Pediatric Advanced Life Support
(PALS) EXAM
100% Guarantee Pass
Inside you will get:
PALS Test exam consists of 50 multiple-choice questions
Each question exam consists of multiple-choice questions and answers
with explanations
questions that are derived from the American Red Cross and American
Heart Association Pediatric Advanced Life Support (PALS) provider
handbooks and adhere to the latest AHA, ILCOR and ECC guidelines.
1/6
,1. A 12-year-old child being evaluated in the pediatric intensive care unit
displays an ECG waveform. The team interprets this as which arrhythmia?
- A) First-degree AV block
- B) Second-degree heart block (Mobitz I)
- C) Second-degree heart block (Mobitz II)
- D) Atrial fibrillation
Answer: C) Second-degree heart block (Mobitz II)
Explanation: Mobitz II is characterized by dropped beats without a
preceding change in the PR interval, indicating more serious heart block.
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?
- A) Blood gas analysis
- B) Hemoglobin level
- C) Lactate
- D) Electrolytes
Answer: C) Lactate
Explanation: Lactate levels help assess tissue perfusion and the adequacy
of oxygen delivery to tissues, especially in cases of hypovolemia.
3. A 9-year-old patient presents with decreased breath sounds, bradycardia,
a slowed respiratory rate, and low O2 saturation. What condition do these
findings indicate?
- A) Acute asthma attack
2/6
, - B) Pneumonia
- C) Respiratory failure
- D) Congestive heart failure
Answer: C) Respiratory failure
Explanation: The combination of decreased breath sounds and
bradycardia indicates significant respiratory distress, consistent with
respiratory failure.
4. A 4-year-old child is brought to the emergency department with gasping
respirations and a pulse rate of 65 beats per minute. What action should the
provider take first?
- A) Start chest compressions
- B) Administer medications
- C) Deliver 1 BVM ventilation every 3 to 5 seconds
- D) Call for a rapid response team
Answer: C) Deliver 1 BVM ventilation every 3 to 5 seconds
Explanation: The child shows inadequate ventilatory effort, necessitating
rescue breaths.
5. A 15-year-old patient diagnosed with Lyme disease 2 months ago has a
rhythm strip obtained during a follow-up visit. What arrhythmia might this
indicate?
- A) Normal sinus rhythm
- B) First-degree AV block
- C) Second-degree AV block (Type I)
3/6
(PALS) EXAM
100% Guarantee Pass
Inside you will get:
PALS Test exam consists of 50 multiple-choice questions
Each question exam consists of multiple-choice questions and answers
with explanations
questions that are derived from the American Red Cross and American
Heart Association Pediatric Advanced Life Support (PALS) provider
handbooks and adhere to the latest AHA, ILCOR and ECC guidelines.
1/6
,1. A 12-year-old child being evaluated in the pediatric intensive care unit
displays an ECG waveform. The team interprets this as which arrhythmia?
- A) First-degree AV block
- B) Second-degree heart block (Mobitz I)
- C) Second-degree heart block (Mobitz II)
- D) Atrial fibrillation
Answer: C) Second-degree heart block (Mobitz II)
Explanation: Mobitz II is characterized by dropped beats without a
preceding change in the PR interval, indicating more serious heart block.
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?
- A) Blood gas analysis
- B) Hemoglobin level
- C) Lactate
- D) Electrolytes
Answer: C) Lactate
Explanation: Lactate levels help assess tissue perfusion and the adequacy
of oxygen delivery to tissues, especially in cases of hypovolemia.
3. A 9-year-old patient presents with decreased breath sounds, bradycardia,
a slowed respiratory rate, and low O2 saturation. What condition do these
findings indicate?
- A) Acute asthma attack
2/6
, - B) Pneumonia
- C) Respiratory failure
- D) Congestive heart failure
Answer: C) Respiratory failure
Explanation: The combination of decreased breath sounds and
bradycardia indicates significant respiratory distress, consistent with
respiratory failure.
4. A 4-year-old child is brought to the emergency department with gasping
respirations and a pulse rate of 65 beats per minute. What action should the
provider take first?
- A) Start chest compressions
- B) Administer medications
- C) Deliver 1 BVM ventilation every 3 to 5 seconds
- D) Call for a rapid response team
Answer: C) Deliver 1 BVM ventilation every 3 to 5 seconds
Explanation: The child shows inadequate ventilatory effort, necessitating
rescue breaths.
5. A 15-year-old patient diagnosed with Lyme disease 2 months ago has a
rhythm strip obtained during a follow-up visit. What arrhythmia might this
indicate?
- A) Normal sinus rhythm
- B) First-degree AV block
- C) Second-degree AV block (Type I)
3/6
