PALS Final Exam; 50 Questions & Answers;Latest 2022:2023/ 100%Verified;PALS Final Exam (Actual Exam)

PALS Final Exam Questions & Answers

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?

(ANS- second degree

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?

(ANS- 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?

(ANS- 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?

(ANS- 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?

(ANS- First-degree atrioventricular (AV) block

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)?

(ANSHypotension

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?

(ANSAllowing 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

A PALS resuscitation team is preparing to defibrillate a child experiencing cardiac

arrest. For which rhythm(s) would this action be appropriate?

(ANS- VF and pVT are shockable cardiac arrest rhythms.