Pediatric respiratory emergency practice test - PALS pretest

The quiz
You are on an ambulance and respond to a 10-year-old with breathing difficulty. Upon arrival, the child is sitting leaning forward on the couch in obvious respiratory distress. Her heart rate is 140/min, BP 106/68, respiratory rate is 40/min, Sp02: 86% on room air, she is afebrile and weighs 35kg.


about 3–5 minutes

Question 1 of 5

What should be done immediately for this patient?

Question 2 of 5

In what position should this patient be transported?

Question 3 of 5

What information would help in deciding your next treatment by helping diagnose lower airway obstruction?

Question 4 of 5

What medications would be helpful in the treatment of this patient?

Question 5 of 5

Suddenly, the patient’s respiratory rate drops from 40/min to 6/min. What should you do immediately?

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The quiz

Correct answers

  • Administer 100% oxygen
  • In a position of comfort for the child. This will usually be the tripod position
  • Lung sounds revealing wheezing and/or little air movement
  • Nebulized albuterol or nebulized and ipratropium
  • Ventilate the patient with a bag valve mask

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How we reviewed this article

Our experts continually monitor the medical science space, and we update our articles when new information becomes available.

Current version
Jun 23, 2020

Written by:

rob
Sep 21, 2018

Reviewed by:

rob
Changes: Updated quiz questions and scenarios