ARC PALS Final Exam 2025 | 50
Questions (Actual Exam) & Answers
| 100% Correct | A Grade
Complete Description
This is an Updated ARC (American Heart Association) PALS (Pediatric Advanced Life Support)
final exam, testing healthcare providers on managing pediatric emergencies through scenarios,
covering cognitive knowledge and hands-on skills; it focuses on the systematic PALS approach
(ABCDEs, secondary assessment, diagnostics) for conditions like cardiac arrest, shock, and
respiratory distress, including drug administration (epinephrine, steroids) and recognizing
arrhythmias (e.g., V-tach).
What the Exam Covers:
Cognitive Knowledge: Questions on recognizing critical pediatric conditions, interpreting ECGs,
understanding shock types (warm vs. cold), and appropriate interventions.
Systematic Approach: Applying the PALS sequence: Initial Impression, Primary Assessment
(ABCDEs), Secondary Assessment, Diagnostic Tests, and Reassessment.
Emergency Scenarios: Managing conditions like:
Cardiac Arrest (CPR, defibrillation, post-arrest care).
Respiratory Distress (croup, anaphylaxis, airway management).
Shock (septic, hypovolemic).
Medications & Diagnostics: Knowing when and how to use medications (epinephrine,
corticosteroids) and interpreting labs (lactate, ABGs).
1
, Exam Format:
Hands-on skills testing.
presented as case-based questions with Best multiple-choice answers or scenario-based
problems.
Key Skills Tested:
Performing high-quality CPR on infants/children.
Using the Pediatric Assessment Triangle (PAT) for rapid assessment.
Identifying and treating pediatric arrhythmias.
Managing post-cardiac arrest syndrome (PCAS). (Ultimate Guide for YR 2026/2027)
Quiz_________________?
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
Sternal Retractions
Nasal Flaring
Accessory Muscle Use
Quiz_________________?
2
, A 12-year-old child being evaluated in the pediatric intensive care unit displays the
following ECG waveform. The team interprets this as which arrhythmia -
Answer
Second-degree AV Block, type 1
Quiz_________________?
An 11-year-old child develops unstable wide-complex tachycardia. Assessment
reveals signs of significant hemodynamic compromise, but the child has a pulse.
The PALS team would prepare the child for which intervention -
Answer
Synchronized Electrical Cardioversion
Quiz_________________?
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
3
Questions (Actual Exam) & Answers
| 100% Correct | A Grade
Complete Description
This is an Updated ARC (American Heart Association) PALS (Pediatric Advanced Life Support)
final exam, testing healthcare providers on managing pediatric emergencies through scenarios,
covering cognitive knowledge and hands-on skills; it focuses on the systematic PALS approach
(ABCDEs, secondary assessment, diagnostics) for conditions like cardiac arrest, shock, and
respiratory distress, including drug administration (epinephrine, steroids) and recognizing
arrhythmias (e.g., V-tach).
What the Exam Covers:
Cognitive Knowledge: Questions on recognizing critical pediatric conditions, interpreting ECGs,
understanding shock types (warm vs. cold), and appropriate interventions.
Systematic Approach: Applying the PALS sequence: Initial Impression, Primary Assessment
(ABCDEs), Secondary Assessment, Diagnostic Tests, and Reassessment.
Emergency Scenarios: Managing conditions like:
Cardiac Arrest (CPR, defibrillation, post-arrest care).
Respiratory Distress (croup, anaphylaxis, airway management).
Shock (septic, hypovolemic).
Medications & Diagnostics: Knowing when and how to use medications (epinephrine,
corticosteroids) and interpreting labs (lactate, ABGs).
1
, Exam Format:
Hands-on skills testing.
presented as case-based questions with Best multiple-choice answers or scenario-based
problems.
Key Skills Tested:
Performing high-quality CPR on infants/children.
Using the Pediatric Assessment Triangle (PAT) for rapid assessment.
Identifying and treating pediatric arrhythmias.
Managing post-cardiac arrest syndrome (PCAS). (Ultimate Guide for YR 2026/2027)
Quiz_________________?
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
Sternal Retractions
Nasal Flaring
Accessory Muscle Use
Quiz_________________?
2
, A 12-year-old child being evaluated in the pediatric intensive care unit displays the
following ECG waveform. The team interprets this as which arrhythmia -
Answer
Second-degree AV Block, type 1
Quiz_________________?
An 11-year-old child develops unstable wide-complex tachycardia. Assessment
reveals signs of significant hemodynamic compromise, but the child has a pulse.
The PALS team would prepare the child for which intervention -
Answer
Synchronized Electrical Cardioversion
Quiz_________________?
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
3
