PALS Updated FINAL EXAM LATEST 2024-
2025 REAL EXAM 150 QUESTIONS AND
CORRECT ANSWERS (VERIFIED
ANSWERS) A GRADE
1. A 5-year-old child with a history of a chronic neuromuscular disease is
experiencing respiratory distress. The child is breathing spontaneously
and receiving supplemental oxygen. Which additional intervention is a
critical component of airway management for this patient? - ANSWER-
Airway clearance (e.g., suctioning)
2. A child being cared for in the pediatric telemetry unit suddenly displays
the following ECG waveform. The provider prepares to intervene
because the child is demonstrating which type of arrhythmia? -
ANSWER- Supraventricular tachycardia
3. 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
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, determination on which finding(s)? - ANSWER- Hypotension, fever,
hyperglycemia
4. 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 immediately? - ANSWER- Albuterol with or
without ipratropium bromide
5. After ROSC, a child is experiencing post-cardiac arrest hypoperfusion.
The PALS resuscitation team would administer which element to restore
intravascular volume and optimize preload? - ANSWER- Isotonic fluid
boluses
6. A 2-year-old child of unknown weight arrives at the emergency
department in cardiac arrest. When preparing to administer medications,
which action would be
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, appropriate for the team to take? - ANSWER- Estimate weight using a length-
based resuscitation tape.
7. 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? - ANSWER- Deliver 1 BVM ventilation every 2 to 3 seconds.
8. The PALS team leader is conducting a debriefing session with the
team. Which topic(s) would the team leader most likely address
during the session? - ANSWER- Discussion of the pros and cons of
the interventions
Evaluation of the objective data gathered during the event, Summary of the event,
including what actions were taken, Identification of ways to improve
9. The PALS resuscitation team notes the following ECG waveform and
the child does not have a pulse. The team prepares to intervene to
address which arrhythmia? - ANSWER- Torsades de pointes
10.What is the correct IV/IO dose of epinephrine for a pediatric patient in
cardiac arrest? - ANSWER- 0.01 mg/kg every 3 to 5 min (max single
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, dose 1 mg)
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