PALS FINAL RED CROSS Exam Questions
With Verified Answers
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.
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