AHA PALS Final Exam (Pediatric Advanced
Life Support-PALS) Complete Exam With
Correct Questions And Answers
Multiple Choice
1. The Emergency Response Team Is Providing Care To A Preschooler Who Is
Experiencing Shock. The Primary Goal, Common To All Types Of Shock, Is To
Restore A Favorable Balance Between Tissue Perfusion And Metabolic Demand With
A Focus On What?
A. Blood Pressure Management
B. Oxygen Delivery And Oxygen Demand
C. Fluid Resuscitation
D. Blood Volume Stabilization
Correct Ans: B.
Rationale:
The Primary Goal In Managing Shock Is To Restore An Optimal Balance Between
Oxygen Delivery To Tissues And The Oxygen Demand Of Those Tissues. This
Ensures Adequate Perfusion And Cellular Metabolism, Which Is Essential To Prevent
Organ Damage. Blood Pressure, Fluid Volume, And Blood Volume Stabilization Are
All Secondary Considerations To Achieving This Balance Of Oxygen Supply And
Demand.
2. An 8-Year-Old Child Being Treated In The Emergency Department Has Significant
Respiratory Distress. The Child Also Exhibits Hives, Wheezing, Angioedema,
Tachycardia, And Dyspnea. The Parents State That The Child, Who Is Allergic To
Peanuts, Had Eaten Some Popcorn That Had Peanuts In It. The Team Initiates Care,
Preparing To Administer Which Agent First?
A. Diphenhydramine (Benadryl)
B. Albuterol
,C. Epinephrine
D. Methylprednisolone
Correct Ans: C.
Rationale:
This Child Is Presenting With Symptoms Of Anaphylaxis, A Severe Allergic Reaction
That Can Be Life-Threatening. Epinephrine Is The First-Line Treatment For
Anaphylaxis As It Quickly Reverses Symptoms Like Airway Constriction,
Hypotension, And Swelling. Albuterol May Be Used Later To Treat Bronchospasm,
But Epinephrine Is The Critical First Step In Managing Anaphylaxis.
3. A Child In The Pediatric Intensive Care Unit Displays The Following Ecg
Waveform. The Child Has No Pulse. The Resuscitation Team Interprets This As
Which Arrhythmia?
A. Ventricular Fibrillation
B. Asystole
C. Monomorphic Pulseless Ventricular Tachycardia
D. Atrial Fibrillation
Correct Ans: C.
Rationale:
Monomorphic Pulseless Ventricular Tachycardia (Vt) Is A Form Of Vt Where The
Heart Rhythm Is Abnormal But Consistent In Appearance. The Absence Of A Pulse
Means That Despite The Electrical Activity, The Heart Is Not Effectively Pumping
Blood. This Arrhythmia Requires Immediate Treatment With Defibrillation.
4. 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?
A. Compressing The Chest About 2 Inches
B. Providing Ventilations That Last About 1 Second Each
, C. Giving 2 Ventilations To Every 15 Compressions
D. Allowing The Chest To Recoil Fully After Each Compression
Correct Ans: A, B, C, D.
Rationale:
High-Quality Cpr For A Child Includes:
Chest Compressions About 2 Inches Deep (For Children)
Providing Ventilations That Last 1 Second To Ensure Adequate Chest Rise
Performing 2 Ventilations For Every 15 Compressions In A Child
Allowing The Chest To Fully Recoil After Each Compression To Maximize Venous
Return And Improve Perfusion
All These Actions Are Essential For Effective Cpr.
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?
A. Normal Sinus Rhythm
B. First-Degree Atrioventricular (Av) Block
C. Second-Degree Av Block Type 1
D. Third-Degree Av Block
Correct Ans: B.
Rationale:
In Lyme Disease, Particularly During The Acute Phase, The Patient May Develop
First-Degree Av Block, Which Is Characterized By A Prolonged Pr Interval On An
Ecg. This Is A Common Finding And Usually Resolves Once The Infection Is
Treated. First-Degree Av Block Indicates Delayed Conduction At The Av Node But
Does Not Cause Symptomatic Arrhythmia.
