AMERICAN RED CROSS-PALS-FINAL
EXAM 50 QUESTIONS AND ANSWERS
A child experiencing bradycardia with inadequate perfusion despite supporting oxygenation and
ventilation is receiving compressions. Despite these efforts, the child's status remains
unchanged. Which medication would the emergency response team expect to administer next?
- answer Epinephrine
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
After ROSC, a child is experiencing post-cardiac arrest hypoperfusion. The PALS resuscitation
team would administer which element to restore intravascular volume and optimize preload? -
answer Isotonic fluid boluses
A 30-month old child has been diagnosed with moderate croup. Which medication(s) would the
provider administer? - answer -Nebulized epinephrine
-Corticosteroids
A 2-year-old child is brought to the pediatric urgent care clinic by the parent who says that the
child has had a barking cough for two days. During the rapid assessment of the child, the
provider hears audible inspiratory stridor. Which common cause of partial upper airway
obstruction in children would the provider most likely suspect? - answer Croup
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)
, 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.
What is considered inadequate perfusion when assessing/caring for a pediatric patient with an
arrhythmia? - answer -Acutely altered mental status
-Diminished peripheral pulses
-Hypotension
A 2-year-old child arrives at the emergency department with the parents. The child is
unresponsive, is not breathing and has no pulse. Two emergency department providers begin
high-quality CPR. Which action(s) by the providers demonstrates high-quality CPR? - answer -
Providing ventilations that last about 1 second each
-Compressing the chest about 2 inches
-Giving 2 ventilations to every 15 compressions
-Allowing the chest to recoil fully after each compression
A provider is caring for a 4-year-old child in the urgent care clinic. Primary assessment reveals
difficulty breathing and an oxygen saturation of 91%. The provider administers oxygen by nasal
cannula with the goal of improving the child's oxygen saturation to what percentage range? -
answer 94% to 99%
A 7-year-old child collapses on the playground at school. The school nurse is called to the scene
and determines that the child is unresponsive and is not breathing and has no pulse. The nurse
initiates CPR. At what rate and depth would the nurse deliver compressions to this child? -
answer 100 to 120 compressions per minute at a depth of about 2 inches
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
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