PALS RED CROSS CRITICAL EXAM ACTUAL EXAM 100
QUESTIONS AND CORRECT ANSWERS|ALREADY
GRADED A+
A 4-month old infant is brought to the emergency department in cardiac arrest.
Which condition would the team identify as the most common cause of cardiac
arrest in an infant of this age? - ANSWER: sudden infant death syndrome is the most
common cause in infants younger than 6 months of age.
The PALS resuscitation team is providing care to an intubated child in cardiac arrest.
Which result best determines the adequacy of the team's chest compressions? -
ANSWER: End-tidal carbon dioxide level between 15 and 20 mmHg
The emergency response team is providing care to a preschooler who is experiencing
shock. Which therapeutic goal, common to all types of shock, does the team work to
achieve? - ANSWER: The primary therapeutic goal in shock, regardless of cause, is to
restore a favorable balance between oxygen delivery and oxygen demand.
A 9-year-old child is brought to the emergency department because the child
suddenly collapsed at school. The child's ECG reveals the following waveform, and
primary assessment findings indicate that the child is hemodynamically unstable.
Which primary assessment findings indicate this? - ANSWER: Decreased level of
consciousness, Hypotension, Difficulty breathing, Mottling
A child is experiencing shock. The emergency response team prepares for imminent
cardiac arrest when assessment reveals which finding(s)? - ANSWER: Hypotension,
Bradycardia, Diminished central pulses
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 first? - ANSWER:
Albuterol plus ipratropium bromide
The PALS team is providing post-cardiac arrest care to an 8-year-old child in the
pediatric intensive care unit. Which intervention would the team implement to
achieve the primary goal of post-cardiac arrest care? - ANSWER: Ensuring adequate
mean arterial pressure
child in the pediatric intensive care unit displays the following ECG waveform and
does not have a palpable central pulse. The resuscitation team interprets this as
which arrhythmia? - ANSWER: pulseless ventricular tachycardia (pVT)
Which action would the PALS resuscitation team initiate to minimize increased
intracranial pressure after cardiac arrest? - ANSWER: Maintain the head in midline
position with 30-degree elevation
, A 4-year-old child suddenly collapses in the playroom of the facility. A healthcare
provider observes the event and hurries over to assess the child. The healthcare
provider completes which assessment first? - ANSWER: Rapid assessment
A provider is forming an initial impression of a child using the Pediatric Assessment
Triangle (PAT). During which step of the PAT may the provider use the mnemonic
TICLS to assess the patient? - ANSWER: Appearance
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? - ANSWER: Respiratory failure
Assessment of a 3-month-old infant admitted with respiratory distress reveals fever,
grunting and a wet, "junky" cough. The infant's parents said the child had a recent
respiratory infection with a fever. A rapid respiratory syncytial virus (RSV) test is
positive. Which condition would the provider most likely suspect as the cause? -
ANSWER: Bronchiolitis
A PALS resuscitation team is preparing to defibrillate a child experiencing cardiac
arrest. For which rhythm(s) would this action be appropriate? - ANSWER: Ventricular
fibrillation (VF), Pulseless ventricular tachycardia (pVT),
A 4-year-old child is brought to the emergency department by the parents.
Assessment reveals that the child is gasping and the pulse rate is 65 beats per
minute. Which action would the provider initiate first? - ANSWER: Deliver 1 BVM
ventilation every 3 to 5 seconds
The PALS team leader is conducting a debriefing session with the team. Which
topic(s) would the team leader most likely address during the session? - ANSWER:
Summary of the event, including what actions were taken, Discussion of the pros and
cons of the interventions, Identification of ways to improve, Evaluation of the
objective data gathered during the event
An advanced airway was placed in a 5-year-old child. Which action(s) would be most
appropriate for the team to take to confirm correct placement? - ANSWER:
Auscultate over the lungs and epigastrium for air movement, Observe for bilateral
chest rise, Evaluate results of capnography.
A 12-year-old is being treated in the urgent care clinic. The mother reports that the
child came home from school yesterday with a high fever, vomiting and multiple
episodes of watery diarrhea. The healthcare provider obtains a rhythm strip and
notes the following waveform. The provider interprets this as which type of
arrhythmia? - ANSWER: Sinus tachycardia
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? - ANSWER: Supraventricular tachycardia
QUESTIONS AND CORRECT ANSWERS|ALREADY
GRADED A+
A 4-month old infant is brought to the emergency department in cardiac arrest.
