PALS Final Exam Test Bank
2025 Update Complete
Solutions
Actual Questions and
Verified Answers
Grade A+
,Pals Final Exam Test Bank
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 ?
Correct 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 ? Correct 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 ? Correct 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 ? Correct
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 ?
Correct 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) ?
Correct 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 ? Correct 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 ? Correct Answer
VF and pVT are shockable cardiac arrest rhythms.
2025 Update Complete
Solutions
Actual Questions and
Verified Answers
Grade A+
,Pals Final Exam Test Bank
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 ?
Correct 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 ? Correct 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 ? Correct 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 ? Correct
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 ?
Correct 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) ?
Correct 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 ? Correct 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 ? Correct Answer
VF and pVT are shockable cardiac arrest rhythms.
