PALS FINAL EXAM REVIEW/ PALS
PRACTICE EXAM | 150+ QUESTIONS
AND VERIFIED ANSWERS| 100%
CORRECT (LATEST 2023/ 2024)
Q: While assessing a pediatric patient using the ABCDE algorithm, life-threatening conditions
associated with the letter E for Exposure are:
Answer:
Severe hypothermia, substantial bleeding, petechiae, or purpura indicating septic shock
Q: The preferred initial method of removing a foreign body airway obstruction in a responsive
patient less than one year of age is:
Answer:
Back blows and chest thrusts
Q: What medication should be administered for severe cases of croup with imminent
respiratory failure?
Answer:
Dexamethasone
Q: Infection of the central nervous system (CNS) can cause hypoventilation or __.
Answer:
Apnea
Q: During a resuscitation, it is important that all members of the team understand the concept
of:
Answer:
Each member of the team caring for a pediatric patient must understand his role and the role of
other members. In most pediatric resuscitation efforts, there is one team leader who will ensure
that everything gets done by the right person at the right time.
Q: You are serving in the capacity of team leader during the resuscitation of a pediatric medical
patient. Which of the items listed below is a responsibility of the team leader?
Answer:
Assign roles to team members
Q: The best vasoactive agent for a child in warm septic shock is:
Answer:
NoE
Q: Anemic hypoxia results from:
Answer:
Anemic hypoxia results from the amount of functional hemoglobin is too small, and hence the
capacity of the blood to carry oxygen is too low
Q: Which of the following is correct regarding post resuscitation management of the pediatric
patient?
Answer:
The goal of post resuscitation care are to preserve neurologic function, prevent secondary organ
injury and treat the cause of the illness.
Q: You and your team members are currently resuscitating a 7-year-old male patient who was
found face down in a pool. EMS states the patient was in the water for an unknown amount of
time. The patient is currently in asystole, is cyanotic with an advanced airway in place. Inline
waveform capnography is showing a small peak upon mechanical ventilation with a ETCO2 of
- Which of the following is the most appropriate care for this patient?
Answer:
DOPE
Q: You and your partner are providing high-quality CPR to a 7-year-old female. The correct
compression to ventilation ratio is:
Answer:
15:2
Q: You decide that BLS ventilations are no longer effective in your pediatric patient
resuscitation. You elect to place an endotracheal tube. The preferred method for confirming and
monitoring the placement of this ETT is:
Answer:
End-tidal CO2 monitoring
Q: A 7-month-old patient presents with supraventricular tachycardia. The patient is
hemodynamically stable. The best method of a vagal maneuver is:
Answer:
Application of a cold stimulus to the face (e.g., a washcloth soaked in iced water, cold pack, or
crushed ice mixed with water in a plastic bag or glove) for up to 10 seconds.
Q: Atropine is indicated for:
Answer:
Symptomatic bradycardia
Q: Consideration for _ through devices such as BiPAP or CPAP is indicated for
infants or children with suspected lung tissue disease.
Answer:
Continuous PEEP
Q: An accepted initial therapy for a patient with suspected croup is:
Answer:
Nebulized epinephrine
Q: Which of the following is a sign of respiratory failure?
Answer:
Decrease in ventilation and oxygenation
Q: Which of the statements about supraventricular tachycardia (SVT) is correct?
Answer:
The clinical presentations demonstrate that children and infants lack the ability to tolerate this
rhythm well.
Q: The mother of a 9-year-old patient reports that her son was playing with a friend when he
collapsed while running. At the patients side, you apply an AED and deliver one shock. The
patient regains a pulse but remains unresponsive. you successfully place an ETT. There is no
evidence of shock or trauma. Your target range for SpO2 is:
PALS 2023/ 2024 FINAL EXAM Version 1|
50 QUESTIONS AND VERIFIED
ANSWERS| GRADE A
Q: An 8-year-old child being treated in the emergency department has significant respiratory
distress. The child also exhibits hives, wheezing, angioedema, tachycardia and dyspnea. The
parents state that the child, who is allergic to peanuts, had eaten some popcorn that had peanuts
in it. The team initiates care, preparing to administer which agent first?
Answer:
Epinephrine
Q: 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
Q: 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?
Answer:
Compressing the chest about 2 inches
Providing ventilations that last about 1 second each
Giving 2 ventilations to every 15 compressions
Allowing the chest to recoil fully after each compression
Q: 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
Q: 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
Q: 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
Q: 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
Q: 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 to what percentage
range?
Answer:
94% to 99%