Prep 2025
Second degree
A 12-year-old child be- ing Second Degree Heart Block
evaluated in the pe- diatric (Mobitz II)
intensive care unit displays the
following ECG waveform. The the picture shown is not the
team inter- picture in the actual exam
prets this as which arrhyth- mia?
Laboratory tests are or- dered
for a child who has been
vomiting for 3 days and is Lactate
diaphoretic, tachypneic,
lethargic and
pale. Which test would the
provider use to determine the
adequacy of oxygen delivery?
A 9-year-old patient is presenting
with decreased breath sounds, Respiratory failure
bradycar-
, AHA PALS Practice Exam & Study Guide | Pediatric Advanced Life Support
Prep 2025
dia, slowed respiratory
rate and a low O2 satu-
ration level. The provider
interprets these findings
as indicating which condi-
tion?
A 4-year-old child is brought to
the emergency department by
the par- ents. Assessment
reveals that the child has only
gasping respirations and the Deliver 1 BVM ventilation every
pulse rate is 65 beats per 3 to 5 seconds.
minute. Which action would the
provider initiate first?
A 15-year-old patient is be- ing
evaluated during a fol- low-up First-degree atrioventricu- lar (AV)
visit after being di- agnosed with block
Lyme dis- ease 2 months ago. A
rhythm strip is obtained as shown the picture shown is not the
below. The provider interprets this picture in the actual exam
rhythm as
, AHA PALS Practice Exam & Study Guide | Pediatric Advanced Life Support
Prep 2025
indicating which arrhyth-
mia?
A child in cardiac ar- rest
experiences return
of spontaneous circulation but is
exhibiting signs of post-cardiac
arrest syn- drome (PCAS). The Hypotension Fever
PALS resuscitation team deter-
mines that the child is ex- Hyperglycemia
periencing a systemic re- sponse
to ischemia/reper- fusion. The
team bases this determination
on which finding(s)?
A 2-year-old child arrives at the Allowing the chest to recoil fully afte
emergency depart- ment with the each compres- sion
parents. The child is
unresponsive, is not breathing Providing ventilations that last abou
and has no pulse. Two 1 second each
emergency de- partment
providers begin Compressing the chest