PALS FINAL RED CROSS EXAM 2025
QUESTIONS AND ANSWERS
A 4-month old infant is brought to the emergency department in cardiac arrest. Which condition
would the team identify as the most common cause of cardiac arrest in an infant of this age? -
ANSWER✔✔-sudden infant death syndrome is the most common cause in infants younger than 6
months of age.
The PALS resuscitation team is providing care to an intubated child in cardiac arrest. Which result
best determines the adequacy of the team's chest compressions? - ANSWER✔✔-End-tidal carbon
dioxide level between 15 and 20 mmHg
The emergency response team is providing care to a preschooler who is experiencing shock. Which
therapeutic goal, common to all types of shock, does the team work to achieve? - ANSWER✔✔-
The primary therapeutic goal in shock, regardless of cause, is to restore a favorable balance between
oxygen delivery and oxygen demand.
A 9-year-old child is brought to the emergency department because the child suddenly collapsed at
school. The child's ECG reveals the following waveform, and primary assessment findings indicate
that the child is hemodynamically unstable. Which primary assessment findings indicate this? -
ANSWER✔✔-Decreased level of consciousness, Hypotension, Difficulty breathing, Mottling
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, A child is experiencing shock. The emergency response team prepares for imminent cardiac arrest
when assessment reveals which finding(s)? - ANSWER✔✔-Hypotension, Bradycardia, Diminished
central pulses
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 first? - ANSWER✔✔-Albuterol plus ipratropium bromide
The PALS team is providing post-cardiac arrest care to an 8-year-old child in the pediatric intensive
care unit. Which intervention would the team implement to achieve the primary goal of post-cardiac
arrest care? - ANSWER✔✔-Ensuring adequate mean arterial pressure
child in the pediatric intensive care unit displays the following ECG waveform and does not have a
palpable central pulse. The resuscitation team interprets this as which arrhythmia? - ANSWER✔✔-
pulseless ventricular tachycardia (pVT)
Which action would the PALS resuscitation team initiate to minimize increased intracranial pressure
after cardiac arrest? - ANSWER✔✔-Maintain the head in midline position with 30-degree elevation
A 4-year-old child suddenly collapses in the playroom of the facility. A healthcare provider observes
the event and hurries over to assess the child. The healthcare provider completes which assessment
first? - ANSWER✔✔-Rapid assessment
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? -
ANSWER✔✔-Appearance
FOR STUDY PURPOSES ONLY COPYRIGHT © 2025 ALL RIGHTS RESERVED 2
QUESTIONS AND ANSWERS
A 4-month old infant is brought to the emergency department in cardiac arrest. Which condition
would the team identify as the most common cause of cardiac arrest in an infant of this age? -
ANSWER✔✔-sudden infant death syndrome is the most common cause in infants younger than 6
months of age.
The PALS resuscitation team is providing care to an intubated child in cardiac arrest. Which result
best determines the adequacy of the team's chest compressions? - ANSWER✔✔-End-tidal carbon
dioxide level between 15 and 20 mmHg
The emergency response team is providing care to a preschooler who is experiencing shock. Which
therapeutic goal, common to all types of shock, does the team work to achieve? - ANSWER✔✔-
The primary therapeutic goal in shock, regardless of cause, is to restore a favorable balance between
oxygen delivery and oxygen demand.
A 9-year-old child is brought to the emergency department because the child suddenly collapsed at
school. The child's ECG reveals the following waveform, and primary assessment findings indicate
that the child is hemodynamically unstable. Which primary assessment findings indicate this? -
ANSWER✔✔-Decreased level of consciousness, Hypotension, Difficulty breathing, Mottling
FOR STUDY PURPOSES ONLY COPYRIGHT © 2025 ALL RIGHTS RESERVED 1
, A child is experiencing shock. The emergency response team prepares for imminent cardiac arrest
when assessment reveals which finding(s)? - ANSWER✔✔-Hypotension, Bradycardia, Diminished
central pulses
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 first? - ANSWER✔✔-Albuterol plus ipratropium bromide
The PALS team is providing post-cardiac arrest care to an 8-year-old child in the pediatric intensive
care unit. Which intervention would the team implement to achieve the primary goal of post-cardiac
arrest care? - ANSWER✔✔-Ensuring adequate mean arterial pressure
child in the pediatric intensive care unit displays the following ECG waveform and does not have a
palpable central pulse. The resuscitation team interprets this as which arrhythmia? - ANSWER✔✔-
pulseless ventricular tachycardia (pVT)
Which action would the PALS resuscitation team initiate to minimize increased intracranial pressure
after cardiac arrest? - ANSWER✔✔-Maintain the head in midline position with 30-degree elevation
A 4-year-old child suddenly collapses in the playroom of the facility. A healthcare provider observes
the event and hurries over to assess the child. The healthcare provider completes which assessment
first? - ANSWER✔✔-Rapid assessment
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? -
ANSWER✔✔-Appearance
FOR STUDY PURPOSES ONLY COPYRIGHT © 2025 ALL RIGHTS RESERVED 2
