1
PALS RED CROSS FINAL EXAM
QUESTIONS WITH SOLUTIONS
2026/2027
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
A 6-year-old patient is brought to the emergency department after a bicycle
accident. Assessment reveals chest pain on inspiration, diminished breath sounds
on the right side, and respiratory distress. The provider suspects obstructive
shock caused by what condition? - correct-answer - Tension pneumothorax
, 2
An unresponsive 7-year-old child with no pulse is brought to the pediatric urgent
care center by his parents and CPR is initiated. The cardiac monitor reveals
ventricular fibrillation. Which action would the PALS team take first? - correct-
answer - Initiate defibrillation with 2 J/kg.
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
While performing a rapid assessment and formulating an initial impression using
the Pediatric Assessment Triangle (PAT), the provider assesses the child's
circulation. Which information would be important to consider? - correct-answer -
Flushing of the skin
Evidence of bleeding
Skin pallor (or gray/dusky color)
, 3
The PALS resuscitation team is providing care to an intubated child in cardiac
arrest. Which of the following can be used to monitor the adequacy of the team's
chest compressions? - correct-answer - End-tidal carbon dioxide levels
Presence of an arterial waveform or arterial blood pressure in patients with
indwelling arterial catheters
An 8-year-old child being treated in the emergency department has significant
respiratory distress. The child also exhibits hives, wheezing, angioedema,
tachycardia and dyspnea. The parents state that the child, who is allergic to
peanuts, had eaten some popcorn that had peanuts in it. The team initiates care,
preparing to administer which agent first? - correct-answer - Epinephrine
A provider is assessing a child with suspected shock. Which statement correctly
describes hypotension and shock? - correct-answer - Hypotension is not a
consistent feature of shock presentation in children.
PALS RED CROSS FINAL EXAM
QUESTIONS WITH SOLUTIONS
2026/2027
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
A 6-year-old patient is brought to the emergency department after a bicycle
accident. Assessment reveals chest pain on inspiration, diminished breath sounds
on the right side, and respiratory distress. The provider suspects obstructive
shock caused by what condition? - correct-answer - Tension pneumothorax
, 2
An unresponsive 7-year-old child with no pulse is brought to the pediatric urgent
care center by his parents and CPR is initiated. The cardiac monitor reveals
ventricular fibrillation. Which action would the PALS team take first? - correct-
answer - Initiate defibrillation with 2 J/kg.
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
While performing a rapid assessment and formulating an initial impression using
the Pediatric Assessment Triangle (PAT), the provider assesses the child's
circulation. Which information would be important to consider? - correct-answer -
Flushing of the skin
Evidence of bleeding
Skin pallor (or gray/dusky color)
, 3
The PALS resuscitation team is providing care to an intubated child in cardiac
arrest. Which of the following can be used to monitor the adequacy of the team's
chest compressions? - correct-answer - End-tidal carbon dioxide levels
Presence of an arterial waveform or arterial blood pressure in patients with
indwelling arterial catheters
An 8-year-old child being treated in the emergency department has significant
respiratory distress. The child also exhibits hives, wheezing, angioedema,
tachycardia and dyspnea. The parents state that the child, who is allergic to
peanuts, had eaten some popcorn that had peanuts in it. The team initiates care,
preparing to administer which agent first? - correct-answer - Epinephrine
A provider is assessing a child with suspected shock. Which statement correctly
describes hypotension and shock? - correct-answer - Hypotension is not a
consistent feature of shock presentation in children.
