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Exam (elaborations)

PALS Final Review exam 2024 with 100- correct answers.

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PALS Final Review exam 2024 with 100- correct answers.

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Uploaded on
September 9, 2025
Number of pages
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Written in
2025/2026
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PALS Final Review exam 2024 with 100%
correct answers
Mikey, a 2-year-old boy, is sitting upright on a hospital
bed in room 3 of your emergency department. Your initial
impression from the door does not raise immediate
concern. On your entry to the room, you are able to look
at Mikey more closely and notice on inhalation his nostrils
are flaring. This is a sign of: - Correct Answers
✅Respiratory distress


The proper site for a peripheral pulse assessment in the
infant patient is: - Correct Answers ✅brachial


You are called to the scene of a 3-year-old patient who
was found anxious, *cyanotic* and lethargic after a fall
down a flight of stairs. On assessing the patient, you find
vital signs with a respiratory rate of 30, regular pulse rate
of 130, regular capillary refill time of 4 seconds, and a
blood pressure of 102/61. What kind of shock is the
patient experiencing? - Correct Answers ✅compensate
shock?


A mnemonic that aids in performing a primary
assessment is: - Correct Answers ✅ABCDE


A consideration of treatment for a pediatric patient with
acute fulminant myocarditis who is in cardiac arrest or at

,PALS Final Review exam 2024 with 100%
correct answers
a high risk of cardiac arrest is: - Correct Answers
✅Extracorporeal membrane oxygenation (ECMO)


Which of the following is the correct meaning for one of
the individual letters in the AVPU scale? - Correct
Answers ✅Alert - The child is alert and awake and
responds to normal stimuli based upon age and
environment


The recommended route of vascular access on a
hypotensive pediatric patient is: - Correct Answers
✅central IV


You are called to the bedside of a 12-year-old male
patient who was admitted after a week of persistent
vomiting, diarrhea and limiting oral intake of both solids
and liquids. The patient's airway is patent, ventilatory
rate is within normal limits and the patient's circulatory
status presents with tachycardia, a blood pressure of
70/40 and a capillary refill time of 5 seconds. The patient
is speaking incoherently. The patient has no history of
cardiac problems or congenital defects. The appropriate
fluid administration dose for this patient is: - Correct
Answers ✅20 ml/kg 0.9% NaCl over 10 minutes

, PALS Final Review exam 2024 with 100%
correct answers
You suspect your 8-year-old female patient of being
hypovolemic. Her parents brought her to the emergency
department with persistent vomiting and diarrhea for 5
days. The patient presents with *mottled skin* and
reports of periods where "she just stopped breathing!"
according to her parents. The patient is being managed
with a BVM and supplemental oxygen. What is the best
route of establishing vascular access for the purpose of
fluid resuscitation? - Correct Answers ✅IV


Which of the following cannot be administered through an
ETT? - Correct Answers ✅Sodium bicarbonate


You are examining the rhythm strip of a patient who
presents with bradycardia. Which of the following
characteristics may you notice in the rhythm? - Correct
Answers ✅The most obvious sign of bradycardia on an
ECG is slow heart rate. The characteristics of P-waves and
the QRS complex may vary. When looking at an EKG, the
following characteristics are seen with bradycardia
patients: Slow heart rate, P-waves may not be noticeable,
QRS complex may be wide or narrow, and P-waves and
QRS complex may not be related to bradycardia.


How do children's metabolic rates compare to adults'? -
Correct Answers ✅higher

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