PALS Updated FINAL EXAM
Study online at https://quizlet.com/_9to7x5
1. A 12-year-old child being evaluated in the pediatric intensive care unit dis-
plays the following ECG waveform. The team interprets this as which arrhyth-
mia?: 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, bradycardia,
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 resusci-
tation team determines that the child is experiencing a systemic response 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
department 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
1/7
, PALS Updated FINAL EXAM
Study online at https://quizlet.com/_9to7x5
Compressing the chest about 2 inches
Giving 2 ventilations to every 15 compressions
8. A PALS resuscitation team is preparing to defibrillate a child experiencing
cardiac arrest. For which rhythm(s) would this action be appropriate?: VF and pVT
are shockable cardiac arrest rhythms.
9. A provider is assessing a child with suspected shock. Which statement cor-
rectly describes hypotension and shock?: Hypotension is not a consistent feature of shock;
10. A provider is caring for a 4-year-old child in the urgent care clinic. Primary
assessment reveals difficulty breathing and an oxygen saturation of 91%. The
provider administers oxygen by nasal cannula with the goal of improving
the child's oxygen saturation above what percentage?: Supplemental oxygen should be
administered as needed to maintain an oxygen saturation above 94%.
11. 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 asth-
ma exacerbation. Which medication would the team administer first?: Albuterol
plus ipratropium bromid
12. A child in the pediatric step-down unit is exhibiting signs of respiratory
distress. When assessing this child, which circulation finding might be present?-
: Pallor is a circulation finding that may be seen in patients with respiratory distress.
13. A healthcare provider is performing a primary assessment of a child in res-
piratory distress. The provider documents increased work of breathing when
which findings are observed?: Nasal flaring, use of accessory muscles to breathe and intercostal,
substernal or suprasternal retractions are all indicators of increased work or effort of breathing. Grunting and inspiratory
stridor are abnormal breath sounds.
14. An 11-year-old child develops unstable wide-complex tachycardia. Assess-
ment reveals signs of significant hemodynamic compromise, but the child has
a pulse. The PALS team would prepare the child for which intervention?: First-line
treatment for unstable wide-complex tachycardias consists of synchronized electrical cardioversion, particularly when
signs of hemodynamic compromise are apparent.
2/7
Study online at https://quizlet.com/_9to7x5
1. A 12-year-old child being evaluated in the pediatric intensive care unit dis-
plays the following ECG waveform. The team interprets this as which arrhyth-
mia?: 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, bradycardia,
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 resusci-
tation team determines that the child is experiencing a systemic response 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
department 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
1/7
, PALS Updated FINAL EXAM
Study online at https://quizlet.com/_9to7x5
Compressing the chest about 2 inches
Giving 2 ventilations to every 15 compressions
8. A PALS resuscitation team is preparing to defibrillate a child experiencing
cardiac arrest. For which rhythm(s) would this action be appropriate?: VF and pVT
are shockable cardiac arrest rhythms.
9. A provider is assessing a child with suspected shock. Which statement cor-
rectly describes hypotension and shock?: Hypotension is not a consistent feature of shock;
10. A provider is caring for a 4-year-old child in the urgent care clinic. Primary
assessment reveals difficulty breathing and an oxygen saturation of 91%. The
provider administers oxygen by nasal cannula with the goal of improving
the child's oxygen saturation above what percentage?: Supplemental oxygen should be
administered as needed to maintain an oxygen saturation above 94%.
11. 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 asth-
ma exacerbation. Which medication would the team administer first?: Albuterol
plus ipratropium bromid
12. A child in the pediatric step-down unit is exhibiting signs of respiratory
distress. When assessing this child, which circulation finding might be present?-
: Pallor is a circulation finding that may be seen in patients with respiratory distress.
13. A healthcare provider is performing a primary assessment of a child in res-
piratory distress. The provider documents increased work of breathing when
which findings are observed?: Nasal flaring, use of accessory muscles to breathe and intercostal,
substernal or suprasternal retractions are all indicators of increased work or effort of breathing. Grunting and inspiratory
stridor are abnormal breath sounds.
14. An 11-year-old child develops unstable wide-complex tachycardia. Assess-
ment reveals signs of significant hemodynamic compromise, but the child has
a pulse. The PALS team would prepare the child for which intervention?: First-line
treatment for unstable wide-complex tachycardias consists of synchronized electrical cardioversion, particularly when
signs of hemodynamic compromise are apparent.
2/7
