PALS Updated Final Exam
1
A 12-year-old child being evaluated in the
pediatric intensive care unit displays the following ECG waveform. The team interprets
this as which arrhythmia?
Answer: second degree
2
Laboratory tests are ordered for a child who
has been vomiting for 3 days and is diaphoretic, tachypneic, lethargic and pale.
Which test would the provider use to determine the adequacy of oxygen delivery?
Answer: Lactate
3
A 9-year-old patient is presenting with
decreased breath sounds, bradycardia,
slowed respiratory rate and a low O2 saturation level. The provider interprets these
findings as indicating which condition?
Answer: Respiratory failure
4
A 4-year-old child is brought to the emergency department by the parents. Assessment reveals
that the child has only gasping respirations and the pulse rate is 65
beats per minute. Which action would the
provider initiate first?
Answer: 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 diagnosed with Lyme disease 2 months ago. A
rhythm strip is obtained as shown below.
The provider interprets this rhythm as indicating which arrhythmia?
Answer: First-degree atrioventricular (AV) block
6
A child in cardiac arrest experiences return of spontaneous circulation but is exHypotension
hibiting signs of post-cardiac arrest syndrome (PCAS). The PALS resuscitation team
determines that the child is experiencing
a systemic response to ischemia/reperfusion. The team bases this determination on
which finding(s)?
Answer:
Fever
Hyperglycemia
7
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?
Answer:
Allowing the chest to recoil fully after each
compression
Providing ventilations that last about 1 second each
Compressing the chest about 2 inches
Giving 2 ventilations to every 15 compressions
8
A PALS resuscitation team is preparing to
defibrillate a child experiencing cardiac arrest. For which rhythm(s) would this action
be appropriate?
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1
A 12-year-old child being evaluated in the
pediatric intensive care unit displays the following ECG waveform. The team interprets
this as which arrhythmia?
Answer: second degree
2
Laboratory tests are ordered for a child who
has been vomiting for 3 days and is diaphoretic, tachypneic, lethargic and pale.
Which test would the provider use to determine the adequacy of oxygen delivery?
Answer: Lactate
3
A 9-year-old patient is presenting with
decreased breath sounds, bradycardia,
slowed respiratory rate and a low O2 saturation level. The provider interprets these
findings as indicating which condition?
Answer: Respiratory failure
4
A 4-year-old child is brought to the emergency department by the parents. Assessment reveals
that the child has only gasping respirations and the pulse rate is 65
beats per minute. Which action would the
provider initiate first?
Answer: Deliver 1 BVM ventilation every 3 to 5 seconds.
PatternWish© 2025. For Personal Use Only. All rights reserved.
www.payhip.com/SuccessShelfy
, 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?
Answer: First-degree atrioventricular (AV) block
6
A child in cardiac arrest experiences return of spontaneous circulation but is exHypotension
hibiting signs of post-cardiac arrest syndrome (PCAS). The PALS resuscitation team
determines that the child is experiencing
a systemic response to ischemia/reperfusion. The team bases this determination on
which finding(s)?
Answer:
Fever
Hyperglycemia
7
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?
Answer:
Allowing the chest to recoil fully after each
compression
Providing ventilations that last about 1 second each
Compressing the chest about 2 inches
Giving 2 ventilations to every 15 compressions
8
A PALS resuscitation team is preparing to
defibrillate a child experiencing cardiac arrest. For which rhythm(s) would this action
be appropriate?
PatternWish© 2025. For Personal Use Only. All rights reserved.
www.payhip.com/SuccessShelfy
