PALS PRETEST CERTIFICATION
SCRIPT 2026 QUESTIONS WITH
SOLUTIONS GRADED A+
◍ A 3-year-old unresponsive, apneic childis brought to the
emergencydepartment. EMS personnel report thatthe child became
unresponsive as theyarrived at the hospital. The child isreceiving CPR with
bag-maskventilation. The rhythm shown here ison the cardiac monitor. A
biphasicmanual defibrillator is present. Youquickly use the length from head
to heelof the child on a color-coded lengthbased resuscitation tape to
estimatethe approximate weight as 15 kg. Whichtherapy is most appropriate
for thischild at this time?.
Answer: Attempt defibrillation at 30 J, and then resume CPR, beginning
with compressions
◍ An 8-month-old male is brought to the ED for evaluation of severe diarrhea
and dehydration. In the ED the child becomes unresponsive and pulseless.
You should for help and start CP
R. Another provider arrives, and you begin a compression-to-ventilation
ratio of 15:2. The cardiac monitor shows the above rhythm. The infant is
intubated and ventilated with 100% O2. An IO line is rapidly established
and a dose of epi is given. Of the following choices for management, which
would be most appropriate to give next?
A. Normal saline 20 mL/kg IV rapidly
B. Amiodarone 5 mg/kg IO
C. Defibrillation 2 J/kg
D. High dose epinephrine 1:1,000, 0.1 mg/kg.
Answer: A
◍ An 8-year-old child was struck by a car.He arrives in the
, emergencydepartment alert, anxious, and inrespiratory distress. His cervical
spineis immobilized, and he is receiving a 10-L/min flow of 100%oxygen
bynonrebreathing face mask. Hisrespiratory rate is 60/min, heart
rate150/min, systolic blood pressure 70 mmHg, and SpO2 84%. Breath
sounds areabsent over the right chest but presentover the left chest, and the
trachea isdeviated to the left. He has weakcentral pulses and absent distal
pulses.Which intervention should beperformed next?.
Answer: Perform needle decompression of the right chest
◍ You are preparing to use a manualdefibrillator in the pediatric setting.Which
best describes when it isappropriate to use the smaller,pediatric-sized
paddles?.
Answer: If the child weighs less than 10 kg or is less than 1 year old
◍ You are participating in the elective intubation of a 4-year-old child with
respiratory failure. You must select the appropriate sized uncuffed
endotracheal tube. You do not have a Brazlow tape to use to estimate correct
endotracheal tube size. Which of the following is the most appropriate
uncuffed endotracheal tube for an average 4-year-old.
A. 4-mm tube
B. 6-mm tube
C. 5-mm tube
D. 3-mm tube.
Answer: C
◍ You find an infant who is unresponsive,is not breathing, and does not have
apulse. You shout for nearby help, but noone arrives. What action should
youtake next?.
Answer: Provide CPR for about 2 minutes before leaving to activate the
emergency response system
◍ You are caring for a 3-year-old withvomiting and diarrhea. You
haveestablished IV access. The child'spulses are palpable but faint, and
thechild is now lethargic. The heart rate isvariable (range, 44/min to
62/min). Youbegin bag-mask ventilation with 100%oxygen. When the heart
SCRIPT 2026 QUESTIONS WITH
SOLUTIONS GRADED A+
◍ A 3-year-old unresponsive, apneic childis brought to the
emergencydepartment. EMS personnel report thatthe child became
unresponsive as theyarrived at the hospital. The child isreceiving CPR with
bag-maskventilation. The rhythm shown here ison the cardiac monitor. A
biphasicmanual defibrillator is present. Youquickly use the length from head
to heelof the child on a color-coded lengthbased resuscitation tape to
estimatethe approximate weight as 15 kg. Whichtherapy is most appropriate
for thischild at this time?.
Answer: Attempt defibrillation at 30 J, and then resume CPR, beginning
with compressions
◍ An 8-month-old male is brought to the ED for evaluation of severe diarrhea
and dehydration. In the ED the child becomes unresponsive and pulseless.
You should for help and start CP
R. Another provider arrives, and you begin a compression-to-ventilation
ratio of 15:2. The cardiac monitor shows the above rhythm. The infant is
intubated and ventilated with 100% O2. An IO line is rapidly established
and a dose of epi is given. Of the following choices for management, which
would be most appropriate to give next?
A. Normal saline 20 mL/kg IV rapidly
B. Amiodarone 5 mg/kg IO
C. Defibrillation 2 J/kg
D. High dose epinephrine 1:1,000, 0.1 mg/kg.
Answer: A
◍ An 8-year-old child was struck by a car.He arrives in the
, emergencydepartment alert, anxious, and inrespiratory distress. His cervical
spineis immobilized, and he is receiving a 10-L/min flow of 100%oxygen
bynonrebreathing face mask. Hisrespiratory rate is 60/min, heart
rate150/min, systolic blood pressure 70 mmHg, and SpO2 84%. Breath
sounds areabsent over the right chest but presentover the left chest, and the
trachea isdeviated to the left. He has weakcentral pulses and absent distal
pulses.Which intervention should beperformed next?.
Answer: Perform needle decompression of the right chest
◍ You are preparing to use a manualdefibrillator in the pediatric setting.Which
best describes when it isappropriate to use the smaller,pediatric-sized
paddles?.
Answer: If the child weighs less than 10 kg or is less than 1 year old
◍ You are participating in the elective intubation of a 4-year-old child with
respiratory failure. You must select the appropriate sized uncuffed
endotracheal tube. You do not have a Brazlow tape to use to estimate correct
endotracheal tube size. Which of the following is the most appropriate
uncuffed endotracheal tube for an average 4-year-old.
A. 4-mm tube
B. 6-mm tube
C. 5-mm tube
D. 3-mm tube.
Answer: C
◍ You find an infant who is unresponsive,is not breathing, and does not have
apulse. You shout for nearby help, but noone arrives. What action should
youtake next?.
Answer: Provide CPR for about 2 minutes before leaving to activate the
emergency response system
◍ You are caring for a 3-year-old withvomiting and diarrhea. You
haveestablished IV access. The child'spulses are palpable but faint, and
thechild is now lethargic. The heart rate isvariable (range, 44/min to
62/min). Youbegin bag-mask ventilation with 100%oxygen. When the heart
