2026 PALS FINAL EXAM UPDATED COMPLETE
50 QUESTIONS CORRECTLY ANSWERED
GRADED A+
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 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 6-year-old patient is brought to the emergency department after a bicycle accident. Assessment
reveals tracheal deviation to the left side, chest pain on inspiration and decreased breath sounds on
the right side. The provider suspects obstructive shock caused by what condition?
tension pneumothorax
A child is experiencing stable supraventricular tachycardia (SVT) and is to receive treatment. Which
initial treatment would the provider administer?
vagal
An unresponsive 7-year-old child with no pulse is brought to the pediatric urgent care center by his
parents and CPR is initiated. The cardiac monitor reveals ventricular fibrillation. Which action would
the PALS team take first?
initiate defibrillation with 2 J/kg.
, A child who is stable and exhibiting a narrow-complex tachycardia is to receive adenosine. The
provider would be alert for which result after administering this medication?
Patients may have a brief period of "asystole" following the administration of adenosine. This is normal
and typically self-limited.
An 8-year-old child being treated in the emergency department has significant respiratory distress.
The child also exhibits hives, wheezing, angioedema, tachycardia and dyspnea. 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?
epi
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?
tape
The PALS team is providing post–cardiac arrest care to an 8-year-old child in the pediatric intensive
care unit. Which intervention would the team implement to achieve the primary goal of post–cardiac
arrest care?
ensure MAP
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 tahy
Fever
Hyperglycemia
A 2-year-old child arrives at the emergency department with the parents. The child is unresponsive, is
not breathing and has no pulse. Two emergency department providers begin high-quality CPR. Which
action(s) by the providers demonstrates high-quality CPR?
50 QUESTIONS CORRECTLY ANSWERED
GRADED A+
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 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 6-year-old patient is brought to the emergency department after a bicycle accident. Assessment
reveals tracheal deviation to the left side, chest pain on inspiration and decreased breath sounds on
the right side. The provider suspects obstructive shock caused by what condition?
tension pneumothorax
A child is experiencing stable supraventricular tachycardia (SVT) and is to receive treatment. Which
initial treatment would the provider administer?
vagal
An unresponsive 7-year-old child with no pulse is brought to the pediatric urgent care center by his
parents and CPR is initiated. The cardiac monitor reveals ventricular fibrillation. Which action would
the PALS team take first?
initiate defibrillation with 2 J/kg.
, A child who is stable and exhibiting a narrow-complex tachycardia is to receive adenosine. The
provider would be alert for which result after administering this medication?
Patients may have a brief period of "asystole" following the administration of adenosine. This is normal
and typically self-limited.
An 8-year-old child being treated in the emergency department has significant respiratory distress.
The child also exhibits hives, wheezing, angioedema, tachycardia and dyspnea. 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?
epi
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?
tape
The PALS team is providing post–cardiac arrest care to an 8-year-old child in the pediatric intensive
care unit. Which intervention would the team implement to achieve the primary goal of post–cardiac
arrest care?
ensure MAP
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 tahy
Fever
Hyperglycemia
A 2-year-old child arrives at the emergency department with the parents. The child is unresponsive, is
not breathing and has no pulse. Two emergency department providers begin high-quality CPR. Which
action(s) by the providers demonstrates high-quality CPR?
