PALS EXAM vc
Exam Solution vc
PALS Final Review 2026 A+ GRADE ASSURED COMPLET
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E SOLUTIONS AND VERIFIED ANSWERS (8128F)
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QUESTION 1 vc
Mikey, a 2-year- vc vc
old boy, is sitting upright on a hospital bed in room 3 of your emergency department. Yo
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ur initial impression from the door does not raise immediate concern. On your entry to t
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he room, you are able to look at Mikey more closely and notice on inhalation his nostrils
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are flaring. This is a sign of:
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ANSWER
Respiratory distress vc
QUESTION 2 vc
The proper site for a peripheral pulse assessment in the infant patient is:
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ANSWER
brachial
QUESTION 3 vc
You are called to the scene of a 3-year-
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old patient who was found anxious, *cyanotic* and lethargic after a fall down a flight of s
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tairs. On assessing the patient, you find vital signs with a respiratory rate of 30, regular
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pulse rate of 130, regular capillary refill time of 4 seconds, and a blood pressure of 102/
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61. What kind of shock is the patient experiencing?
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ANSWER
compensate shock? vc
QUESTION 4 vc
,A mnemonic that aids in performing a primary assessment is:
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ANSWER
ABCDE
QUESTION 5 vc
A consideration of treatment for a pediatric patient with acute fulminant myocarditis wh
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o is in cardiac arrest or at a high risk of cardiac arrest is:
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ANSWER
Extracorporeal membrane oxygenation (ECMO) vc vc vc
QUESTION 6 vc
Which of the following is the correct meaning for one of the individual letters in the AVP
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U scale?
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ANSWER
Alert - The child is alert and awake and responds to normal stimuli based upon age and environment
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QUESTION 7 vc
The recommended route of vascular access on a hypotensive pediatric patient is:
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ANSWER
central IV vc
QUESTION 8 vc
Which of the following cannot be administered through an ETT?
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ANSWER
Sodium bicarbonate vc
QUESTION 9 vc
You are examining the rhythm strip of a patient who presents with bradycardia. Which o
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f the following characteristics may you notice in the rhythm?
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ANSWER
The most obvious sign of bradycardia on an ECG is slow heart rate. The characteristics of P-
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waves and the QRS complex may vary. When looking at an EKG, the following characteristics are seen w
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, ith bradycardia patients: Slow heart rate, P-
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waves may not be noticeable, QRS complex may be wide or narrow, and P-
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waves and QRS complex may not be related to bradycardia.
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QUESTION 10 vc
How do children's metabolic rates compare to adults'?
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ANSWER
higher
QUESTION 11 vc
Children's demand for oxygen is ___________ adults.
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ANSWER
greater
QUESTION 12 vc
Which of the following must you monitor while fluid resuscitating a patient?
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ANSWER
Urine output
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QUESTION 13 vc
What type of pressure is monitored to obtain right ventricular cardiac preload?
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ANSWER
Central venous pressure (CVP)
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QUESTION 14 vc
Define shock: vc
ANSWER
When oxygen and nutrient supply to body tissue is insufficient compared to metabolic tissue needs
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QUESTION 15 vc
Exam Solution vc
PALS Final Review 2026 A+ GRADE ASSURED COMPLET
vc vc vc vc vc vc vc
E SOLUTIONS AND VERIFIED ANSWERS (8128F)
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QUESTION 1 vc
Mikey, a 2-year- vc vc
old boy, is sitting upright on a hospital bed in room 3 of your emergency department. Yo
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ur initial impression from the door does not raise immediate concern. On your entry to t
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he room, you are able to look at Mikey more closely and notice on inhalation his nostrils
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are flaring. This is a sign of:
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ANSWER
Respiratory distress vc
QUESTION 2 vc
The proper site for a peripheral pulse assessment in the infant patient is:
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ANSWER
brachial
QUESTION 3 vc
You are called to the scene of a 3-year-
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old patient who was found anxious, *cyanotic* and lethargic after a fall down a flight of s
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tairs. On assessing the patient, you find vital signs with a respiratory rate of 30, regular
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pulse rate of 130, regular capillary refill time of 4 seconds, and a blood pressure of 102/
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61. What kind of shock is the patient experiencing?
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ANSWER
compensate shock? vc
QUESTION 4 vc
,A mnemonic that aids in performing a primary assessment is:
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ANSWER
ABCDE
QUESTION 5 vc
A consideration of treatment for a pediatric patient with acute fulminant myocarditis wh
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o is in cardiac arrest or at a high risk of cardiac arrest is:
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ANSWER
Extracorporeal membrane oxygenation (ECMO) vc vc vc
QUESTION 6 vc
Which of the following is the correct meaning for one of the individual letters in the AVP
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U scale?
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ANSWER
Alert - The child is alert and awake and responds to normal stimuli based upon age and environment
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QUESTION 7 vc
The recommended route of vascular access on a hypotensive pediatric patient is:
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ANSWER
central IV vc
QUESTION 8 vc
Which of the following cannot be administered through an ETT?
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ANSWER
Sodium bicarbonate vc
QUESTION 9 vc
You are examining the rhythm strip of a patient who presents with bradycardia. Which o
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f the following characteristics may you notice in the rhythm?
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ANSWER
The most obvious sign of bradycardia on an ECG is slow heart rate. The characteristics of P-
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waves and the QRS complex may vary. When looking at an EKG, the following characteristics are seen w
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, ith bradycardia patients: Slow heart rate, P-
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waves may not be noticeable, QRS complex may be wide or narrow, and P-
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waves and QRS complex may not be related to bradycardia.
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QUESTION 10 vc
How do children's metabolic rates compare to adults'?
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ANSWER
higher
QUESTION 11 vc
Children's demand for oxygen is ___________ adults.
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ANSWER
greater
QUESTION 12 vc
Which of the following must you monitor while fluid resuscitating a patient?
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ANSWER
Urine output
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QUESTION 13 vc
What type of pressure is monitored to obtain right ventricular cardiac preload?
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ANSWER
Central venous pressure (CVP)
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QUESTION 14 vc
Define shock: vc
ANSWER
When oxygen and nutrient supply to body tissue is insufficient compared to metabolic tissue needs
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QUESTION 15 vc
