PALS Megacode Scenario Simulations on Respiratory Distress

Respiratory distress can escalate quickly. The ability to assess, intervene, and apply appropriate interventions can make all the difference in patient outcomes. This practice test is designed to immerse you in realistic scenarios. You’ll encounter various respiratory emergencies in the context of Advanced Life Support in pediatric patients. With each simulation, you’ll deepen your understanding of respiratory management and build the confidence needed to perform effectively under pressure.

Hurry, don’t let time run out! 5 mins 00 secs

2/10

Good try!

Now you can give it another shot
9/10

Congrats

You made it!
1

Which of the following interventions should be initiated first?

A 4-year-old child presents with wheezing and difficulty breathing after playing outside. 

Hint: Prior to administration of medications, a different intervention should be initiated first.
2

What is the most appropriate next step in management?

During a PALS assessment, a 7-year-old patient exhibits retractions, nasal flaring, and a respiratory rate of 40 breaths per minute.

Hint: Prior to administration of medications, a different intervention should be initiated first.
3

Which of the following is NOT an immediate intervention at this time?

A 2-year-old child in respiratory distress is found to have a SpO2 of 85% on room air.

Hint: Consider the intervention that would not help the respiratory system.
4

What is the priority medication to administer?

A 5-year-old child with a history of asthma presents to the ER with severe wheezing and decreased air movement.

Hint: Atropine is a medication used for bradycardia.
5

Which condition should be considered?

A newborn exhibits signs of respiratory distress shortly after birth, including grunting and intercostal retractions.

Hint: This condition can occur due to fetal distress during delivery.
6

Which of the following signs would indicate that the child is worsening?

A 3-year-old is being evaluated for respiratory distress following a viral infection.

Hint: This sign is often a concerning indicator of oxygen deprivation.
7

What is the most appropriate initial step in management?

A 6-year-old with a history of cystic fibrosis is in respiratory distress with a productive cough.

Hint: Expectorating mucus can help alleviate respiratory distress.
8

What should be your immediate action?

A 9-year-old girl presents with a history of allergic reactions and is now in respiratory distress.

Hint: Providing intravenous fluids is not an immediate intervention required at this time.
9

What is the most appropriate initial assessment priority?

A child is found to have a respiratory rate of 60 breaths per minute and is lethargic.

Hint: Remember the A-B-C intervention pneumonic.
10

Which of the following is NOT an appropriate intervention?

During a routine check, a 4-year-old is found to have a SpO2 of 92% while playing.

Hint: Consider the intervention that will not improve the respiratory function.

Privacy Guarantee Seal

Our Socials

Information

Resources

Courses

Copyright 2025 © - ACLSnow.com All rights reserved