PALS Chapter 4 Practice Test 2025

Last Updated on June 28, 2025

Pediatric Advanced Life Support PALS Chapter 4 Practice Test 2025 Questions and Answers Quiz. Understanding normal cardiac anatomy and physiology is an essential component of performing PALS.

The heart is a hollow muscle comprised of four chambers surrounded by thick walls of tissue (septum). The atria are the two upper chambers, and the ventricles are the two lower chambers.

The left and right halves of the heart work together to pump blood throughout the body. The right atrium (RA) and the right ventricle (RV) pump deoxygenated blood to the lungs, where it becomes oxygenated. This oxygen-rich blood returns to the left atrium (LA) and enters the left ventricle (LV). The LV is the main pump that delivers the newly oxygenated blood to the rest of the body.

PALS Chapter 4 Practice Test

PALS Pediatric Advanced Life Support Practice Test

PALS Practice Test
Chapter 4: Pediatric Advanced Life Support
Total Items: 20 MCQs
Time Limit: N/A

1 / 20

1) Which component of the secondary assessment checks for medications the child is taking?

A) GCS

B) SAMPLE

C) AVPU

D) ABCDE

2 / 20

2) What does “P” in SPAM refer to?

A) Pupillary response

B) Pulse rate

C) Past medical history

D) Pain level

3 / 20

3) What does the “A” in the AVPU mnemonic stand for when assessing mental status?

A) Active

B) Apnea

C) Alert

D) Airway

4 / 20

4) What is the primary goal of the "Systematic Approach" in PALS?

A) Identify and treat life-threatening problems early

B) Choose the correct drug quickly

C) Predict length of hospital stay

D) Determine heart rate ranges

5 / 20

5) What does the “C” stand for in the primary PALS survey?

A) Chest rise

B) Capillary refill

C) Consciousness

D) Circulation

6 / 20

6) What is the purpose of using the SPAM mnemonic in a pediatric emergency?

A) To assess primary life-threatening conditions

B) To guide history taking during secondary assessment

C) To decide oxygen delivery method

D) To evaluate CPR technique

7 / 20

7) Which of the following is part of the primary assessment in PALS?

A) SPAM history

B) Airway, Breathing, Circulation

C) Medication review

D) Glasgow Coma Scale

8 / 20

8) During initial diagnosis and treatment, what should be assessed immediately after confirming the airway is open?

A) Mental status

B) Breathing

C) Temperature

D) Circulation

9 / 20

9) What does “SAMPLE” help assess during a secondary survey?

A) Focused physical exam

B) Patient history

C) Vital signs

D) Mental status

10 / 20

10) A child who opens eyes to speech, speaks confusedly, and withdraws from pain has a GCS score that indicates:

A) Normal function

B) Moderate brain injury

C) Mild brain injury

D) Unresponsiveness

11 / 20

11) The “D” in AVPU is used to indicate a patient who responds to:

A) Verbal stimuli

B) Painful stimuli

C) Direct commands

D) Deep pressure

12 / 20

12) Which of the following is NOT part of the “ABCDE” approach in pediatric assessment?

A) Airway

B) Disability

C) Exposure

D) Emergency medications

13 / 20

13) In the “ABCDE” assessment approach, what does “D” stand for?

A) Discharge

B) Defibrillation

C) Disability

D) Diagnosis

14 / 20

14) Which of the following indicates a life-threatening issue during the “Breathing” check?

A) Mild tachypnea

B) Severe retractions and cyanosis

C) Clear breath sounds

D) Slight wheeze

15 / 20

15) What is assessed in the “Disability” part of the ABCDE assessment?

A) Blood pressure

B) Infection signs

C) Blood glucose and mental status

D) Oxygen level

16 / 20

16) Why is SAMPLE history important in pediatric emergencies?

A) Helps identify allergies and medications

B) Guides defibrillator settings

C) Assesses only physical injuries

D) Determines oxygen saturation

17 / 20

17) True or False: The verbal response criteria in the Glasgow Coma Scale (GCS) are exactly the same for infants and adults.

A) False

B) True

18 / 20

18) In AVPU, what condition corresponds to “U”?

A) Under observation

B) Upright and alert

C) Unconscious and unresponsive to stimuli

D) Urgent medical attention needed

19 / 20

19) Which tool is used for a quick mental status assessment in children?

A) APGAR

B) AVPU

C) SAMPLE

D) PALS

20 / 20

20) What is the best immediate action for an unresponsive child with inadequate breathing and no pulse?

A) Give oxygen and observe

B) Start chest compressions

C) Check glucose levels

D) Apply a cold compress

Your score is

See also:

Free PALS Practice Test 2025 Official Study Guide [PDF]

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