PALS Updated FINAL EXAM Questions With
Correct Answers
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.
,PALS Updated FINAL EXAM Questions With
Correct Answers
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? -
, PALS Updated FINAL EXAM Questions With
Correct Answers
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.
A provider is assessing a child with suspected shock. Which
statement correctly describes hypotension and shock? -
correct 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
Correct Answers
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.
,PALS Updated FINAL EXAM Questions With
Correct Answers
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? -
, PALS Updated FINAL EXAM Questions With
Correct Answers
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.
A provider is assessing a child with suspected shock. Which
statement correctly describes hypotension and shock? -
correct 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
