AHA PALS 2024/2025 FINAL EXAM QUESTIONS WITH
100% CORRECT ANSWERS
An unresponsive 7-year-old child with no pulse is brought to the pediatric urgent care
_ _ _ _ _ _ _ _ _ _ _ _ _ _
center by his parents and CPR is initiated. The cardiac monitor reveals ventricular
_ _ _ _ _ _ _ _ _ _ _ _ _
fibrillation. Which action would the PALS team take first? -- Correct Answer ✔✔ Initiate
_ _ _ _ _ _ _ _ _ _ _ _ _ _
defibrillation with 2 J/kg. _ _ _
A child who is stable and exhibiting a narrow-complex tachycardia is to receive
_ _ _ _ _ _ _ _ _ _ _ _ _
adenosine. The provider would be alert for which result after administering this
_ _ _ _ _ _ _ _ _ _ _ _
medication? -- Correct Answer ✔✔ Patients may have a brief period of "asystole"
_ _ _ _ _ _ _ _ _ _ _ _ _
following the administration of adenosine. This is normal and typically self-limited.
_ _ _ _ _ _ _ _ _ _
An 8-year-old child being treated in the emergency department has significant
_ _ _ _ _ _ _ _ _ _ _
respiratory distress. The child also exhibits hives, wheezing, angioedema, tachycardia and
_ _ _ _ _ _ _ _ _ _ _
dyspnea. The parents state that the child, who is allergic to peanuts, had eaten some
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _
popcorn that had peanuts in it. The team initiates care, preparing to administer which
_ _ _ _ _ _ _ _ _ _ _ _ _ _
agent first? -- Correct Answer ✔✔ epi
_ _ _ _ _ _
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?
_ _ _ _ _ _ _
-- Correct Answer ✔✔ Deliver 1 BVM ventilation every 3 to 5 seconds.
_ _ _ _ _ _ _ _ _ _ _ _
,A 12-year-old child being evaluated in the pediatric intensive care unit displays the
_ _ _ _ _ _ _ _ _ _ _ _ _
following ECG waveform. The team interprets this as which arrhythmia?
_ _ _ _ _ _ _ _ _
-- Correct Answer ✔✔
_ _ _
Second degree
_
Second Degree Heart Block (Mobitz II)
_ _ _ _ _
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?
_ _ _ _ _
-- Correct Answer ✔✔ Lactate
_ _ _ _
e
, A 9-year-old patient is presenting with decreased breath sounds, bradycardia, slowed
_ _ _ _ _ _ _ _ _ _ _
respiratory rate and a low O2 saturation level. The provider interprets these findings as
_ _ _ _ _ _ _ _ _ _ _ _ _ _
indicating which condition?
_ _
-- Correct Answer ✔✔ Respiratory failure
_ _ _ _ _
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 arrhythmia?
_ _ _ _ _ _ _
-- Correct Answer ✔✔ First-degree atrioventricular (AV) block
_ _ _ _ _ _ _
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
_ _ _ _ _ _ _ _ _ _ _
100% CORRECT ANSWERS
An unresponsive 7-year-old child with no pulse is brought to the pediatric urgent care
_ _ _ _ _ _ _ _ _ _ _ _ _ _
center by his parents and CPR is initiated. The cardiac monitor reveals ventricular
_ _ _ _ _ _ _ _ _ _ _ _ _
fibrillation. Which action would the PALS team take first? -- Correct Answer ✔✔ Initiate
_ _ _ _ _ _ _ _ _ _ _ _ _ _
defibrillation with 2 J/kg. _ _ _
A child who is stable and exhibiting a narrow-complex tachycardia is to receive
_ _ _ _ _ _ _ _ _ _ _ _ _
adenosine. The provider would be alert for which result after administering this
_ _ _ _ _ _ _ _ _ _ _ _
medication? -- Correct Answer ✔✔ Patients may have a brief period of "asystole"
_ _ _ _ _ _ _ _ _ _ _ _ _
following the administration of adenosine. This is normal and typically self-limited.
_ _ _ _ _ _ _ _ _ _
An 8-year-old child being treated in the emergency department has significant
_ _ _ _ _ _ _ _ _ _ _
respiratory distress. The child also exhibits hives, wheezing, angioedema, tachycardia and
_ _ _ _ _ _ _ _ _ _ _
dyspnea. The parents state that the child, who is allergic to peanuts, had eaten some
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _
popcorn that had peanuts in it. The team initiates care, preparing to administer which
_ _ _ _ _ _ _ _ _ _ _ _ _ _
agent first? -- Correct Answer ✔✔ epi
_ _ _ _ _ _
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?
_ _ _ _ _ _ _
-- Correct Answer ✔✔ Deliver 1 BVM ventilation every 3 to 5 seconds.
_ _ _ _ _ _ _ _ _ _ _ _
,A 12-year-old child being evaluated in the pediatric intensive care unit displays the
_ _ _ _ _ _ _ _ _ _ _ _ _
following ECG waveform. The team interprets this as which arrhythmia?
_ _ _ _ _ _ _ _ _
-- Correct Answer ✔✔
_ _ _
Second degree
_
Second Degree Heart Block (Mobitz II)
_ _ _ _ _
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?
_ _ _ _ _
-- Correct Answer ✔✔ Lactate
_ _ _ _
e
, A 9-year-old patient is presenting with decreased breath sounds, bradycardia, slowed
_ _ _ _ _ _ _ _ _ _ _
respiratory rate and a low O2 saturation level. The provider interprets these findings as
_ _ _ _ _ _ _ _ _ _ _ _ _ _
indicating which condition?
_ _
-- Correct Answer ✔✔ Respiratory failure
_ _ _ _ _
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 arrhythmia?
_ _ _ _ _ _ _
-- Correct Answer ✔✔ First-degree atrioventricular (AV) block
_ _ _ _ _ _ _
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
_ _ _ _ _ _ _ _ _ _ _
