AHA PALS FINAL EXAM 2022
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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 ar-
rhythmia?: Second degree
Second Degree Heart Block (Mobitz II)
the picture shown is not the picture in the actual exam
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 arrhyth-
mia?: First-degree atrioventricular (AV) block
the picture shown is not the picture in the actual exam
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 systemic re-
sponse to ischemia/reperfusion. The team bases this determination on which
finding(s)?: Hypotension
Fever
Hyperglycemia
1/7
, AHA PALS FINAL EXAM 2022
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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 de-
partment 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 (15:2)
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
correctly 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 asthma 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 pre-
sent?: 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
respiratory 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. As-
sessment reveals signs of significant hemodynamic compromise, but the
2/7
Study online at https://quizlet.com/_byofch
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 ar-
rhythmia?: Second degree
Second Degree Heart Block (Mobitz II)
the picture shown is not the picture in the actual exam
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 arrhyth-
mia?: First-degree atrioventricular (AV) block
the picture shown is not the picture in the actual exam
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 systemic re-
sponse to ischemia/reperfusion. The team bases this determination on which
finding(s)?: Hypotension
Fever
Hyperglycemia
1/7
, AHA PALS FINAL EXAM 2022
Study online at https://quizlet.com/_byofch
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 de-
partment 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 (15:2)
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
correctly 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 asthma 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 pre-
sent?: 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
respiratory 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. As-
sessment reveals signs of significant hemodynamic compromise, but the
2/7
