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PALS UPDATED FINAL EXAM
GRADED A+
Question : 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?
Correct answer: second degree
Question : 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?
Correct answer: Lactate
Question : 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?
Correct answer: Respiratory failure
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Question : 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?
Correct answer: Deliver 1 BVM ventilation every 3 to 5
seconds.
Question : A 15-year-old patient is being evaluated during
a follow-up visit after being diagnosed with Lyme disease
- months ago. A rhythm strip is obtained as shown below.
The provider interprets this rhythm as indicating which arrhythmia?
Correct answer: First-degree atrioventricular (AV) block
Question : 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)?
Correct answer: Hypotension
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Fever Hyperglycemia
Question : 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?
Correct answer: 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
Question : A PALS resuscitation team is preparing to
defibrillate a child experiencing cardiac arrest. For which rhythm(s) would this action be appropriate?
Correct answer: VF and pVT are shockable cardiac arrest
rhythms.
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Question : A provider is assessing a child with suspected
shock. Which statement correctly describes hypotension and shock?
Correct answer: Hypotension is not a consistent feature of
shock;
Question : 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?
Correct answer: Supplemental oxygen should be
administered as needed to maintain an oxygen saturation above 94%.
Question : 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?