PSI COSMETOLOGY PRACTICE TEST
ACTUAL EXAM PAPER 2026
QUESTIONS WITH ANSWERS GRADED
A+
◍ 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?.
Answer: 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?.
Answer: Lactate
◍ Sinus Bradycardia.
Answer: Please identify the rhythm by selecting the best single answer.
◍ 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?.
Answer: Respiratory failure
◍ Reentry supraventricular tachycardia.
Answer: Please identify the rhythm by selecting the best single answer.
◍ 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 3 to 5 seconds.
◍ 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 (AV) block
◍ Second-degree AV block (Mobitz II block).
Answer: Please identify the rhythm by selecting the best single answer.
◍ Agonal rhythm/asystole.
Answer: Please identify the rhythm by selecting the best single answer.
◍ Third-Degree AV block.
Answer: Please identify the rhythm by selecting the best single answer.
◍ Monomorphic Ventricular Tachycardia.
Answer: Please identify the rhythm by selecting the best single answer.
◍ Sinus Tachycardia.
Answer: Please identify the rhythm by selecting the best single answer.
◍ Atrial Fibrillation.
Answer: Please identify the rhythm by selecting the best single answer.
◍ Course Ventricular Fibrillation.
Answer: Please identify the rhythm by selecting the best single answer.
◍ Polymorphic Ventricular Tachycardia.
Answer: Please identify the rhythm by selecting the best single answer.
◍ 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: HypotensionFeverHyperglycemia
◍ 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 CP
, R. Which action(s) by the providers demonstrates high-quality CPR?.
Answer: Allowing the chest to recoil fully after each compressionProviding
ventilations that last about 1 second eachCompressing the chest about 2
inchesGiving 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?.
Answer: VF and pVT are shockable cardiac arrest rhythms.
◍ Second-degree AV block (Mobitz I Wenchebach).
Answer: Please identify the rhythm by selecting the best single answer.
◍ A provider is assessing a child with suspected shock. Which statement
correctly describes hypotension and shock?.
Answer: Hypotension is not a consistent feature of shock;
◍ A provider is caring for a 4-year-old child in the urgent care clinic. Primary
assessment reveals difficulty breathing and an oxygen saturation of 91%.
The provider administers oxygen by nasal cannula with the goal of
improving the child’s oxygen saturation above what percentage?.
Answer: Supplemental oxygen should be administered as needed to maintain
an oxygen saturation above 94%.
◍ Normal Sinus Rhythm.
Answer: Please identify the rhythm by selecting the best single answer.
◍ 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 administer first?.
Answer: Albuterol plus ipratropium bromid
◍ A child in the pediatric step-down unit is exhibiting signs of respiratory
distress. When assessing this child, which circulation finding might be
present?.
Answer: Pallor is a circulation finding that may be seen in patients with
respiratory distress.
ACTUAL EXAM PAPER 2026
QUESTIONS WITH ANSWERS GRADED
A+
◍ 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?.
Answer: 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?.
Answer: Lactate
◍ Sinus Bradycardia.
Answer: Please identify the rhythm by selecting the best single answer.
◍ 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?.
Answer: Respiratory failure
◍ Reentry supraventricular tachycardia.
Answer: Please identify the rhythm by selecting the best single answer.
◍ 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 3 to 5 seconds.
◍ 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 (AV) block
◍ Second-degree AV block (Mobitz II block).
Answer: Please identify the rhythm by selecting the best single answer.
◍ Agonal rhythm/asystole.
Answer: Please identify the rhythm by selecting the best single answer.
◍ Third-Degree AV block.
Answer: Please identify the rhythm by selecting the best single answer.
◍ Monomorphic Ventricular Tachycardia.
Answer: Please identify the rhythm by selecting the best single answer.
◍ Sinus Tachycardia.
Answer: Please identify the rhythm by selecting the best single answer.
◍ Atrial Fibrillation.
Answer: Please identify the rhythm by selecting the best single answer.
◍ Course Ventricular Fibrillation.
Answer: Please identify the rhythm by selecting the best single answer.
◍ Polymorphic Ventricular Tachycardia.
Answer: Please identify the rhythm by selecting the best single answer.
◍ 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: HypotensionFeverHyperglycemia
◍ 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 CP
, R. Which action(s) by the providers demonstrates high-quality CPR?.
Answer: Allowing the chest to recoil fully after each compressionProviding
ventilations that last about 1 second eachCompressing the chest about 2
inchesGiving 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?.
Answer: VF and pVT are shockable cardiac arrest rhythms.
◍ Second-degree AV block (Mobitz I Wenchebach).
Answer: Please identify the rhythm by selecting the best single answer.
◍ A provider is assessing a child with suspected shock. Which statement
correctly describes hypotension and shock?.
Answer: Hypotension is not a consistent feature of shock;
◍ A provider is caring for a 4-year-old child in the urgent care clinic. Primary
assessment reveals difficulty breathing and an oxygen saturation of 91%.
The provider administers oxygen by nasal cannula with the goal of
improving the child’s oxygen saturation above what percentage?.
Answer: Supplemental oxygen should be administered as needed to maintain
an oxygen saturation above 94%.
◍ Normal Sinus Rhythm.
Answer: Please identify the rhythm by selecting the best single answer.
◍ 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 administer first?.
Answer: Albuterol plus ipratropium bromid
◍ A child in the pediatric step-down unit is exhibiting signs of respiratory
distress. When assessing this child, which circulation finding might be
present?.
Answer: Pallor is a circulation finding that may be seen in patients with
respiratory distress.
