PALS PRETEST COMPREHENSIVE
STUDY GUIDE 2026 FULL QUESTIONS
AND SOLUTIONS GRADED A+
◍ You are alone and witness a child suddenly collapse. There is no suspected
head or neck injury. A colleague responded to your shout for help and is
activating the emergency response system and is retrieving the resuscitation
equipment, including a defibrillator. After delivering 30 compressions, what
would be your next action?.
Answer: one the airway with a head tilt-chin lift maneuver and give 2
breaths
◍ An 18-month-old child has a 1-week history of cough and runny nose. The
child has diffuse cyanosis and is responsive only to painful stimulation with
slow respirations and rapid central pulses. The child's RR has decreased
from 65 bpm to 10 bpm, severe inspiratory intercostal retractions are
present, HR is 160 bpm, SpO2 is 65% on room air, and capillary refill is
<2secs. What is the most appropriate immediate interventions for this
toddler?.
Answer: open the airway and provide positive-pressure ventilation using
100% oxygen and a bag-mask device
◍ Procainamide:
A. May cuase narrowing of the QRS width and hypertension
B. is the most effective when infused rapidly over 5 to 10 min
C. Is the drug of choice in the management of symptomatic bradycardia
D. Is used for a wide range of atrial and ventricular dysrhythmias, including
supraventricular and ventricular tachycardia.
Answer: D. Is used for a wide range of atrial and ventricular dysrhythmias,
including supraventricular and ventricular tachycardia
, ◍ A child becomes unresponsive in the ED and is not breathing. You are
uncertain if a faint pulse is present. You shout for help and provide
ventilation with 100% oxygen. The rhythm shown here is seen on the
cardiac monitor. What is your next action?.
Answer: start high-quality CPR
◍ Which of the following statements regarding vagal maneuvers is correct?
A. The application of ocular pressure is safe if performed in older children
B. Vagal maneuvers should be attempted only after administration of
adenosine
C. Vagal maneuvers may be tried int he child with pulseless ventricular
tachycardia
D. the application of a cold stimulus to the face may be effective in infants
and young children.
Answer: D. the application of a cold stimulus to the face may be effective in
infants and young children
◍ During bag-mask ventilation, how should you hold the mask to make an
effective seal between the child's face and mask?.
Answer: position your fingers using the E-C clamp technique
◍ How can rescuers ensure that they are providing effective breaths when
using a bag-mask device?.
Answer: observing the chest rise with each breath
◍ Dopamine:
A. Acts as a vasopressor at high doses
B. Causes renal vasoconstriction at low doses.
C. Is typically infused at a rate of 0.1 to 1 mcg/kg per min
D. Is administered rapid intravenous push over 5 to 10 min.
Answer: A. Acts as a vasopressor at high doses
◍ Which of the following statements is true of obstructive shock?
A. The pt's initial clinical presentation may be identical to hypovolemic
shock
STUDY GUIDE 2026 FULL QUESTIONS
AND SOLUTIONS GRADED A+
◍ You are alone and witness a child suddenly collapse. There is no suspected
head or neck injury. A colleague responded to your shout for help and is
activating the emergency response system and is retrieving the resuscitation
equipment, including a defibrillator. After delivering 30 compressions, what
would be your next action?.
Answer: one the airway with a head tilt-chin lift maneuver and give 2
breaths
◍ An 18-month-old child has a 1-week history of cough and runny nose. The
child has diffuse cyanosis and is responsive only to painful stimulation with
slow respirations and rapid central pulses. The child's RR has decreased
from 65 bpm to 10 bpm, severe inspiratory intercostal retractions are
present, HR is 160 bpm, SpO2 is 65% on room air, and capillary refill is
<2secs. What is the most appropriate immediate interventions for this
toddler?.
Answer: open the airway and provide positive-pressure ventilation using
100% oxygen and a bag-mask device
◍ Procainamide:
A. May cuase narrowing of the QRS width and hypertension
B. is the most effective when infused rapidly over 5 to 10 min
C. Is the drug of choice in the management of symptomatic bradycardia
D. Is used for a wide range of atrial and ventricular dysrhythmias, including
supraventricular and ventricular tachycardia.
Answer: D. Is used for a wide range of atrial and ventricular dysrhythmias,
including supraventricular and ventricular tachycardia
, ◍ A child becomes unresponsive in the ED and is not breathing. You are
uncertain if a faint pulse is present. You shout for help and provide
ventilation with 100% oxygen. The rhythm shown here is seen on the
cardiac monitor. What is your next action?.
Answer: start high-quality CPR
◍ Which of the following statements regarding vagal maneuvers is correct?
A. The application of ocular pressure is safe if performed in older children
B. Vagal maneuvers should be attempted only after administration of
adenosine
C. Vagal maneuvers may be tried int he child with pulseless ventricular
tachycardia
D. the application of a cold stimulus to the face may be effective in infants
and young children.
Answer: D. the application of a cold stimulus to the face may be effective in
infants and young children
◍ During bag-mask ventilation, how should you hold the mask to make an
effective seal between the child's face and mask?.
Answer: position your fingers using the E-C clamp technique
◍ How can rescuers ensure that they are providing effective breaths when
using a bag-mask device?.
Answer: observing the chest rise with each breath
◍ Dopamine:
A. Acts as a vasopressor at high doses
B. Causes renal vasoconstriction at low doses.
C. Is typically infused at a rate of 0.1 to 1 mcg/kg per min
D. Is administered rapid intravenous push over 5 to 10 min.
Answer: A. Acts as a vasopressor at high doses
◍ Which of the following statements is true of obstructive shock?
A. The pt's initial clinical presentation may be identical to hypovolemic
shock
