PALS ARRHYTHMIAS EXAM QUESTIONS
AND ANSWERS LATEST 2025
Whenever a child has an abnormal heart rate or rhythm, you must
quickly determine? -
correct answer ✅Determine if the arrhythmia is causing
hemodynamic instability or other signs of deterioration.
What are the signs of instability in a patient with arrhythmias? -
correct answer ✅Respiratory distress or failure
Shock with poor end-organ perfusion, may occur with or without
hypotension
Irritability or decreased level of consciousness
Irritability or decreased level of consciousness
chest pain or vague feeling of discomfort in older children
sudden collapse
,PALS ARRHYTHMIAS EXAM QUESTIONS
AND ANSWERS LATEST 2025
Priorities in initially managing arrhythmias are? -
correct answer ✅The same as they are for all critically ill children:
Support ABC and treat underlying cause
Bradycardia -
correct answer ✅A heart rate that is slow in comparison with a
normal heart rate range for the childs age, level of activity and
clinical condition
What is the leading cause of symptomatic bradycardia in children? -
correct answer ✅Tissue hypoxia
Symptomatic Bradycardia -
correct answer ✅Heart rate below 60/min associated with
cardiopulmonary compromise
Cardiopulmonary compromise -
correct answer ✅* Hypotension
* Acutely altered mental status
* Signs of shock
, PALS ARRHYTHMIAS EXAM QUESTIONS
AND ANSWERS LATEST 2025
Bradycardia is an ominous sign of? -
correct answer ✅Sign of impending cardiac arrest in infants and
children. Especially if hypotension or poor tissue perfusion is
present
Children with severe cardiovascular compromise from pulmonary
embolism, what treatment should be considered? -
correct answer ✅Fibrinolytic agents
What is the initial treatment of pediatric bradycardia with
cardiopulmonary compromise? -
correct answer ✅Bag mask ventilation with 100% O2
Fibrinolytic agents -
correct answer ✅tissue plasminogen activator, streptokinase,
reteplase tenecteplase
Primary bradycardia -
correct answer ✅A result of congenital or acquired heart
conditions
AND ANSWERS LATEST 2025
Whenever a child has an abnormal heart rate or rhythm, you must
quickly determine? -
correct answer ✅Determine if the arrhythmia is causing
hemodynamic instability or other signs of deterioration.
What are the signs of instability in a patient with arrhythmias? -
correct answer ✅Respiratory distress or failure
Shock with poor end-organ perfusion, may occur with or without
hypotension
Irritability or decreased level of consciousness
Irritability or decreased level of consciousness
chest pain or vague feeling of discomfort in older children
sudden collapse
,PALS ARRHYTHMIAS EXAM QUESTIONS
AND ANSWERS LATEST 2025
Priorities in initially managing arrhythmias are? -
correct answer ✅The same as they are for all critically ill children:
Support ABC and treat underlying cause
Bradycardia -
correct answer ✅A heart rate that is slow in comparison with a
normal heart rate range for the childs age, level of activity and
clinical condition
What is the leading cause of symptomatic bradycardia in children? -
correct answer ✅Tissue hypoxia
Symptomatic Bradycardia -
correct answer ✅Heart rate below 60/min associated with
cardiopulmonary compromise
Cardiopulmonary compromise -
correct answer ✅* Hypotension
* Acutely altered mental status
* Signs of shock
, PALS ARRHYTHMIAS EXAM QUESTIONS
AND ANSWERS LATEST 2025
Bradycardia is an ominous sign of? -
correct answer ✅Sign of impending cardiac arrest in infants and
children. Especially if hypotension or poor tissue perfusion is
present
Children with severe cardiovascular compromise from pulmonary
embolism, what treatment should be considered? -
correct answer ✅Fibrinolytic agents
What is the initial treatment of pediatric bradycardia with
cardiopulmonary compromise? -
correct answer ✅Bag mask ventilation with 100% O2
Fibrinolytic agents -
correct answer ✅tissue plasminogen activator, streptokinase,
reteplase tenecteplase
Primary bradycardia -
correct answer ✅A result of congenital or acquired heart
conditions
