Pals Exam Study Guide –
Practice Questions with
Verified Answers. GRADED A+.
Latest 2026/2027 Update
In which of the following situations may IO access be used?
A. An extremity with signs of infection
B. An extremity with a sign of a crush injury
C. An extremity with a previous unsuccessful IO attempt
D. An extremity with slow a capillary refill time - Answer✔✔-D. An extremity
with slow a capillary refill time
A 2 week old infant is being evaluated for irritability and poor feeding. His BP is
55/40 mmHg, and cap refill time is 5 seconds. Which statement best describes
your assessment of this infants BP?
A. It represents compensated shock
B. It is hypertensive
,C. It is Hypotensive
D. It is normal - Answer✔✔-C. It is Hypotensive
You are caring for patients in the emergency department. Which 2 year old
child requires immediate intervention?
A. A child who is grunting
B. A child with an Sp02 of 95% on room air
C. A child with a systolic blood pressure of 92 mm Hg
D. A child with a temperature of 37.4 C (99.3 F) - Answer✔✔-A. A child who is
grunting
A 3 year old child is having difficulty breathing. Which finding would most likely
lead you to suspect an upper airway obstruction in this child?
A. Expiratory breath sounds
B. Decreased expiratory effort
C. Increased inspiratory effort with retractions
D. Normal inspiratory sounds - Answer✔✔-C. Increased inspiratory effort with
retractions
A team member is unable to perform an assigned task because it is beyond the
team members scope of practice. Which action should the team member take?
A. Ask for a new task or role
B. Refuse to perform the task
, C. Do it anyway
D. Seek expert consultation - Answer✔✔-A. Ask for a new task or role
You are the team leader during a pediatric resuscitation attempt. which action
is an element of high quality CPR?
A. Providing a compression depth of one fourth the depth of the chest
B. Providing a compression rate of 80 to 100/min
C. Allowing complete chest wall recoil after each compression
D. Performing pulse checks every minute - Answer✔✔-C. Allowing complete
chest wall recoil after each compression
An 8 year old child is brought to the ED by his mother for difficulty breathing.
He has a history of asthma and nut allergies. He's mother tells you that he
recently ate a cookie at a family picnic. Which condition is most likely to be
present in this child?
A. Disordered control of breathing
B. Hypovolemic shock
C. Lung tissue disease
D. upper airway obstruction - Answer✔✔-D. upper airway obstruction
An 8 year old child is brought to the ED by ambulance after being involved in a
MVC. Which finding would suggest that immediate intervention is needed?
A. Decreased level of consciousness
B. Systolic blood pressure of 106 mm Hg
Practice Questions with
Verified Answers. GRADED A+.
Latest 2026/2027 Update
In which of the following situations may IO access be used?
A. An extremity with signs of infection
B. An extremity with a sign of a crush injury
C. An extremity with a previous unsuccessful IO attempt
D. An extremity with slow a capillary refill time - Answer✔✔-D. An extremity
with slow a capillary refill time
A 2 week old infant is being evaluated for irritability and poor feeding. His BP is
55/40 mmHg, and cap refill time is 5 seconds. Which statement best describes
your assessment of this infants BP?
A. It represents compensated shock
B. It is hypertensive
,C. It is Hypotensive
D. It is normal - Answer✔✔-C. It is Hypotensive
You are caring for patients in the emergency department. Which 2 year old
child requires immediate intervention?
A. A child who is grunting
B. A child with an Sp02 of 95% on room air
C. A child with a systolic blood pressure of 92 mm Hg
D. A child with a temperature of 37.4 C (99.3 F) - Answer✔✔-A. A child who is
grunting
A 3 year old child is having difficulty breathing. Which finding would most likely
lead you to suspect an upper airway obstruction in this child?
A. Expiratory breath sounds
B. Decreased expiratory effort
C. Increased inspiratory effort with retractions
D. Normal inspiratory sounds - Answer✔✔-C. Increased inspiratory effort with
retractions
A team member is unable to perform an assigned task because it is beyond the
team members scope of practice. Which action should the team member take?
A. Ask for a new task or role
B. Refuse to perform the task
, C. Do it anyway
D. Seek expert consultation - Answer✔✔-A. Ask for a new task or role
You are the team leader during a pediatric resuscitation attempt. which action
is an element of high quality CPR?
A. Providing a compression depth of one fourth the depth of the chest
B. Providing a compression rate of 80 to 100/min
C. Allowing complete chest wall recoil after each compression
D. Performing pulse checks every minute - Answer✔✔-C. Allowing complete
chest wall recoil after each compression
An 8 year old child is brought to the ED by his mother for difficulty breathing.
He has a history of asthma and nut allergies. He's mother tells you that he
recently ate a cookie at a family picnic. Which condition is most likely to be
present in this child?
A. Disordered control of breathing
B. Hypovolemic shock
C. Lung tissue disease
D. upper airway obstruction - Answer✔✔-D. upper airway obstruction
An 8 year old child is brought to the ED by ambulance after being involved in a
MVC. Which finding would suggest that immediate intervention is needed?
A. Decreased level of consciousness
B. Systolic blood pressure of 106 mm Hg
