Page 1 of 107
PALS FINAL EXAM TEST BANK EXAM LATEST
VERSION THIS YEAR ALL WITH COMPLETE 450
QUESTIONS AND CORRECT ANSWERS JUST
RELEASED
1. A 3-year-old child is unresponsive, gasping, and has no detectable pulse. CPR is initiated. A
monitor is attached, and the rhythm is shown below. What is the appropriate next therapy?
A. Attempted defibrillation with 2 J/kg
B. Synchronized cardioversion with 0.5 to 1 J/kg
C. Epinephrine 0.01 mg/kg 10/IV
D. Amiodarone 5 mg/kg 1O/IV
1. A. Attempted defibrillation with 2 J/kg
CPR is in progress on a 10-month-old infant who was unresponsive and not breathing, with no
palpable pulse. A cardiac monitor is applied, and sinus bradycardia at a rate of 42/min is
noted. CPR is resumed, and vascular access is obtained. Which of the following is the most
appropriate intervention?
A. Epinephrine 0.01 mg/kg IO/IV
B. Atropine 0.5 mg/kg IO/IV
C. Amiodarone 5 mg/kg IO/IV
D. Lidocaine 1 mg/kg IO/IV
1
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A. Epinephrine 0.01 mg/kg IO/IV
A 5-year-old child has had severe respiratory distress for 2 days. During assessment the child's
heart rate decreases from 140/min to 90/min, and the child's respiratory rate decreases from
66/min to 8/min. Which of the following is the next appropriate intervention?
A. Rescue breaths at a rate of 12 to 20/min
B. Rescue breaths at a rate of 6 to 10/min
C. Chest compressions at a rate of at least 100/min
D. Chest compressions at a rate of 60/min
1. A. Rescue breaths at a rate of 12 to 20/min
A 2-year-old child presents with a 4-day history of vomiting. The initial impression reveals an
unresponsive child with intermittent apnea and mottled color. Heart rate is 166/min,
respiratory rate is now being supported with bag-mask ventilation, capillary refill time is 5 to
6 seconds, and temperature is 102°F (38.9°C). What is the best method of establishing
immediate vascular access?
A. Two providers may attempt peripheral vascular access twice each
B. Three providers may attempt peripheral vascular access once each
C. Place a central venous line
D. Place an intraosseous line
1. D. Place an intraosseous line
A 4-year-old is being treated for hypovolemic shock and has received a single fluid bolus of 20
mL/kg of normal saline. On reevaluation the child remains anxious, with a heart rate of
140/min, a blood pressure of 84/54 mm Hg, and a capillary refill time of 4 seconds. What
2
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describes this patient's condition?
A. Hypotensive shock
B. Compensated shock
C. No longer in shock
D. Cardiogenic shock
1. B. Compensated shock
A 3-year-old child is unresponsive, not breathing, and pulseless. High-quality CPR is in
progress. A cardiac monitor is applied, and the rhythm below is noted. What is the next
appropriate intervention?
A. Attempt defibrillation with a 2 J/kg shock
B. Administer epinephrine 0.01 mg/kg
C. Consider placement of an advanced airway
D. Administer amiodarone 5 mg/kg
1. A. Attempt defibrillation with a 2 J/kg shock
A pulseless 6-week-old infant arrives in the emergency department, and high-quality CPR is in
progress. The initial rhythm strip is shown below. CPR continues, and vascular access has been
established. What is the next appropriate intervention?
A. Administer atropine 0.02 mg/kg IO/IV
B. Attempt defibrillation with a 2 J/kg shock
C. Administer epinephrine 0.01 mg/kg IO/IV
D. Consider insertion of an advanced airway
1. C. Administer epinephrine 0.01 mg/kg IO/IV
3
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A 6-month-old infant is unresponsive and not breathing. What is the maximum time that
should be spent trying to palpate the pulse before starting CPR?
A. 10 seconds
B. 15 seconds
C. 30 seconds
D. 60 seconds
1. A. 10 seconds
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?
1. Mobitz II Second-Degree AV Block
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?
1. 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?
1. 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?
1. Deliver 1 BVM ventilation every 3 to 5 seconds.
The initial impression of a 4-year-old child reveals a lethargic child who is diaphoretic, with no
increased work of breathing and pink color. Her heart rate is 220/min, respiratory rate is
4
SUCCESS!
