PALS Pediatrics Final Exam With Answers (50 Solved Questions)

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PALS Updated FINAL EXAM (answered)1.A 12-year-old child being evaluated in the pediatric intensive care unitdisplays the following ECG waveform. The team interprets this as whicharrhythmia?Ans- second degree2.Laboratory tests are ordered for a child who has been vomiting for 3daysand is diaphoretic, tachypneic, lethargic and pale. Which test wouldthe provider use to determine the adequacy of oxygen delivery?Ans- Lactate3.A 9-year-old patient is presenting with decreased breath sounds,bradycardia,slowed respiratory rate and a low O2 saturation level. Theprovider interprets these findings as indicating which condition?Ans- 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 thepulserate is 65 beats per minute. Which action would the provider initiatefirst? Ans- 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?Ans- First-degree atrioventricular (AV) block6.A child in cardiac arrest experiences return of spontaneous circulation butisexhibiting 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 onwhich finding(s)?Ans- 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. Twoemergency department providers begin high-quality CPR. Which action(s)by the providers demonstrates high-quality CPR?Ans- 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?Ans- VF and pVT are shockable cardiac arrest rhythms.9.A provider is assessing a child with suspected shock. Whichstatementcorrectly describes hypotension and shock?Ans- 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%.The provider administers oxygen by nasal cannula with the goalofimproving the child's oxygen saturation above whatpercentage?Ans- Supplemental oxygen should be administered as needed to maintainanoxygen saturation above 94%.11.An 11-year-old soccer player is brought to the emergency department.Aftera quick assessment, the team realizes this patient is experiencing asevere asthma exacerbation. Which medication would the teamadminister first? Ans- 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 bepresent?

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Ans- Pallor is a circulation finding that may be seen in patients withrespiratory distress.
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