PALS UPDATED FINAL EXAM LATEST 2024 -
2025 ACTUAL EXAM WITH QUESTIONS AND
CORRECT ANSWERS (VERIFIED ANSWERS) A+
GRADE
During a resuscitation attempt, the Team Leader asks you to
administer an initial dose of epinephrine at 0.1 mg/kg to be given
IO. How should you respond? Correct Answer I think the correct
dose is 0.01 mg/kg. Should I give that dose instead?'
A team member is unable to perform an assigned task because it
is beyond the team member's scope of practice. What action
should the team member take? Correct Answer Ask for a new
task or role.
You are the team lead during a pediatric resuscitation attempt.
Which action is high quality CPR? Correct Answer Allow complete
chest wall recoil after each compression.
A 8 year old child is brought to the emergency department by his
mother for difficultly breathing. He has a history is asthma and nut
allergies. His mother tells you that he has recently ate a cookie at
a family picnic. Which condition is most likely present with this
child? Correct Answer Upper airy way obstruction
An 8-year-old child is brought to the emergency department by
ambulance after being involved in a motor vehicle collision. What
finding would suggest that immediate intervention is needed?
Correct Answer Decreased level of consciousness
A 6-year-old child is found unresponsive, not breathing, and
without a pulse. One healthcare worker leaves to activate the
,emergency response system and get the resuscitation equipment.
You and another healthcare provider immediately begin
performing CPR. What compression-to-ventilation -ratio do you
use? Correct Answer 15:2
A 3-year-old child is in cardiac arrest, and high-quality CPR is in
progress. You are the Team Leader. The first rhythm check
reveals the rhythm shown here. Defibrillation is attempted with a
shock dose of 2 J/kg. After shock administration, what should you
say to your team members? Correct Answer Resume
compressions
You are caring for a 5-year-old boy with a 4-day history of high
fever and cough. He is having increasing lethargy, grunting, and
sleepiness. Now he is difficult to arouse and is unresponsive to
voice commands. His oxygen saturation is 72% on room air and
89% when on a nonrebreathing oxygen mask. He has shallow
respirations with a respiratory rate of 38/min. Auscultation of the
lungs reveals bilateral crackles.
11. What assessment finding is consistent with respiratory failure
in this child? Correct Answer Oxygen Saturation
You are caring for a 5-year-old boy with a 4-day history of high
fever and cough. He is having increasing lethargy, grunting, and
sleepiness. Now he is difficult to arouse and is unresponsive to
voice commands. His oxygen saturation is 72% on room air and
89% when on a nonrebreathing oxygen mask. He has shallow
respirations with a respiratory rate of 38/min. Auscultation of the
lungs reveals bilateral crackles.
What medication would be most appropriate? Correct Answer
Antibiotics
In which of the following situations may IO access be used?
Correct Answer An extremity with slow capillary refill time.
, A 2 - week old infant is being evaluated irritability and poor
feeding. His blood pressure is 55/40 mm Hg and capillary refill
time is 5 seconds. Which statement best describes your
assessment of this infants blood pressure? Correct Answer It is
Hypotensive
You are caring for patients in the emergency department. Which
two year old requires immediate interventions? Correct Answer A
child who is grunting
A 3 year old child is having difficulty breathing. What finding would
most likely lead you to expect an upper airway obstruction in this
child? Correct Answer Increased inspiratory effort with retractions
A 6-month-old infant is unresponsive. You begin checking for
breathing at the same time you check for the infant's pulse. What
is the maximum time you should spend trying to simultaneously
check for breathing and palpate the infant's pulse before starting
CPR? Correct Answer 10 seconds
A 10-year-old child is being evaluated for a headache. What is a
normal finding for this 10-year-old child? Correct Answer Heart
rate of 88 bpm
A 6-year-old boy is being evaluated for difficulty breathing. What
finding would suggest this child has respiratory distress? Correct
Answer Audible inspiratory stridor
A 4-year-old child in cardiac arrest is brought to the emergency
department by ambulance. High-quality CPR is being performed.
The cardiac monitor displays the rhythm strip shown here. The
estimated weight of the child is 20 kg. What dosage range should
you use for initial defibrillation? Correct Answer 2 to 4 J/kg
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