2PALS PRACTICE FINAL EXAM WITH
CORRECT ANSWERS 2026
1. A 4-year-old child becomes unresponsive and apneic. You find no pulse
after 10 seconds. What is the next action?
A. Give 2 rescue breaths
B. Begin CPR with a compression-to-ventilation ratio of 30:2
C. Apply the AED only
D. Provide oxygen and reassess
Answer: B
2. Which rhythm is most appropriate for defibrillation?
A. Sinus tachycardia
B. Asystole
C. Ventricular fibrillation
D. Pulseless electrical activity (PEA)
Answer: C
3. In pediatric CPR with two rescuers, what is the correct compression-to-
ventilation ratio?
A. 15:2
B. 30:2
C. 5:1
D. Continuous compressions with asynchronous breaths
Answer: A
4. A child with severe respiratory distress has inspiratory stridor, muffled
voice, and drooling. What is the most likely condition?
A. Asthma
B. Croup
C. Epiglottitis
D. Bronchiolitis
Answer: C
, 5. What is the initial dose of epinephrine for pediatric cardiac arrest (IV/IO)?
A. 0.1 mg/kg
B. 0.01 mg/kg
C. 1 mg/kg
D. 0.5 mg/kg
Answer: B
6. A child has bradycardia with poor perfusion. The first intervention is:
A. Atropine
B. Begin chest compressions
C. Epinephrine
D. Give a fluid bolus
Answer: B
7. A 2-year-old with respiratory failure requires bag-mask ventilation. What
is the most important indicator of effectiveness?
A. Chest rise
B. Breath sounds
C. Oxygen saturation
D. EtCO₂ waveform
Answer: A
8. You suspect compensated shock in a child. Which finding best supports
this?
A. Hypotension
B. Normal mental status
C. Cool extremities with delayed capillary refill
D. Bradycardia
Answer: C
9. What is the appropriate fluid bolus for pediatric septic shock (unless
contraindicated)?
A. 5 mL/kg
B. 10 mL/kg
C. 20 mL/kg
CORRECT ANSWERS 2026
1. A 4-year-old child becomes unresponsive and apneic. You find no pulse
after 10 seconds. What is the next action?
A. Give 2 rescue breaths
B. Begin CPR with a compression-to-ventilation ratio of 30:2
C. Apply the AED only
D. Provide oxygen and reassess
Answer: B
2. Which rhythm is most appropriate for defibrillation?
A. Sinus tachycardia
B. Asystole
C. Ventricular fibrillation
D. Pulseless electrical activity (PEA)
Answer: C
3. In pediatric CPR with two rescuers, what is the correct compression-to-
ventilation ratio?
A. 15:2
B. 30:2
C. 5:1
D. Continuous compressions with asynchronous breaths
Answer: A
4. A child with severe respiratory distress has inspiratory stridor, muffled
voice, and drooling. What is the most likely condition?
A. Asthma
B. Croup
C. Epiglottitis
D. Bronchiolitis
Answer: C
, 5. What is the initial dose of epinephrine for pediatric cardiac arrest (IV/IO)?
A. 0.1 mg/kg
B. 0.01 mg/kg
C. 1 mg/kg
D. 0.5 mg/kg
Answer: B
6. A child has bradycardia with poor perfusion. The first intervention is:
A. Atropine
B. Begin chest compressions
C. Epinephrine
D. Give a fluid bolus
Answer: B
7. A 2-year-old with respiratory failure requires bag-mask ventilation. What
is the most important indicator of effectiveness?
A. Chest rise
B. Breath sounds
C. Oxygen saturation
D. EtCO₂ waveform
Answer: A
8. You suspect compensated shock in a child. Which finding best supports
this?
A. Hypotension
B. Normal mental status
C. Cool extremities with delayed capillary refill
D. Bradycardia
Answer: C
9. What is the appropriate fluid bolus for pediatric septic shock (unless
contraindicated)?
A. 5 mL/kg
B. 10 mL/kg
C. 20 mL/kg
