PALS UPDATED FINAL EXAM 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?
Correct Answer: second degree
Question 2.
Laboratory tests are has been vomiting aphoretic, tachypneic, Which test would the mine
the adequacy
Correct Answer: ordered for a child who Lactate for 3 days and is di-lethargic
and pale. provider use to deter-of oxygen delivery?
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?
Correct 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 gasp-ing respirations and the pulse rate is 65 beats per
minute. Which action would the provider initiate first?
Correct 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?
Correct Answer: First-degree atrioventricular (AV) block
Question 6.
A child in cardiac arrest experiences re-turn 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)?
Correct 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?
Correct 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?
Correct Answer: VF and pVT are shockable cardiac arrest rhythms.
Question 9.
A provider is assessing ed shock. Which statement scribes hypotension
Correct Answer: a child with suspect- Hypotension is not a consistent feature of
correctly de- shock; and shock?
Question 10.
A provider is caring the urgent care clinic. reveals difficulty breathing saturation of 91%.
ters oxygen by nasal of improving the child's above what percentage?
Correct Answer: for a 4-year-old child in Supplemental oxygen should be
adminisPrimary assessment tered as needed to maintain an oxygen sat-and an
oxygen uration above 94%. The provider adminiscannula with the goal oxygen
saturation
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?
Correct Answer: Albuterol plus ipratropium bromid
Question 12.
A child in the pediatric hibiting signs of respiratory assessing this child, ing might be
present?
Correct Answer: step-down unit is ex- Pallor is a circulation finding that may be
distress. When seen in patients with respiratory distress. which circulation find-
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?
Correct Answer: second degree
Question 2.
Laboratory tests are has been vomiting aphoretic, tachypneic, Which test would the mine
the adequacy
Correct Answer: ordered for a child who Lactate for 3 days and is di-lethargic
and pale. provider use to deter-of oxygen delivery?
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?
Correct 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 gasp-ing respirations and the pulse rate is 65 beats per
minute. Which action would the provider initiate first?
Correct 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?
Correct Answer: First-degree atrioventricular (AV) block
Question 6.
A child in cardiac arrest experiences re-turn 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)?
Correct 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?
Correct 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?
Correct Answer: VF and pVT are shockable cardiac arrest rhythms.
Question 9.
A provider is assessing ed shock. Which statement scribes hypotension
Correct Answer: a child with suspect- Hypotension is not a consistent feature of
correctly de- shock; and shock?
Question 10.
A provider is caring the urgent care clinic. reveals difficulty breathing saturation of 91%.
ters oxygen by nasal of improving the child's above what percentage?
Correct Answer: for a 4-year-old child in Supplemental oxygen should be
adminisPrimary assessment tered as needed to maintain an oxygen sat-and an
oxygen uration above 94%. The provider adminiscannula with the goal oxygen
saturation
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?
Correct Answer: Albuterol plus ipratropium bromid
Question 12.
A child in the pediatric hibiting signs of respiratory assessing this child, ing might be
present?
Correct Answer: step-down unit is ex- Pallor is a circulation finding that may be
distress. When seen in patients with respiratory distress. which circulation find-
