PALS Systematic Assessment 2

Question 1

During the initial impression of a critically ill child, which three elements are assessed simultaneously using the Pediatric Assessment Triangle (PAT)?

Accepted Answer

Appearance, Work of Breathing, Circulation to Skin

Answer

The PAT assesses Appearance, Work of Breathing, and Circulation to Skin — a rapid across-the-room assessment before touching the patient.

Question 2

A 4-year-old has mottled skin, weak peripheral pulses, and altered mental status but no increased work of breathing. Which PAT category best describes this presentation?

Accepted Answer

Shock compensated

Answer

Abnormal circulation to skin with altered appearance but normal work of breathing indicates compensated shock without respiratory compromise.

Question 3

When using AVPU to assess pediatric level of consciousness, what does the 'V' represent?

Accepted Answer

Verbal — responds to voice stimuli

Answer

V in AVPU stands for Verbal, meaning the patient responds to voice or verbal stimuli.

Question 4

A 6-month-old has grunting, nasal flaring, and subcostal retractions but pink skin and alert appearance. Which PAT interpretation is correct?

Accepted Answer

Respiratory distress only

Answer

Increased work of breathing with normal appearance and circulation to skin indicates respiratory distress without failure.

Question 5

In the PALS systematic approach, after the initial impression, the provider moves to the primary assessment. What does the 'E' in the ABCDE primary assessment stand for?

Accepted Answer

Exposure and Environment

Answer

E stands for Exposure and Environment — exposing the patient to identify injuries, rashes, or environmental factors while preventing heat loss.

PALS - Pediatric Advanced Life Support Practice Test

PALS - Pediatric Advanced Life Support Practice Test

PALS Systematic Assessment 2