Red Cross PALS Final Mock Exam 2026 | Trusted
Questions & Answers
1. What is a common response in infants after cardiac arrest that healthcare
providers should monitor?
Decrease in respiratory rate
Increase in temperature
Increase in blood pressure
Decrease in heart rate
2. Vagal maneuvers are appropriately used as an initial therapy for which
cardiac arrhythmia?
Supraventricular tachycardia (SVT) with adequate perfusion.
Supraventricular tachycardia (SVT) with inadequate perfusion
Ventricular tachycardia (VT) with adequate perfusion
Ventricular tachycardia (VT) with inadequate perfusion
3. What is the preferred hand position for single-provider CPR on an infant?
The heel of one hand on the sternum
Two fingers just below the nipple line
Both hands encircling the chest
One hand on the forehead
4. If a patient with regular, monomorphic wide-complex tachycardia does not
respond to adenosine, what would be the next appropriate step in
management?
Increase the dose of adenosine
, Switch to a beta-blocker
Consider administering amiodarone
Initiate cardioversion immediately
5. A patient develops ventricular fibrillation. The team prepares to shock the
patient immediately. Depending on the brand of their defibrillator, their initial
defibrillation should be delivered at?
120 to 200 J
50 to 100 J
200 to 300 J
300 to 360 J
6. Which of the following conditions might tachypnea be suggesting?
Pneumonia
Pain
Asthma
All of the above
7. Describe the role of albuterol in managing a moderate asthma exacerbation
in children.
Albuterol acts as a bronchodilator, relaxing the muscles in the
airways to improve breathing.
Albuterol increases mucus production to clear the airways.
Albuterol reduces inflammation in the lungs to prevent asthma attacks.
Albuterol is an antibiotic used to treat respiratory infections.
,8. What is the primary goal of post-cardiac arrest care?
To increase heart rate
To reduce blood pressure
To prevent infection
To optimize neurological recovery
9. A Mother presents to the GP clinic with a young child who has been
wheezing throughout the night. Which of the following is a sign of Respiratory
Distress in a child?
Pruritus
Tachycardia
Tachypnea
Atrophy
10. Describe the importance of checking for responsiveness in an unresponsive
patient during a rapid assessment.
It allows the provider to assess the patient's breathing rate.
Checking for responsiveness helps determine the patient's level of
consciousness and guides further interventions.
It is a way to confirm the patient's identity.
It helps in evaluating the patient's pain tolerance.
11. If a 4-year-old child is not responding and requires CPR, what adjustments
should be made when using a BVM compared to an adult?
Use a smaller mask and deliver gentler breaths.
Use the same size mask as for adults and apply more pressure.
, Skip the BVM and only perform chest compressions.
Increase the volume of air delivered with each breath.
12. Indicators of adequate tissue perfusion include:
Increased lactate
Capillary refill time more than four seconds
Pulse ox below 90%
Urine Output above one ml/kg per hour
13. Describe the importance of using pediatric AED pads for certain children.
Pediatric AED pads are designed to deliver a lower energy dose
suitable for younger children, reducing the risk of injury.
Pediatric AED pads are used to increase the shock delivered to older
children.
Pediatric AED pads are only necessary for infants under 1 year old.
Pediatric AED pads are the same as adult pads and can be used
interchangeably.
14. Describe how collaboration among team members enhances the
performance of a PALS team.
Collaboration only benefits larger teams.
Collaboration leads to confusion and delays in decision-making.
Collaboration is unnecessary if each member is skilled.
Collaboration among team members fosters trust and improves
problem-solving capabilities.
Questions & Answers
1. What is a common response in infants after cardiac arrest that healthcare
providers should monitor?
Decrease in respiratory rate
Increase in temperature
Increase in blood pressure
Decrease in heart rate
2. Vagal maneuvers are appropriately used as an initial therapy for which
cardiac arrhythmia?
Supraventricular tachycardia (SVT) with adequate perfusion.
Supraventricular tachycardia (SVT) with inadequate perfusion
Ventricular tachycardia (VT) with adequate perfusion
Ventricular tachycardia (VT) with inadequate perfusion
3. What is the preferred hand position for single-provider CPR on an infant?
The heel of one hand on the sternum
Two fingers just below the nipple line
Both hands encircling the chest
One hand on the forehead
4. If a patient with regular, monomorphic wide-complex tachycardia does not
respond to adenosine, what would be the next appropriate step in
management?
Increase the dose of adenosine
, Switch to a beta-blocker
Consider administering amiodarone
Initiate cardioversion immediately
5. A patient develops ventricular fibrillation. The team prepares to shock the
patient immediately. Depending on the brand of their defibrillator, their initial
defibrillation should be delivered at?
120 to 200 J
50 to 100 J
200 to 300 J
300 to 360 J
6. Which of the following conditions might tachypnea be suggesting?
Pneumonia
Pain
Asthma
All of the above
7. Describe the role of albuterol in managing a moderate asthma exacerbation
in children.
Albuterol acts as a bronchodilator, relaxing the muscles in the
airways to improve breathing.
Albuterol increases mucus production to clear the airways.
Albuterol reduces inflammation in the lungs to prevent asthma attacks.
Albuterol is an antibiotic used to treat respiratory infections.
,8. What is the primary goal of post-cardiac arrest care?
To increase heart rate
To reduce blood pressure
To prevent infection
To optimize neurological recovery
9. A Mother presents to the GP clinic with a young child who has been
wheezing throughout the night. Which of the following is a sign of Respiratory
Distress in a child?
Pruritus
Tachycardia
Tachypnea
Atrophy
10. Describe the importance of checking for responsiveness in an unresponsive
patient during a rapid assessment.
It allows the provider to assess the patient's breathing rate.
Checking for responsiveness helps determine the patient's level of
consciousness and guides further interventions.
It is a way to confirm the patient's identity.
It helps in evaluating the patient's pain tolerance.
11. If a 4-year-old child is not responding and requires CPR, what adjustments
should be made when using a BVM compared to an adult?
Use a smaller mask and deliver gentler breaths.
Use the same size mask as for adults and apply more pressure.
, Skip the BVM and only perform chest compressions.
Increase the volume of air delivered with each breath.
12. Indicators of adequate tissue perfusion include:
Increased lactate
Capillary refill time more than four seconds
Pulse ox below 90%
Urine Output above one ml/kg per hour
13. Describe the importance of using pediatric AED pads for certain children.
Pediatric AED pads are designed to deliver a lower energy dose
suitable for younger children, reducing the risk of injury.
Pediatric AED pads are used to increase the shock delivered to older
children.
Pediatric AED pads are only necessary for infants under 1 year old.
Pediatric AED pads are the same as adult pads and can be used
interchangeably.
14. Describe how collaboration among team members enhances the
performance of a PALS team.
Collaboration only benefits larger teams.
Collaboration leads to confusion and delays in decision-making.
Collaboration is unnecessary if each member is skilled.
Collaboration among team members fosters trust and improves
problem-solving capabilities.
