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2025/2026

Institution PALS RED CROSS

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PALS ALL QUESTIONS AND CORRECT ANSWERS

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PALS ALL QUESTIONS AND CORRECT
ANSWERS

YouA2areA2caringA2forA2aA2childA2whoA2wasA2resuscitatedA2afterA2aA2drowningA2event.A2Th
eA2childA2isA2intubatedA2andA2ventilatedA2withA2100%A2oxygenA2withA2equalA2breathA2soun
dsA2andA2exhaledA2CO2A2detected.A2TheA2heartA2rateA2isA2slowA2andA2theA2monitorA2show
sA2sinusA2bradycardia.A2TheA2skinA2isA2cool,A2mottled,A2andA2moist;A2distalA2pulsesA2areA2
notA2palpableA2andA2theA2centralA2pulsesA2areA2weak.A2IntravenousA2accessA2hasA2beenA2
established.A2TheA2coreA2temperatureA2isA237.3oC.A2BasedA2onA2theA2PALSA2bradycardia
A2algorithm,A2whichA2ofA2theA2followingA2shouldA2beA2providedA2first?

EpinephrineA2IV
TranscutaneousA2pacing
AtropineA2IV
DobutamineA2IVA2infusionA2-A2Ans--EpinephrineA2IV

YouA2areA2caringA2forA2aA25-year-
oldA2patientA2withA2supraventricularA2tachycardiaA2(heartA2rateA2=A2220/
min).A2TheA2childA2isA2lethargic.A2TheA2skinA2isA2paleA2andA2coolA2withA2delayedA2capillary
A2refill.A2DistalA2pulsesA2areA2notA2palpable.A2WhichA2ofA2theA2followingA2wouldA2beA2theA2b
estA2treatmentA2toA2provideA2withoutA2delay?

PlaceA2coldA2packsA2onA2theA2distalA2upperA2andA2lowerA2extremities
AskA2theA2childA2toA2blowA2throughA2aA2smallA2straw
ExertA2lightA2pressureA2onA2theA2eyesA2bilaterally
ProvideA2synchronizedA2cardioversionA2atA20.5A2toA21A2J/kgA2-A2Ans--
ProvideA2synchronizedA2cardioversionA2atA20.5A2toA21A2J/kg

YouA2areA2initiatingA2treatmentA2forA2aA2childA2withA2septicA2shockA2andA2hypotension.A2W
hileA2administeringA2high-
flowA2oxygenA2youA2determineA2thatA2theA2child'sA2respirationsA2areA2adequateA2andA2Sp
O2A2isA2100%.A2YouA2haveA2justA2establishedA2vascularA2accessA2andA2obtainedA2bloodA2
samples.A2WhichA2ofA2theA2followingA2isA2theA2nextA2mostA2appropriateA2therapyA2toA2sup
portA2systemicA2perfusion?

AdministerA2repeatedA2fluidA2bolusesA2ofA2isotonicA2colloid
AdministerA2repeatedA2fluidA2bolusesA2ofA2isotonicA2crystalloid
BeginA2immediateA2dopamineA2infusion
BeginA2immediateA2dobutamineA2infusionA2-A2Ans--
AdministerA2repeatedA2fluidA2bolusesA2ofA2isotonicA2crystalloid

YouA2areA2treatingA2anA28-year-
oldA2withA2ventricularA2tachycardiaA2withA2pulsesA2andA2adequateA2perfusion.A2YouA2atte

, mptedA2synchronizedA2cardioversionA2withoutA2success.A2WhileA2seekingA2expertA2consul
tation,A2itA2wouldA2beA2mostA2appropriateA2to:

AdministerA2aA2loadingA2doseA2ofA2milrinone
ConsiderA2possibleA2metabolicA2andA2toxicologicA2causes
InitiateA2overdriveA2pacingA2transcutaneously
DeliverA2anA2unsynchronizedA2shockA2-A2Ans--
ConsiderA2possibleA2metabolicA2andA2toxicologicA2causes

YouA2areA2caringA2forA2aA22-year-
oldA2unconsciousA2patientA2whoA2isA2intubatedA2andA2receivingA2mechanicalA2ventilation.A
2TheA2child'sA2heartA2rateA2suddenlyA2dropsA2toA240/
minA2andA2hisA2colorA2becomesA2mottled.A2YouA2shouldA2respondA2toA2theseA2changesA2b
y:

IncreasingA2theA2ventilatorA2rate
IncreasingA2tidalA2volume
IncreasingA2positiveA2end-expiratoryA2pressureA2(PEEP)
UsingA2aA2resuscitationA2bagA2provideA2manualA2ventilationA2withA2100%A2oxygenA2-
A2Ans--UsingA2aA2resuscitationA2bagA2provideA2manualA2ventilationA2withA2100%A2oxygen

YouA2areA2caringA2forA2aA29-month-
oldA2patientA2withA2pronouncedA2respiratoryA2distress.A2YouA2initiatedA2high-
flowA2oxygenA2usingA2aA2nonrebreathingA2maskA2aboutA210A2minutesA2agoA2andA2establis
hedA2intravenousA2access.A2InitiallyA2theA2infant'sA2heartA2rateA2wasA2inA2theA2150/
minA2rangeA2withA2strongA2pulses.A2SuddenlyA2theA2infant'sA2respiratoryA2rateA2fallsA2toA26
/
minA2withA2significantA2intercostalsA2retractions,A2andA2littleA2airA2movementA2isA2heard.A2
TheA2infantA2becomesA2cyanoticA2andA2theA2heartA2rateA2decreasesA2toA295/
min.A2WhichA2ofA2theA2followingA2treatmentsA2wouldA2beA2bestA2forA2youA2toA2provideA2no
w?

AdministerA2epinephrineA2IV
ProvideA2bag-maskA2ventilation
AdministerA2magnesiumA2sulfateA2IV
IntubateA2andA2ventilateA2-A2Ans--ProvideA2bag-maskA2ventilation

WhichA2ofA2theA2followingA2isA2likelyA2toA2beA2theA2mostA2helpfulA2techniqueA2toA2identifyA2
potentiallyA2reversibleA2metabolicA2andA2toxicA2causesA2duringA2theA2attemptedA2resuscit
ationA2ofA2aA2youngA2childA2inA2cardiacA2arrest?

ObtainingA2aA2urineA2sampleA2forA2toxicologyA2screen
ObtainingA2chestA2andA2abdominalA2radiographs
SolicitingA2aA2historyA2fromA2theA2caregiverA2orA2family
ObtainingA2aA2venousA2bloodA2gasA2-A2Ans--
SolicitingA2aA2historyA2fromA2theA2caregiverA2orA2family

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