Life Support-PALS) Complete Exam With
Correct Questions And Answers
Multiple Choice
1. The Emergency Response Team Is Providing Care To A Preschooler Who Is
Experiencing Shock. The Primary Goal, Common To All Types Of Shock, Is To
Restore A Favorable Balance Between Tissue Perfusion And Metabolic Demand With
A Focus On What?
A. Blood Pressure Management
B. Oxygen Delivery And Oxygen Demand
C. Fluid Resuscitation
D. Blood Volume Stabilization
Correct Ans: B.
Rationale:
The Primary Goal In Managing Shock Is To Restore An Optimal Balance Between
Oxygen Delivery To Tissues And The Oxygen Demand Of Those Tissues. This
Ensures Adequate Perfusion And Cellular Metabolism, Which Is Essential To Prevent
Organ Damage. Blood Pressure, Fluid Volume, And Blood Volume Stabilization Are
All Secondary Considerations To Achieving This Balance Of Oxygen Supply And
Demand.
2. An 8-Year-Old Child Being Treated In The Emergency Department Has Significant
Respiratory Distress. The Child Also Exhibits Hives, Wheezing, Angioedema,
Tachycardia, And Dyspnea. The Parents State That The Child, Who Is Allergic To
Peanuts, Had Eaten Some Popcorn That Had Peanuts In It. The Team Initiates Care,
Preparing To Administer Which Agent First?
A. Diphenhydramine (Benadryl)
B. Albuterol
,C. Epinephrine
D. Methylprednisolone
Correct Ans: C.
Rationale:
This Child Is Presenting With Symptoms Of Anaphylaxis, A Severe Allergic Reaction
That Can Be Life-Threatening. Epinephrine Is The First-Line Treatment For
Anaphylaxis As It Quickly Reverses Symptoms Like Airway Constriction,
Hypotension, And Swelling. Albuterol May Be Used Later To Treat Bronchospasm,
But Epinephrine Is The Critical First Step In Managing Anaphylaxis.
3. A Child In The Pediatric Intensive Care Unit Displays The Following Ecg
Waveform. The Child Has No Pulse. The Resuscitation Team Interprets This As
Which Arrhythmia?
A. Ventricular Fibrillation
B. Asystole
C. Monomorphic Pulseless Ventricular Tachycardia
D. Atrial Fibrillation
Correct Ans: C.
Rationale:
Monomorphic Pulseless Ventricular Tachycardia (Vt) Is A Form Of Vt Where The
Heart Rhythm Is Abnormal But Consistent In Appearance. The Absence Of A Pulse
Means That Despite The Electrical Activity, The Heart Is Not Effectively Pumping
Blood. This Arrhythmia Requires Immediate Treatment With Defibrillation.
4. 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?
A. Compressing The Chest About 2 Inches
B. Providing Ventilations That Last About 1 Second Each
, C. Giving 2 Ventilations To Every 15 Compressions
D. Allowing The Chest To Recoil Fully After Each Compression
Correct Ans: A, B, C, D.
Rationale:
High-Quality Cpr For A Child Includes:
Chest Compressions About 2 Inches Deep (For Children)
Providing Ventilations That Last 1 Second To Ensure Adequate Chest Rise
Performing 2 Ventilations For Every 15 Compressions In A Child
Allowing The Chest To Fully Recoil After Each Compression To Maximize Venous
Return And Improve Perfusion
All These Actions Are Essential For Effective Cpr.
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?
A. Normal Sinus Rhythm
B. First-Degree Atrioventricular (Av) Block
C. Second-Degree Av Block Type 1
D. Third-Degree Av Block
Correct Ans: B.
Rationale:
In Lyme Disease, Particularly During The Acute Phase, The Patient May Develop
First-Degree Av Block, Which Is Characterized By A Prolonged Pr Interval On An
Ecg. This Is A Common Finding And Usually Resolves Once The Infection Is
Treated. First-Degree Av Block Indicates Delayed Conduction At The Av Node But
Does Not Cause Symptomatic Arrhythmia.
