PALS Updated FINAL EXAM 2026/2027 Questions & Answers

PALS Updated FINAL EXAM ( Answers) 2026/2027 Questions & Answers

PALS Updated FINAL EXAM ( Answers) 2026/2027

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? - CORRECT

ANSWER second degree

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? - CORRECT ANSWER Lactate

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? - CORRECT ANSWER Respiratory failure

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? - CORRECT ANSWER Deliver 1

BVM ventilation every 3 to 5 seconds.

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? - CORRECT ANSWER

First-degree atrioventricular (AV) block

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)? - CORRECT ANSWER

Hypotension

Fever

Hyperglycemia