PALS UPDATED FINAL EXAM QUESTIONS AND ANSWERS
1.A 12-year-old child being evaluated in the pediatric
intensive care unit displays the following ECG waveform. The
team interprets this as which ar- rhythmia?: second degree
2.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?: Lactate
3.A 9-year-old patient is presenting with decreased breath
sounds, brady- cardia, slowed respiratory rate and a low O2
saturation level. The provider interprets these findings as
indicating which condition?: Respiratory failure
4.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?: Deliver 1 BVM
ventilation every 3 to 5 seconds.
5.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 arrhyth- mia?: First-
degree atrioventricular (AV) block
6.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
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13
, PALS UPDATED FINAL EXAM QUESTIONS AND ANSWERS
that the child is experiencing a systemic re-
sponse to ischemia/reperfusion. The team bases this
determination on which finding(s)?: Hypotension
Fever
Hyperglycemia
7.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 de- partment providers begin high-
quality CPR. Which action(s) by the providers demonstrates
high-quality CPR?: 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
2/
13
1.A 12-year-old child being evaluated in the pediatric
intensive care unit displays the following ECG waveform. The
team interprets this as which ar- rhythmia?: second degree
2.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?: Lactate
3.A 9-year-old patient is presenting with decreased breath
sounds, brady- cardia, slowed respiratory rate and a low O2
saturation level. The provider interprets these findings as
indicating which condition?: Respiratory failure
4.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?: Deliver 1 BVM
ventilation every 3 to 5 seconds.
5.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 arrhyth- mia?: First-
degree atrioventricular (AV) block
6.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
1/
13
, PALS UPDATED FINAL EXAM QUESTIONS AND ANSWERS
that the child is experiencing a systemic re-
sponse to ischemia/reperfusion. The team bases this
determination on which finding(s)?: Hypotension
Fever
Hyperglycemia
7.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 de- partment providers begin high-
quality CPR. Which action(s) by the providers demonstrates
high-quality CPR?: 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
2/
13
