PALS Updated FINAL EXAM LATEST
2022-2024 REAL EXAM 150 QUESTIONS
AND CORRECT ANSWERS(VERIFIED
ANSWERS) A GRADE
• 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)
• 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
• 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)? - ANSWER- Hypotension, fever,
hyperglycemia
• 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
• 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
• 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 appropriate for the team to take? - ANSWER- Estimate
weight using a length-based resuscitation tape.
• 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.
,• 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
• 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
• 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
dose 1 mg)
• Assessment of a 3-month-old infant admitted with respiratory distress
reveals fever, grunting and a wet, "junky" cough. The infant's parents
said the child had a recent respiratory infection with a fever. A rapid
respiratory syncytial virus (RSV) test is positive. Which condition would
the provider most likely suspect as the cause? - ANSWER- Bronchiolitis
, • A child is experiencing supraventricular tachycardia (SVT) with
adequate perfusion and is to receive treatment. Which initial treatment
would the provider administer? - ANSWER- Vagal maneuvers
• A healthcare provider notices petechiae on the arms and legs while
performing a rapid skin assessment of a child with a high fever and
respiratory distress. Based on this assessment, which condition should
the provider consider? - ANSWER- Life-threatening systemic
infection
• A 7-year-old patient with septic shock has received three
balanced/buffered crystalloid fluid boluses (60-mL/kg) and reassessment
reveals capillary refill of 3 seconds, diminished pulses, narrow pulse
pressure and cool, mottled extremities.
The emergency response team interprets these findings as indicating which type of
septic shock? - ANSWER- Fluid-refractory
• A 30-month old child has been diagnosed with moderate croup. Which
medication(s) would the provider administer? - ANSWER- Nebulized
epinephrine, Corticosteroids
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