AHA PALS 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
ar- rhythmia ANS 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
ANS 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
ANS 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
1/6
,and the pulse rate is 65 beats per minute. Which action would the provider
initiate first
ANS 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
ANS 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)
ANS Hypotension
Fever
Hyperglycem
ia
2/6
, 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- partment providers begin high-quality CPR. Which action(s)
by the providers demonstrates high-quality CPR
ANS Allowing the chest to recoil fully after each compression
Providing ventilations that last about 1 second each
3/6
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 ANS 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
ANS 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
ANS 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
1/6
,and the pulse rate is 65 beats per minute. Which action would the provider
initiate first
ANS 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
ANS 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)
ANS Hypotension
Fever
Hyperglycem
ia
2/6
, 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- partment providers begin high-quality CPR. Which action(s)
by the providers demonstrates high-quality CPR
ANS Allowing the chest to recoil fully after each compression
Providing ventilations that last about 1 second each
3/6
