital respiratory scenario

The quiz
You are working on the floor of a medical unit when you are called to the room of a 1-year-old who was admitted earlier from the emergency department where they were treated for respiratory distress and croup-like symptoms. You arrived to find the child in obvious distress breathing 64/min with an oxygen saturation of 84% on 2 liters of blow-by oxygen. Temperature is 97.4 F. Heart rate is 160 with a BP of 75/43. There is loud stridor on inhalation. Weight is 12kg. After activating the emergency response system from the ED you continue to treat your patient.


about 3–5 minutes

Question 1 of 5

Your first intervention is:

Question 2 of 5

Immediately following the above intervention you should;

Question 3 of 5

What medication would you expect to use in this situation?

Question 4 of 5

What part of this patient’s assessment makes you suspect an upper airway obstruction?

Question 5 of 5

What is an acceptable oxygen saturation on room air?

Get an email copy of your results now, and a reminder when you need to recertify:

Please provide email address.

You scored #%

The quiz

Correct answers

  • Place the patient on the bed and reposition to open the airway using head tilt-chin lift.
  • Administer 100% oxygen via non-rebreather mask
  • Nebulized epinephrine
  • Loud inspiratory stridor
  • 94–99%

Thanks for taking our quiz, now please tell a friend and follow us for more.

See More Quizzes

Pass 5 quizzes and get 20% off your ACLS recertification