PALS Updated FINAL
EXAM
1. A 12-year-old child being evaluated
second degree
in the pediatric intensive care unit
displays the fol- lowing ECG waveform.
The team interprets this as which
arrhythmia?
2. Laboratory tests are ordered for a child who
Lactate has been vomiting for 3 days and
is di- aphoretic, tachypneic, lethargic and
pale.
Which test would the provider use to
deter- mine the adequacy of oxygen
delivery?
3. A 9-year-old patient is presenting The provider interprets
with decreased breath sounds, this rhythm as indi-
bradycardia, slowed respiratory rate cating which
and a low O2 sat- uration level. The arrhythmia?
provider interprets these findings as
indicating which condition? 6. A child in cardiac
arrest experiences
4. A 4-year-old child is brought to the re- turn of
emer- gency department by the spontaneous
parents. Assess- ment reveals that circulation but is ex-
the child has only gasp- ing
respirations and the pulse rate is
65 beats per minute. Which action
would the provider initiate first?
5. A 15-year-old patient is being
evaluated during a follow-up visit
after being diag- nosed with Lyme
disease 2 months ago. A rhythm
strip is obtained as shown below.
, PALS Updated FINAL
EXAM
Respiratory failure
Deliver 1 BVM ventilation every 3 to 5 sec- onds.
First-degree atrioventricular (AV) block
Hypotension
, PALS Updated FINAL
EXAM
hibiting signs of post-cardiac arrest Fever
syn- drome (PCAS). The PALS
resuscitation team determines that Hyperglycemia
the child is experiencing
a systemic response to
ischemia/reperfu- sion. The team
bases this determination on which
finding(s)? Allowing the chest to recoil fully after
each compression
7. A 2-year-old child arrives at the
emer- gency department with the
Providing ventilations that last about 1
parents. The child is unresponsive, is
sec- ond each
not breathing and has no pulse. Two
emergency department providers Compressing the chest about 2 inches
begin high-quality CPR. Which
action(s) by the providers Giving 2 ventilations to every 15
demonstrates high-quality CPR? compres- sions
VF and pVT are shockable cardiac arrest
rhythms.
8. A PALS resuscitation team is
preparing to defibrillate a child
experiencing cardiac ar- rest. For
which rhythm(s) would this action be
appropriate?
9. A provider is assessing a child with suspect- Hypotension is not a consistent
feature of
ed shock. Which statement correctly shock;
de- scribes hypotension and
shock?
10. A provider is caring for a 4-year-old child in Supplemental oxygen should
be adminis-
EXAM
1. A 12-year-old child being evaluated
second degree
in the pediatric intensive care unit
displays the fol- lowing ECG waveform.
The team interprets this as which
arrhythmia?
2. Laboratory tests are ordered for a child who
Lactate has been vomiting for 3 days and
is di- aphoretic, tachypneic, lethargic and
pale.
Which test would the provider use to
deter- mine the adequacy of oxygen
delivery?
3. A 9-year-old patient is presenting The provider interprets
with decreased breath sounds, this rhythm as indi-
bradycardia, slowed respiratory rate cating which
and a low O2 sat- uration level. The arrhythmia?
provider interprets these findings as
indicating which condition? 6. A child in cardiac
arrest experiences
4. A 4-year-old child is brought to the re- turn of
emer- gency department by the spontaneous
parents. Assess- ment reveals that circulation but is ex-
the child has only gasp- ing
respirations and the pulse rate is
65 beats per minute. Which action
would the provider initiate first?
5. A 15-year-old patient is being
evaluated during a follow-up visit
after being diag- nosed with Lyme
disease 2 months ago. A rhythm
strip is obtained as shown below.
, PALS Updated FINAL
EXAM
Respiratory failure
Deliver 1 BVM ventilation every 3 to 5 sec- onds.
First-degree atrioventricular (AV) block
Hypotension
, PALS Updated FINAL
EXAM
hibiting signs of post-cardiac arrest Fever
syn- drome (PCAS). The PALS
resuscitation team determines that Hyperglycemia
the child is experiencing
a systemic response to
ischemia/reperfu- sion. The team
bases this determination on which
finding(s)? Allowing the chest to recoil fully after
each compression
7. A 2-year-old child arrives at the
emer- gency department with the
Providing ventilations that last about 1
parents. The child is unresponsive, is
sec- ond each
not breathing and has no pulse. Two
emergency department providers Compressing the chest about 2 inches
begin high-quality CPR. Which
action(s) by the providers Giving 2 ventilations to every 15
demonstrates high-quality CPR? compres- sions
VF and pVT are shockable cardiac arrest
rhythms.
8. A PALS resuscitation team is
preparing to defibrillate a child
experiencing cardiac ar- rest. For
which rhythm(s) would this action be
appropriate?
9. A provider is assessing a child with suspect- Hypotension is not a consistent
feature of
ed shock. Which statement correctly shock;
de- scribes hypotension and
shock?
10. A provider is caring for a 4-year-old child in Supplemental oxygen should
be adminis-
