PALS UPDATED 2022 FINAL
EXAM(ANSWERED;GRADED A+)
1. A g12-year-old gchild gbeing gevaluated gin gthe gpediatric gintensive
gcare gunit gdis- gplays gthe gfollowing gECG gwaveform. gThe gteam
ginterprets gthis gas gwhich garrhyth- gmia?:
ANS>> gsecond gdegree
2. Laboratory gtests gare gordered gfor ga gchild gwho ghas gbeen gvomiting
gfor g3 gdays gand g is gdiaphoretic, gtachypneic, glethargic gand gpale.
gWhich gtest gwould gthe gprovider guse gto gdetermine gthe gadequacy gof
goxygen gdelivery?:
gANS>> g gLactate
3. A g9-year-old gpatient gis gpresenting gwith gdecreased gbreath gsounds,
gbradycardia, gslowed grespiratory grate gand ga glow gO2 gsaturation
glevel. gThe gprovider ginterprets gthese gfindings gas gindicating gwhich
gcondition?: g
ANS>> gRespiratory gfailure
4. A g 4-year-old g child g is g brought g to g the g emergency g department g by
g the g parents. gAssessment g reveals g that g the g child g has g only g gasping
g respirations g and g the g pulse grate gis g65 gbeats gper gminute. gWhich
gaction gwould gthe gprovider ginitiate gfirst?: g
ANS>> gDeliver g1 gBVM gventilation gevery g3 gto g5 gseconds.
5. A g15-year-old gpatient gis gbeing gevaluated gduring ga gfollow-up gvisit
gafter gbeing gdiagnosed gwith gLyme gdisease g2 gmonths gago. gA
grhythm gstrip gis gobtained gas gshown gbelow. gThe gprovider ginterprets
gthis grhythm gas gindicating gwhich garrhyth- gmia?:
gANS>> g gFirst-degree gatrioventricular g(AV) gblock
6. A gchild gin gcardiac garrest gexperiences greturn gof gspontaneous
gcirculation gbut gis gexhibiting gsigns gof gpost-cardiac garrest gsyndrome
g(PCAS). gThe gPALS gresusci- gtation g team g determines g that g the g child
1 g/
g13
,PALS UPDATED 2022 FINAL
EXAM(ANSWERED;GRADED A+)
g is g experiencing g a g systemic g response g to
ischemia/reperfusion. g The g team g bases g this g determination g on g whic
g finding(s)? gANS>> g-
: gHypotension
g Fever
Hyperglycemia
7. A g 2-year-old g child g arrives g at g the g emergency g department g with
g the g parents. g The g child g is g unresponsive, g is g not g breathing g and
g has g no g pulse. g Two g emergency gdepartment g providers g begin g high-
quality g CPR. g Which g action(s) g by g the g providers gdemonstrates ghigh-quality
gCPR?:
gANS>> g gAllowing gthe gchest gto grecoil gfully gafter geach gcompression
Providing gventilations gthat glast gabout g1 gsecond geach
2 g/
g13
EXAM(ANSWERED;GRADED A+)
1. A g12-year-old gchild gbeing gevaluated gin gthe gpediatric gintensive
gcare gunit gdis- gplays gthe gfollowing gECG gwaveform. gThe gteam
ginterprets gthis gas gwhich garrhyth- gmia?:
ANS>> gsecond gdegree
2. Laboratory gtests gare gordered gfor ga gchild gwho ghas gbeen gvomiting
gfor g3 gdays gand g is gdiaphoretic, gtachypneic, glethargic gand gpale.
gWhich gtest gwould gthe gprovider guse gto gdetermine gthe gadequacy gof
goxygen gdelivery?:
gANS>> g gLactate
3. A g9-year-old gpatient gis gpresenting gwith gdecreased gbreath gsounds,
gbradycardia, gslowed grespiratory grate gand ga glow gO2 gsaturation
glevel. gThe gprovider ginterprets gthese gfindings gas gindicating gwhich
gcondition?: g
ANS>> gRespiratory gfailure
4. A g 4-year-old g child g is g brought g to g the g emergency g department g by
g the g parents. gAssessment g reveals g that g the g child g has g only g gasping
g respirations g and g the g pulse grate gis g65 gbeats gper gminute. gWhich
gaction gwould gthe gprovider ginitiate gfirst?: g
ANS>> gDeliver g1 gBVM gventilation gevery g3 gto g5 gseconds.
5. A g15-year-old gpatient gis gbeing gevaluated gduring ga gfollow-up gvisit
gafter gbeing gdiagnosed gwith gLyme gdisease g2 gmonths gago. gA
grhythm gstrip gis gobtained gas gshown gbelow. gThe gprovider ginterprets
gthis grhythm gas gindicating gwhich garrhyth- gmia?:
gANS>> g gFirst-degree gatrioventricular g(AV) gblock
6. A gchild gin gcardiac garrest gexperiences greturn gof gspontaneous
gcirculation gbut gis gexhibiting gsigns gof gpost-cardiac garrest gsyndrome
g(PCAS). gThe gPALS gresusci- gtation g team g determines g that g the g child
1 g/
g13
,PALS UPDATED 2022 FINAL
EXAM(ANSWERED;GRADED A+)
g is g experiencing g a g systemic g response g to
ischemia/reperfusion. g The g team g bases g this g determination g on g whic
g finding(s)? gANS>> g-
: gHypotension
g Fever
Hyperglycemia
7. A g 2-year-old g child g arrives g at g the g emergency g department g with
g the g parents. g The g child g is g unresponsive, g is g not g breathing g and
g has g no g pulse. g Two g emergency gdepartment g providers g begin g high-
quality g CPR. g Which g action(s) g by g the g providers gdemonstrates ghigh-quality
gCPR?:
gANS>> g gAllowing gthe gchest gto grecoil gfully gafter geach gcompression
Providing gventilations gthat glast gabout g1 gsecond geach
2 g/
g13
