Exam (elaborations)
PALS RED CROSS FINAL EXAM QUESTIONS WITH ACTUAL SOLUTIONS
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PALS RED CROSS FINAL EXAM QUESTIONS WITH ACTUAL SOLUTIONS
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PALS RED CROSS FINAL EXAMQUESTIONS WITH ACTUAL SOLUTIONS
A tt5-year-old ttchild ttwith tta tthistory ttof tta ttchronic ttneuromuscular ttdisease ttis
ttexperiencing ttrespiratory ttdistress. ttThe ttchild ttis ttbreathing ttspontaneously ttand
ttreceiving ttsupplemental ttoxygen. ttWhich ttadditional ttintervention ttis tta ttcritical
ttcomponent ttof ttairway ttmanagement ttfor ttthis ttpatient? tt- ttAnswer ttAirway ttclearance
tt(e.g., ttsuctioning)
A ttchild ttbeing ttcared ttfor ttin ttthe ttpediatric tttelemetry ttunit ttsuddenly ttdisplays ttthe
ttfollowing ttECG ttwaveform. ttThe ttprovider ttprepares ttto ttintervene ttbecause ttthe ttchild
ttis ttdemonstrating ttwhich tttype ttof ttarrhythmia? tt- ttAnswer ttSupraventricular
tttachycardia
A ttchild ttin ttcardiac ttarrest ttexperiences ttreturn ttof ttspontaneous ttcirculation ttbut ttis
ttexhibiting ttsigns ttof ttpost-cardiac ttarrest ttsyndrome tt(PCAS). ttThe ttPALS ttresuscitation
ttteam ttdetermines ttthat ttthe ttchild ttis ttexperiencing tta ttsystemic ttresponse ttto
ttischemia/reperfusion. ttThe ttteam ttbases ttthis ttdetermination tton ttwhich ttfinding(s)? tt-
ttAnswer ttHypotension, ttfever, tthyperglycemia
An tt11-year-old ttsoccer ttplayer ttis ttbrought ttto ttthe ttemergency ttdepartment. ttAfter tta
ttquick ttassessment, ttthe ttteam ttrealizes ttthis ttpatient ttis ttexperiencing tta ttsevere
ttasthma ttexacerbation. ttWhich ttmedication ttwould ttthe ttteam ttadminister ttimmediately?
tt- ttAnswer ttAlbuterol ttwith ttor ttwithout ttipratropium ttbromide
After ttROSC, tta ttchild ttis ttexperiencing ttpost-cardiac ttarrest tthypoperfusion. ttThe ttPALS
ttresuscitation ttteam ttwould ttadminister ttwhich ttelement ttto ttrestore ttintravascular
ttvolume ttand ttoptimize ttpreload? tt- ttAnswer ttIsotonic ttfluid ttboluses
A tt2-year-old ttchild ttof ttunknown ttweight ttarrives ttat ttthe ttemergency ttdepartment ttin
ttcardiac ttarrest. ttWhen ttpreparing ttto ttadminister ttmedications, ttwhich ttaction ttwould ttbe
ttappropriate ttfor ttthe ttteam ttto tttake? tt- ttAnswer ttEstimate ttweight ttusing tta ttlength-
based ttresuscitation tttape.
A tt4-year-old ttchild ttis ttbrought ttto ttthe ttemergency ttdepartment ttby ttthe ttparents.
ttAssessment ttreveals ttthat ttthe ttchild tthas ttonly ttgasping ttrespirations ttand ttthe ttpulse
ttrate ttis tt65 ttbeats ttper ttminute. ttWhich ttaction ttwould ttthe ttprovider ttinitiate ttfirst? tt-
ttAnswer ttDeliver tt1 ttBVM ttventilation ttevery tt2 ttto tt3 ttseconds.
