PALS EXAM 1 2026 QUESTIONS AND
VERIFIED SOLUTIONS 100 % PASS
A 7 year old child in cardiac arrest is brought to the ED by ambulance. No palpable pulses are
detected. The Childs ECG is shown here. How would you characterize this Childs rhythm?
A. Pulseless Electrical Activity
B. Sinus bradycardia
C. Ventricular escape rhythm
D. Ventricular tachycardia
A. Pulseless Electrical Activity
After rectal administration of diazepam, an 8 year old boy with a history of seizures is no
unresponsive to painful stimuli. His respirations are shallow, at a rate of 10/min. His Oxygen
saturation is 94% on 2L of NC oxygen. On examination, the child is snoring with poor chest rise
and poor air entry bilaterally.
What action should you take next?
A. Administer naloxone
B. Perform endotracheal intubation
C. Increase nasal cannula flow
D. Reposition the patient, and insert an oral airway
D. Reposition the patient, and insert an oral airway
After rectal administration of diazepam, an 8 year old boy with a history of seizures is no
unresponsive to painful stimuli. His respirations are shallow, at a rate of 10/min. His Oxygen
,saturation is 94% on 2L of NC oxygen. On examination, the child is snoring with poor chest rise
and poor air entry bilaterally.
If the patient continues to snore and exhibit poor chest rise and poor air entry bilaterally after
your initial intervention what next step is most appropriate?
A. Increase nasal cannula flow
B. Provide bag mask ventilation
C. Subcostal retractions
D. Wheezing
B. Provide bag mask ventilation
You are performing the airway component of the primary assessment. Which finding would lead
you to conclude that the child has an upper airway obstruction?
A. Dry, nonproductive cough
B. Inspiratory stridor
C. Subcostal retractions
D. Wheezing
B. Inspiratory stridor
In post resuscitation management after cardiac arrest, extra care should be taken to avoid
repercussion injury. what should the ideal oxygen saturation range most likely be?
A. 90% to 98%
B. 94% to 99%
C. 94% to 100%
D. 98% to 100%
, B. 94%-99%
You are caring for a 12 year old girl with acute lymphoblastic leukemia. She is responsive but
she does not feel well and appears to be flushed. Her Temp is 39 degrees C (102.2 F), HR is
118/min, respiratory rate is 36/min, BP is 100/40 mmHg, and oxygen sat is 96% on room air.
Your assessment reveals mild increase in work of breathing and bounding pulses. The child is
receiving 100% Oxygen by NRB mask.
Laboratory studies document a lactic acidosis. On the basis of the patients clinical assessment
and history. Which type of shock does this patient most likely have?
A. Cardiogenic
B. Distributive, neurogenic
C. Distributive Septic Shock
D. Obstructive
C. Distributive Septic Shock
You are caring for a 12 year old girl with acute lymphoblastic leukemia. She is responsive but
she does not feel well and appears to be flushed. Her Temp is 39 degrees C (102.2 F), HR is
118/min, respiratory rate is 36/min, BP is 100/40 mmHg, and oxygen sat is 96% on room air.
Your assessment reveals mild increase in work of breathing and bounding pulses. The child is
receiving 100% Oxygen by NRB mask.
What assessment finding is the most important in your determination of the severity of the
patients condition?
A. Blood pressure
B. Heart rate
C. Oxygen saturation
D. Respiratory rate
VERIFIED SOLUTIONS 100 % PASS
A 7 year old child in cardiac arrest is brought to the ED by ambulance. No palpable pulses are
detected. The Childs ECG is shown here. How would you characterize this Childs rhythm?
A. Pulseless Electrical Activity
B. Sinus bradycardia
C. Ventricular escape rhythm
D. Ventricular tachycardia
A. Pulseless Electrical Activity
After rectal administration of diazepam, an 8 year old boy with a history of seizures is no
unresponsive to painful stimuli. His respirations are shallow, at a rate of 10/min. His Oxygen
saturation is 94% on 2L of NC oxygen. On examination, the child is snoring with poor chest rise
and poor air entry bilaterally.
What action should you take next?
A. Administer naloxone
B. Perform endotracheal intubation
C. Increase nasal cannula flow
D. Reposition the patient, and insert an oral airway
D. Reposition the patient, and insert an oral airway
After rectal administration of diazepam, an 8 year old boy with a history of seizures is no
unresponsive to painful stimuli. His respirations are shallow, at a rate of 10/min. His Oxygen
,saturation is 94% on 2L of NC oxygen. On examination, the child is snoring with poor chest rise
and poor air entry bilaterally.
If the patient continues to snore and exhibit poor chest rise and poor air entry bilaterally after
your initial intervention what next step is most appropriate?
A. Increase nasal cannula flow
B. Provide bag mask ventilation
C. Subcostal retractions
D. Wheezing
B. Provide bag mask ventilation
You are performing the airway component of the primary assessment. Which finding would lead
you to conclude that the child has an upper airway obstruction?
A. Dry, nonproductive cough
B. Inspiratory stridor
C. Subcostal retractions
D. Wheezing
B. Inspiratory stridor
In post resuscitation management after cardiac arrest, extra care should be taken to avoid
repercussion injury. what should the ideal oxygen saturation range most likely be?
A. 90% to 98%
B. 94% to 99%
C. 94% to 100%
D. 98% to 100%
, B. 94%-99%
You are caring for a 12 year old girl with acute lymphoblastic leukemia. She is responsive but
she does not feel well and appears to be flushed. Her Temp is 39 degrees C (102.2 F), HR is
118/min, respiratory rate is 36/min, BP is 100/40 mmHg, and oxygen sat is 96% on room air.
Your assessment reveals mild increase in work of breathing and bounding pulses. The child is
receiving 100% Oxygen by NRB mask.
Laboratory studies document a lactic acidosis. On the basis of the patients clinical assessment
and history. Which type of shock does this patient most likely have?
A. Cardiogenic
B. Distributive, neurogenic
C. Distributive Septic Shock
D. Obstructive
C. Distributive Septic Shock
You are caring for a 12 year old girl with acute lymphoblastic leukemia. She is responsive but
she does not feel well and appears to be flushed. Her Temp is 39 degrees C (102.2 F), HR is
118/min, respiratory rate is 36/min, BP is 100/40 mmHg, and oxygen sat is 96% on room air.
Your assessment reveals mild increase in work of breathing and bounding pulses. The child is
receiving 100% Oxygen by NRB mask.
What assessment finding is the most important in your determination of the severity of the
patients condition?
A. Blood pressure
B. Heart rate
C. Oxygen saturation
D. Respiratory rate
