PALS Updated FINAL EXAM
1. second degree A 12-year-old child being evaluated in the pe-
diatric intensive care unit displays the following
ECG waveform. The team interprets this as which
arrhythmia?
2. Lactate Laboratory tests are ordered for a child who has
been vomiting for 3 days and is diaphoret- ic,
tachypneic, lethargic and pale. Which test would
the provider use to determine the ade- quacy of
oxygen delivery?
3. Respiratory failure A 9-year-old patient is presenting with de- creased
breath sounds, bradycardia, slowed respiratory rate
and a low O2 saturation level. The provider
interprets these findings as indi- cating which
condition?
4. Deliver 1 BVM ventilation A 4-year-old child is brought to the emergency
every 3 to 5 seconds. department by the parents. Assessment re- veals
that the child has only gasping respira- tions and
the pulse rate is 65 beats per minute. Which action
would the provider initiate first?
5. First-degree atrioventricular A 15-year-old patient is being evaluated during
(AV) block a follow-up visit after being diagnosed with Lyme
disease 2 months ago. A rhythm strip is obtained as
shown below. The provider inter- prets this rhythm
as indicating which arrhyth- mia?
A child in cardiac arrest experiences return of
6. Hypotension spontaneous circulation but is exhibiting signs of
post-cardiac arrest syndrome (PCAS). The PALS
Fever resuscitation team determines that the child is
experiencing a systemic response to
Hyperglycemia ischemia/reperfusion. The team bases this de-
termination on which finding(s)?
7.
1/9
, PALS Updated FINAL EXAM
Allowing the chest to recoil A 2-year-old child arrives at the emergency
fully after each compression department with the parents. The child is
unresponsive, is not breathing and has no
Providing ventilations that last pulse. Two emergency department providers
about 1 second each begin high-quality CPR. Which action(s) by the
providers demonstrates high-quality CPR?
Compressing the chest about 2
inches
Giving 2 ventilations to every
15 compressions
8. VF and pVT are shockable A PALS resuscitation team is preparing to de-
cardiac arrest rhythms. fibrillate a child experiencing cardiac arrest.
For which rhythm(s) would this action be ap-
propriate?
9. Hypotension is not a consis- A provider is assessing a child with suspect- ed
tent feature of shock; shock. Which statement correctly describes
hypotension and shock?
10. Supplemental oxygen should A provider is caring for a 4-year-old child in the
be administered as needed to urgent care clinic. Primary assessment re- veals
maintain an oxy- gen difficulty breathing and an oxygen satu- ration of
saturation above 94%. 91%. The provider administers oxy- gen by nasal
cannula with the goal of improv- ing the child's
oxygen saturation above what percentage?
An 11-year-old soccer player is brought to the
11. Albuterol plus ipratropium emergency department. After a quick assess-
bromid ment, the team realizes this patient is experi-
encing a severe asthma exacerbation. Which
medication would the team administer first?
A child in the pediatric step-down unit is ex-
12. Pallor is a circulation finding hibiting signs of respiratory distress. When
that may be seen in patients assessing this child, which circulation finding
with respiratory distress. might be present?
2/9
1. second degree A 12-year-old child being evaluated in the pe-
diatric intensive care unit displays the following
ECG waveform. The team interprets this as which
arrhythmia?
2. Lactate Laboratory tests are ordered for a child who has
been vomiting for 3 days and is diaphoret- ic,
tachypneic, lethargic and pale. Which test would
the provider use to determine the ade- quacy of
oxygen delivery?
3. Respiratory failure A 9-year-old patient is presenting with de- creased
breath sounds, bradycardia, slowed respiratory rate
and a low O2 saturation level. The provider
interprets these findings as indi- cating which
condition?
4. Deliver 1 BVM ventilation A 4-year-old child is brought to the emergency
every 3 to 5 seconds. department by the parents. Assessment re- veals
that the child has only gasping respira- tions and
the pulse rate is 65 beats per minute. Which action
would the provider initiate first?
5. First-degree atrioventricular A 15-year-old patient is being evaluated during
(AV) block a follow-up visit after being diagnosed with Lyme
disease 2 months ago. A rhythm strip is obtained as
shown below. The provider inter- prets this rhythm
as indicating which arrhyth- mia?
A child in cardiac arrest experiences return of
6. Hypotension spontaneous circulation but is exhibiting signs of
post-cardiac arrest syndrome (PCAS). The PALS
Fever resuscitation team determines that the child is
experiencing a systemic response to
Hyperglycemia ischemia/reperfusion. The team bases this de-
termination on which finding(s)?
7.
1/9
, PALS Updated FINAL EXAM
Allowing the chest to recoil A 2-year-old child arrives at the emergency
fully after each compression department with the parents. The child is
unresponsive, is not breathing and has no
Providing ventilations that last pulse. Two emergency department providers
about 1 second each begin high-quality CPR. Which action(s) by the
providers demonstrates high-quality CPR?
Compressing the chest about 2
inches
Giving 2 ventilations to every
15 compressions
8. VF and pVT are shockable A PALS resuscitation team is preparing to de-
cardiac arrest rhythms. fibrillate a child experiencing cardiac arrest.
For which rhythm(s) would this action be ap-
propriate?
9. Hypotension is not a consis- A provider is assessing a child with suspect- ed
tent feature of shock; shock. Which statement correctly describes
hypotension and shock?
10. Supplemental oxygen should A provider is caring for a 4-year-old child in the
be administered as needed to urgent care clinic. Primary assessment re- veals
maintain an oxy- gen difficulty breathing and an oxygen satu- ration of
saturation above 94%. 91%. The provider administers oxy- gen by nasal
cannula with the goal of improv- ing the child's
oxygen saturation above what percentage?
An 11-year-old soccer player is brought to the
11. Albuterol plus ipratropium emergency department. After a quick assess-
bromid ment, the team realizes this patient is experi-
encing a severe asthma exacerbation. Which
medication would the team administer first?
A child in the pediatric step-down unit is ex-
12. Pallor is a circulation finding hibiting signs of respiratory distress. When
that may be seen in patients assessing this child, which circulation finding
with respiratory distress. might be present?
2/9