Which condition would the team identify as the most common cause of cardiac
arrest in an infant of this age? - ANSWER: sudden infant death syndrome is the most
common cause in infants younger than 6 months of age.
The PALS resuscitation team is providing care to an intubated child in cardiac arrest.
Which result best determines the adequacy of the team's chest compressions? -
ANSWER: End-tidal carbon dioxide level between 15 and 20 mmHg
The emergency response team is providing care to a preschooler who is experiencing
shock. Which therapeutic goal, common to all types of shock, does the team work to
achieve? - ANSWER: The primary therapeutic goal in shock, regardless of cause, is to
restore a favorable balance between oxygen delivery and oxygen demand.
A 9-year-old child is brought to the emergency department because the child
suddenly collapsed at school. The child's ECG reveals the following waveform, and
primary assessment findings indicate that the child is hemodynamically unstable.
Which primary assessment findings indicate this? - ANSWER: Decreased level of
consciousness, Hypotension, Difficulty breathing, Mottling
A child is experiencing shock. The emergency response team prepares for imminent
cardiac arrest when assessment reveals which finding(s)? - ANSWER: Hypotension,
Bradycardia, Diminished central pulses
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 first? - ANSWER:
Albuterol plus ipratropium bromide
The PALS team is providing post-cardiac arrest care to an 8-year-old child in the
pediatric intensive care unit. Which intervention would the team implement to
achieve the primary goal of post-cardiac arrest care? - ANSWER: Ensuring adequate
mean arterial pressure
child in the pediatric intensive care unit displays the following ECG waveform and
does not have a palpable central pulse. The resuscitation team interprets this as
which arrhythmia? - ANSWER: pulseless ventricular tachycardia (pVT)
Which action would the PALS resuscitation team initiate to minimize increased
intracranial pressure after cardiac arrest? - ANSWER: Maintain the head in midline
position with 30-degree elevation
, A 4-year-old child suddenly collapses in the playroom of the facility. A healthcare
provider observes the event and hurries over to assess the child. The healthcare
provider completes which assessment first? - ANSWER: Rapid assessment
A provider is forming an initial impression of a child using the Pediatric Assessment
Triangle (PAT). During which step of the PAT may the provider use the mnemonic
TICLS to assess the patient? - ANSWER: Appearance
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? - ANSWER: Respiratory failure
Assessment of a 3-month-old infant admitted with respiratory distress reveals fever,
grunting and a wet, "junky" cough. The infant's parents said the child had a recent
respiratory infection with a fever. A rapid respiratory syncytial virus (RSV) test is
positive. Which condition would the provider most likely suspect as the cause? -
ANSWER: Bronchiolitis
A PALS resuscitation team is preparing to defibrillate a child experiencing cardiac
arrest. For which rhythm(s) would this action be appropriate? - ANSWER: Ventricular
fibrillation (VF), Pulseless ventricular tachycardia (pVT),
A 4-year-old child is brought to the emergency department by the parents.
Assessment reveals that the child is gasping and the pulse rate is 65 beats per
minute. Which action would the provider initiate first? - ANSWER: Deliver 1 BVM
ventilation every 3 to 5 seconds
The PALS team leader is conducting a debriefing session with the team. Which
topic(s) would the team leader most likely address during the session? - ANSWER:
Summary of the event, including what actions were taken, Discussion of the pros and
cons of the interventions, Identification of ways to improve, Evaluation of the
objective data gathered during the event
An advanced airway was placed in a 5-year-old child. Which action(s) would be most
appropriate for the team to take to confirm correct placement? - ANSWER:
Auscultate over the lungs and epigastrium for air movement, Observe for bilateral
chest rise, Evaluate results of capnography.
A 12-year-old is being treated in the urgent care clinic. The mother reports that the
child came home from school yesterday with a high fever, vomiting and multiple
episodes of watery diarrhea. The healthcare provider obtains a rhythm strip and
notes the following waveform. The provider interprets this as which type of
arrhythmia? - ANSWER: Sinus tachycardia
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? - ANSWER: Supraventricular tachycardia
