PALS - Red Cross Final Exam 2023
1. Laboratory tests are ordered for a child who has been vomiting for 3
days and is diaphoretic, tachypneic, lethargic and pale. Which test would
the provider use to determine the adequacy of oxygen delivery✔✔✔
Lactate
2. A provider is forming an initial impression of a child using the Pediatric
Assessment Triangle (PAT). During which step of the PAT may the provider
use the mnemonic TICLS to assess the patient✔✔✔ Appearance
3. 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
tachycar- dia
4. A 2-year-old child of unknown weight arrives at the emergency depart-
ment 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.
5. A 9-year-old patient is presenting with decreased breath sounds, brady-
cardia, slowed respiratory rate and a low O2 saturation level. The provider
interprets these findings as indicating which condition✔✔✔ Respiratory
failure
1/6
, 6. 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
7. An 8-year-old child being treated in the emergency department has sig-
nificant respiratory distress. The child also exhibits hives, wheezing, an-
gioedema, tachycardia and tachypnea. 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✔✔✔
Epinephrine
8. 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✔✔✔ Fifth intercostal space at midclavicular line, left
side
9. 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✔✔✔ At least 5
seconds, but no more than 10
2/6
1. Laboratory tests are ordered for a child who has been vomiting for 3
days and is diaphoretic, tachypneic, lethargic and pale. Which test would
the provider use to determine the adequacy of oxygen delivery✔✔✔
Lactate
2. A provider is forming an initial impression of a child using the Pediatric
Assessment Triangle (PAT). During which step of the PAT may the provider
use the mnemonic TICLS to assess the patient✔✔✔ Appearance
3. 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
tachycar- dia
4. A 2-year-old child of unknown weight arrives at the emergency depart-
ment 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.
5. A 9-year-old patient is presenting with decreased breath sounds, brady-
cardia, slowed respiratory rate and a low O2 saturation level. The provider
interprets these findings as indicating which condition✔✔✔ Respiratory
failure
1/6
, 6. 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
7. An 8-year-old child being treated in the emergency department has sig-
nificant respiratory distress. The child also exhibits hives, wheezing, an-
gioedema, tachycardia and tachypnea. 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✔✔✔
Epinephrine
8. 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✔✔✔ Fifth intercostal space at midclavicular line, left
side
9. 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✔✔✔ At least 5
seconds, but no more than 10
2/6
