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100%Verified;PALS Final Exam (Actual Exam)
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1.A 12-year-old child being evaluated in the pediatric intensive care unit
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displays the following ECG waveform. The team interprets this as which ar-
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rhythmia?:ANS second degree
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2.Laboratory tests are ordered for a child who has been vomiting for 3 v v v v v v v v v v v v
days and is diaphoretic, tachypneic, lethargic and pale. Which test would the
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provider use to determine the adequacy of oxygen delivery?: ANS 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
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interprets these findings as indicating which condition?: ANS Respiratory
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failure
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4.A 4-year-old child is brought to the emergency department by the parents.
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Assessment reveals that the child has only gasping respirations and the pulse
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rate is 65 beats per minute. Which action would the provider initiate first?: ANS
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Deliver 1 BVM ventilation every 3 to 5 seconds.
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5.A 15-year-old patient is being evaluated during a follow-up visit after being
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diagnosed with Lyme disease 2 months ago. A rhythm strip is obtained as
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shown below. The provider interprets this rhythm as indicating which arrhyth-
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mia?: ANS First-degree atrioventricular (AV) block
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, 6.A child in cardiac arrest experiences return of spontaneous circulation but
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is exhibiting signs of post-cardiac arrest syndrome (PCAS). The PALS
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resuscitation team determines that the child is experiencing a systemic re-
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sponse to ischemia/reperfusion. The team bases this determination on which
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finding(s)?: ANS Hypotension
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Hyperglycemia
7.A 2-year-old child arrives at the emergency department with the parents. The
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child is unresponsive, is not breathing and has no pulse. Two emergency de-
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partment providers begin high-quality CPR. Which action(s) by the providers
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demonstrates high-quality CPR?: ANS Allowing the chest to recoil fully after
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each compression
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Providing ventilations that last about 1 second each v v v v v v v
v Compressing the chest about 2 inches v v v v v
Giving 2 ventilations to every 15 compressions
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