PALS RED CROSS FINAL EXAM
QUESTIONS AND ANSWERS
1.A 5-year-old child with a history of a chronic neuromuscular
disease is experiencing respiratory distress. The child is
breathing spontaneously and receiving supplemental oxygen.
Which additional intervention is a critical component of airway
management for this patient?
ANS Airway clearance (e.g., suctioning)
2.A child being cared for in the pediatric telemetry unit
suddenly displays the following ECG waveform. The provider
prepares to intervene because the child is demonstrating which
type of arrhythmia?
ANS Supraventricular tachycardia
3.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 re-
sponse to ischemia/reperfusion. The team bases this
determination on which finding(s)?
ANS Hypotension, fever, hyperglycemia
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15
, 4.An 11-year-old soccer player is brought to the emergency
department. After a quick assessment, the team realizes this
patient is experiencing a severe asthma exacerbation. Which
medication would the team administer immediately?
ANS Albuterol with or without ipratropium bromide
5.After ROSC, a child is experiencing post-cardiac arrest
hypoperfusion. The PALS resuscitation team would administer
which element to restore intravas- cular volume and optimize
preload?
ANS Isotonic fluid boluses
6.A 2-year-old child of unknown weight arrives at the
emergency department in cardiac arrest. When preparing to
administer medications, which action would be appropriate for
the team to take?
ANS Estimate weight using a length-based resuscitation tape.
7.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?
ANS Deliver 1 BVM ventilation every 2 to 3 seconds.
8.The PALS team leader is conducting a debriefing session with
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15
QUESTIONS AND ANSWERS
1.A 5-year-old child with a history of a chronic neuromuscular
disease is experiencing respiratory distress. The child is
breathing spontaneously and receiving supplemental oxygen.
Which additional intervention is a critical component of airway
management for this patient?
ANS Airway clearance (e.g., suctioning)
2.A child being cared for in the pediatric telemetry unit
suddenly displays the following ECG waveform. The provider
prepares to intervene because the child is demonstrating which
type of arrhythmia?
ANS Supraventricular tachycardia
3.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 re-
sponse to ischemia/reperfusion. The team bases this
determination on which finding(s)?
ANS Hypotension, fever, hyperglycemia
1/
15
, 4.An 11-year-old soccer player is brought to the emergency
department. After a quick assessment, the team realizes this
patient is experiencing a severe asthma exacerbation. Which
medication would the team administer immediately?
ANS Albuterol with or without ipratropium bromide
5.After ROSC, a child is experiencing post-cardiac arrest
hypoperfusion. The PALS resuscitation team would administer
which element to restore intravas- cular volume and optimize
preload?
ANS Isotonic fluid boluses
6.A 2-year-old child of unknown weight arrives at the
emergency department in cardiac arrest. When preparing to
administer medications, which action would be appropriate for
the team to take?
ANS Estimate weight using a length-based resuscitation tape.
7.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?
ANS Deliver 1 BVM ventilation every 2 to 3 seconds.
8.The PALS team leader is conducting a debriefing session with
2/
15
