PALS PRE COURSE SELF-ASSESSMENT FINAL
PAPER 2026 EXAM SCRIPT WITH COMPLETE
ANSWERS
● A child in cardiac arrest presents with the ECG rhythm seen in the
following image, but a central pulse cannot be palpated. The provider
correctly identifies this as which rhythm?
Torsades de pointes
Pulseless electrical activity (PEA)
Pulseless ventricular tachycardia (pVT)
Sinus bradycardia -Pulseless ventricular tachycardia (pVT)
● Which neuroprotective measures should the provider implement after
achievement of return of spontaneous circulation (ROSC)?
Select all correct options that apply.
Prepare for prompt extubation.
Administer vasopressors.
Initiate targeted temperature management
Optimize cerebral perfusion. -Initiate targeted temperature management
,Optimize cerebral perfusion.
● Which statement correctly describes the etiology of sudden cardiac
arrest from an arrhythmia in children and infants?
Select the correct answer to this question.
It is common in children, rare in infants.
It is common in children and infants.
It is rare in children and infants.
It is rare in children, common in infants. -It is rare in children and
infants.
● After achievement of return of spontaneous circulation (ROSC), an
indwelling arterial catheter is placed in the patient and connected to the
cardiac monitor. Which finding should the provider report to the team
leader given its association with poor outcomes after cardiac arrest?
Select the correct answer to this question.
Hypotension
Tachycardia
Polyuria
Hypertension -Hypotension
, ● Which ECG rhythm is identified in the following image?
Ventricular fibrillation
Monomorphic ventricular tachycardia
Atrial flutter
Polymorphic ventricular tachycardia (torsades de pointes) -Ventricular
fibrillation
● A patient in asystole is receiving high-quality CPR and vascular access
has been achieved. Which action should the team leader order?
Select the correct answer to this question.
Administer epinephrine 0.01 mg/kg
Administer lidocaine 1 mg/kg
Administer a shock with 10 J/kg
Administer amiodarone 5 mg/kg -Administer epinephrine 0.01 mg/kg
● Which finding indicates adequate end-organ and tissue perfusion?
Select the correct answer to this question.
Central venous pressure (CVP) higher than 5 mmHg
Increasing lactate levels
Central venous oxygen saturation (ScvO2) less than 60%
PAPER 2026 EXAM SCRIPT WITH COMPLETE
ANSWERS
● A child in cardiac arrest presents with the ECG rhythm seen in the
following image, but a central pulse cannot be palpated. The provider
correctly identifies this as which rhythm?
Torsades de pointes
Pulseless electrical activity (PEA)
Pulseless ventricular tachycardia (pVT)
Sinus bradycardia -Pulseless ventricular tachycardia (pVT)
● Which neuroprotective measures should the provider implement after
achievement of return of spontaneous circulation (ROSC)?
Select all correct options that apply.
Prepare for prompt extubation.
Administer vasopressors.
Initiate targeted temperature management
Optimize cerebral perfusion. -Initiate targeted temperature management
,Optimize cerebral perfusion.
● Which statement correctly describes the etiology of sudden cardiac
arrest from an arrhythmia in children and infants?
Select the correct answer to this question.
It is common in children, rare in infants.
It is common in children and infants.
It is rare in children and infants.
It is rare in children, common in infants. -It is rare in children and
infants.
● After achievement of return of spontaneous circulation (ROSC), an
indwelling arterial catheter is placed in the patient and connected to the
cardiac monitor. Which finding should the provider report to the team
leader given its association with poor outcomes after cardiac arrest?
Select the correct answer to this question.
Hypotension
Tachycardia
Polyuria
Hypertension -Hypotension
, ● Which ECG rhythm is identified in the following image?
Ventricular fibrillation
Monomorphic ventricular tachycardia
Atrial flutter
Polymorphic ventricular tachycardia (torsades de pointes) -Ventricular
fibrillation
● A patient in asystole is receiving high-quality CPR and vascular access
has been achieved. Which action should the team leader order?
Select the correct answer to this question.
Administer epinephrine 0.01 mg/kg
Administer lidocaine 1 mg/kg
Administer a shock with 10 J/kg
Administer amiodarone 5 mg/kg -Administer epinephrine 0.01 mg/kg
● Which finding indicates adequate end-organ and tissue perfusion?
Select the correct answer to this question.
Central venous pressure (CVP) higher than 5 mmHg
Increasing lactate levels
Central venous oxygen saturation (ScvO2) less than 60%
