PALS Updated FINAL EXAM
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 arrhythmia?: 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
arrhythmia?: 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 that the child is experiencing a
1/7
, systemic response to ischemia/reperfusion. The team bases this
determination on which finding(s)?: Hypotension
Fever
Hyperglycem
ia
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 emer-
gency 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 Compressing the chest about 2
inches
Giving 2 ventilations to every 15 compressions
2/7
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 arrhythmia?: 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
arrhythmia?: 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 that the child is experiencing a
1/7
, systemic response to ischemia/reperfusion. The team bases this
determination on which finding(s)?: Hypotension
Fever
Hyperglycem
ia
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 emer-
gency 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 Compressing the chest about 2
inches
Giving 2 ventilations to every 15 compressions
2/7
