PALS Final Exam QUESTIONS AND 100% CORRECT ANSWERS|LATEST 2025/2026|GRADED A+

PALS Final Exam QUESTIONS AND 100%
CORRECT ANSWERS|LATEST
2025/2026|GRADED A+
A provider is assessing a child with suspected shock. Which statement correctly describes hyp
B B B B B B B B B B B B B



otension and shock? - ANSWER- B B B B



Hypotension is not a consistent feature of shock presentation in children.
B B B B B B B B B B




A 10-year-
B



old child has collapsed in the gym of the elementary school. The school nurse arrives and dete
B B B B B B B B B B B B B B B B



rmines that the child is unresponsive. The school nurse then simultaneously checks for breathi
B B B B B B B B B B B B B



ng and a central pulse, limiting this assessment to which time frame? - ANSWER-
B B B B B B B B B B B B B



No more than 10 seconds
B B B B




A 4-year-
B



old child is brought to the emergency department by the parents. Assessment reveals that the
B B B B B B B B B B B B B B



child has only gasping respirations and the pulse rate is 65 beats per minute. Which action wo
B B B B B B B B B B B B B B B B B



uld the provider initiate first? - ANSWER-
B B B B B B



Deliver 1 BVM ventilation every 2 to 3 seconds.
B B B B B B B B




A 7-year-
B



old child collapses on the playground at school. The school nurse is called to the scene and det
B B B B B B B B B B B B B B B B B



ermines that the child is unresponsive and is not breathing and has no pulse. The nurse initiat
B B B B B B B B B B B B B B B B



es CPR. At what rate and depth would the nurse deliver compressions to this child? - ANSWER-
B B B B B B B B B B B B B B B B



100 to 120 compressions per minute at a depth of about 2 inches
B B B B B B B B B B B B




What is considered inadequate perfusion when assessing/caring for a pediatric patient with a
B B B B B B B B B B B B



n arrhythmia? - ANSWER-
B B B Diminished peripheral pulses B B




Acutely altered mental status
B B B




Hypotension



A 9-year-
B



old child is brought to the emergency department because the child suddenly collapsed at sch
B B B B B B B B B B B B B B



ool. The child's ECG reveals the following waveform, and primary assessment findings indicate
B B B B B B B B B B B B




1
Wicky

, B that the child has inadequate perfusion. Which primary assessment findings indicate this? -
B B B B B B B B B B B B



B ANSWER- Signs of shock B B




Acutely altered mental status B B B




Hypotension



A 9-year-
B



old patient is presenting with diminished breath sounds, bradycardia, slowed respiratory rate
B B B B B B B B B B B B



and a low O2 saturation level. The provider interprets these findings as indicating which condi
B B B B B B B B B B B B B B



tion? - ANSWER- B B Respiratory failure B




A 6-year-
B



old child is brought to the emergency department. The child has been experiencing extremely
B B B B B B B B B B B B B B



watery stools over the past several days. After completing the assessment, the healthcare pro
B B B B B B B B B B B B B



vider suspects that the child may be experiencing shock. Which type of shock would the provi
B B B B B B B B B B B B B B B



der most likely suspect? - ANSWER-
B B B B B Hypovolemia



A 2-year-
B



old child of unknown weight arrives at the emergency department in cardiac arrest. When pre
B B B B B B B B B B B B B B



paring to administer medications, which action would be appropriate for the team to take? -
B B B B B B B B B B B B B B



B ANSWER- Estimate weight using a length-based resuscitation tape.
B B B B B B




An 11-year- B



old child develops ventricular tachycardia with a pulse with inadequate perfusion. The PALS te
B B B B B B B B B B B B B



am would prepare the child for which intervention? - ANSWER-
B B B B B B B B B



Synchronized electrical cardioversion B B




A 5-year-
B



old child with a history of a chronic neuromuscular disease is experiencing respiratory distress
B B B B B B B B B B B B B



. The child is breathing spontaneously and receiving supplemental oxygen. Which additional in
B B B B B B B B B B B B



tervention is a critical component of airway management for this patient? - ANSWER-
B B B B B B B B B B B B



Airway clearance (e.g., suctioning) B B B




Primary assessment of a 10-year- B B B B



old child reveals septic shock. As part of the secondary assessment, if not already done as part
B B B B B B B B B B B B B B B B




2
Wicky