PALS UPDATED FINAL EXAM NEWEST UPDATE 2024 QUESTIONS AND
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 ar- rhythmia?: 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
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,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
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
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, 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?: 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
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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 ar- rhythmia?: 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
1/
17
,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
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
2/
17
, 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?: 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
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17
