PALS RED CROSS CRITICAL EXAM 2023-2024 ACTUAL EXAM 100 QUESTIONS AND CORRECT ANSWERS|ALREADY GRADED A+

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? - ANSWERLife-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


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? - ANSWERHypovolemic

A child is experiencing shock. The emergency response team prepares for

imminent cardiac arrest when assessment reveals which finding(s)? - ANSWERBradycardia

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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