PALS Pre-Course Self-Assessment 2026: Exam Questions & Verified Answers

PALS PRE COURSE SELF- B B B



ASSESSMENT (Actual 2025) ANSWERS B B B B



RATED A+ B




We have an expert-written solution to this problem!
B B B B B B B




You are caring for a 3 year old with vomiting and diarrhea. You
B B B B B B B B B B B B



Bhave established IV access. The child's pulses are palpable but
B B B B B B B B B B



faint, and the child is now lethargic. The heart rate is variable (r
B B B B B B B B B B B B



ang, 44/min to 62/min). You begin bag-
B B B B B B



mask ventilation with 100% oxygen. When the heart rate does
B B B B B B B B B B



not improve, you begin chest compressions. The rhythm shown
B B B B B B B B



Bhere is seen on the cardiac monitor. Which would be the most a
B B B B B B B B B B B B



ppropriate therapy to consider next? B B B B




A.) Atropine 0.02 mg/kg IV B B B




B.) Transcutaneous pacing B




C.) Synchronized cardio version at 0.5 J/kg B B B B B




D.) Epinephrine 0.1 mg/kg IV B B B




A.) Atropine 0.02 mg/kg IV B B B




You are preparing to use a manual defibrillation in the pediatric
B B B B B B B B B B



setting. Which best describes when it is appropriate to use the s
B B B B B B B B B B B B



maller, pediatric-sized paddles?
B B




A.) If the child weights less that 30kg or less than 5 years old.
B B B B B B B B B B B B




B.) If the child weights less than 20kg or is less than 3 years o
B B B B B B B B B B B B B



ld.

, PALS PRE COURSE SELF- B B B



ASSESSMENT (Actual 2025) ANSWERS B B B B



RATED A+ B



C.) If the child weighs less than 10 kg or is less the 1 year old.
B B B B B B B B B B B B B B




D.) If the child weights less than 40 kg or is less than 10 years ol
B B B B B B B B B B B B B B



d.
C.) If the child weighs less than 10 kg or is less that 1 year old.
B B B B B B B B B B B B B B B




A 3 year old boy presents with multiple-
B B B B B B B



system trauma. The child was an unrestrained passenger in a hi
B B B B B B B B B B



gh-
speed motor vehicle crash. On primary assessment, he is unres
B B B B B B B B B



ponsive to voice or painful stimulation. His respiratory rate is 5
B B B B B B B B B B



/min, heart rate, and pulses re 170/min, systolic blood pressure i
B B B B B B B B B B



s 60 mmHg, capillary refill is 5 seconds, and Sp02 is 75% on ro
B B B B B B B B B B B B B



om air. Which action should you take first?
B B B B B B B




A.) Establish immediate vascular access B B B




B.) While a colleague provides spinal motion restriction, open t
B B B B B B B B



he airway with a jaw thrust and provided bag-mask ventilation.
B B B B B B B B B




C.) Provide 100% oxygen by simple mask. B B B B B




D.) Perform immediate endotracheal intubation. B B B




B.) While a colleague provides spinal motion restriction, open t
B B B B B B B B



he airway with a jaw thrust and provide bag-mask ventilation.
B B B B B B B B B

, PALS PRE COURSE SELF- B B B



ASSESSMENT (Actual 2025) ANSWERS B B B B



RATED A+ B



You are a caring for a 6 year old patient who is receiving positi
B B B B B B B B B B B B B



ve pressure mechanical ventilation via an endotracheal tube. T
B B B B B B B B



he child begins to move his head and suddenly becomes cyanot
B B B B B B B B B B



ic, and his heart rate decreases. His Sp02 is 65%. You remove t
B B B B B B B B B B B B



he child from the mechanical ventilation and begin to provide
B B B B B B B B B B



manual ventilation with a bag via endotracheal tube. During ma
B B B B B B B B B



nual ventilation with 100% oxygen, the child's color and heart r
B B B B B B B B B B



ate improve slightly and his blood pressure remains adequate.
B B B B B B B B B



Breath sounds and chest expansion are present and adequate on
B B B B B B B B B



Bthe right side and are present but consistently diminished on th
B B B B B B B B B B



e left side. The trachea is not deviated and the neck veins are not
B B B B B B B B B B B B B



Bdistended. A suction catheter passes easily beyond the tip of th
B B B B B B B B B B



e endotracheal tube. Which of the following is the most likely c
B B B B B B B B B B B



ause of this child's acute deterioration?
B B B B B




A.) Tracheal tube obstruction B B




B.) Tracheal tube displacement int B B B




B.) Tracheal tube displacement into the right main bronchus. B B B B B B B




You just assisted with the elective endotracheal intubation of a
B B B B B B B B B B



child with respiratory failure and a perfusing rhythm. Which pr
B B B B B B B B B



ovides a reliable, prompt assessment of correct endotracheal tu
B B B B B B B B



be placement in this child?
B B B B