PALS FINAL EXAM 2022/2023 (Actual Exam) (50 VERIFIED Q & A)

PALS FINAL EXAM 2022/2023 (Actual Exam) (50 VERIFIED Q & A)

PALS Updated FINAL EXAM 2022/2023 (50 VERIFIED Q & A)
(All questions answered)

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
   arrhythmia?
   second degree
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,
   bradycardia, 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
   arrhythmia?
   First-degree atrioventricular (AV) block
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
   response to ischemia/reperfusion. The team bases this determination on
   which finding(s)?
   Hypotension

Fever
Hyperglycemia

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
   department 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
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
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