1
3 PALS UPDATED FINAL EXAM LATEST 2025-2026 REAL
EXAM QUESTIONS WITH 100% CORRECT AND VERIFIED
ANSWERS
1. A 5-year-old child with a history of a chronic neuromuscular disease is
experiencing respiratory distress. The child is breathing spontaneously
and receiving supplemental oxygen. Which additional intervention is a?
critical component of airway management for this patient? - ANSWER-
Airway clearance (e.g., suctioning)
2. A child being cared for in the pediatric telemetry unit suddenly displays
the following ECG waveform. The provider prepares to intervene
because the child is demonstrating which type of arrhythmia? -
ANSWER- Supraventricular tachycardia
3. 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)? - ANSWER- Hypotension, fever,
hyperglycemia
4. An 11-year-old soccer player is brought to the emergency department.
After a quick assessment, the team realizes this patient is experiencing a
severe asthma exacerbation. Which medication would the team?
, 2
administer immediately? - ANSWER- Albuterol with or without
ipratropium bromide
5. After ROSC, a child is experiencing post-cardiac arrest hypoperfusion.
The PALS resuscitation team would administer which element to restore
intravascular volume and optimize preload? - ANSWER- Isotonic fluid
boluses
6. A 2-year-old child of unknown weight arrives at the emergency
department in cardiac arrest. When preparing to administer medications,
which action would be appropriate for the team to take? - ANSWER- Estimate
weight using a length-
based resuscitation tape.
7. 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? - ANSWER- Deliver 1 BVM ventilation every 2
to 3 seconds.
8. The PALS team leader is conducting a debriefing session with the team.
Which topic(s) would the team leader most likely address during the
session? - ANSWER- Discussion of the pros and cons of the
interventions
Evaluation of the objective data gathered during the event, Summary of the,
including what actions were taken, Identification of ways to improve
, 3
9. The PALS resuscitation team notes the following ECG waveform and
the child does not have a pulse. The team prepares to intervene to
address which arrhythmia? - ANSWER- Torsade’s de pointes
10. What is the correct IV/IO dose of epinephrine for a pediatric patient in
cardiac arrest? - ANSWER- 0.01 mg/kg every 3 to 5 min (max single
dose 1 mg)
11. Assessment of a 3-month-old infant admitted with respiratory distress
reveals fever, grunting and a wet, "junky" cough. The infant's parents
said the child had a recent respiratory infection with a fever. A rapid
respiratory syncytial virus (RSV) test is positive. Which condition would
the provider most likely suspects as the cause? - ANSWER- Bronchiolitis
12. A child is experiencing supraventricular tachycardia (SVT) with
adequate perfusion and is to receive treatment. Which initial treatment
would the provider administer? - ANSWER- Vagal maneuvers
13. A healthcare provider notices petechiae on the arms and legs while
performing a rapid skin assessment of a child with a high fever and
respiratory distress. Based on this assessment, which condition should
the provider considers? - ANSWER- Life-threatening systemic infection
14. A 7-year-old patient with septic shock has received three
balanced/buffered crystalloid fluid boluses (60-mL/kg) and reassessment
reveals capillary refill of 3 seconds, diminished pulses, narrow pulse
pressure and cool, mottled extremities.
The emergency response team interprets these findings as indicating which
, 4
type of septic shock? - ANSWER- Fluid-refractory
15. A 30-month-old child has been diagnosed with moderate croup. Which
medication(s) would the provider administer? - ANSWER- Nebulized
epinephrine, Corticosteroids
16. A child exhibiting a narrow-complex tachycardia with adequate
perfusion is to receive adenosine. The provider would be alert for which
result after administering this medication? - ANSWER- Transient
asystole
17. A child experiencing bradycardia with inadequate perfusion despite
supporting oxygenation and ventilation is receiving compressions.
Despite these efforts, the child's status remains unchanged. Which
medication would the emergency response team expect to administer
next? - ANSWER- Epinephrine
18. A child in the pediatric intensive care unit displays the following ECG
waveform. The child has no pulse. The resuscitation team interprets this
as which arrhythmia?
