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PALS Updated FINAL EXAM 2023/2024 graded A+
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PALS Updated FINAL EXAM 2023/2024 graded A+
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PALSUpdated
FINAL
EXAM
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
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
Brainpower
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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
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.
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
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
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
Giving
2
ventilations
to
every
15
compressions
A
PALS
resuscitation
team
is
preparing
to
defibrillate
a
child
experiencing
cardiac
arrest.
For
which
rhythm(s)
would
this
action
be
appropriate?
VF
and
pVT
are
shockable
cardiac
arrest
rhythms.
A
provider
is
assessing
a
child
with
suspected
shock.
Which
statement
correctly
describes
hypotension
and
shock?
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
saturation
of
91%.
The
provider
administers
oxygen
by
nasal
cannula
with
the
goal
of
improving
the
child’s
oxygen
saturation
above
what
percentage?
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