2022 PALS Paediatrics Final Exam With Answers (50 Solved Questions)

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PALS Updated FINAL EXAM-with 100% verifiedanswers-20221.A 12-year-old child being evaluated in the pediatric intensive care unit displaysthe following ECG waveform. The team interprets this as which arrhythmia?second degree2.Laboratory tests are ordered for a child who has been vomiting for 3 days andis diaphoretic, tachypneic, lethargic and pale. Which test would the provideruse to determine the adequacy of oxygen delivery?Lactate3.A 9-year-old patient is presenting with decreased breath sounds, bradycardia,slowed respiratory rate and a low O2 saturation level. The provider interpretsthese findings as indicating which condition?Respiratory failure4.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 pulserate 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 beingdiagnosed with Lyme disease 2 months ago. A rhythm strip is obtained asshown below. The provider interprets this rhythm as indicating whicharrhythmia?First-degree atrioventricular (AV) block6.A child in cardiac arrest experiences return of spontaneous circulation but isexhibiting signs of post-cardiac arrest syndrome (PCAS). The PALSresuscitation team determines that the child is experiencing a systemicresponse to ischemia/reperfusion. The team bases this determination on whichfinding(s)?HypotensionFeverHyperglycemia

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7.A 2-year-old child arrives at the emergency department with the parents. Thechild is unresponsive, is not breathing and has no pulse. Two emergencydepartment providers begin high-quality CPR. Which action(s) by theproviders demonstrates high-quality CPR?Allowing the chest to recoil fully after each compressionProviding ventilations that last about 1 second eachCompressing the chest about 2 inchesGiving 2 ventilations to every 15 compressions8.A PALS resuscitation team is preparing to defibrillate a child experiencingcardiac 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 statementcorrectly 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. Primaryassessment reveals difficulty breathing and an oxygen saturation of 91%. Theprovider administers oxygen by nasal cannula with the goal of improving thechild's oxygen saturation above what percentage?Supplemental oxygen should be administered as needed to maintain an oxygensaturation above 94%.11.An 11-year-old soccer player is brought to the emergency department. After aquick assessment, the team realizes this patient is experiencing a severe asthmaexacerbation. Which medication would the team administer first?Albuterol plus ipratropium bromid12.A child in the pediatric step-down unit is exhibiting signs of respiratorydistress. When assessing this child, which circulation finding might be present?Pallor is a circulation finding that may be seen in patients with respiratorydistress.13.A healthcare provider is performing a primary assessment of a child inrespiratory distress. The provider documents increased work of breathing whenwhich findings are observed?

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