PALS FINAL EXAM Questions
And Correct Verified Answers New Version 2026
26
The emergency response team is providing careto apreschooler who is experiencing
shock. The primary goal, common to all types of shock, is to restore a favorable balance
20
between tissue perfusion and metabolic demand with a focus on what -ANSWER-The
primary goal in shock, regardless of cause, is to restore a favorable balance between
tissue perfusion and metabolic demand with a focus on oxygen delivery and oxygen
s
demand.
am
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
Ex
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
s
determine the adequacy of oxygen delivery? -ANSWER- Lactate
rt
A provider is forming an initial impression of a child using the Pediatric Assessment
pe
Triangle (PAT). During which step of the PAT may the provider use the mnemonic
TICLS to assess the patient? -ANSWER- appearance
Ex
A child in the pediatric intensive care unit displays the nfollowing ECG waveform. The
child has no pulse. The resuscitation team interprets this as which arrhythmia -
ANSWER- Monomorphic pulseless ventricular tachycardia
se
A child experiencing unstable bradycardia is receiving CPR. Despite efforts with CPR,
ur
including assuring oxygenation and ventilation, the child’s status remains
unchanged. Which medication would the emergency response team expect to
administer next? -ANSWER- epi
N
A 4-year-old child suddenly collapses in the playroom of the facility. A healthcare
provider observes the event and hurries over to assess the child. The healthcare
provider completes which assessment first? -ANSWER- rapid
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
, 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
26
provider interprets this rhythm as indicating which arrhythmia? -ANSWER- First-
degree atrioventricular (AV) block
20
A child in cardiac arrest experiences return of spontaneous circulation but is
exhibiting signs of post– cardiac arrest syndrome (PCAS). The PALS resuscitation
bteam determines that the child is experiencing a
s
systemic response to ischemia/reperfusion. The team n bases this determination on
am
which finding(s)? -ANSWER- Hypotension
Fever
Hyperglycemia Ex
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 CPR. Which action(s) by the providers demonstrates
s
high-quality CPR? -ANSWER-
rt
Allowing the chest to recoil fully after each compression
Providing ventilations that last about 1 second each
pe
Compressing the chest about 2 inches
Giving 2 ventilations to every 15 compressions
Ex
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.
se
A provider is assessing a child with suspected shock. Which statement correctly
ur
describes hypotension and shock? -ANSWER- Hypotension is not a consistent
feature of shock;
N
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 vsaturation above 94%.
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
And Correct Verified Answers New Version 2026
26
The emergency response team is providing careto apreschooler who is experiencing
shock. The primary goal, common to all types of shock, is to restore a favorable balance
20
between tissue perfusion and metabolic demand with a focus on what -ANSWER-The
primary goal in shock, regardless of cause, is to restore a favorable balance between
tissue perfusion and metabolic demand with a focus on oxygen delivery and oxygen
s
demand.
am
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
Ex
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
s
determine the adequacy of oxygen delivery? -ANSWER- Lactate
rt
A provider is forming an initial impression of a child using the Pediatric Assessment
pe
Triangle (PAT). During which step of the PAT may the provider use the mnemonic
TICLS to assess the patient? -ANSWER- appearance
Ex
A child in the pediatric intensive care unit displays the nfollowing ECG waveform. The
child has no pulse. The resuscitation team interprets this as which arrhythmia -
ANSWER- Monomorphic pulseless ventricular tachycardia
se
A child experiencing unstable bradycardia is receiving CPR. Despite efforts with CPR,
ur
including assuring oxygenation and ventilation, the child’s status remains
unchanged. Which medication would the emergency response team expect to
administer next? -ANSWER- epi
N
A 4-year-old child suddenly collapses in the playroom of the facility. A healthcare
provider observes the event and hurries over to assess the child. The healthcare
provider completes which assessment first? -ANSWER- rapid
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
, 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
26
provider interprets this rhythm as indicating which arrhythmia? -ANSWER- First-
degree atrioventricular (AV) block
20
A child in cardiac arrest experiences return of spontaneous circulation but is
exhibiting signs of post– cardiac arrest syndrome (PCAS). The PALS resuscitation
bteam determines that the child is experiencing a
s
systemic response to ischemia/reperfusion. The team n bases this determination on
am
which finding(s)? -ANSWER- Hypotension
Fever
Hyperglycemia Ex
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 CPR. Which action(s) by the providers demonstrates
s
high-quality CPR? -ANSWER-
rt
Allowing the chest to recoil fully after each compression
Providing ventilations that last about 1 second each
pe
Compressing the chest about 2 inches
Giving 2 ventilations to every 15 compressions
Ex
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.
se
A provider is assessing a child with suspected shock. Which statement correctly
ur
describes hypotension and shock? -ANSWER- Hypotension is not a consistent
feature of shock;
N
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 vsaturation above 94%.
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