- ANSWER- Monomorphic pulseless ventricular tachycardia
19. 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? - ANSWER- First-degree atrioventricular
3 PALS UPDATED FINAL EXAM LATEST 2025-2026 REAL
EXAM QUESTIONS WITH 100% CORRECT AND VERIFIED
ANSWERS
1. A 5-year-old child with a history of a chronic neuromuscular disease is
experiencing respiratory distress. The child is breathing spontaneously
and receiving supplemental oxygen. Which additional intervention is a?
critical component of airway management for this patient? - ANSWER-
Airway clearance (e.g., suctioning)
2. A child being cared for in the pediatric telemetry unit suddenly displays
the following ECG waveform. The provider prepares to intervene
because the child is demonstrating which type of arrhythmia? -
ANSWER- Supraventricular tachycardia
3. 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)? - ANSWER- Hypotension, fever,
hyperglycemia
4. An 11-year-old soccer player is brought to the emergency department.
After a quick assessment, the team realizes this patient is experiencing a
severe asthma exacerbation. Which medication would the team?
, 2
administer immediately? - ANSWER- Albuterol with or without
ipratropium bromide
5. After ROSC, a child is experiencing post-cardiac arrest hypoperfusion.
The PALS resuscitation team would administer which element to restore
intravascular volume and optimize preload? - ANSWER- Isotonic fluid
boluses
6. A 2-year-old child of unknown weight arrives at the emergency
department in cardiac arrest. When preparing to administer medications,
which action would be appropriate for the team to take? - ANSWER- Estimate
weight using a length-
based resuscitation tape.
7. 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? - ANSWER- Deliver 1 BVM ventilation every 2
to 3 seconds.
8. The PALS team leader is conducting a debriefing session with the team.
Which topic(s) would the team leader most likely address during the
session? - ANSWER- Discussion of the pros and cons of the
interventions
Evaluation of the objective data gathered during the event, Summary of the,
including what actions were taken, Identification of ways to improve
, 3
9. The PALS resuscitation team notes the following ECG waveform and
the child does not have a pulse. The team prepares to intervene to
address which arrhythmia? - ANSWER- Torsade’s de pointes
10. What is the correct IV/IO dose of epinephrine for a pediatric patient in
cardiac arrest? - ANSWER- 0.01 mg/kg every 3 to 5 min (max single
dose 1 mg)
11. Assessment of a 3-month-old infant admitted with respiratory distress
reveals fever, grunting and a wet, "junky" cough. The infant's parents
said the child had a recent respiratory infection with a fever. A rapid
respiratory syncytial virus (RSV) test is positive. Which condition would
the provider most likely suspects as the cause? - ANSWER- Bronchiolitis
12. A child is experiencing supraventricular tachycardia (SVT) with
adequate perfusion and is to receive treatment. Which initial treatment
would the provider administer? - ANSWER- Vagal maneuvers
13. A healthcare provider notices petechiae on the arms and legs while
performing a rapid skin assessment of a child with a high fever and
respiratory distress. Based on this assessment, which condition should
the provider considers? - ANSWER- Life-threatening systemic infection
14. A 7-year-old patient with septic shock has received three
balanced/buffered crystalloid fluid boluses (60-mL/kg) and reassessment
reveals capillary refill of 3 seconds, diminished pulses, narrow pulse
pressure and cool, mottled extremities.
The emergency response team interprets these findings as indicating which
, 4
type of septic shock? - ANSWER- Fluid-refractory
15. A 30-month-old child has been diagnosed with moderate croup. Which
medication(s) would the provider administer? - ANSWER- Nebulized
epinephrine, Corticosteroids
16. A child exhibiting a narrow-complex tachycardia with adequate
perfusion is to receive adenosine. The provider would be alert for which
result after administering this medication? - ANSWER- Transient
asystole
17. A child experiencing bradycardia with inadequate perfusion despite
supporting oxygenation and ventilation is receiving compressions.
Despite these efforts, the child's status remains unchanged. Which
medication would the emergency response team expect to administer
next? - ANSWER- Epinephrine
18. A child in the pediatric intensive care unit displays the following ECG
waveform. The child has no pulse. The resuscitation team interprets this
as which arrhythmia?
- ANSWER- Monomorphic pulseless ventricular tachycardia
19. 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? - ANSWER- First-degree atrioventricular
