PALS UPDATED FINAL EXAM UPDATED ACTUAL QUESTIONS AND CORRECT ANSWERS

PALS UPDATED FINAL EXAM UPDATED ACTUAL
QUESTIONS AND CORRECT ANSWERS

Question:
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?
Answer:
second degree

Question:
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?
Answer:
Lactate

Question:
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?
Answer:
Respiratory failure

Question:
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?
Answer:
Deliver 1 BVM ventilation every 3 to 5 seconds.

Question:
5. A 15-year-old patient is being evaluated during a follow-up visit 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?
Answer:
First-degree atrioventricular (AV) block

Question:
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)?
Answer:
Hypotension Fever
Hyperglycemia

, Question:
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?
Answer:
Allowing the chest to recoil fully after each compression
Providing ventilations that last about 1 second each
Compressing the chest about 2 inches
Giving 2 ventilations to every 15 compressions

Question:
8. A PALS resuscitation team is preparing to defibrillate a child experiencing cardiac arrest. For which
rhythm(s) would this action be appropriate?
Answer:
VF and pVT are shockable cardiac arrest rhythms.

Question:
9. A provider is assessing a child with suspected shock. Which statement correctly describes hypotension
and shock?
Answer:
Hypotension is not a consistent feature of shock;

Question:
10. A provider is caring for a 4-year-old child in the urgent care clinic. Primary assessment reveals
difficulty breathing and an oxygen saturation of 91%. The provider administers oxygen by nasal cannula
with the goal of improving the child's oxygen saturation above what percentage?
Answer:
Supplemental oxygen should be administered as needed to maintain an oxygen saturation above 94%.

Question:
11. An 11-year-old soccer player is brought to the emergency department. After a quick assessment, the
team realizes this patient is experiencing a severe asthma exacerbation. Which medication would the team
administer first?
Answer:
Albuterol plus ipratropium bromid

Question:
12. A child in the pediatric step-down unit is exhibiting signs of respiratory distress. When assessing this
child, which circulation finding might be present?
Answer:
Pallor is a circulation finding that may be seen in patients with respiratory distress.

Question:
13. A healthcare provider is performing a primary assessment of a child in respiratory distress. The
provider documents increased work of breathing when which findings are observed?