PALS - Red Cross - Cardiac Arrest and Post-Cardiac Arrest Care
[Pre-Assessment] Test with Verified Answers Graded A
Which is the primary goal and focus of post-
cardiac arrest care? - ANSWER - The healthcare provider notes that an infant
Preservation of neurologic function receiving post-cardiac arrest care has an
increase in temperature. The provider
understands treatment should be initiated if the
In children and infants, cardiac arrest most often temperature rises at least which amount above
arises from which complication? - normal? - ANSWER -1 degree increase
ANSWER -Respiratory failure
The healthcare provider understands that an
Which medications may be used in the cardiac ischemia/reperfusion response during post-
arrest care of a patient with a "shockable" cardiac arrest syndrome (PCAS) is similar to
rhythm? - ANSWER -1. Amiodarone which kind of shock? - ANSWER -Septic
2. Epinephrine
3. Magnesium Sulfate
4. Lidocaine Which ECG rhythm is identified in the following
image? - ANSWER -Polymorphic
ventricular tachycardia (torsades de pointes)
Which finding indicates adequate end-organ and looks like scribbed signature mountain/upside
tissue perfusion? - ANSWER -Urine output down mountains
greater than 1 mL/kg/h
The PALS team is actively attempting to
A patient admitted to the pediatric emergency resuscitate a 9-kg infant in cardiac arrest. The
department is in cardiac arrest. The rhythm on team leader instructs the monitor team member
the defibrillator monitor is ventricular fibrillation to administer a second defibrillation. How many
(VF). Which energy dose should the team leader joules should the team member administer? -
order to administer an initial shock? - ANSWER -36 joules:
ANSWER -2 J/kg
1. Activate emergency medical services, call a
pediatric "code blue", obtain AED or defibrillator
Which statement correctly describes the 2. Is the rhythm shockable?
completion of the primary assessment of a Rhythm IS shockable (ventricular fibrillation or
patient in cardiac arrest? - ANSWER -The unstable ventricular tachycardia)
primary assessment should be delayed in order 1. Administer shock at 2 Joules/kg
to provide prompt, life-saving measures. 2. Administer high-quality CPR for 2 minutes
3. Check rhythm
If not shockable, move to asystole/PEA rhythm
A healthcare provider suspects that protocol
hyperkalemia may be the cause of the patient's If shockable, continue
cardiac arrest. Which should the provider order 4. Administer shock at 4 Joules/kg
5. Administer epinephrine 0.01 mg/kg IV or 0.1
to confirm hyperkalemia? - ANSWER -
mg/kg per ETT every 3-5 minutes
Serum electrolyte panel
6. Administer high-quality CPR for 2 minutes
7. Check rhythm
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[Pre-Assessment] Test with Verified Answers Graded A
Which is the primary goal and focus of post-
cardiac arrest care? - ANSWER - The healthcare provider notes that an infant
Preservation of neurologic function receiving post-cardiac arrest care has an
increase in temperature. The provider
understands treatment should be initiated if the
In children and infants, cardiac arrest most often temperature rises at least which amount above
arises from which complication? - normal? - ANSWER -1 degree increase
ANSWER -Respiratory failure
The healthcare provider understands that an
Which medications may be used in the cardiac ischemia/reperfusion response during post-
arrest care of a patient with a "shockable" cardiac arrest syndrome (PCAS) is similar to
rhythm? - ANSWER -1. Amiodarone which kind of shock? - ANSWER -Septic
2. Epinephrine
3. Magnesium Sulfate
4. Lidocaine Which ECG rhythm is identified in the following
image? - ANSWER -Polymorphic
ventricular tachycardia (torsades de pointes)
Which finding indicates adequate end-organ and looks like scribbed signature mountain/upside
tissue perfusion? - ANSWER -Urine output down mountains
greater than 1 mL/kg/h
The PALS team is actively attempting to
A patient admitted to the pediatric emergency resuscitate a 9-kg infant in cardiac arrest. The
department is in cardiac arrest. The rhythm on team leader instructs the monitor team member
the defibrillator monitor is ventricular fibrillation to administer a second defibrillation. How many
(VF). Which energy dose should the team leader joules should the team member administer? -
order to administer an initial shock? - ANSWER -36 joules:
ANSWER -2 J/kg
1. Activate emergency medical services, call a
pediatric "code blue", obtain AED or defibrillator
Which statement correctly describes the 2. Is the rhythm shockable?
completion of the primary assessment of a Rhythm IS shockable (ventricular fibrillation or
patient in cardiac arrest? - ANSWER -The unstable ventricular tachycardia)
primary assessment should be delayed in order 1. Administer shock at 2 Joules/kg
to provide prompt, life-saving measures. 2. Administer high-quality CPR for 2 minutes
3. Check rhythm
If not shockable, move to asystole/PEA rhythm
A healthcare provider suspects that protocol
hyperkalemia may be the cause of the patient's If shockable, continue
cardiac arrest. Which should the provider order 4. Administer shock at 4 Joules/kg
5. Administer epinephrine 0.01 mg/kg IV or 0.1
to confirm hyperkalemia? - ANSWER -
mg/kg per ETT every 3-5 minutes
Serum electrolyte panel
6. Administer high-quality CPR for 2 minutes
7. Check rhythm
1/3
