PALS PRETEST QUESTIONS AND ANSWERS
2026
◉ Supraventricular tachycardia Answer:
◉ Asystole Answer:
◉ Wide-complex tachycardia Answer:
◉ Ventricular fibrillation with successful defibrillation and
resumption of organized rhythm Answer:
◉ Sinus bradycardia Answer:
◉ Pulseless electrical activity Answer:
◉ Torsades de pointes Answer:
◉ Ventricular fibrillation Answer:
◉ Wide-complex tachycardia Answer:
,◉ SVT converting to sinus rhythm after adenosine administration
Answer:
◉ Normal sinus Answer:
◉ In asystole, what is the effect of epi? Answer: stimulate
spontaneous contractions
◉ Routine administration of calcium chloride (is/is not) indicated in
pediatric patients during cardiac arrest Answer: is not
◉ A 9-year-old boy is agitated and leaning forward on the bed in
obvious respiratory distress. The patient is speaking in short
phrases and tells you that he has asthma but does not carry an
inhaler. He has nasal flaring, severe suprasternal and intercostal
retractions, and decreased air movement with prolonged expiratory
time and wheezing. You administer 100% oxygen by a
nonrebreathing mask. His SpO2 is 92%. What medication do you
prepare to give to this patient? Answer: albuterol
◉ You are part of a team attempting to resuscitate a child with vfib
cardiac arrest. You delivered 2 unsynchronized shocks. A team
member established IO access, so you give a dose of epi, 0.01mg/kg
IO. At the next rhythm check, persistent vfib is present. You
, administer a 4 J/kg shock and resume CPR. What should be
administered next? Answer: amiodarone 5mg/kg IO
◉ What oxygen delivery system most reliably delivers a high (≥90%)
concentration of inspired oxygen to a 7-year-old child? Answer:
nonrebreathing face mask
◉ ET drug administration during resuscitative efforts for pediatric
patients is the (least/most) desirable route of administration.
Answer: least
◉ You are called to help treat an infant with severe symptomatic
bradycardia (HR 66 bpm) associated with respiratory distress. The
bradycardia persists despite establishment of an effective airway,
oxygenation, and ventilation. There is no heart block present. What
is the 1st drug you should administer? Answer: epi
◉ Paramedics are called to the home of a 1-year-old child. Their
initial assessment reveals a child who responds only to painful
stimuli and has irregular breathing, faint central pulses, bruises over
the abdomen, abdominal distention, and cyanosis. Bag-mask
ventilation with 100% oxygen is initiated. The child's HR is 36 bpm.
Peripheral pulses cannot be palpated, and central pulses are barely
palpable. The cardiac monitor shows sinus bradycardia. Two-
rescuer CPR is started. Upon arrival to the ED, the child is intubated
and ventilated with 100% oxygen, and IV access is established. The
HR is now 150 bpm with weak central pulses but no distal pulses.
2026
◉ Supraventricular tachycardia Answer:
◉ Asystole Answer:
◉ Wide-complex tachycardia Answer:
◉ Ventricular fibrillation with successful defibrillation and
resumption of organized rhythm Answer:
◉ Sinus bradycardia Answer:
◉ Pulseless electrical activity Answer:
◉ Torsades de pointes Answer:
◉ Ventricular fibrillation Answer:
◉ Wide-complex tachycardia Answer:
,◉ SVT converting to sinus rhythm after adenosine administration
Answer:
◉ Normal sinus Answer:
◉ In asystole, what is the effect of epi? Answer: stimulate
spontaneous contractions
◉ Routine administration of calcium chloride (is/is not) indicated in
pediatric patients during cardiac arrest Answer: is not
◉ A 9-year-old boy is agitated and leaning forward on the bed in
obvious respiratory distress. The patient is speaking in short
phrases and tells you that he has asthma but does not carry an
inhaler. He has nasal flaring, severe suprasternal and intercostal
retractions, and decreased air movement with prolonged expiratory
time and wheezing. You administer 100% oxygen by a
nonrebreathing mask. His SpO2 is 92%. What medication do you
prepare to give to this patient? Answer: albuterol
◉ You are part of a team attempting to resuscitate a child with vfib
cardiac arrest. You delivered 2 unsynchronized shocks. A team
member established IO access, so you give a dose of epi, 0.01mg/kg
IO. At the next rhythm check, persistent vfib is present. You
, administer a 4 J/kg shock and resume CPR. What should be
administered next? Answer: amiodarone 5mg/kg IO
◉ What oxygen delivery system most reliably delivers a high (≥90%)
concentration of inspired oxygen to a 7-year-old child? Answer:
nonrebreathing face mask
◉ ET drug administration during resuscitative efforts for pediatric
patients is the (least/most) desirable route of administration.
Answer: least
◉ You are called to help treat an infant with severe symptomatic
bradycardia (HR 66 bpm) associated with respiratory distress. The
bradycardia persists despite establishment of an effective airway,
oxygenation, and ventilation. There is no heart block present. What
is the 1st drug you should administer? Answer: epi
◉ Paramedics are called to the home of a 1-year-old child. Their
initial assessment reveals a child who responds only to painful
stimuli and has irregular breathing, faint central pulses, bruises over
the abdomen, abdominal distention, and cyanosis. Bag-mask
ventilation with 100% oxygen is initiated. The child's HR is 36 bpm.
Peripheral pulses cannot be palpated, and central pulses are barely
palpable. The cardiac monitor shows sinus bradycardia. Two-
rescuer CPR is started. Upon arrival to the ED, the child is intubated
and ventilated with 100% oxygen, and IV access is established. The
HR is now 150 bpm with weak central pulses but no distal pulses.
