PALS RED CROSS CRITICAL EXAM 2023 -2024
CTUAL EXAM 100 QUESTIONS AND CORRECT
ANSWERS|ALREADY GARDED A+
What is the correct IV/IO dose of epinephrine for a pediatric patient in cardiac arrest? - ANSWER- 0.01 mg/kg every 3 to 5 min (max single dose 1 mg)
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? - ANSWER- Bronchiolitis
A child is experiencing supraventricular tachycardia (SVT) with adequate perfusion and is to receive treatment. Which initial treatment would the provider administer? - ANSWER- Vagal maneuvers
A healthcare provider notices petechiae on the arms and legs while performing a rapid skin assessment of a child with a high fever and respiratory distress. Based on this assessment, which condition should the provider consider? - ANSWER- Life-threatening systemic infection
A 7-year-old patient with septic shock has received three balanced/buffered crystalloid fluid boluses (60-mL/kg) and reassessment reveals capillary refill of 3 seconds, diminished pulses, narrow pulse pressure and cool, mottled extremities.The emergency response team interprets these findings as indicating which type of septic shock? - ANSWER- Fluid-refractory
A 30-month old child has been diagnosed with moderate croup. Which medication(s) would the provider administer? - ANSWER- Nebulized epinephrine, Corticosteroids
A child exhibiting a narrow-complex tachycardia with adequate perfusion is to receive adenosine. The provider would be alert for which result after administering this medication? - ANSWER- Transient asystole
A child experiencing bradycardia with inadequate perfusion despite supporting oxygenation and ventilation is receiving compressions. Despite these efforts, the 1 / 2
child's status remains unchanged. Which medication would the emergency response team expect to administer next? - ANSWER- Epinephrine
A child in the pediatric intensive care unit displays the following ECG waveform.The child has no pulse. The resuscitation team interprets this as which arrhythmia?
- ANSWER- Monomorphic pulseless ventricular tachycardia
A 15-year-old patient is being evaluated during a follow-up visit after being diagnosed with Lyme disease 2 months ago. A rhythm strip is obtained as shown below. The provider interprets this rhythm as indicating which arrhythmia? - ANSWER- First-degree atrioventricular (AV) block
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? - ANSWER- Nasal flaring Intercostal, substernal or suprasternal retractions Accessory muscle use
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? - ANSWER- Cardiogenic
A 6-year-old child is brought to the emergency department. The child has been experiencing extremely watery stools over the past several days. After completing the assessment, the healthcare provider suspects that the child may be experiencing shock. Which type of shock would the provider most likely suspect? - ANSWER- Hypovolemic
A child is experiencing shock. The emergency response team prepares for imminent cardiac arrest when assessment reveals which finding(s)? - ANSWER- Bradycardia Diminished central pulses Hypotension
Primary assessment of a 10-year-old child reveals septic shock. As part of the secondary assessment, if not already done as part of initial sepsis care, laboratory testing is completed to evaluate the child's status. Which laboratory tests would be ordered for this child? - ANSWER- Complete blood count (CBC) Lactate level
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