AHA PALS FINAL EXAM ALREADY
GRADED A+.
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)
the picture shown is not the picture in the actual exam
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
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 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 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
the picture shown is not the picture in the actual exam
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 response to ischemia/reperfusion. The team bases this determination on which finding(s)? -
correct answer Hypotension
, Fever
Hyperglycemia
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 department providers begin high-quality CPR. Which
action(s) by the providers demonstrates high-quality CPR? - correct answer Allowing the chest to recoil
fully after each compression
Providing ventilations that last about 1 second each
Compressing the chest about 2 inches
Giving 2 ventilations to every 15 compressions (15:2)
A PALS resuscitation team is preparing to defibrillate a child experiencing cardiac arrest. For which
rhythm(s) would this action be appropriate? - correct answer VF and pVT are shockable cardiac arrest
rhythms.
A provider is assessing a child with suspected shock. Which statement correctly describes hypotension
and shock? - correct answer Hypotension is not a consistent feature of shock;
A provider is caring for a 4-year-old child in the urgent care clinic. Primary assessment reveals difficulty
breathing and an oxygen saturation of 91%. The provider administers oxygen by nasal cannula with the
goal of improving the child's oxygen saturation above what percentage? - correct answer Supplemental
oxygen should be administered as needed to maintain an oxygen saturation above 94%.
An 11-year-old soccer player is brought to the emergency department. After a quick assessment, the
team realizes this patient is experiencing a severe asthma exacerbation. Which medication would the
team administer first? - correct answer Albuterol plus Ipratropium Bromid
GRADED A+.
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)
the picture shown is not the picture in the actual exam
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
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 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 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
the picture shown is not the picture in the actual exam
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 response to ischemia/reperfusion. The team bases this determination on which finding(s)? -
correct answer Hypotension
, Fever
Hyperglycemia
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 department providers begin high-quality CPR. Which
action(s) by the providers demonstrates high-quality CPR? - correct answer Allowing the chest to recoil
fully after each compression
Providing ventilations that last about 1 second each
Compressing the chest about 2 inches
Giving 2 ventilations to every 15 compressions (15:2)
A PALS resuscitation team is preparing to defibrillate a child experiencing cardiac arrest. For which
rhythm(s) would this action be appropriate? - correct answer VF and pVT are shockable cardiac arrest
rhythms.
A provider is assessing a child with suspected shock. Which statement correctly describes hypotension
and shock? - correct answer Hypotension is not a consistent feature of shock;
A provider is caring for a 4-year-old child in the urgent care clinic. Primary assessment reveals difficulty
breathing and an oxygen saturation of 91%. The provider administers oxygen by nasal cannula with the
goal of improving the child's oxygen saturation above what percentage? - correct answer Supplemental
oxygen should be administered as needed to maintain an oxygen saturation above 94%.
An 11-year-old soccer player is brought to the emergency department. After a quick assessment, the
team realizes this patient is experiencing a severe asthma exacerbation. Which medication would the
team administer first? - correct answer Albuterol plus Ipratropium Bromid
