PALS UPDATED FINAL EXAM WITH CORRECT ANSWERS
1. A L12-year-old Lchild Lbeing Levaluated Lin Lthe Lpediatric Lintensive
Lcare Lunit Ldis- Lplays Lthe Lfollowing LECG Lwaveform. LThe Lteam
Linterprets Lthis Las Lwhich Larrhyth- Lmia?: Lsecond Ldegree
2. Laboratory Ltests Lare Lordered Lfor La Lchild Lwho Lhas Lbeen Lvomiting
Lfor L3 Ldays Land L is Ldiaphoretic, Ltachypneic, Llethargic Land Lpale.
LWhich Ltest Lwould Lthe Lprovider Luse Lto Ldetermine Lthe Ladequacy Lof
Loxygen Ldelivery?: LLactate
3. A L9-year-old Lpatient Lis Lpresenting Lwith Ldecreased Lbreath
1 L/
L13
, L sounds, Lbradycardia, Lslowed Lrespiratory Lrate Land La Llow LO2
Lsaturation Llevel. LThe Lprovider Linterprets Lthese Lfindings Las
Lindicating Lwhich Lcondition?: LRespiratory Lfailure
4. A L 4-year-old L child L is L brought L to L the L emergency L department L by
L the L parents. LAssessment L reveals L that L the L child L has L only L gasping
L respirations L and L the L pulse Lrate Lis L65 Lbeats Lper Lminute. LWhich
Laction Lwould Lthe Lprovider Linitiate Lfirst?: L Deliver L1 LBVM Lventilation Levery L3 Lto
L5 Lseconds.
5. A L15-year-old Lpatient Lis Lbeing Levaluated Lduring La Lfollow-up
Lvisit Lafter Lbeing Ldiagnosed Lwith LLyme Ldisease L2 Lmonths Lago. LA
Lrhythm Lstrip Lis Lobtained Las Lshown Lbelow. LThe Lprovider Linterprets
Lthis Lrhythm Las Lindicating Lwhich Larrhyth- Lmia?: LFirst-degree Latrioventricular
L(AV) Lblock
6. A Lchild Lin Lcardiac Larrest Lexperiences Lreturn Lof Lspontaneous
Lcirculation Lbut Lis Lexhibiting Lsigns Lof Lpost-cardiac Larrest Lsyndrome
L(PCAS). LThe LPALS Lresusci- Ltation L team L determines L that L the L child
L is L experiencing L a L systemic L response L to
ischemia/reperfusion. L The L team L bases L this L determination L on L whic
L finding(s)?-
: LHypotension
L Fever
Hyperglycemia
7. A L 2-year-old L child L arrives L at L the L emergency L department L with
L the L parents. L The L child L is L unresponsive, L is L not L breathing L and
L has L no L pulse. L Two L emergency Ldepartment L providers L begin L high-
quality L CPR. L Which L action(s) L by L the L providers Ldemonstrates Lhigh-
quality LCPR?: LAllowing Lthe Lchest Lto Lrecoil Lfully Lafter Leach Lcompression
Providing Lventilations Lthat Llast Labout L1 Lsecond Leach
2 L/
L13
1. A L12-year-old Lchild Lbeing Levaluated Lin Lthe Lpediatric Lintensive
Lcare Lunit Ldis- Lplays Lthe Lfollowing LECG Lwaveform. LThe Lteam
Linterprets Lthis Las Lwhich Larrhyth- Lmia?: Lsecond Ldegree
2. Laboratory Ltests Lare Lordered Lfor La Lchild Lwho Lhas Lbeen Lvomiting
Lfor L3 Ldays Land L is Ldiaphoretic, Ltachypneic, Llethargic Land Lpale.
LWhich Ltest Lwould Lthe Lprovider Luse Lto Ldetermine Lthe Ladequacy Lof
Loxygen Ldelivery?: LLactate
3. A L9-year-old Lpatient Lis Lpresenting Lwith Ldecreased Lbreath
1 L/
L13
, L sounds, Lbradycardia, Lslowed Lrespiratory Lrate Land La Llow LO2
Lsaturation Llevel. LThe Lprovider Linterprets Lthese Lfindings Las
Lindicating Lwhich Lcondition?: LRespiratory Lfailure
4. A L 4-year-old L child L is L brought L to L the L emergency L department L by
L the L parents. LAssessment L reveals L that L the L child L has L only L gasping
L respirations L and L the L pulse Lrate Lis L65 Lbeats Lper Lminute. LWhich
Laction Lwould Lthe Lprovider Linitiate Lfirst?: L Deliver L1 LBVM Lventilation Levery L3 Lto
L5 Lseconds.
5. A L15-year-old Lpatient Lis Lbeing Levaluated Lduring La Lfollow-up
Lvisit Lafter Lbeing Ldiagnosed Lwith LLyme Ldisease L2 Lmonths Lago. LA
Lrhythm Lstrip Lis Lobtained Las Lshown Lbelow. LThe Lprovider Linterprets
Lthis Lrhythm Las Lindicating Lwhich Larrhyth- Lmia?: LFirst-degree Latrioventricular
L(AV) Lblock
6. A Lchild Lin Lcardiac Larrest Lexperiences Lreturn Lof Lspontaneous
Lcirculation Lbut Lis Lexhibiting Lsigns Lof Lpost-cardiac Larrest Lsyndrome
L(PCAS). LThe LPALS Lresusci- Ltation L team L determines L that L the L child
L is L experiencing L a L systemic L response L to
ischemia/reperfusion. L The L team L bases L this L determination L on L whic
L finding(s)?-
: LHypotension
L Fever
Hyperglycemia
7. A L 2-year-old L child L arrives L at L the L emergency L department L with
L the L parents. L The L child L is L unresponsive, L is L not L breathing L and
L has L no L pulse. L Two L emergency Ldepartment L providers L begin L high-
quality L CPR. L Which L action(s) L by L the L providers Ldemonstrates Lhigh-
quality LCPR?: LAllowing Lthe Lchest Lto Lrecoil Lfully Lafter Leach Lcompression
Providing Lventilations Lthat Llast Labout L1 Lsecond Leach
2 L/
L13
