AHA PALS FINAL EXAM 2024-
2025 WITH VERIFIED
QUESTIONS AND ANSWERS
|RATED A+
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?
ÖÖ Second degree
Second degree heart block (mobitz ii)
The picture shown is not the picture in the actual exam
Laboratory tests are ordered for a child who has been vomi?ng for 3 days and
is diaphore?c, tachypneic, lethargic and pale. Which test would the provider
use to determine the adequacy of oxygen delivery?
Lactate
,A 9-year-old pa?ent is presen?ng with decreased breath sounds, bradycardia,
slowed respiratory rate and a low o2 satura?on level. The provider interprets
these findings as indica?ng which condi?on?
ÖÖ Respiratory failure
A 4-year-old child is brought to the emergency department by the parents.
Assessment reveals that the child has only gasping respira?ons and the pulse
rate is 65 beats per minute. Which ac?on would the provider ini?ate first?
ÖÖ Deliver 1 bvm ven:la:on every 3 to 5 seconds.
A 15-year-old pa?ent is being evaluated during a follow-up visit aJer being
diagnosed with lyme disease 2 months ago. A rhythm strip is obtained as
shown below. The provider interprets this rhythm as indica?ng which
arrhythmia?
ÖÖ First-degree atrioventricular (av) block
The picture shown is not the picture in the actual exam
A child in cardiac arrest experiences return of spontaneous circula?on but is
exhibi?ng signs of post–cardiac arrest syndrome (pcas). The pals resuscita?on
team determines that the child is experiencing a systemic response to
,ischemia/reperfusion. The team bases this determina?on on which
finding(s)?
ÖÖ Hypotension
ÖÖ Fever
ÖÖ Hyperglycemia
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 ac?on(s) by the providers
demonstrates high-quality cpr?
ÖÖ Allowing the chest to recoil fully aJer each compression
ÖÖ Providing ven?la?ons that last about 1 second each
ÖÖ Compressing the chest about 2 inches
A pals resuscita?on team is preparing to defibrillate a child experiencing
cardiac arrest. For which rhythm(s) would this ac?on be appropriate?
ÖÖ Vf and pvt are shockable cardiac arrest rhythms.
A provider is assessing a child with suspected shock. Which statement
correctly describes hypotension and shock?
ÖÖ Hypotension is not a consistent feature of shock;
, A provider is caring for a 4-year-old child in the urgent care clinic. Primary
assessment reveals difficulty breathing and an oxygen satura?on of 91%. The
provider administers oxygen by nasal cannula with the goal of improving the
child’s oxygen satura?on above what percentage?
ÖÖ Supplemental oxygen should be administered as needed to maintain an
oxygen satura:on above 94%.
An 11-year-old soccer player is brought to the emergency department. AJer a
quick assessment, the team realizes this pa?ent is experiencing a severe
asthma exacerba?on. Which medica?on would the team administer first?
ÖÖ Albuterol plus ipratropium bromid
A child in the pediatric step-down unit is exhibi?ng signs of respiratory
distress. When assessing this child, which circula?on finding might be
present?
ÖÖ Pallor is a circula:on finding that may be seen in pa:ents with respiratory
distress.
A healthcare provider is performing a primary assessment of a child in
respiratory distress. The provider documents increased work of breathing
when which findings are observed?
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