PALS Red Cross Final Exam Test with Answers Graded A+
A 5-year-old child with a history of a chronic neuromuscu-
lar disease is experiencing respiratory distress. The child
is breathing spontaneously and receiving supplemental Airway clearance (e.g., suctioning)
oxygen. Which additional intervention is a critical compo-
nent of airway management for this patient?
A child being cared for in the pediatric telemetry unit sud-
denly displays the following ECG waveform. The provider
Supraventricular tachycardia
prepares to intervene because the child is demonstrating
which type of arrhythmia?
A child in cardiac arrest experiences return of sponta-
neous circulation but is exhibiting signs of post-cardiac
arrest syndrome (PCAS). The PALS resuscitation team de-
Hypotension, fever, hyperglycemia
termines that the child is experiencing a systemic re-
sponse to ischemia/reperfusion. The team bases this de-
termination on which finding(s)?
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. Albuterol with or without ipratropium bromide
Which medication would the team administer immediate-
ly?
After ROSC, a child is experiencing post-cardiac arrest
hypoperfusion. The PALS resuscitation team would ad-
Isotonic fluid boluses
minister which element to restore intravascular volume
and optimize preload?
A 2-year-old child of unknown weight arrives at the emer-
gency department in cardiac arrest. When preparing to
Estimate weight using a length-based resuscitation tape.
administer medications, which action would be appropri-
ate for the team to take?
A 4-year-old child is brought to the emergency depart-
ment by the parents. Assessment reveals that the child has
1/8
, PALS Red Cross Final Exam Test with Answers Graded A+
only gasping respirations and the pulse rate is 65 beats
Deliver 1 BVM ventilation every 2 to 3 seconds.
per minute. Which action would the provider initiate first?
Discussion of the pros and cons of the interventions
The PALS team leader is conducting a debriefing session
Evaluation of the objective data gathered during the event,
with the team. Which topic(s) would the team leader most
Summary of the event, including what actions were taken,
likely address during the session?
Identification of ways to improve
The PALS resuscitation team notes the following ECG
waveform and the child does not have a pulse. The team Torsades de pointes
prepares to intervene to address which arrhythmia?
What is the correct IV/IO dose of epinephrine for a pedi-
0.01 mg/kg every 3 to 5 min (max single dose 1 mg)
atric patient in cardiac arrest?
Assessment of a 3-month-old infant admitted with respi-
ratory distress reveals fever, grunting and a wet, "junky"
cough. The infant's parents said the child had a recent
Bronchiolitis
respiratory infection with a fever. A rapid respiratory syn-
cytial virus (RSV) test is positive. Which condition would
the provider most likely suspect as the cause?
A child is experiencing supraventricular tachycardia (SVT)
with adequate perfusion and is to receive treatment. Vagal maneuvers
Which initial treatment would the provider administer?
A healthcare provider notices petechiae on the arms and
legs while performing a rapid skin assessment of a child
with a high fever and respiratory distress. Based on this Life-threatening systemic infection
assessment, which condition should the provider consid-
er?
A 7-year-old patient with septic shock has received three
balanced/buttered crystalloid fluid boluses (60-mL/kg)
Fluid-refractory
and reassessment reveals capillary refill of 3 seconds,
diminished pulses, narrow pulse pressure and cool, mot-
2/8
A 5-year-old child with a history of a chronic neuromuscu-
lar disease is experiencing respiratory distress. The child
is breathing spontaneously and receiving supplemental Airway clearance (e.g., suctioning)
oxygen. Which additional intervention is a critical compo-
nent of airway management for this patient?
A child being cared for in the pediatric telemetry unit sud-
denly displays the following ECG waveform. The provider
Supraventricular tachycardia
prepares to intervene because the child is demonstrating
which type of arrhythmia?
A child in cardiac arrest experiences return of sponta-
neous circulation but is exhibiting signs of post-cardiac
arrest syndrome (PCAS). The PALS resuscitation team de-
Hypotension, fever, hyperglycemia
termines that the child is experiencing a systemic re-
sponse to ischemia/reperfusion. The team bases this de-
termination on which finding(s)?
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. Albuterol with or without ipratropium bromide
Which medication would the team administer immediate-
ly?
After ROSC, a child is experiencing post-cardiac arrest
hypoperfusion. The PALS resuscitation team would ad-
Isotonic fluid boluses
minister which element to restore intravascular volume
and optimize preload?
A 2-year-old child of unknown weight arrives at the emer-
gency department in cardiac arrest. When preparing to
Estimate weight using a length-based resuscitation tape.
administer medications, which action would be appropri-
ate for the team to take?
A 4-year-old child is brought to the emergency depart-
ment by the parents. Assessment reveals that the child has
1/8
, PALS Red Cross Final Exam Test with Answers Graded A+
only gasping respirations and the pulse rate is 65 beats
Deliver 1 BVM ventilation every 2 to 3 seconds.
per minute. Which action would the provider initiate first?
Discussion of the pros and cons of the interventions
The PALS team leader is conducting a debriefing session
Evaluation of the objective data gathered during the event,
with the team. Which topic(s) would the team leader most
Summary of the event, including what actions were taken,
likely address during the session?
Identification of ways to improve
The PALS resuscitation team notes the following ECG
waveform and the child does not have a pulse. The team Torsades de pointes
prepares to intervene to address which arrhythmia?
What is the correct IV/IO dose of epinephrine for a pedi-
0.01 mg/kg every 3 to 5 min (max single dose 1 mg)
atric patient in cardiac arrest?
Assessment of a 3-month-old infant admitted with respi-
ratory distress reveals fever, grunting and a wet, "junky"
cough. The infant's parents said the child had a recent
Bronchiolitis
respiratory infection with a fever. A rapid respiratory syn-
cytial virus (RSV) test is positive. Which condition would
the provider most likely suspect as the cause?
A child is experiencing supraventricular tachycardia (SVT)
with adequate perfusion and is to receive treatment. Vagal maneuvers
Which initial treatment would the provider administer?
A healthcare provider notices petechiae on the arms and
legs while performing a rapid skin assessment of a child
with a high fever and respiratory distress. Based on this Life-threatening systemic infection
assessment, which condition should the provider consid-
er?
A 7-year-old patient with septic shock has received three
balanced/buttered crystalloid fluid boluses (60-mL/kg)
Fluid-refractory
and reassessment reveals capillary refill of 3 seconds,
diminished pulses, narrow pulse pressure and cool, mot-
2/8
