PALS FINAL EXAM LATEST 2023-2024 REAL EXAM 150
QUESTIONS AND CORRECT ANSWERS(VERIFIED
ANSWERS)AGRADE
A 5-year-old child with a history of a chronic neuromuscular disease is
experiencing respiratory distress. The child is breathing spontaneously and
receiving supplemental oxygen. Which additional intervention is a critical
component of airway management for this patient? – ANSWER- Airway clearance
(e.g., suctioning)
A child being cared for in the pediatric telemetry unit suddenly displays the
following ECG waveform. The provider prepares to intervene because the child is
demonstrating which type of arrhythmia? – ANSWER- Supraventricular
tachycardia
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)? –
ANSWER- Hypotension, fever, hyperglycemia
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 immediately? –
ANSWER- Albuterol with or without ipratropium bromide
After ROSC, a child is experiencing post-cardiac arrest hypoperfusion. The PALS
resuscitation team would administer which element to restore intravascular volume
and optimize preload? – ANSWER- Isotonic fluid boluses
A 2-year-old child of unknown weight arrives at the emergency department in
cardiac arrest. When preparing to administer medications, which action would be
appropriate for the team to take? – ANSWER- Estimate weight using a lengthbased resuscitation tape.
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? – ANSWERDeliver 1 BVM ventilation every 2 to 3 seconds.
The PALS team leader is conducting a debriefing session with the team. Which
topic(s) would the team leader most likely address during the session? –
ANSWER- Discussion of the pros and cons of the interventions
Evaluation of the objective data gathered during the event, Summary of the event,
including what actions were taken, Identification of ways to improve
The PALS resuscitation team notes the following ECG waveform and the child
does not have a pulse. The team prepares to intervene to address which
arrhythmia? – ANSWER- Torsades de pointes
What is the correct IV/IO dose of epinephrine for a pediatric patient in cardiac
arrest? – ANSWER- 0.01 mg/kg every 3 to 5 min (max single dose 1 mg)
Assessment of a 3-month-old infant admitted with respiratory distress reveals
fever, grunting and a wet, “junky” cough. The infant’s parents said the child had a
recent respiratory infection with a fever. A rapid respiratory syncytial virus (RSV)
test is positive. Which condition would the provider most likely suspect as the
cause? – ANSWER- Bronchiolitis
A child is experiencing supraventricular tachycardia (SVT) with adequate
perfusion and is to receive treatment. Which initial treatment would the provider
administer? – ANSWER- Vagal maneuvers
A healthcare provider notices petechiae on the arms and legs while performing a
rapid skin assessment of a child with a high fever and respiratory distress. Based
on this assessment, which condition should the provider consider? – ANSWERLife-threatening systemic infection
A 7-year-old patient with septic shock has received three balanced/buffered
crystalloid fluid boluses (60-mL/kg) and reassessment reveals capillary refill of 3
seconds, diminished pulses, narrow pulse pressure and cool, mottled extremities.
The emergency response team interprets these findings as indicating which type of
septic shock? – ANSWER- Fluid-refractory
A 30-month old child has been diagnosed with moderate croup. Which
medication(s) would the provider administer? – ANSWER- Nebulized epinephrine,
Corticosteroids
A child exhibiting a narrow-complex tachycardia with adequate perfusion is to
receive adenosine. The provider would be alert for which result after administering
this medication? – ANSWER- Transient asystole
A child experiencing bradycardia with inadequate perfusion despite supporting
oxygenation and ventilation is receiving compressions. Despite these efforts, the
child’s status remains unchanged. Which medication would the emergency
response team expect to administer next? – ANSWER- Epinephrine
A child in the pediatric intensive care unit displays the following ECG waveform.
The child has no pulse. The resuscitation team interprets this as which arrhythmia?
- ANSWER- Monomorphic pulseless ventricular tachycardia
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? –
ANSWER- First-degree atrioventricular (AV) block
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? – ANSWER- Nasal flaring
Intercostal, substernal or suprasternal retractions
Accessory muscle use
A 4-year-old patient presents with tachycardia, tachypnea, cold extremities and
weak pulses. Assessment also reveals an enlarged liver and neck vein distension.
The provider interprets these assessment findings as suggesting which type of
shock? – ANSWER- Cardiogenic
A 6-year-old child is brought to the emergency department. The child has been
experiencing extremely watery stools over the past several days. After completing
the assessment, the healthcare provider suspects that the child may be experiencing