PALS Chapter 11: Post-Resuscitation Care Practice Test 2025

Last Updated on May 22, 2025

Pediatric Advanced Life Support PALS Chapter 11: Post-Resuscitation Care Practice Test 2025 Questions and Answers Quiz. If a person has a return of spontaneous circulation (ROSC), start postresuscitation care immediately.

The initial PALS process is intended to stabilize a child or an infant during a life-threatening event. Postresuscitation care is meant to optimize ventilation and circulation, preserve organ/tissue function, and maintain recommended blood glucose levels.

PALS Chapter 11: Post-Resuscitation Care Practice Test

PALS Chapter 11: Pediatric Post-Resuscitation Care Practice Test

PALS Practice Test
Chapter 11: Pediatric Post-Resuscitation Care
Total Items: 20 MCQs
Time Limit: N/A

1 / 20

1) What respiratory goal should be maintained in pediatric post-resuscitation care?

A) Normoxia with adequate ventilation

B) Hypoventilation to reduce lung strain

C) PaO₂ < 60 mmHg

D) Oxygen saturation of 100% at all times

2 / 20

2) Why is mental status closely monitored after resuscitation?

A) To detect skin perfusion

B) To evaluate neurological function and possible brain injury

C) To assess renal recovery

D) To determine oxygenation status

3 / 20

3) In the context of post-resuscitation, what does cool or mottled skin suggest?

A) High-output shock

B) Poor perfusion

C) Early infection

D) Normal thermoregulation

4 / 20

4) Which of the following is a reliable indicator of end-organ perfusion in children?

A) White blood cell count

B) Blood pressure only

C) Skin rash

D) Urine output

5 / 20

5) Which lab value helps evaluate hematologic status in post-resuscitation care?

A) Hemoglobin

B) Glucose

C) Creatinine

D) Bilirubin

6 / 20

6) Which clinical sign is helpful to evaluate brain perfusion following resuscitation?

A) Heart rate

B) Temperature

C) Pupillary response

D) Oxygen saturation

7 / 20

7) Which organ system is most affected by decreased perfusion following cardiac arrest?

A) Gastrointestinal

B) Hematological

C) Neurological

D) Dermatological

8 / 20

8) Which of the following combinations best reflects adequate end-organ perfusion?

A) Tachycardia, clear lungs, irritability

B) High fever, slow cap refill, normal blood pressure

C) Normal urine output, warm skin, appropriate mental status

D) Bradycardia, flushed skin, lethargy

9 / 20

9) Which of the following is a priority in early post-resuscitation care?

A) Antibiotic prophylaxis

B) Discontinuation of all monitoring

C) Full body MRI

D) Frequent glucose checks and correction

10 / 20

10) What action supports gastrointestinal function after cardiac arrest?

A) High-protein diet

B) Use of laxatives

C) Immediate oral feeding

D) NPO status and monitor for gut ischemia

11 / 20

11) A child post-cardiac arrest has mottled skin and weak peripheral pulses. What does this likely indicate?

A) Renal recovery

B) Good perfusion

C) Inadequate circulation

D) Fever

12 / 20

12) Which intervention may reduce secondary brain injury post-arrest?

A) Hypoventilation

B) Sedation without monitoring

C) Normocapnia and oxygen saturation in target range

D) Maintaining hypothermia below 32°C

13 / 20

13) What GI complication may arise in post-resuscitation patients due to hypoperfusion?

A) Constipation

B) Appendicitis

C) Gallstones

D) Ulceration or bleeding

14 / 20

14) Which electrolyte imbalance may occur due to poor renal function post-resuscitation?

A) Hypoglycemia

B) Hyperkalemia

C) Hypernatremia

D) Hypocalcemia

15 / 20

15) A post-arrest child has persistent oliguria. What is the likely concern?

A) High cardiac output

B) Hematologic failure

C) Liver dysfunction

D) Poor renal perfusion or injury

16 / 20

16) In hematological monitoring post-resuscitation, what condition may develop from poor perfusion and acidosis?

A) Leukemia

B) Thrombocytosis

C) Coagulopathy

D) Hypercalcemia

17 / 20

17) What is the target oxygen saturation range for a child after successful resuscitation?

A) 100%

B) 94% to 99%

C) Greater than 85%

D) 90% to 94%

18 / 20

18) Which of the following findings suggests poor neurological recovery?

A) Spontaneous eye opening

B) Appropriate crying

C) Normal muscle tone

D) Nonreactive pupils

19 / 20

19) What is a key goal of cardiovascular management after pediatric resuscitation?

A) Maximize blood pressure to ensure perfusion

B) Lower blood glucose

C) Suppress immune response

D) Induce bradycardia

20 / 20

20) What urine output value generally reflects adequate renal perfusion in a child?

A) 5 mL/kg/hr

B) 2 mL/kg/hr

C) 0.5 mL/kg/hr

D) Less than 0.2 mL/kg/hr

Your score is

See also:

Free PALS Practice Test 2025 Official Study Guide [PDF]