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PALS FINAL EXAM Version 3|
50 QUESTIONS AND VERIFIED
ANSWERS| GRADE A
Q: An 11-year-old child develops unstable wide-complex tachycardia. Assessment reveals signs of significant hemodynamic compromise, but the child has a pulse. The PALS team would prepare the child for which in- tervention?
Answer:
First-line treatment for unstable wide-complex tachycardias consists of synchronized electrical cardioversion, particularly when signs of hemodynamic compromise are apparent.
Q: A 4-month old infant is brought to the emergency department in cardiac arrest. Which condition would the team identify as the most common cause of cardiac arrest in an infant of this age?
Answer:
Sudden infant death syndrome
Q: A 9-year-old child is brought to the emergency department because the child suddenly collapsed at school. The child's ECG reveals the following waveform, and primary assessment findings indicate that the child is hemo- dynamically unstable. Which primary assessment findings indicate this?
Answer:
Dif- ficulty breathing
Hypotension Mottling Decreased level of consciousnes
Q: 2-year-old child is brought to the pediatric urgent care clinic by the parent who says that the child has had a barking cough for two days. During the rapid assessment of the child, the 1 / 2
provider hears audible inspiratory stridor. Which common cause of partial upper airway obstruction in children would the provider most likely suspect?
Answer:
croup
Q: 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 shock. Which type of shock would the provider most likely suspect?
Answer:
hypovolemic
Q: While performing a rapid assessment and formulating an initial impression using the Pediatric Assessment Triangle (PAT), the provider assesses the child's circulation. Which information would be important to consider?
Answer:
When assessing the adequacy of circulation, consider skin color and visible mucous mem- branes for pallor (or gray/dusky color), cyanosis, mottling or flushing and evidence of any bleeding, including life-threatening bleeding.
Q: 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
Q: 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?
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