PALS FINAL RED CROSS QUESTIONS WITH CORRECT
ANSWERS.
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? - 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? - Appearance
A 9-year-old patient is presenting with decreased breath sounds, bradycardia, slowed respiratory
rate and a low O2 saturation level. The provider interprets these findings as indicating which
condition? - Respiratory failure
Assessment of a 3-month-old infant admitted with respiratory distress reveals fever, grunting and
a wet, "junky" cough. The infant's parents said the child had a recent respiratory infection with a
fever. A rapid respiratory syncytial virus (RSV) test is positive. Which condition would the
provider most likely suspect as the cause? - Bronchiolitis
A PALS resuscitation team is preparing to defibrillate a child experiencing cardiac arrest. For
which rhythm(s) would this action be appropriate? - Ventricular fibrillation (VF), Pulseless
ventricular tachycardia (pVT),
A 4-year-old child is brought to the emergency department by the parents. Assessment reveals
that the child is gasping and the pulse rate is 65 beats per minute. Which action would the
provider initiate first? - Deliver 1 BVM ventilation every 3 to 5 seconds
The PALS team leader is conducting a debriefing session with the team. Which topic(s) would
the team leader most likely address during the session? - Summary of the event, including what
actions were taken, Discussion of the pros and cons of the interventions, Identification of ways to
improve, Evaluation of the objective data gathered during the event
An advanced airway was placed in a 5-year-old child. Which action(s) would be most
appropriate for the team to take to confirm correct placement? - Auscultate over the lungs and
epigastrium for air movement, Observe for bilateral chest rise, Evaluate results of capnography.
A 12-year-old is being treated in the urgent care clinic. The mother reports that the child came
home from school yesterday with a high fever, vomiting and multiple episodes of watery
diarrhea. The healthcare provider obtains a rhythm strip and notes the following waveform. The
provider interprets this as which type of arrhythmia? - Sinus tachycardia
, 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 tachycardia
A 30-month old child has been diagnosed with moderate croup. Which medication(s) would the
provider administer? - Corticosteroids, Racemic epinephrine
A child in the pediatric step-down unit is exhibiting signs of respiratory distress. When assessing
this child, which finding would be considered a late sign for this condition? - Cyanosis
Assessment of a 7-year-old patient with septic shock reveals capillary refill of 3 seconds,
diminished pulse and narrow pulse pressure. The emergency response team interprets these
findings as indicating which type of septic shock? - hypotensive
A 4-year-old patient presents with tachycardia, tachypnea, cold extremities and weak pulses.
Assessment also reveals an enlarged liver and neck vein distension. The provider interprets these
assessment findings as suggesting which type of shock? - cardiogenic shock
An 8-year-old child being treated in the emergency department has significant respiratory
distress. The child also exhibits hives, wheezing, angioedema, 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
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? - 5 seconds, but no
more than 10.
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 the midclavicular line on the patient's left side.
A child who is stable and exhibiting a wide-complex tachycardia is to receive adenosine. The
provider would be alert for which result after administering this medication? - Transient asystole
The PALS resuscitation team notes the following ECG waveform and the child does not have a
pulse. The team prepares to intervene to address which arrhythmia? - Torsades de pointes
A 2-year-old child of unknown weight arrives at the emergency department 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.
A healthcare provider is performing a primary assessment of a child in respiratory distress. The
provider documents increased work of breathing when which findings are observed? - Sternal
retractions, Nasal flaring, Accessory muscle use
ANSWERS.
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? - 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? - Appearance
A 9-year-old patient is presenting with decreased breath sounds, bradycardia, slowed respiratory
rate and a low O2 saturation level. The provider interprets these findings as indicating which
condition? - Respiratory failure
Assessment of a 3-month-old infant admitted with respiratory distress reveals fever, grunting and
a wet, "junky" cough. The infant's parents said the child had a recent respiratory infection with a
fever. A rapid respiratory syncytial virus (RSV) test is positive. Which condition would the
provider most likely suspect as the cause? - Bronchiolitis
A PALS resuscitation team is preparing to defibrillate a child experiencing cardiac arrest. For
which rhythm(s) would this action be appropriate? - Ventricular fibrillation (VF), Pulseless
ventricular tachycardia (pVT),
A 4-year-old child is brought to the emergency department by the parents. Assessment reveals
that the child is gasping and the pulse rate is 65 beats per minute. Which action would the
provider initiate first? - Deliver 1 BVM ventilation every 3 to 5 seconds
The PALS team leader is conducting a debriefing session with the team. Which topic(s) would
the team leader most likely address during the session? - Summary of the event, including what
actions were taken, Discussion of the pros and cons of the interventions, Identification of ways to
improve, Evaluation of the objective data gathered during the event
An advanced airway was placed in a 5-year-old child. Which action(s) would be most
appropriate for the team to take to confirm correct placement? - Auscultate over the lungs and
epigastrium for air movement, Observe for bilateral chest rise, Evaluate results of capnography.
A 12-year-old is being treated in the urgent care clinic. The mother reports that the child came
home from school yesterday with a high fever, vomiting and multiple episodes of watery
diarrhea. The healthcare provider obtains a rhythm strip and notes the following waveform. The
provider interprets this as which type of arrhythmia? - Sinus tachycardia
, 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 tachycardia
A 30-month old child has been diagnosed with moderate croup. Which medication(s) would the
provider administer? - Corticosteroids, Racemic epinephrine
A child in the pediatric step-down unit is exhibiting signs of respiratory distress. When assessing
this child, which finding would be considered a late sign for this condition? - Cyanosis
Assessment of a 7-year-old patient with septic shock reveals capillary refill of 3 seconds,
diminished pulse and narrow pulse pressure. The emergency response team interprets these
findings as indicating which type of septic shock? - hypotensive
A 4-year-old patient presents with tachycardia, tachypnea, cold extremities and weak pulses.
Assessment also reveals an enlarged liver and neck vein distension. The provider interprets these
assessment findings as suggesting which type of shock? - cardiogenic shock
An 8-year-old child being treated in the emergency department has significant respiratory
distress. The child also exhibits hives, wheezing, angioedema, 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
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? - 5 seconds, but no
more than 10.
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 the midclavicular line on the patient's left side.
A child who is stable and exhibiting a wide-complex tachycardia is to receive adenosine. The
provider would be alert for which result after administering this medication? - Transient asystole
The PALS resuscitation team notes the following ECG waveform and the child does not have a
pulse. The team prepares to intervene to address which arrhythmia? - Torsades de pointes
A 2-year-old child of unknown weight arrives at the emergency department 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.
A healthcare provider is performing a primary assessment of a child in respiratory distress. The
provider documents increased work of breathing when which findings are observed? - Sternal
retractions, Nasal flaring, Accessory muscle use
