PALS 2023/ 2024 FINAL EXAM
VERSION 1 WITH 50 ACTUAL
QUESTIONS AND 100%
CORRECT WELL EXPLAINED
ANSWERS WITH RATIONALES
GRADED A+ AND 100%
GUARANTEED SUCCESS AFTER
DOWNLOAD ALL YOU NEED TO
PASS YOUR EXAMS)
A 4-year-old child is brought to the emergency department by the parents. Assessment reveals that the
child is gasping 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
The PALS team leader is conducting a debriefing session with the team. Which topic(s) would the team
leader most likely address during the session?
Summary of the event, including what actions were taken, Discussion of the pros and cons of the
interventions, Identification of ways to improve, Evaluation of the objective data gathered during the
event
An advanced airway was placed in a 5-year-old child. Which action(s) would be most appropriate for the
team to take to confirm correct placement?
, Auscultate over the lungs and epigastrium for air movement, Observe for bilateral chest rise, Evaluate
results of capnography.
A 12-year-old is being treated in the urgent care clinic. The mother reports that the child came home
from school yesterday with a high fever, vomiting and multiple episodes of watery diarrhea. The
healthcare provider obtains a rhythm strip and notes the following waveform. The provider interprets
this as which type of arrhythmia?
Sinus tachycardia
A child being cared for in the pediatric telemetry unit suddenly displays the following ECG waveform.
The provider prepares to intervene because the child is demonstrating which type of arrhythmia?
Supraventricular tachycardia
A 30-month old child has been diagnosed with moderate croup. Which medication(s) would the provider
administer?
Corticosteroids, Racemic epinephrine
A child in the pediatric step-down unit is exhibiting signs of respiratory distress. When assessing this
child, which finding would be considered a late sign for this condition?
Cyanosis
Assessment of a 7-year-old patient with septic shock reveals capillary refill of 3 seconds, diminished
pulse and narrow pulse pressure. The emergency response team interprets these findings as indicating
which type of septic shock?
hypotensive
A 4-year-old patient presents with tachycardia, tachypnea, cold extremities and weak pulses.
Assessment also reveals an enlarged liver and neck vein distension. The provider interprets these
assessment findings as suggesting which type of shock?
cardiogenic shock
An 8-year-old child being treated in the emergency department has significant respiratory distress. The
child also exhibits hives, wheezing, angioedema, tachycardia and tachypnea. 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?
Epinephrine
A 4-month old infant is brought to the emergency department in cardiac arrest. Which condition would
the team identify as the most common cause of cardiac arrest in an infant of this age?
sudden infant death syndrome is the most common cause in infants younger than 6 months of age.
The PALS resuscitation team is providing care to an intubated child in cardiac arrest. Which result best
determines the adequacy of the team's chest compressions?
VERSION 1 WITH 50 ACTUAL
QUESTIONS AND 100%
CORRECT WELL EXPLAINED
ANSWERS WITH RATIONALES
GRADED A+ AND 100%
GUARANTEED SUCCESS AFTER
DOWNLOAD ALL YOU NEED TO
PASS YOUR EXAMS)
A 4-year-old child is brought to the emergency department by the parents. Assessment reveals that the
child is gasping 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
The PALS team leader is conducting a debriefing session with the team. Which topic(s) would the team
leader most likely address during the session?
Summary of the event, including what actions were taken, Discussion of the pros and cons of the
interventions, Identification of ways to improve, Evaluation of the objective data gathered during the
event
An advanced airway was placed in a 5-year-old child. Which action(s) would be most appropriate for the
team to take to confirm correct placement?
, Auscultate over the lungs and epigastrium for air movement, Observe for bilateral chest rise, Evaluate
results of capnography.
A 12-year-old is being treated in the urgent care clinic. The mother reports that the child came home
from school yesterday with a high fever, vomiting and multiple episodes of watery diarrhea. The
healthcare provider obtains a rhythm strip and notes the following waveform. The provider interprets
this as which type of arrhythmia?
Sinus tachycardia
A child being cared for in the pediatric telemetry unit suddenly displays the following ECG waveform.
The provider prepares to intervene because the child is demonstrating which type of arrhythmia?
Supraventricular tachycardia
A 30-month old child has been diagnosed with moderate croup. Which medication(s) would the provider
administer?
Corticosteroids, Racemic epinephrine
A child in the pediatric step-down unit is exhibiting signs of respiratory distress. When assessing this
child, which finding would be considered a late sign for this condition?
Cyanosis
Assessment of a 7-year-old patient with septic shock reveals capillary refill of 3 seconds, diminished
pulse and narrow pulse pressure. The emergency response team interprets these findings as indicating
which type of septic shock?
hypotensive
A 4-year-old patient presents with tachycardia, tachypnea, cold extremities and weak pulses.
Assessment also reveals an enlarged liver and neck vein distension. The provider interprets these
assessment findings as suggesting which type of shock?
cardiogenic shock
An 8-year-old child being treated in the emergency department has significant respiratory distress. The
child also exhibits hives, wheezing, angioedema, tachycardia and tachypnea. 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?
Epinephrine
A 4-month old infant is brought to the emergency department in cardiac arrest. Which condition would
the team identify as the most common cause of cardiac arrest in an infant of this age?
sudden infant death syndrome is the most common cause in infants younger than 6 months of age.
The PALS resuscitation team is providing care to an intubated child in cardiac arrest. Which result best
determines the adequacy of the team's chest compressions?
