AHA PALS FINAL EXAM 2024 with complete solution

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 ar- rhythmia?: Second degree Second Degree Heart Block (Mobitz II) the picture shown is not the picture in the actual exam 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 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 arrhyth- mia?: First-degree atrioventricular (AV) block the picture shown is not the picture in the actual exam 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 re- sponse to ischemia/reperfusion. The team bases this determination on which finding(s)?: Hypotension 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 de-