PALS Updated FINAL EXAM
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.
4) 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
5) 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
, PALS Updated FINAL EXAM
systemic response to ischemia/reperfusion. The team bases this
determination on which finding(s)?: Hypotension
6) Fever
7) Hyperglycemia
8) 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
9) Providing ventilations that last about 1 second each
10) Compressing the chest about 2 inches
11) Giving 2 ventilations to every 15 compressions
12) 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.
13) A provider is assessing a child with suspected shock. Which
statement correctly describes hypotension and shock?: Hypotension is
not a consistent feature of shock;
14) A provider is caring for a 4-year-old child in the urgent care clinic.
Primary assessment reveals difficulty breathing and an oxygen
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.
4) 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
5) 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
, PALS Updated FINAL EXAM
systemic response to ischemia/reperfusion. The team bases this
determination on which finding(s)?: Hypotension
6) Fever
7) Hyperglycemia
8) 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
9) Providing ventilations that last about 1 second each
10) Compressing the chest about 2 inches
11) Giving 2 ventilations to every 15 compressions
12) 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.
13) A provider is assessing a child with suspected shock. Which
statement correctly describes hypotension and shock?: Hypotension is
not a consistent feature of shock;
14) A provider is caring for a 4-year-old child in the urgent care clinic.
Primary assessment reveals difficulty breathing and an oxygen
