COMPLETE PALS FINAL EXAM
QUESTIONS WITH ACCURATE
ANSWERS | 100%
A 10-year-old child has collapsed in the gym of the elementary school. The school nurse arrives and
determines that the child is unresponsive. The school nurse then simultaneously checks for breathing
and a central pulse, limiting this assessment to which time frame?
5 seconds, but no more than 10.
A 30-month old child has been diagnosed with moderate croup. Which medication(s) would the
provider administer?
Corticosteroids, Racemic epinephrine
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.
.
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
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)?
,COMPLETE PALS FINAL EXAM
QUESTIONS WITH ACCURATE
ANSWERS | 100%
Hypotension
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?
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
A PALS resuscitation team is preparing to defibrillate a child experiencing cardiac arrest. For which
rhythm(s) would this action be appropriate?
, COMPLETE PALS FINAL EXAM
QUESTIONS WITH ACCURATE
ANSWERS | 100%
VF and pVT are shockable cardiac arrest rhythms.
A provider is assessing a child with suspected shock. Which statement correctly describes hypotension
and shock?
Hypotension is not a consistent feature of shock;
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%.
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 asthma exacerbation. Which medication would the
team administer first?
Albuterol plus ipratropium bromid
.
A child in the pediatric step-down unit is exhibiting signs of respiratory distress. When assessing this
child, which circulation finding might be present?
QUESTIONS WITH ACCURATE
ANSWERS | 100%
A 10-year-old child has collapsed in the gym of the elementary school. The school nurse arrives and
determines that the child is unresponsive. The school nurse then simultaneously checks for breathing
and a central pulse, limiting this assessment to which time frame?
5 seconds, but no more than 10.
A 30-month old child has been diagnosed with moderate croup. Which medication(s) would the
provider administer?
Corticosteroids, Racemic epinephrine
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.
.
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
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)?
,COMPLETE PALS FINAL EXAM
QUESTIONS WITH ACCURATE
ANSWERS | 100%
Hypotension
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?
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
A PALS resuscitation team is preparing to defibrillate a child experiencing cardiac arrest. For which
rhythm(s) would this action be appropriate?
, COMPLETE PALS FINAL EXAM
QUESTIONS WITH ACCURATE
ANSWERS | 100%
VF and pVT are shockable cardiac arrest rhythms.
A provider is assessing a child with suspected shock. Which statement correctly describes hypotension
and shock?
Hypotension is not a consistent feature of shock;
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%.
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 asthma exacerbation. Which medication would the
team administer first?
Albuterol plus ipratropium bromid
.
A child in the pediatric step-down unit is exhibiting signs of respiratory distress. When assessing this
child, which circulation finding might be present?
