PALS - RED CROSS - CARDIAC ARREST AND
POST-CARDIAC ARREST CARE [PRE-
ASSESSMENT 2026- COMPLETE EXAM SET
WITH QUESTIONS AND VERIFIED
SOLUTIONS
The healthcare provider notes that an infant receiving post-cardiac arrest care has
an increase in temperature. The provider understands treatment should be
initiated if the temperature rises at least which amount above normal? - correct-
answer -1 degree increase
The healthcare provider understands that an ischemia/reperfusion response
during post-cardiac arrest syndrome (PCAS) is similar to which kind of shock? -
correct-answer -Septic
Which ECG rhythm is identified in the following image? - correct-answer -
Polymorphic ventricular tachycardia (torsades de pointes) looks like scribbed
signature mountain/upside down mountains
, 2
The PALS team is actively attempting to resuscitate a 9-kg infant in cardiac arrest.
The team leader instructs the monitor team member to administer a second
defibrillation. How many joules should the team member administer? - correct-
answer -36 joules:
1. Activate emergency medical services, call a pediatric "code blue", obtain AED or
defibrillator
2. Is the rhythm shockable?
Rhythm IS shockable (ventricular fibrillation or unstable ventricular tachycardia)
1. Administer shock at 2 Joules/kg
2. Administer high-quality CPR for 2 minutes
3. Check rhythm
If not shockable, move to asystole/PEA rhythm protocol
If shockable, continue
4. Administer shock at 4 Joules/kg
5. Administer epinephrine 0.01 mg/kg IV or 0.1 mg/kg per ETT every 3-5 minutes
6. Administer high-quality CPR for 2 minutes
7. Check rhythm
If not shockable, move to asystole/PEA rhythm protocol
If shockable, continue
8. Administer shock at >4 Joules/kg
9. Administer amiodarone 5 mg/kg IV (repeat 2 times if needed) or lidocaine 1
mg/kg IV
10. Administer high-quality CPR for 2 minutes
11. Check rhythm