PALS UPDATED FINAL EXAM EXAM QUESTIONS

PDF Download

PALS UPDATED FINAL EXAM EXAM QUESTIONS

Actual Qs and Ans Expert-Verified Explanation

This Exam contains:

-Guarantee passing score -50 Questions and Answers -format set of multiple-choice -Expert-Verified Explanation Question 1: 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 Question 2: A PALS resuscitation team is preparing to defibrillate a child experiencing cardiac arrest. For which rhythm(s) would this action be appropriate?

Answer:

VF and pVT are shockable cardiac arrest rhythms.Question 3: 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

Question 4: A 12-year-old is being treated in the urgent care clinic. The mother reports that the child came home from school yesterday with a high fever, vomiting and multiple episodes of watery diarrhea. The healthcare provider obtains a rhythm strip and notes the following waveform. The provider interprets this as which type of arrhythmia?

Answer:

sinus tahy Question 5: A child experiencing unstable bradycardia is receiving CPR. Despite efforts with CPR, including assuring oxygenation and ventilation, the child's status remains unchanged.Which medication would the emergency response team expect to administer next?

Answer:

epi Question 6: Assessment of a 7-year-old patient with septic shock 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:

Most children in septic shock present with cold shock (i.e., delayed capillary refill, diminished pulses, peripheral vasoconstriction, narrow pulse pressure, and cool, mottled extremities) instead of warm shock.Question 7: An unresponsive 7-year-old child with no pulse is brought to the pediatric urgent care center by his parents and CPR is initiated. The cardiac monitor reveals ventricular fibrillation. Which action would the PALS team take first?

Answer:

initiate defibrillation with 2 J/kg.Question 8: A provider is forming an initial impression of a child using the Pediatric Assessment Triangle (PAT). During which step of the PAT may the provider use the mnemonic TICLS to assess the patient?

Answer:

appearance Question 9: 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

Question 10: 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?

Answer:

Deliver 1 BVM ventilation every 3 to 5 seconds.Question 11: 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?

Answer:

second degree Question 12: A child requires cardiac monitoring. A three-electrode system is being used. At which location would the provider place the red electrode?

Answer:

On the lower left abdomen Question 13: 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:

tape Question 14: A child in the pediatric step-down unit is exhibiting signs of respiratory distress.When assessing this child, which circulation finding might be present?

Answer:

Pallor is a circulation finding that may be seen in patients with respiratory distress.Question 15: 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 membranes for pallor (or gray/dusky color), cyanosis, mottling or flushing and evidence of any bleeding, including life-threatening bleeding.

Question 16: A child who is stable and exhibiting a narrow-complex tachycardia is to receive adenosine. The provider would be alert for which result after administering this medication?

Answer:

Patients may have a brief period of "asystole" following the administration of adenosine. This is normal and typically self-limited.Question 17: child is experiencing shock. The emergency response team prepares for imminent cardiac arrest when assessment reveals which finding(s)?

Answer:

Hypotension, Bradycardia, Diminished central pulses Question 18: After ROSC, a child is experiencing post-cardiac arrest hemodynamic instability.The PALS resuscitation team would administer which element to restore intravascular volume and optimize preload?

Answer:

Isotonic fluid boluses Question 19: A 12-lead ECG is ordered for a child complaining of a "racing heart." When placing the electrodes on the child, at which location would the lead for V4 be placed?

Answer:

fifth intercostal space at the midclavicular line on the patient's left side.Question 20: 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 Question 21: A child is experiencing stable supraventricular tachycardia (SVT) and is to receive treatment. Which initial treatment would the provider administer?

Answer:

vagal