PALS FINAL EXAM Questions and Answers 2023
(Verified Answers)
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✔✔✔ 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✔✔✔
Lactate
3. A 9-year-old patient is presenting with decreased breath sounds, brady-
cardia, slowed respiratory rate and a low O2 saturation level. The provider
interprets these findings as indicating which condition✔✔✔ 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
1/7
,and the pulse rate is 65 beats per minute. Which action would the provider
initiate first✔✔✔ Deliver 1 BVM ventilation every 3 to 5 seconds.
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✔✔✔ First-degree atrioventricular (AV) block
6. A child in cardiac arrest experiences return of spontaneous circulation
but is exhibiting 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)✔✔✔ Hypotension
Fever
Hyperglycem
ia
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 emer-
gency department providers begin high-quality CPR. Which action(s) by
the providers demonstrates high-quality CPR✔✔✔ Allowing the chest to
2/7
, 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
3/7
(Verified Answers)
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✔✔✔ 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✔✔✔
Lactate
3. A 9-year-old patient is presenting with decreased breath sounds, brady-
cardia, slowed respiratory rate and a low O2 saturation level. The provider
interprets these findings as indicating which condition✔✔✔ 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
1/7
,and the pulse rate is 65 beats per minute. Which action would the provider
initiate first✔✔✔ Deliver 1 BVM ventilation every 3 to 5 seconds.
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✔✔✔ First-degree atrioventricular (AV) block
6. A child in cardiac arrest experiences return of spontaneous circulation
but is exhibiting 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)✔✔✔ Hypotension
Fever
Hyperglycem
ia
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 emer-
gency department providers begin high-quality CPR. Which action(s) by
the providers demonstrates high-quality CPR✔✔✔ Allowing the chest to
2/7
, 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
3/7
