PALS UPDATED FINAL EXAM WITH UPDATED
SOLUTIONS
1.A b12-year-old bchild bbeing bevaluated bin bthe bpediatric bintensive bcare
bunit bdisplays bthe bfollowing bECG bwaveform. bThe bteam binterprets bthis bas
bwhich bar- brhythmia?: bsecond bdegree
2.Laboratory btests bare bordered bfor ba bchild bwho bhas bbeen bvomiting bfor b3
days band bis bdiaphoretic, btachypneic, blethargic band bpale. bWhich btest bwould
bthe bprovider buse bto bdetermine bthe badequacy bof boxygen bdelivery?: bLacta
3.A b9-year-old bpatient bis bpresenting bwith bdecreased bbreath bsounds,
bbrady- bcardia, bslowed brespiratory brate band ba blow bO2 bsaturation blevel.
bThe bprovider binterprets bthese bfindings bas bindicating bwhich
bcondition?: bRespiratory bfailure
4.A b4-year-old bchild bis bbrought bto bthe bemergency bdepartment bby bthe
bparents. bAssessment breveals bthat bthe bchild bhas bonly bgasping
brespirations band bthe bpulse brate bis b65 bbeats bper bminute. bWhich baction
bwould bthe bprovider binitiate bfirst?: bDeliver b1 bBVM bventilation bevery b3
bto b5 bseconds.
5.A b15-year-old bpatient bis bbeing bevaluated bduring ba bfollow-up bvisit bafter
bbeing bdiagnosed bwith bLyme bdisease b2 bmonths bago. bA brhythm bstrip bis
1 b/
, bobtained bas bshown bbelow. bThe bprovider binterprets bthis brhythm bas
bindicating bwhich barrhyth- bmia?: bFirst-degree batrioventricular b(AV) bblock
6.A bchild bin bcardiac barrest bexperiences breturn bof bspontaneous
bcirculation bbut bis bexhibiting bsigns bof bpost-cardiac barrest bsyndrome
b(PCAS). bThe bPALS bresuscitation bteam bdetermines bthat bthe bchild bis
bexperiencing ba bsystemic bre-
sponse bto bischemia/reperfusion. bThe bteam bbases bthis bdetermination bon
bwhich bfinding(s)?: bHypotension
Fever
Hyperglycemia
7.A b2-year-old bchild barrives bat bthe bemergency bdepartment bwith bthe
bparents. bThe bchild bis bunresponsive, bis bnot bbreathing band bhas bno bpulse.
bTwo bemergency bde- bpartment bproviders bbegin bhigh-quality bCPR. bWhich
baction(s) bby bthe bproviders bdemonstrates bhigh-quality bCPR?: bAllowing
bthe bchest bto brecoil bfully bafter beach bcompression
Providing bventilations bthat blast babout b1 bsecond beach
b Compressing bthe bchest babout b2 binches
Giving b2 bventilations bto bevery b15 bcompressions
2 b/
SOLUTIONS
1.A b12-year-old bchild bbeing bevaluated bin bthe bpediatric bintensive bcare
bunit bdisplays bthe bfollowing bECG bwaveform. bThe bteam binterprets bthis bas
bwhich bar- brhythmia?: bsecond bdegree
2.Laboratory btests bare bordered bfor ba bchild bwho bhas bbeen bvomiting bfor b3
days band bis bdiaphoretic, btachypneic, blethargic band bpale. bWhich btest bwould
bthe bprovider buse bto bdetermine bthe badequacy bof boxygen bdelivery?: bLacta
3.A b9-year-old bpatient bis bpresenting bwith bdecreased bbreath bsounds,
bbrady- bcardia, bslowed brespiratory brate band ba blow bO2 bsaturation blevel.
bThe bprovider binterprets bthese bfindings bas bindicating bwhich
bcondition?: bRespiratory bfailure
4.A b4-year-old bchild bis bbrought bto bthe bemergency bdepartment bby bthe
bparents. bAssessment breveals bthat bthe bchild bhas bonly bgasping
brespirations band bthe bpulse brate bis b65 bbeats bper bminute. bWhich baction
bwould bthe bprovider binitiate bfirst?: bDeliver b1 bBVM bventilation bevery b3
bto b5 bseconds.
5.A b15-year-old bpatient bis bbeing bevaluated bduring ba bfollow-up bvisit bafter
bbeing bdiagnosed bwith bLyme bdisease b2 bmonths bago. bA brhythm bstrip bis
1 b/
, bobtained bas bshown bbelow. bThe bprovider binterprets bthis brhythm bas
bindicating bwhich barrhyth- bmia?: bFirst-degree batrioventricular b(AV) bblock
6.A bchild bin bcardiac barrest bexperiences breturn bof bspontaneous
bcirculation bbut bis bexhibiting bsigns bof bpost-cardiac barrest bsyndrome
b(PCAS). bThe bPALS bresuscitation bteam bdetermines bthat bthe bchild bis
bexperiencing ba bsystemic bre-
sponse bto bischemia/reperfusion. bThe bteam bbases bthis bdetermination bon
bwhich bfinding(s)?: bHypotension
Fever
Hyperglycemia
7.A b2-year-old bchild barrives bat bthe bemergency bdepartment bwith bthe
bparents. bThe bchild bis bunresponsive, bis bnot bbreathing band bhas bno bpulse.
bTwo bemergency bde- bpartment bproviders bbegin bhigh-quality bCPR. bWhich
baction(s) bby bthe bproviders bdemonstrates bhigh-quality bCPR?: bAllowing
bthe bchest bto brecoil bfully bafter beach bcompression
Providing bventilations bthat blast babout b1 bsecond beach
b Compressing bthe bchest babout b2 binches
Giving b2 bventilations bto bevery b15 bcompressions
2 b/
