PALS UPDATED FINAL EXAM 2024/2025
WITH 100% ACCURATE SOLUTIONS
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? - Precise Answer ✔✔second degree
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? -
Precise Answer ✔✔Lactate
A 9-year-old patient is presenting with decreased breath sounds, bradycardia, slowed respiratory rate
and a low O2 saturation level. The provider interprets these findings as indicating which condition? -
Precise Answer ✔✔Respiratory failure
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? - Precise Answer ✔✔Deliver 1 BVM ventilation every 3 to 5 seconds.
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? - Precise Answer ✔✔First-degree atrioventricular (AV) block
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)? -
Precise Answer ✔✔Hypotension
Fever
Hyperglycemia
, 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 department providers begin high-quality CPR. Which
action(s) by the providers demonstrates high-quality CPR? - Precise Answer ✔✔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
A PALS resuscitation team is preparing to defibrillate a child experiencing cardiac arrest. For which
rhythm(s) would this action be appropriate? - Precise Answer ✔✔VF and pVT are shockable cardiac
arrest rhythms.
A provider is assessing a child with suspected shock. Which statement correctly describes hypotension
and shock? - Precise Answer ✔✔Hypotension is not a consistent feature of shock;
A provider is caring for a 4-year-old child in the urgent care clinic. Primary assessment reveals difficulty
breathing and an oxygen saturation of 91%. The provider administers oxygen by nasal cannula with the
goal of improving the child's oxygen saturation above what percentage? - Precise Answer
✔✔Supplemental oxygen should be administered as needed to maintain an oxygen saturation above
94%.
An 11-year-old soccer player is brought to the emergency department. After a quick assessment, the
team realizes this patient is experiencing a severe asthma exacerbation. Which medication would the
team administer first? - Precise Answer ✔✔Albuterol plus ipratropium bromid
A child in the pediatric step-down unit is exhibiting signs of respiratory distress. When assessing this
child, which circulation finding might be present? - Precise Answer ✔✔Pallor is a circulation finding that
may be seen in patients with respiratory distress.
A healthcare provider is performing a primary assessment of a child in respiratory distress. The provider
documents increased work of breathing when which findings are observed? - Precise Answer ✔✔Nasal
WITH 100% ACCURATE SOLUTIONS
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? - Precise Answer ✔✔second degree
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? -
Precise Answer ✔✔Lactate
A 9-year-old patient is presenting with decreased breath sounds, bradycardia, slowed respiratory rate
and a low O2 saturation level. The provider interprets these findings as indicating which condition? -
Precise Answer ✔✔Respiratory failure
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? - Precise Answer ✔✔Deliver 1 BVM ventilation every 3 to 5 seconds.
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? - Precise Answer ✔✔First-degree atrioventricular (AV) block
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)? -
Precise Answer ✔✔Hypotension
Fever
Hyperglycemia
, 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 department providers begin high-quality CPR. Which
action(s) by the providers demonstrates high-quality CPR? - Precise Answer ✔✔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
A PALS resuscitation team is preparing to defibrillate a child experiencing cardiac arrest. For which
rhythm(s) would this action be appropriate? - Precise Answer ✔✔VF and pVT are shockable cardiac
arrest rhythms.
A provider is assessing a child with suspected shock. Which statement correctly describes hypotension
and shock? - Precise Answer ✔✔Hypotension is not a consistent feature of shock;
A provider is caring for a 4-year-old child in the urgent care clinic. Primary assessment reveals difficulty
breathing and an oxygen saturation of 91%. The provider administers oxygen by nasal cannula with the
goal of improving the child's oxygen saturation above what percentage? - Precise Answer
✔✔Supplemental oxygen should be administered as needed to maintain an oxygen saturation above
94%.
An 11-year-old soccer player is brought to the emergency department. After a quick assessment, the
team realizes this patient is experiencing a severe asthma exacerbation. Which medication would the
team administer first? - Precise Answer ✔✔Albuterol plus ipratropium bromid
A child in the pediatric step-down unit is exhibiting signs of respiratory distress. When assessing this
child, which circulation finding might be present? - Precise Answer ✔✔Pallor is a circulation finding that
may be seen in patients with respiratory distress.
A healthcare provider is performing a primary assessment of a child in respiratory distress. The provider
documents increased work of breathing when which findings are observed? - Precise Answer ✔✔Nasal
