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Exam (elaborations)

PALS Final Review Exam [2026/2027] Updated Version | Verified Questions & Detailed Rationales for Top Performance

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Prepare for the PALS Final Review Exam [2026/2027] with this updated study guide featuring verified questions, correct answers, and detailed rationales. Covers pediatric advanced life support protocols, emergency interventions, clinical decision-making, and exam-focused strategies designed to maximize understanding, retention, and top scores. Ideal for A+ results.

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Uploaded on
December 15, 2025
Number of pages
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Written in
2025/2026
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PALS Final Review exam


Mikey, a 2-year-old boy, is sitting upright Respiratory distress
on a hospital bed in room 3 of your
emergency department. Your initial
impression from the door does not raise
immediate concern. On your entry to the
room, you are able to look at Mikey more
closely and notice on inhalation his nostrils
are flaring. This is a sign of:

The proper site for a peripheral pulse brachial
assessment in the infant patient is:

You are called to the scene of a 3-year- compensate shock?
old patient who was found anxious,
cyanotic and lethargic after a fall down a
flight of stairs. On assessing the patient,
you find vital signs with a respiratory rate
of 30, regular pulse rate of 130, regular
capillary refill time of 4 seconds, and a
blood pressure of 102/61. What kind of
shock is the patient experiencing?

A mnemonic that aids in performing a ABCDE
primary assessment is:

, PALS Final Review exam

A consideration of treatment for a Extracorporeal membrane oxygenation (ECMO)
pediatric patient with acute fulminant
myocarditis who is in cardiac arrest or at a
high risk of cardiac arrest is:

Which of the following is the correct Alert - The child is alert and awake and responds to normal stimuli based upon
meaning for one of the individual letters in and environment
the AVPU scale?

The recommended route of vascular central IV
access on a hypotensive pediatric patient
is:

, PALS Final Review exam

You are called to the bedside of a 12-year- 20 ml/kg 0.9% NaCl over 10 minutes
old male patient who was admitted after a
week of persistent vomiting, diarrhea and
limiting oral intake of both solids and
liquids. The patient's airway is patent,
ventilatory rate is within normal limits and
the patient's circulatory status presents
with tachycardia, a blood pressure of
70/40 and a capillary refill time of 5
seconds. The patient is speaking
incoherently. The patient has no history of
cardiac problems or congenital defects.
The appropriate fluid administration dose
for this patient is:
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