PALS FINAL EXAM 130 QUESTIONS WITH
COMPLETE SOLUTIONS GUARANTEED PASS
BRAND NEW 2026
1) A 2-year-old child of unknown weight arrives at the
emergency department in cardiac arrest. When preparing to
administer medications, which action would be appropriate for
the team to take? - ANSWER - >Estimate weight using a
lengthbased resuscitation tape.
2) An 11-year-old child develops ventricular tachycardia with a
pulse with inadequate perfusion. The PALS team would
prepare the child for which intervention? - ANSWER -
>Synchronized electrical cardioversion
,3) A 5-year-old child with a history of a chronic neuromuscular
disease is experiencing respiratory distress. The child is
breathing spontaneously and receiving supplemental oxygen.
Which additional intervention is a critical component of airway
management for this patient? - ANSWER - >Airway clearance
(e.g., suctioning)
4) Primary assessment of a 10-year-old child reveals septic
shock. As part of the secondary assessment, if not already
done as part of initial sepsis care, laboratory testing is
completed to evaluate the child's status. Which laboratory
tests would be ordered for this child? - ANSWER -
>Complete blood count (CBC) 17) Lactate level
18) Blood cultures
19) A 6-year-old patient is brought to the emergency department
after a bicycle accident. Assessment reveals chest pain on
inspiration, diminished breath sounds on the right side, and
respiratory distress. The provider suspects obstructive shock
caused by what condition? - ANSWER - >Tension
pneumothorax
,20) A child exhibiting a narrow-complex tachycardia with
adequate perfusion is to receive adenosine. The provider
would be alert for which result after administering this
medication? - ANSWER - >Transient asystole
21) The emergency response team is providing care to a
preschooler who is experiencing shock. The primary goal,
common to all types of shock, is to restore a favorable
balance between tissue perfusion and metabolic demand
with a focus on what? - ANSWER - >Oxygen delivery and
oxygen demand
22) An 8-year-old child being treated in the emergency
department has significant respiratory distress. The child
also exhibits hives, wheezing, angioedema, tachycardia and
dyspnea. The parents state that the child, who is allergic to
peanuts, had eaten some popcorn that had peanuts in it.
The team initiates care, preparing to administer which agent
first? - ANSWER - >Epinephrine
23) A child in the pediatric intensive care unit displays the
following ECG waveform. The child has no pulse. The
, resuscitation team interprets this as which arrhythmia? -
ANSWER - >Monomorphic pulseless ventricular tachycardia
24) 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 high-quality CPR? - ANSWER -
>Compressing the chest about 2 inches
25) Providing ventilations that last about 1 second each
26) Giving 2 ventilations to every 15 compressions
27) Allowing the chest to recoil fully after each compression
28) 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
29) A 4-year-old patient presents with tachycardia, tachypnea,
cold extremities and weak pulses. Assessment also reveals
an enlarged liver and neck vein distension. The provider
COMPLETE SOLUTIONS GUARANTEED PASS
BRAND NEW 2026
1) A 2-year-old child of unknown weight arrives at the
emergency department in cardiac arrest. When preparing to
administer medications, which action would be appropriate for
the team to take? - ANSWER - >Estimate weight using a
lengthbased resuscitation tape.
2) An 11-year-old child develops ventricular tachycardia with a
pulse with inadequate perfusion. The PALS team would
prepare the child for which intervention? - ANSWER -
>Synchronized electrical cardioversion
,3) A 5-year-old child with a history of a chronic neuromuscular
disease is experiencing respiratory distress. The child is
breathing spontaneously and receiving supplemental oxygen.
Which additional intervention is a critical component of airway
management for this patient? - ANSWER - >Airway clearance
(e.g., suctioning)
4) Primary assessment of a 10-year-old child reveals septic
shock. As part of the secondary assessment, if not already
done as part of initial sepsis care, laboratory testing is
completed to evaluate the child's status. Which laboratory
tests would be ordered for this child? - ANSWER -
>Complete blood count (CBC) 17) Lactate level
18) Blood cultures
19) A 6-year-old patient is brought to the emergency department
after a bicycle accident. Assessment reveals chest pain on
inspiration, diminished breath sounds on the right side, and
respiratory distress. The provider suspects obstructive shock
caused by what condition? - ANSWER - >Tension
pneumothorax
,20) A child exhibiting a narrow-complex tachycardia with
adequate perfusion is to receive adenosine. The provider
would be alert for which result after administering this
medication? - ANSWER - >Transient asystole
21) The emergency response team is providing care to a
preschooler who is experiencing shock. The primary goal,
common to all types of shock, is to restore a favorable
balance between tissue perfusion and metabolic demand
with a focus on what? - ANSWER - >Oxygen delivery and
oxygen demand
22) An 8-year-old child being treated in the emergency
department has significant respiratory distress. The child
also exhibits hives, wheezing, angioedema, tachycardia and
dyspnea. The parents state that the child, who is allergic to
peanuts, had eaten some popcorn that had peanuts in it.
The team initiates care, preparing to administer which agent
first? - ANSWER - >Epinephrine
23) A child in the pediatric intensive care unit displays the
following ECG waveform. The child has no pulse. The
, resuscitation team interprets this as which arrhythmia? -
ANSWER - >Monomorphic pulseless ventricular tachycardia
24) 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 high-quality CPR? - ANSWER -
>Compressing the chest about 2 inches
25) Providing ventilations that last about 1 second each
26) Giving 2 ventilations to every 15 compressions
27) Allowing the chest to recoil fully after each compression
28) 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
29) A 4-year-old patient presents with tachycardia, tachypnea,
cold extremities and weak pulses. Assessment also reveals
an enlarged liver and neck vein distension. The provider
