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PALS RED CROSS FINAL EXAM Questions and Correct Answers| Updated 2026

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This document contains a comprehensive collection of Pediatric Advanced Life Support (PALS) final exam questions with correct answers, aligned with Red Cross guidelines. It covers core topics such as pediatric cardiac arrest, respiratory distress and failure, shock, arrhythmias, post–cardiac arrest care, and high-quality CPR. The material is suitable for exam preparation, review, and certification renewal, reflecting updated standards through 2026.

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PALS RED CROSS FINAL EXAM
Questions and Correct Answers|
Updated 2026




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.

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