PALS FINAL EXAM TEST BANK EXAM LATEST
VERSION THIS YEAR ALL WITH COMPLETE 450
QUESTIONS AND CORRECT ANSWERS JUST
RELEASED
1. A 3-year-old child is unresponsive, gasping, and has no detectable pulse. CPR is initiated. A
monitor is attached, and the rhythm is shown below. What is the appropriate next therapy?
A. Attempted defibrillation with 2 J/kg
B. Synchronized cardioversion with 0.5 to 1 J/kg
C. Epinephrine 0.01 mg/kg 10/IV
D. Amiodarone 5 mg/kg 1O/IV
1. A. Attempted defibrillation with 2 J/kg
CPR is in progress on a 10-month-old infant who was unresponsive and not breathing, with no
palpable pulse. A cardiac monitor is applied, and sinus bradycardia at a rate of 42/min is
noted. CPR is resumed, and vascular access is obtained. Which of the following is the most
appropriate intervention?
A. Epinephrine 0.01 mg/kg IO/IV
B. Atropine 0.5 mg/kg IO/IV
C. Amiodarone 5 mg/kg IO/IV
D. Lidocaine 1 mg/kg IO/IV
1
SUCCESS!
,Page 2 of 107
A. Epinephrine 0.01 mg/kg IO/IV
A 5-year-old child has had severe respiratory distress for 2 days. During assessment the child's
heart rate decreases from 140/min to 90/min, and the child's respiratory rate decreases from
66/min to 8/min. Which of the following is the next appropriate intervention?
A. Rescue breaths at a rate of 12 to 20/min
B. Rescue breaths at a rate of 6 to 10/min
C. Chest compressions at a rate of at least 100/min
D. Chest compressions at a rate of 60/min
1. A. Rescue breaths at a rate of 12 to 20/min
A 2-year-old child presents with a 4-day history of vomiting. The initial impression reveals an
unresponsive child with intermittent apnea and mottled color. Heart rate is 166/min,
respiratory rate is now being supported with bag-mask ventilation, capillary refill time is 5 to
6 seconds, and temperature is 102°F (38.9°C). What is the best method of establishing
immediate vascular access?
A. Two providers may attempt peripheral vascular access twice each
B. Three providers may attempt peripheral vascular access once each
C. Place a central venous line
D. Place an intraosseous line
1. D. Place an intraosseous line
A 4-year-old is being treated for hypovolemic shock and has received a single fluid bolus of 20
mL/kg of normal saline. On reevaluation the child remains anxious, with a heart rate of
140/min, a blood pressure of 84/54 mm Hg, and a capillary refill time of 4 seconds. What
2
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describes this patient's condition?
A. Hypotensive shock
B. Compensated shock
C. No longer in shock
D. Cardiogenic shock
1. B. Compensated shock
A 3-year-old child is unresponsive, not breathing, and pulseless. High-quality CPR is in
progress. A cardiac monitor is applied, and the rhythm below is noted. What is the next
appropriate intervention?
A. Attempt defibrillation with a 2 J/kg shock
B. Administer epinephrine 0.01 mg/kg
C. Consider placement of an advanced airway
D. Administer amiodarone 5 mg/kg
1. A. Attempt defibrillation with a 2 J/kg shock
A pulseless 6-week-old infant arrives in the emergency department, and high-quality CPR is in
progress. The initial rhythm strip is shown below. CPR continues, and vascular access has been
established. What is the next appropriate intervention?
A. Administer atropine 0.02 mg/kg IO/IV
B. Attempt defibrillation with a 2 J/kg shock
C. Administer epinephrine 0.01 mg/kg IO/IV
D. Consider insertion of an advanced airway
1. C. Administer epinephrine 0.01 mg/kg IO/IV
3
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A 6-month-old infant is unresponsive and not breathing. What is the maximum time that
should be spent trying to palpate the pulse before starting CPR?
A. 10 seconds
B. 15 seconds
C. 30 seconds
D. 60 seconds
1. A. 10 seconds
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?
1. Mobitz II Second-Degree AV Block
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?
1. 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?
1. 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?
1. Deliver 1 BVM ventilation every 3 to 5 seconds.
The initial impression of a 4-year-old child reveals a lethargic child who is diaphoretic, with no
increased work of breathing and pink color. Her heart rate is 220/min, respiratory rate is
4
SUCCESS!
