PALS RED CROSS FINAL EXAM
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? - 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? - 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)? -
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? - 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? - 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? - Estimate weight using a length-based resuscitation tape.
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? - 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? - 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? -
Torsades de pointes
