PALS RED CROSS
PALS RED CROSS FINAL EXAM 2025
A 5-year-old child with a history of a chronic neuromuscular disease is experiencing
respiratory distress. The child is breathing spontaneously and receiving supplemental
oxygen. Which additional intervention is a critical component of airway management for
this patient? -Correct Answer ✔Airway clearance (e.g., suctioning)
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? -Correct Answer ✔Supraventricular tachycardia
A child in cardiac arrest experiences return of spontaneous circulation but is exhibiting
signs of post-cardiac arrest syndrome (PCAS). The PALS resuscitation team determines
that the child is experiencing a systemic response to ischemia/reperfusion. The team
bases this determination on which finding(s)? -Correct Answer ✔Hypotension, fever,
hyperglycemia
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 immediately? -Correct Answer ✔Albuterol
with or without ipratropium bromide
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? -Correct Answer ✔Isotonic fluid boluses
A 2-year-old child of unknown weight arrives at the emergency department in cardiac
arrest. When preparing to administer medications, which action would be appropriate
for the team to take? -Correct Answer ✔Estimate weight using a length-based
resuscitation tape.
PALS RED CROSS
, PALS RED CROSS
A 4-year-old child is brought to the emergency department by the parents. Assessment
reveals that the child has only gasping respirations and the pulse rate is 65 beats per
minute. Which action would the provider initiate first? -Correct Answer ✔Deliver 1 BVM
ventilation every 2 to 3 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? -Correct Answer
✔Discussion of the pros and cons of the interventions
Evaluation of the objective data gathered during the event, Summary of the event,
including what actions were taken, Identification of ways to improve
The PALS resuscitation team notes the following ECG waveform and the child does not
have a pulse. The team prepares to intervene to address which arrhythmia? -Correct
Answer ✔Torsades de pointes
What is the correct IV/IO dose of epinephrine for a pediatric patient in cardiac arrest? -
Correct Answer ✔0.01 mg/kg every 3 to 5 min (max single dose 1 mg)
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? -Correct Answer
✔Bronchiolitis
A child is experiencing supraventricular tachycardia (SVT) with adequate perfusion and is
to receive treatment. Which initial treatment would the provider administer? -Correct
Answer ✔Vagal maneuvers
A healthcare provider notices petechiae on the arms and legs while performing a rapid
skin assessment of a child with a high fever and respiratory distress. Based on this
PALS RED CROSS
PALS RED CROSS FINAL EXAM 2025
A 5-year-old child with a history of a chronic neuromuscular disease is experiencing
respiratory distress. The child is breathing spontaneously and receiving supplemental
oxygen. Which additional intervention is a critical component of airway management for
this patient? -Correct Answer ✔Airway clearance (e.g., suctioning)
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? -Correct Answer ✔Supraventricular tachycardia
A child in cardiac arrest experiences return of spontaneous circulation but is exhibiting
signs of post-cardiac arrest syndrome (PCAS). The PALS resuscitation team determines
that the child is experiencing a systemic response to ischemia/reperfusion. The team
bases this determination on which finding(s)? -Correct Answer ✔Hypotension, fever,
hyperglycemia
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 immediately? -Correct Answer ✔Albuterol
with or without ipratropium bromide
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? -Correct Answer ✔Isotonic fluid boluses
A 2-year-old child of unknown weight arrives at the emergency department in cardiac
arrest. When preparing to administer medications, which action would be appropriate
for the team to take? -Correct Answer ✔Estimate weight using a length-based
resuscitation tape.
PALS RED CROSS
, PALS RED CROSS
A 4-year-old child is brought to the emergency department by the parents. Assessment
reveals that the child has only gasping respirations and the pulse rate is 65 beats per
minute. Which action would the provider initiate first? -Correct Answer ✔Deliver 1 BVM
ventilation every 2 to 3 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? -Correct Answer
✔Discussion of the pros and cons of the interventions
Evaluation of the objective data gathered during the event, Summary of the event,
including what actions were taken, Identification of ways to improve
The PALS resuscitation team notes the following ECG waveform and the child does not
have a pulse. The team prepares to intervene to address which arrhythmia? -Correct
Answer ✔Torsades de pointes
What is the correct IV/IO dose of epinephrine for a pediatric patient in cardiac arrest? -
Correct Answer ✔0.01 mg/kg every 3 to 5 min (max single dose 1 mg)
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? -Correct Answer
✔Bronchiolitis
A child is experiencing supraventricular tachycardia (SVT) with adequate perfusion and is
to receive treatment. Which initial treatment would the provider administer? -Correct
Answer ✔Vagal maneuvers
A healthcare provider notices petechiae on the arms and legs while performing a rapid
skin assessment of a child with a high fever and respiratory distress. Based on this
PALS RED CROSS
