PALS LATEST FINAL EXAM49+ QUESTIONS & CORRECT
ANSWERS GRADED A+|100% RATED 2024
01.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
02.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
03.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
04.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.
05.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?
-First-degree atrioventricular (AV) block
06.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)?
a.Hypotension
b.Fever
c.Hyperglycemia
07.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?
, PALS LATEST FINAL EXAM49+ QUESTIONS & CORRECT
ANSWERS GRADED A+|100% RATED 2024
i) Allowing the chest to recoil fully after each compression
ii) Providing ventilations that last about 1 second each
iii) Compressing the chest about 2 inches
iv) Giving 2 ventilations to every 15 compressions
08.A PALS resuscitation team is preparing to defibrillate a child experiencing cardiac arrest. For which rhythm(s) would
this action be appropriate?
-VF and pVT are shockable cardiac arrest rhythms.
09.A provider is assessing a child with suspected shock. Which statement correctly describes hypotension and shock?
-Hypotension is not a consistent feature of shock;
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?
-Supplemental oxygen should be administered as needed to maintain an oxygen saturation above 94%.
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?
=Albuterol plus ipratropium bromid
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?
Pallor is a circulation finding that may be seen in patients with respiratory distress.
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?
ANSWERS GRADED A+|100% RATED 2024
01.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
02.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
03.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
04.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.
05.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?
-First-degree atrioventricular (AV) block
06.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)?
a.Hypotension
b.Fever
c.Hyperglycemia
07.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?
, PALS LATEST FINAL EXAM49+ QUESTIONS & CORRECT
ANSWERS GRADED A+|100% RATED 2024
i) Allowing the chest to recoil fully after each compression
ii) Providing ventilations that last about 1 second each
iii) Compressing the chest about 2 inches
iv) Giving 2 ventilations to every 15 compressions
08.A PALS resuscitation team is preparing to defibrillate a child experiencing cardiac arrest. For which rhythm(s) would
this action be appropriate?
-VF and pVT are shockable cardiac arrest rhythms.
09.A provider is assessing a child with suspected shock. Which statement correctly describes hypotension and shock?
-Hypotension is not a consistent feature of shock;
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?
-Supplemental oxygen should be administered as needed to maintain an oxygen saturation above 94%.
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?
=Albuterol plus ipratropium bromid
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?
Pallor is a circulation finding that may be seen in patients with respiratory distress.
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?
