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PALS – RED CROSS FINAL EXAM CORRECT
FINAL EXAM ALL COMPLETE 300 QUESTIONS
WITH DETAILED SOLUTIONS JUST RELEASED
THIS YEAR
PALS – RED CROSS FINAL EXAM
300 RANDOMIZED QUESTIONS WITH ANSWERS & RATIONALES
Exam Coverage Summary: The American Red Cross Pediatric Advanced Life Support (PALS) Final
Exam tests knowledge of pediatric assessment, respiratory emergencies, shock recognition and
management, cardiac arrhythmias, cardiac arrest algorithms, post-cardiac arrest care, and team
dynamics. Questions are scenario-based and aligned with the latest AHA, ILCOR, and Red Cross
r.25 guidelines.
1. A 6-month-old infant is unresponsive. You begin checking for breathing at the same time you
check for the infant's pulse. What is the maximum time you should spend when trying to
simultaneously check for breathing and palpate the infant's pulse before starting CPR?
A) 10 seconds
B) 15 seconds
C) 20 seconds
D) 1 minute
Answer: A
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You should check for breathing and pulse for no longer than 10 seconds before initiating CPR, as
delays can result in further deterioration.
2. 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?
A) Endotracheal intubation
B) Airway clearance (e.g., suctioning)
C) Chest physiotherapy
D) Bronchodilator administration
Answer: B
Airway clearance, such as suctioning, is a critical component of airway management for patients
with neuromuscular disease who cannot effectively clear their own airway.
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3. A child being cared for in the pediatric telemetry unit suddenly displays an ECG waveform
with a rapid, narrow-complex tachycardia. The provider prepares to intervene because the child
is demonstrating which type of arrhythmia?
A) Ventricular tachycardia
B) Atrial fibrillation
C) Supraventricular tachycardia
D) Sinus tachycardia
Answer: C
Supraventricular tachycardia is characterized by a rapid, narrow-complex tachycardia and
requires intervention when the patient is unstable.
4. 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)?
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A) Hypotension, fever, hyperglycemia
B) Hypertension, hypothermia, hypoglycemia
C) Tachycardia, tachypnea, hypoxemia
D) Bradycardia, hypotension, acidosis
Answer: A
Post-cardiac arrest syndrome is characterized by hypotension, fever, and hyperglycemia as part
of the systemic response to ischemia and reperfusion injury.
5. 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?
A) Albuterol with or without ipratropium bromide
B) Epinephrine
C) Methylprednisolone
D) Magnesium sulfate
Answer: A
4
SUCCESS!
PALS – RED CROSS FINAL EXAM CORRECT
FINAL EXAM ALL COMPLETE 300 QUESTIONS
WITH DETAILED SOLUTIONS JUST RELEASED
THIS YEAR
PALS – RED CROSS FINAL EXAM
300 RANDOMIZED QUESTIONS WITH ANSWERS & RATIONALES
Exam Coverage Summary: The American Red Cross Pediatric Advanced Life Support (PALS) Final
Exam tests knowledge of pediatric assessment, respiratory emergencies, shock recognition and
management, cardiac arrhythmias, cardiac arrest algorithms, post-cardiac arrest care, and team
dynamics. Questions are scenario-based and aligned with the latest AHA, ILCOR, and Red Cross
r.25 guidelines.
1. A 6-month-old infant is unresponsive. You begin checking for breathing at the same time you
check for the infant's pulse. What is the maximum time you should spend when trying to
simultaneously check for breathing and palpate the infant's pulse before starting CPR?
A) 10 seconds
B) 15 seconds
C) 20 seconds
D) 1 minute
Answer: A
1
SUCCESS!
,Page 2 of 183
You should check for breathing and pulse for no longer than 10 seconds before initiating CPR, as
delays can result in further deterioration.
2. 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?
A) Endotracheal intubation
B) Airway clearance (e.g., suctioning)
C) Chest physiotherapy
D) Bronchodilator administration
Answer: B
Airway clearance, such as suctioning, is a critical component of airway management for patients
with neuromuscular disease who cannot effectively clear their own airway.
2
SUCCESS!
,Page 3 of 183
3. A child being cared for in the pediatric telemetry unit suddenly displays an ECG waveform
with a rapid, narrow-complex tachycardia. The provider prepares to intervene because the child
is demonstrating which type of arrhythmia?
A) Ventricular tachycardia
B) Atrial fibrillation
C) Supraventricular tachycardia
D) Sinus tachycardia
Answer: C
Supraventricular tachycardia is characterized by a rapid, narrow-complex tachycardia and
requires intervention when the patient is unstable.
4. 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)?
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A) Hypotension, fever, hyperglycemia
B) Hypertension, hypothermia, hypoglycemia
C) Tachycardia, tachypnea, hypoxemia
D) Bradycardia, hypotension, acidosis
Answer: A
Post-cardiac arrest syndrome is characterized by hypotension, fever, and hyperglycemia as part
of the systemic response to ischemia and reperfusion injury.
5. 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?
A) Albuterol with or without ipratropium bromide
B) Epinephrine
C) Methylprednisolone
D) Magnesium sulfate
Answer: A
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