PALS Pre-Course Self-Assessment 2026–2027 Practice Questions, Verified Answers & Study Guide.

PALS Pre-Course Self-Assessment 2026–2027 |
Practice Questions, Verified Answers & Study
Guide
1. Identify the rhythm by selecting the single best answer:
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Clinicalclues: heart rate 200/min; no detectable pulse.: TorsadesdePointe
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2. Identify the rhythm by selecting the single best answer:
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Clinical clues: age 8 years; hear rate 78/min.: NormalSinusRhythm
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3. Identify the rhythm by selecting the single best answer:
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Clinical clues: age 3 months; heart rate 65/min: Sinusbradycardia
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4. Identify the rhythm by selecting the single best answer:
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Clinical clues: initial rhythm associated with heart rate 300/min: S
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sinus rhythm after adenosine administration.
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5. Identify the rhythm by selecting the single best answer:
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Clinical clues: initial rhythm associated with no detectable pulse.: V ful
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defibrillation and resumption of organized rhythm.
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6. Identify the rhythm by selecting the single best answer:
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Clinical clue: heart rate 300/min: Supraventricular tachycardia (SVT)
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7. Identify the rhythm by selecting the single best answer:
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Clinical clues: Febrile infant; heart rate 188/min: SinusTachycardia
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8. Identify the rhythm by selecting the single best answer:
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Clinical clues: no detectable pulse.: Asystole
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9. Identify the rhythm by selecting the single best answer:
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Clinical clues: No consistent heart rate detected; no detectable pul
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Fibrillation(VF) g




10. Identify the rhythm by selecting the single best answer:
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g Clinical clue: Heart rate 214/min: Wide-ComplexTachycardia
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, 11. Identify the rhythm by selecting the single best answer: g g g g g g g g




Clinical clue: Heart rate 44/min; no detectable pulses: PulselessElectricalActivity
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12. Identify the rhythm by selecting the single best answer: g g g g g g g g




Clinical clues: Age 7 years; heart rate 38/min.: SinusBradycardia
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13. Identify the rhythm by selecting the single best answer: g g g g g g g g




Clinical clues: heart rate 150/min.: Wide-ComplexTachycardia
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14. Initial impression of a 2-year-old girl shows her to be alert with mild breath-
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ingdifficultyduringinspiration andpaleskincolor.Onprimaryassessment, she
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gmakes high-pitched inspiratory sounds (mild stridor) when agitated; oth-
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erwise, her breathing is quiet. Her SP02 is 92% on room air, and she has
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mild inspiratory intercostal retractions. Lung auscultation reveals transmitted
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upper airway sounds with adequate distal breath sounds bilaterally Which is the
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most appropriate initial intervention for this child?: Humidifiedoxygenastolerated.
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15. A previously healthy infant with a history of vomiting and diarrhea is brought
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gto the emergency department by her parents. During your assess-ment,
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gyou find that the infant responds only too painful stimulation. The infant's
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grespiratory rate is 40 breaths per minute, and central pulses are rapid and g g g g g g g g g g g g




gweak. The infant has good bilateral breaths sounds, cool extremities, and a
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gcapillary refill time of more that 5 seconds. The infant's blood pressure is 85/65
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gmmHg, and glucose is 30 mg/dL (1.65 mmol/L). You administer 100% oxygen
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gvia face mask and start an IV> Which treatment is most appropriate for this infant?:
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Administerabolusofisotoniccrystalloid20mL/kgover5to20minutes,andalsogiveD25W 2 to 4 mL/kg IV.
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16. Which statement is correct about the use of calcium chloride in pediatric
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patients?
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A.) Route administration is not indicated during cardiac arrest. g g g g g g g




B.) It has the same bioavailability of elemental calcium as calcium gluconate.
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C.) The recommended dose is 1 to 2 mg/kg. g g g g g g g




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