PALS Chapter 9: Shock Practice Test

Last Updated on May 22, 2025

Pediatric Advanced Life Support PALS Chapter 9: Shock Practice Test Questions, Answers, Quiz. Shock is defined as a condition in which peripheral tissues and end organs do not receive adequate oxygen and nutrients.

While it is sometimes used interchangeably with severe hypotension, shock does not only occur in the setting of severely low blood pressure. Importantly, the body will attempt to compensate for shock through various mechanisms, most commonly through increased heart rate.

  • HYPOVOLEMIC: Low blood volume, often due to hemorrhage or fluid shifting out of the vasculature
  • DISTRIBUTIVE: Blood vessel dilation (e.g. septic shock)
  • CARDIOGENIC: Heart is not pumping adequately
  • OBSTRUCTIVE: Physical block of the blood flow

PALS Chapter 9: Shock Practice Test

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PALS Chapter 9: Shock Practice Test

PALS Practice Test
Chapter 9: Shock 
Total Items: 20 MCQs
Time Limit: N/A

1 / 20

1) What sign is most specific to hypovolemic shock?

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2) What is an early compensatory response to pediatric shock?

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3) What is the standard fluid bolus amount for treating pediatric shock?

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4) What is the primary problem in hypovolemic shock?

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5) Which type of shock may result from a severe allergic reaction?

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6) Which of the following is a common cause of obstructive shock?

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7) What type of shock typically presents with bounding pulses and wide pulse pressure?

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8) Which shock type is often associated with elevated central venous pressure and poor heart function?

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9) What type of shock is most commonly caused by severe dehydration or hemorrhage?

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10) What medication might be considered early in cardiogenic shock?

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11) A child presents with low blood pressure and decreased urine output. Which finding supports the diagnosis of shock?

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12) What distinguishes septic (distributive) shock from hypovolemic shock?

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13) Which of the following is a classic sign of cardiogenic shock in children?

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14) A child with suspected obstructive shock may have which clinical sign?

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15) Which fluid is recommended for initial shock management in children?

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16) What is the main issue in distributive shock?

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17) Which clinical sign would you expect in cardiogenic shock but not hypovolemic shock?

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18) What laboratory value might be elevated in prolonged shock?

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19) What is a late and ominous sign of pediatric shock?

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20) A 7-year-old struck by a car presents with hypotension and cool extremities. What is the most likely cause of shock?

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