PALS UPDATED FINAL EXAM QUESTIONS AND
ANSWERS
1. A 12-year-old child being evaluated in the pediatric intensive care unit displays the
following ECG waveform. The team interprets this as which ar- rhythmia?: second
degree
2. 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?: Lactate
3. A 9-year-old patient is presenting with decreased breath sounds, brady- cardia,
slowed respiratory rate and a low O2 saturation level. The provider interprets these
findings as indicating which condition?: Respiratory failure
4. 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?: Deliver 1 BVM
ventilation every 3 to 5 seconds.
5. 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 arrhyth- mia?: First-
degree atrioventricular (AV) block
6. 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 re-
sponse to ischemia/reperfusion. The team bases this determination on which
finding(s)?: Hypotension
Fever
Hyperglycem
ia
7. 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 de-
partment providers begin high-quality CPR. Which action(s) by the providers
demonstrates high-quality CPR?: Allowing the chest to recoil fully after
each compression
1/6
, PALS UPDATED FINAL EXAM QUESTIONS AND
ANSWERS
Providing ventilations that last about 1
second each Compressing the chest about 2
inches
Giving 2 ventilations to every 15 compressions
2/6
ANSWERS
1. A 12-year-old child being evaluated in the pediatric intensive care unit displays the
following ECG waveform. The team interprets this as which ar- rhythmia?: second
degree
2. 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?: Lactate
3. A 9-year-old patient is presenting with decreased breath sounds, brady- cardia,
slowed respiratory rate and a low O2 saturation level. The provider interprets these
findings as indicating which condition?: Respiratory failure
4. 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?: Deliver 1 BVM
ventilation every 3 to 5 seconds.
5. 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 arrhyth- mia?: First-
degree atrioventricular (AV) block
6. 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 re-
sponse to ischemia/reperfusion. The team bases this determination on which
finding(s)?: Hypotension
Fever
Hyperglycem
ia
7. 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 de-
partment providers begin high-quality CPR. Which action(s) by the providers
demonstrates high-quality CPR?: Allowing the chest to recoil fully after
each compression
1/6
, PALS UPDATED FINAL EXAM QUESTIONS AND
ANSWERS
Providing ventilations that last about 1
second each Compressing the chest about 2
inches
Giving 2 ventilations to every 15 compressions
2/6
