PALS Final Review Test Bank Latest Update 2026 |
Comprehensive Prep
1. In a scenario where a pediatric patient is in cardiac arrest following a fall from
a height, what should be the first action taken to ensure their safety during
resuscitation?
Minimize movement of the cervical spine
Administer CPR immediately
Provide high-flow oxygen as soon as possible
Perform a rapid sequence intubation without delay
2. What is the primary condition that leads to cardiogenic shock?
Hypovolemia
Anaphylaxis
Sepsis
Heart failure
3. In a scenario where a child presents with severe respiratory distress leading
to cardiac arrest, what immediate intervention should be prioritized?
Giving medications immediately
Performing chest compressions
Administering intravenous fluids
Establishing airway management
4. What is the mnemonic commonly used for conducting a primary assessment
in pediatric advanced life support?
, SAMPLE
ABCDE
CAB
AVPU
5. In a scenario where a pediatric patient is diagnosed with septic shock, what
would be the immediate priority in their treatment plan?
Performing a surgical intervention
Initiating aggressive fluid therapy
Starting a blood transfusion
Administering pain medication
6. What is the term used to describe a heart rate below 60 beats per minute in
infants?
Bradycardia
Tachycardia
Arrhythmia
Asystole
7. What is the best method for assessing hydration in a child during fluid
resuscitation?
Monitoring serum sodium levels
Monitoring pulse & BP
Monitoring the level of alertness
Examining mucous membranes every 3 hours
, Monitoring urine output
8. Describe the rationale behind using corticosteroids as the first-line treatment
for croup.
Corticosteroids increase mucus production to clear the airway.
Corticosteroids are used to sedate the child during treatment.
Corticosteroids act as an antibiotic to fight infection.
Corticosteroids reduce inflammation in the airway, alleviating
symptoms of croup.
9. Which med would be most appropriate in a patient with warm septic shock
refractory to 3 normal saline boluses?
Norepinephrine
Nitroprusside
Dopamine
Hydrocortisone
10. Describe how distributive shock affects blood flow in the body.
Distributive shock causes blood to pool in the extremities.
Distributive shock leads to an abnormal distribution of blood,
causing inadequate perfusion to vital organs.
Distributive shock increases blood flow to the heart and lungs.
Distributive shock results in increased blood pressure throughout the
body.
11. In a scenario where a pediatric patient has just been resuscitated, what
should the healthcare team prioritize in the immediate post-resuscitation
, phase?
Starting a new medication regimen without assessment
Administering a sedative to calm the patient
Establishing a stable airway and monitoring vital signs
Preparing for discharge from the emergency department
12. What is the tolerance level of children and infants to supraventricular
tachycardia (SVT)?
SVT does not require immediate intervention.
Children and infants lack the ability to tolerate this rhythm well.
SVT is always symptomatic.
Children and infants tolerate this rhythm well.
13. In a scenario where a 7-month-old infant presents with bradycardia and
altered mental status, what immediate intervention should be prioritized?
Perform chest compressions without assessing the airway.
Assess and secure the airway while providing appropriate
ventilation.
Administer intravenous fluids immediately.
Wait for emergency medical services to arrive before taking action.
14. In a scenario where a 5-year-old with acute respiratory distress is
unresponsive and has a weak pulse, what should be your next step after
providing supplemental oxygen?
Start chest compressions immediately
Initiate positive pressure ventilation
Comprehensive Prep
1. In a scenario where a pediatric patient is in cardiac arrest following a fall from
a height, what should be the first action taken to ensure their safety during
resuscitation?
Minimize movement of the cervical spine
Administer CPR immediately
Provide high-flow oxygen as soon as possible
Perform a rapid sequence intubation without delay
2. What is the primary condition that leads to cardiogenic shock?
Hypovolemia
Anaphylaxis
Sepsis
Heart failure
3. In a scenario where a child presents with severe respiratory distress leading
to cardiac arrest, what immediate intervention should be prioritized?
Giving medications immediately
Performing chest compressions
Administering intravenous fluids
Establishing airway management
4. What is the mnemonic commonly used for conducting a primary assessment
in pediatric advanced life support?
, SAMPLE
ABCDE
CAB
AVPU
5. In a scenario where a pediatric patient is diagnosed with septic shock, what
would be the immediate priority in their treatment plan?
Performing a surgical intervention
Initiating aggressive fluid therapy
Starting a blood transfusion
Administering pain medication
6. What is the term used to describe a heart rate below 60 beats per minute in
infants?
Bradycardia
Tachycardia
Arrhythmia
Asystole
7. What is the best method for assessing hydration in a child during fluid
resuscitation?
Monitoring serum sodium levels
Monitoring pulse & BP
Monitoring the level of alertness
Examining mucous membranes every 3 hours
, Monitoring urine output
8. Describe the rationale behind using corticosteroids as the first-line treatment
for croup.
Corticosteroids increase mucus production to clear the airway.
Corticosteroids are used to sedate the child during treatment.
Corticosteroids act as an antibiotic to fight infection.
Corticosteroids reduce inflammation in the airway, alleviating
symptoms of croup.
9. Which med would be most appropriate in a patient with warm septic shock
refractory to 3 normal saline boluses?
Norepinephrine
Nitroprusside
Dopamine
Hydrocortisone
10. Describe how distributive shock affects blood flow in the body.
Distributive shock causes blood to pool in the extremities.
Distributive shock leads to an abnormal distribution of blood,
causing inadequate perfusion to vital organs.
Distributive shock increases blood flow to the heart and lungs.
Distributive shock results in increased blood pressure throughout the
body.
11. In a scenario where a pediatric patient has just been resuscitated, what
should the healthcare team prioritize in the immediate post-resuscitation
, phase?
Starting a new medication regimen without assessment
Administering a sedative to calm the patient
Establishing a stable airway and monitoring vital signs
Preparing for discharge from the emergency department
12. What is the tolerance level of children and infants to supraventricular
tachycardia (SVT)?
SVT does not require immediate intervention.
Children and infants lack the ability to tolerate this rhythm well.
SVT is always symptomatic.
Children and infants tolerate this rhythm well.
13. In a scenario where a 7-month-old infant presents with bradycardia and
altered mental status, what immediate intervention should be prioritized?
Perform chest compressions without assessing the airway.
Assess and secure the airway while providing appropriate
ventilation.
Administer intravenous fluids immediately.
Wait for emergency medical services to arrive before taking action.
14. In a scenario where a 5-year-old with acute respiratory distress is
unresponsive and has a weak pulse, what should be your next step after
providing supplemental oxygen?
Start chest compressions immediately
Initiate positive pressure ventilation