The ttPALS ttteam ttleader ttis ttconducting tta ttdebriefing ttsession ttwith ttthe ttteam. ttWhich
tttopic(s) ttwould ttthe ttteam ttleader ttmost ttlikely ttaddress ttduring ttthe ttsession? tt-
ttAnswer ttDiscussion ttof ttthe ttpros ttand ttcons ttof ttthe ttinterventions
, Evaluation ttof ttthe ttobjective ttdata ttgathered ttduring ttthe ttevent, ttSummary ttof ttthe
ttevent, ttincluding ttwhat ttactions ttwere tttaken, ttIdentification ttof ttways ttto ttimprove
The ttPALS ttresuscitation ttteam ttnotes ttthe ttfollowing ttECG ttwaveform ttand ttthe ttchild
ttdoes ttnot tthave tta ttpulse. ttThe ttteam ttprepares ttto ttintervene ttto ttaddress ttwhich
ttarrhythmia? tt- ttAnswer ttTorsades ttde ttpointes
What ttis ttthe ttcorrect ttIV/IO ttdose ttof ttepinephrine ttfor tta ttpediatric ttpatient ttin ttcardiac
ttarrest? tt- ttAnswer tt0.01 ttmg/kg ttevery tt3 ttto tt5 ttmin tt(max ttsingle ttdose tt1 ttmg)
Assessment ttof tta tt3-month-old ttinfant ttadmitted ttwith ttrespiratory ttdistress ttreveals
ttfever, ttgrunting ttand tta ttwet, tt"junky" ttcough. ttThe ttinfant's ttparents ttsaid ttthe ttchild
tthad tta ttrecent ttrespiratory ttinfection ttwith tta ttfever. ttA ttrapid ttrespiratory ttsyncytial ttvirus
tt(RSV) tttest ttis ttpositive. ttWhich ttcondition ttwould ttthe ttprovider ttmost ttlikely ttsuspect
ttas ttthe ttcause? tt- ttAnswer ttBronchiolitis
A ttchild ttis ttexperiencing ttsupraventricular tttachycardia tt(SVT) ttwith ttadequate
ttperfusion ttand ttis ttto ttreceive tttreatment. ttWhich ttinitial tttreatment ttwould ttthe ttprovider
ttadminister? tt- ttAnswer ttVagal ttmaneuvers
A tthealthcare ttprovider ttnotices ttpetechiae tton ttthe ttarms ttand ttlegs ttwhile ttperforming
tta ttrapid ttskin ttassessment ttof tta ttchild ttwith tta tthigh ttfever ttand ttrespiratory ttdistress.
ttBased tton ttthis ttassessment, ttwhich ttcondition ttshould ttthe ttprovider ttconsider? tt-
ttAnswer ttLife-threatening ttsystemic ttinfection
A tt7-year-old ttpatient ttwith ttseptic ttshock tthas ttreceived ttthree ttbalanced/buffered
ttcrystalloid ttfluid ttboluses tt(60-mL/kg) ttand ttreassessment ttreveals ttcapillary ttrefill ttof tt3
ttseconds, ttdiminished ttpulses, ttnarrow ttpulse ttpressure ttand ttcool, ttmottled ttextremities.
ttThe ttemergency ttresponse ttteam ttinterprets ttthese ttfindings ttas ttindicating ttwhich tttype
ttof ttseptic ttshock? tt- ttAnswer ttFluid-refractory
A tt30-month ttold ttchild tthas ttbeen ttdiagnosed ttwith ttmoderate ttcroup. ttWhich
ttmedication(s) ttwould ttthe ttprovider ttadminister? tt- ttAnswer ttNebulized ttepinephrine,
ttCorticosteroids
A ttchild ttexhibiting tta ttnarrow-complex tttachycardia ttwith ttadequate ttperfusion ttis ttto
ttreceive ttadenosine. ttThe ttprovider ttwould ttbe ttalert ttfor ttwhich ttresult ttafter
ttadministering ttthis ttmedication? tt- ttAnswer ttTransient ttasystole
A ttchild ttexperiencing ttbradycardia ttwith ttinadequate ttperfusion ttdespite ttsupporting
ttoxygenation ttand ttventilation ttis ttreceiving ttcompressions. ttDespite ttthese ttefforts, ttthe
ttchild's ttstatus ttremains ttunchanged. ttWhich ttmedication ttwould ttthe ttemergency
ttresponse ttteam ttexpect ttto ttadminister ttnext? tt- ttAnswer ttEpinephrine
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