AHA Pediatric Advanced Life Support Exam || PALS Exam (Answered)
Question : 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?
Second degree
Second Degree Heart Block (Mobitz II)
the picture shown is not the picture in the actual exam
CORRECT ANSWER : Second Degree Heart Block (Mobitz
II)
Question : 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?
Lactate
CORRECT ANSWER : Lactate
Question : 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?
Respiratory failure
CORRECT ANSWER : Respiratory failure
Question : 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?
Deliver 1 BVM ventilation every 3 to 5 seconds.
CORRECT ANSWER : Deliver 1 BVM ventilation every 3
to 5 seconds.
Question : 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?
First-degree atrioventricular (AV) block
the picture shown is not the picture in the actual exam
CORRECT ANSWER : First-degree atrioventricular (AV)
block
Question : 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)?
Hypotension
Fever
Hyperglycemia
CORRECT ANSWER : Hypotension
Fever Hyperglycemia
Question : A 2-year-old child arrives at the emergency
department with the parents. The child is unresponsive, is not breathing and has no pulse. Two emergency department providers begin high-quality CPR. Which action(s) by the providers demonstrates high-quality CPR?
Allowing the chest to recoil fully after each compression
Providing ventilations that last about 1 second each
Compressing the chest about 2 inches