PALS PEDIATRIC EMERGENCY RESUSCITATION UPDATED FINAL EXAM 2025

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1. A 12-year- rh




old child being evaluated in the pediatric intensive care unit displayssthe
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which ar-
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gECGwaveform.Theteam interprets this a rhythmia?: second degree
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2. Laboratory tests are ordered for a child who has been vomiting for 3 rh rh rh rh rh rh rh rh rh rh rh rh




daysandis diaphoretic,tachypneic,lethargicandpale.Whichtestwouldthe provid
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r use to determine the adequacy of oxygen delivery?: Lactate
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3. A 9-year-old patient is presenting with decreased breath sounds,brady-
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cardia,slowed respiratory rate and a low O2 saturation level.The provider inter
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prets these findings as indicating which condition?:Respiratory failure
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4. A4-year- rh




oldchildis broughttothe emergencydepartment bytheparents. Assessment rev
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eals that the child has only gasping respirations and the pulse rate is 65 beats per
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minute.Which action would the provider initiate first?: Deliver 1 BVM ventilation ev rh rh rh rh rh rh rh rh rh rh rh rh




ery 3 to 5 seconds. rh rh rh rh




5. A15-year-oldpatientisbeingevaluatedduringafollow-
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upvisitafterbeing diagnosed with Lyme disease 2 months ago. A rhythm
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btained
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shownbelow.Theproviderinterpretsthisrhythmasindicatingw mia?: rh
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st-degree atrioventricular (AV) block rh rh rh




6. A child in cardiac arrest experiences return of spontaneous circulation but is
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exhibiting signs of post- rh rh rh




cardiac arrest syndrome (PCAS).The PALS resuscitation team determines that rh rh rh rh rh rh rh rh rh rh




the child is experiencing a systemic re-
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sponsetoischemia/reperfusion.Theteambasesthisdeterminationonwhich findi rh rh rh rh rh rh rh rh rh rh




g(s)?: Hypotension rh




Fever

Hyperglycemia
7. A2-year- rh




oldchildarrivesattheemergencydepartmentwiththeparents.The childis unrespo
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nsive,is not breathing and has no pulse.Two emergency de- rh rh rh rh rh rh rh rh rh rh




partment providers begin high-
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quality CPR.Which action(s) by the providers demonstrates high- rh rh rh rh rh rh rh rh




quality CPR?: Allowing the chest to recoil fully after each compression rh rh rh rh rh rh rh rh rh rh




Providingventilationsthatlastabout1secondeach Compressing the h
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chest about 2 inches rh rh rh




Giving 2 ventilations to every 15 compressions rh rh rh rh rh rh




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, PALSUpdatedFINALEXAM h
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8. A PALS resuscitation team is preparing to defibrillate a child experiencing card
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iacarrest.Forwhichrhythm(s)wouldthisactionbeappropriate?:VFand pVT are sh
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ockable cardiac arrest rhythms. rh rh rh




9. A provider is assessing a child with suspected shock.Which statement correct
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lydescribeshypotensionandshock?:HypotensionisNOTaconsistent feature of sh
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ock;
10. Aprovideriscaringfora4-year- rh rh rh rh rh rh




oldchildintheurgentcareclinic.Primary assessment reveals difficulty breathing
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and an oxygen saturation of 91%. Theprovideradministersoxygenbynasalcannu
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lawiththegoalofimproving the child's oxygen saturation above what percentage
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?: Supplemental oxygen should be administered as needed to maintain an oxygen satur
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ation above 94%. rh rh




11. An 11-year- rh




old soccer player is brought to the emergency department. After a quick asses
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sment, the team realizes this patient is experiencing a severeasthmaexacerba rh rh rh rh rh rh rh rh rh rh rh




tion.Whichmedicationwouldtheteamadminister first?: Albuterol plus ipratropi
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um bromid rh




12. A child in the pediatric step- rh rh rh rh rh




down unit is exhibiting signs of respiratory distress.Whenassessingthischild,
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whichcirculationfindingmightbepre- rh rh rh rh rh




sent?:Pallor is a circulation finding that may be seen in patients with respiratory distres
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s.
13. A healthcare provider is performing a primary assessment of a child in respira
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tory distress.The provider documents increased work of breathing when which fi
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ndings are observed?:Nasal flaring, use of accessory muscles to breathe and intercos rh rh rh rh rh rh rh rh rh rh rh rh




tal, substernal or suprasternal retractions are all indicators of increased work or effort of b
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reathing.Grunting and inspiratory stridor are abnormal breath sounds. h
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14. An 11-year-old child develops unstable wide-complex tachycardia. As- rh rh rh rh rh rh rh




sessment reveals signs of significant hemodynamic compromise, but the child
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has a pulse.The PALS team would prepare the child for which in-
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tervention?:First-linetreatmentforunstablewide-
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complextachycardiasconsists of synchronized electrical cardioversion, particularly w h
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hen signs of hemodynamic compromise are apparent.
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15. A 4- rh




month old infant is brought to the emergency department in cardiac arrest.Whic rh rh rh rh rh rh rh rh rh rh rh rh




hconditionwouldthe team identify as the most commoncause of cardiac arrest i
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n an infant of this age?: Sudden infant death syndrome
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16. A 9-year- rh




old child is brought to the emergency department because the child suddenly coll
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2/10 hr rh