PALS UPDATED FINAL EXAM / NEWEST 2025/2026 / ACTUAL
QUESTIONS (A+ GUIDE SOLUTION) NEWEST 2025/2026
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?
second degree
Laboratory tests are ordered for a child who has been vomiting for 3
days and is diaphoretic, tachypneic, lethargic and pale. Which test
would the provider use to determine the adequacy of oxygen
delivery?
Lactate
We have an expert-written solution to this problem!
A 9-year-old patient is presenting with decreased breath sounds,
bradycardia, slowed respiratory rate and a low O2 saturation level.
The provider interprets these findings as indicating which condition?
Respiratory failure
,We have an expert-written solution to this problem!
A 4-year-old child is brought to the emergency department by the
parents. Assessment reveals that the child has only gasping
respirations and the pulse rate is 65 beats per minute. Which action
would the provider initiate first?
Deliver 1 BVM ventilation every 3 to 5 seconds.
We have an expert-written solution to this problem!
A 15-year-old patient is being evaluated during a follow-up visit after
being diagnosed with Lyme disease 2 months ago. A rhythm strip is
obtained as shown below. The provider interprets this rhythm as
indicating which arrhythmia?
First-degree atrioventricular (AV) block
A child in cardiac arrest experiences return of spontaneous circulation
but is exhibiting signs of post–cardiac arrest syndrome (PCAS). The
PALS resuscitation team determines that the child is experiencing a
systemic response to ischemia/reperfusion. The team bases this
determination on which finding(s)?
Hypotension
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?
Allowing the chest to recoil fully after each compression
Providing ventilations that last about 1 second each
Compressing the chest about 2 inches
Giving 2 ventilations to every 15 compressions
A PALS resuscitation team is preparing to defibrillate a child
experiencing cardiac arrest. For which rhythm(s) would this action be
appropriate?
VF and pVT are shockable cardiac arrest rhythms.
QUESTIONS (A+ GUIDE SOLUTION) NEWEST 2025/2026
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?
second degree
Laboratory tests are ordered for a child who has been vomiting for 3
days and is diaphoretic, tachypneic, lethargic and pale. Which test
would the provider use to determine the adequacy of oxygen
delivery?
Lactate
We have an expert-written solution to this problem!
A 9-year-old patient is presenting with decreased breath sounds,
bradycardia, slowed respiratory rate and a low O2 saturation level.
The provider interprets these findings as indicating which condition?
Respiratory failure
,We have an expert-written solution to this problem!
A 4-year-old child is brought to the emergency department by the
parents. Assessment reveals that the child has only gasping
respirations and the pulse rate is 65 beats per minute. Which action
would the provider initiate first?
Deliver 1 BVM ventilation every 3 to 5 seconds.
We have an expert-written solution to this problem!
A 15-year-old patient is being evaluated during a follow-up visit after
being diagnosed with Lyme disease 2 months ago. A rhythm strip is
obtained as shown below. The provider interprets this rhythm as
indicating which arrhythmia?
First-degree atrioventricular (AV) block
A child in cardiac arrest experiences return of spontaneous circulation
but is exhibiting signs of post–cardiac arrest syndrome (PCAS). The
PALS resuscitation team determines that the child is experiencing a
systemic response to ischemia/reperfusion. The team bases this
determination on which finding(s)?
Hypotension
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?
Allowing the chest to recoil fully after each compression
Providing ventilations that last about 1 second each
Compressing the chest about 2 inches
Giving 2 ventilations to every 15 compressions
A PALS resuscitation team is preparing to defibrillate a child
experiencing cardiac arrest. For which rhythm(s) would this action be
appropriate?
VF and pVT are shockable cardiac arrest rhythms.
