PALS UPDATED FINAL EXAM
Questions and Answers
1. A 12-year-old child being evaluated in the pediatric intensive care
unit displays the following ECG waveform.
The team interprets this as which arrhythmia?: second degree
2. Laboratory tests are ordered for a child who has been vomiting for 3
days and is diaphoretic, tachypneic, lethargic and pale. Which
test would the provider use to determine the adequacy of oxygen
delivery?: Lactate
3. A 9-year-old patient is presenting with decreased breath sounds,
bradycardia, slowed respiratory rate and a low O2 saturation level.
The provider interprets these findings as indicating which condition?:
Respiratory failure
4. A 4-year-old child is brought to the emergency department by the
parents. Assessment reveals that the child has only gasping
respirations and the pulse rate is 65 beats per minute. Which action
would the provider initiate first?: Deliver 1 BVM ventilation every 3 to 5 seconds.
5. A 15-year-old patient is being evaluated during a follow-up visit
1/
13
, after being diagnosed with Lyme disease 2 months ago. A rhythm
strip is obtained as shown below.
The provider interprets this rhythm as indicating which arrhythmia?:
First-degree atrioventricular (AV) block
6. A child in cardiac arrest experiences return of spontaneous
circulation but is exhibiting signs of post-cardiac arrest syndrome
(PCAS).
The PALS resuscitation team determines that the child is
experiencing a systemic response to
ischemia/reperfusion. The team bases this determination on which
finding(s)?-
: Hypotension
Fever
Hyperglycemia
7. A 2-year-old child arrives at the emergency department with the
parents. The child is unresponsive, is not breathing and has no pulse.
Two emergency department providers begin high-quality CPR. Which
action(s) by the providers demonstrates high-quality CPR?: Allowing the chest to
recoil fully after each compression
Providing ventilations that last about 1 second each
Compressing the chest about 2 inches
2/
13
Questions and Answers
1. A 12-year-old child being evaluated in the pediatric intensive care
unit displays the following ECG waveform.
The team interprets this as which arrhythmia?: second degree
2. Laboratory tests are ordered for a child who has been vomiting for 3
days and is diaphoretic, tachypneic, lethargic and pale. Which
test would the provider use to determine the adequacy of oxygen
delivery?: Lactate
3. A 9-year-old patient is presenting with decreased breath sounds,
bradycardia, slowed respiratory rate and a low O2 saturation level.
The provider interprets these findings as indicating which condition?:
Respiratory failure
4. A 4-year-old child is brought to the emergency department by the
parents. Assessment reveals that the child has only gasping
respirations and the pulse rate is 65 beats per minute. Which action
would the provider initiate first?: Deliver 1 BVM ventilation every 3 to 5 seconds.
5. A 15-year-old patient is being evaluated during a follow-up visit
1/
13
, after being diagnosed with Lyme disease 2 months ago. A rhythm
strip is obtained as shown below.
The provider interprets this rhythm as indicating which arrhythmia?:
First-degree atrioventricular (AV) block
6. A child in cardiac arrest experiences return of spontaneous
circulation but is exhibiting signs of post-cardiac arrest syndrome
(PCAS).
The PALS resuscitation team determines that the child is
experiencing a systemic response to
ischemia/reperfusion. The team bases this determination on which
finding(s)?-
: Hypotension
Fever
Hyperglycemia
7. A 2-year-old child arrives at the emergency department with the
parents. The child is unresponsive, is not breathing and has no pulse.
Two emergency department providers begin high-quality CPR. Which
action(s) by the providers demonstrates high-quality CPR?: Allowing the chest to
recoil fully after each compression
Providing ventilations that last about 1 second each
Compressing the chest about 2 inches
2/
13
