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

A) Coagulopathy

B) Hypercalcemia

C) Thrombocytosis

D) Leukemia

2 / 20

2) 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

3 / 20

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

A) Spontaneous eye opening

B) Normal muscle tone

C) Appropriate crying

D) Nonreactive pupils

4 / 20

4) 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

5 / 20

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

A) 0.5 mL/kg/hr

B) Less than 0.2 mL/kg/hr

C) 5 mL/kg/hr

D) 2 mL/kg/hr

6 / 20

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

A) 94% to 99%

B) 100%

C) Greater than 85%

D) 90% to 94%

7 / 20

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

A) Antibiotic prophylaxis

B) Discontinuation of all monitoring

C) Frequent glucose checks and correction

D) Full body MRI

8 / 20

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

A) Urine output

B) White blood cell count

C) Skin rash

D) Blood pressure only

9 / 20

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

A) Constipation

B) Ulceration or bleeding

C) Gallstones

D) Appendicitis

10 / 20

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

A) Pupillary response

B) Heart rate

C) Temperature

D) Oxygen saturation

11 / 20

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

A) Bradycardia, flushed skin, lethargy

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

C) Tachycardia, clear lungs, irritability

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

12 / 20

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

A) Renal recovery

B) Fever

C) Inadequate circulation

D) Good perfusion

13 / 20

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

A) PaO₂ < 60 mmHg

B) Oxygen saturation of 100% at all times

C) Hypoventilation to reduce lung strain

D) Normoxia with adequate ventilation

14 / 20

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

A) Induce bradycardia

B) Suppress immune response

C) Maximize blood pressure to ensure perfusion

D) Lower blood glucose

15 / 20

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

A) Dermatological

B) Gastrointestinal

C) Neurological

D) Hematological

16 / 20

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

A) Early infection

B) Normal thermoregulation

C) High-output shock

D) Poor perfusion

17 / 20

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

A) Hypoglycemia

B) Hypocalcemia

C) Hypernatremia

D) Hyperkalemia

18 / 20

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

A) Sedation without monitoring

B) Maintaining hypothermia below 32°C

C) Normocapnia and oxygen saturation in target range

D) Hypoventilation

19 / 20

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

A) Hemoglobin

B) Glucose

C) Bilirubin

D) Creatinine

20 / 20

20) Why is mental status closely monitored after resuscitation?

A) To evaluate neurological function and possible brain injury

B) To detect skin perfusion

C) To assess renal recovery

D) To determine oxygenation status

Your score is

See also:

Free PALS Practice Test 2025 Official Study Guide [PDF]