PALS STUDY GUIDE 2026 QUESTIONS AND 100% VERIFIED ANSWERS |
GRADED A+ | GUARANTEED PASS!!
1. 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? Ans: second
degree
2. 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?
Ans: Lactate
3. 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?
Ans: Respiratory failure
4. 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?
Ans: Deliver 1 BVM ventilation every 3 to 5 seconds.
5. 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?
Ans: First-degree atrioventricular (AV) block
, 6. 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)?
Ans: Hypotension
Fever
Hyperglycemia
7. 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?
Ans: Allowing the chest to recoil fully after each compression
Providing ventilations that last about 1 second each
Compressing the chest about 2 inches
Giving 2 ventilations to every 15 compressions
8. A PALS resuscitation team is preparing to defibrillate a child experiencing cardiac
arrest. For which rhythm(s) would this action be appropriate?
Ans: VF and pVT are shockable cardiac arrest rhythms.
9. A provider is assessing a child with suspected shock. Which statement correctly
describes hypotension and shock?
Ans: Hypotension is not a consistent feature of shock;
10. 10. 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
GRADED A+ | GUARANTEED PASS!!
1. 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? Ans: second
degree
2. 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?
Ans: Lactate
3. 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?
Ans: Respiratory failure
4. 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?
Ans: Deliver 1 BVM ventilation every 3 to 5 seconds.
5. 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?
Ans: First-degree atrioventricular (AV) block
, 6. 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)?
Ans: Hypotension
Fever
Hyperglycemia
7. 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?
Ans: Allowing the chest to recoil fully after each compression
Providing ventilations that last about 1 second each
Compressing the chest about 2 inches
Giving 2 ventilations to every 15 compressions
8. A PALS resuscitation team is preparing to defibrillate a child experiencing cardiac
arrest. For which rhythm(s) would this action be appropriate?
Ans: VF and pVT are shockable cardiac arrest rhythms.
9. A provider is assessing a child with suspected shock. Which statement correctly
describes hypotension and shock?
Ans: Hypotension is not a consistent feature of shock;
10. 10. 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
