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Shock & Initial Assessment
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1. Which statement correctly describes hypotension in pediatric shock?
✅
A) Always present
B) Late sign and not consistent
C) Early sign
D) Irrelevant
Answer: B
Explanation: Children compensate well; hypotension is a late and dangerous sign of
shock.
2. Pulse and breathing check should take no longer than:
A) 5 sec
B) 10 sec
C) 20 sec
D) 30 sec
Answer: B
3. Child with pulse 65/min and gasping respirations—first action?
A) CPR
B) Defibrillation
C) BVM ventilation
D) Epinephrine
Answer: C
Explanation: Provide ventilations for respiratory failure with pulse.
4. CPR rate and depth for child?
A) 80/min
B) 100–120/min, ~2 inches
C) 140/min
D) 60/min
Answer: B
5. Signs of inadequate perfusion include:
A) Strong pulses
B) Normal mental status
C) Hypotension, AMS, weak pulses
D) Fever
Answer: C
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PALS Final Exam Questions and
Answers 2026 – Complete Question
Practice Test with Explanations
Master Pediatric Advanced Life Support (PALS) with this full question exam. Includes correct
answers, clinical scenarios, and concise explanations covering shock, airway, cardiac arrest,
and emergency care.
Shock & Initial Assessment
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1. Which statement correctly describes hypotension in pediatric shock?
✅
A) Always present
B) Late sign and not consistent
C) Early sign
D) Irrelevant
Answer: B
Explanation: Children compensate well; hypotension is a late and dangerous sign of
shock.
2. Pulse and breathing check should take no longer than:
A) 5 sec
B) 10 sec
C) 20 sec
D) 30 sec
Answer: B
3. Child with pulse 65/min and gasping respirations—first action?
A) CPR
B) Defibrillation
C) BVM ventilation
D) Epinephrine
Answer: C
Explanation: Provide ventilations for respiratory failure with pulse.
4. CPR rate and depth for child?
A) 80/min
B) 100–120/min, ~2 inches
C) 140/min
D) 60/min
Answer: B
5. Signs of inadequate perfusion include:
A) Strong pulses
B) Normal mental status
C) Hypotension, AMS, weak pulses
D) Fever
Answer: C
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