PALS RED CROSS FINAL EXAM QUESTIONS
AND ANSWERS UPDATED VERSION 2023
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? - Correct Answer Allowing the chest to recoil fully after each compression, Giving
- ventilations to every 15 compressions, Providing ventilations that last about 1 second
each, Compressing the chest about 2 inches
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 diagnosis would the provider most likely suspect?Select the correct Correct Answer to this - Correct Answer Croup
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.
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? - Correct Answer sudden infant death syndrome is the most common cause in infants younger than 6 months of age.
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? - Correct Answer Deliver 1 BVM ventilation every 3 to 5 seconds
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? - Correct Answer Rapid assessment
A 4-year-old patient presents with tachycardia, tachypnea, cold extremities and weak pulses. Assessment also reveals an enlarged liver and neck vein distension. The provider interprets these assessment findings as suggesting which type of shock? - Correct Answer cardiogenic shock
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
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A 6-year-old child is brought to the emergency department. The child has been experiencing extremely watery stools over the past several days. After completing the assessment, the healthcare provider suspects that the child may be experiencing shock.Which type of shock would the provider most likely suspect? - Correct Answer Hypovolemic shock
A 6-year-old patient is brought to the emergency department after a bicycle accident.Assessment reveals tracheal deviation to the left side, chest pain on inspiration and decreased breath sounds on the right side. The provider suspects obstructive shock caused by what condition? - Correct Answer Tension pneumothorax
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? - Correct Answer 100 to 120 compressions per minute at a depth of about 2 inches
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? - Correct Answer Decreased level of consciousness, Hypotension, Difficulty breathing, Mottling
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? - Correct Answer Respiratory failure
A 10-year-old child has collapsed in the gym of the elementary school. The school nurse arrives and determines that the child is unresponsive. The school nurse then simultaneously checks for breathing and a central pulse, limiting this assessment to which time frame? - Correct Answer 5 seconds, but no more than 10.
A 12-lead ECG is ordered for a child complaining of a "racing heart." When placing the electrodes on the child, at which location would the lead for V4 be placed? - Correct Answer fifth intercostal space at the midclavicular line on the patient's left side.
A 12-year-old child being evaluated in the pediatric intensive care unit displays the following ECG waveform. The team interprets this as which arrhythmia? - Correct Answer Second-degree atrioventricular (AV) block, type I
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? - Correct Answer Sinus tachycardia
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