PALS Final Exam 2026 With Verified
Answers. Graded A+.
Hypotension is not a consistent feature of shock presentation in children. - correct
answers ✔️✔️A provider is assessing a child with suspected shock. Which statement
correctly describes hypotension and shock?
No more than 10 seconds - correct answers ✔️ ✔️A 10-year-old child has collapsed in
the gym of the elementary school. The school nurse arrives and determines that the
child is unresponsive. The school nurse then simultaneously checks for breathing and a
central pulse, limiting this assessment to which time frame?
Deliver 1 BVM ventilation every 2 to 3 seconds. - correct answers ✔️ ✔️ A 4-year-old
child is brought to the emergency department by the parents. Assessment reveals that
the child has only gasping respirations and the pulse rate is 65 beats per minute. Which
action would the provider initiate first?
100 to 120 compressions per minute at a depth of about 2 inches - correct answers
✔️ ✔️ A 7-year-old child collapses on the playground at school. The school nurse is
called to the scene and determines that the child is unresponsive and is not breathing
and has no pulse. The nurse initiates CPR. At what rate and depth would the nurse
deliver compressions to this child?
Diminished peripheral pulses
Acutely altered mental status
Hypotension - correct answers ✔️ ✔️ What is considered inadequate perfusion when
assessing/caring for a pediatric patient with an arrhythmia?
, Signs of shock
Acutely altered mental status
Hypotension - correct answers ✔️ ✔️ A 9-year-old child is brought to the emergency
department because the child suddenly collapsed at school. The child's ECG reveals
the following waveform, and primary assessment findings indicate that the child has
inadequate perfusion. Which primary assessment findings indicate this?
Respiratory failure - correct answers ✔️ ✔️A 9-year-old patient is presenting with
diminished breath sounds, bradycardia, slowed respiratory rate and a low O2 saturation
level. The provider interprets these findings as indicating which condition?
Hypovolemia - correct answers ✔️ ✔️A 6-year-old child is brought to the emergency
department. The child has been experiencing extremely watery stools over the past
several days. After completing the assessment, the healthcare provider suspects that
the child may be experiencing shock. Which type of shock would the provider most
likely suspect?
Estimate weight using a length-based resuscitation tape. - correct answers ✔️✔️A 2-
year-old child of unknown weight arrives at the emergency department in cardiac arrest.
When preparing to administer medications, which action would be appropriate for the
team to take?
Synchronized electrical cardioversion - correct answers ✔️ ✔️ An 11-year-old child
develops ventricular tachycardia with a pulse with inadequate perfusion. The PALS
team would prepare the child for which intervention?
Airway clearance (e.g., suctioning) - correct answers ✔️✔️A 5-year-old child with a
history of a chronic neuromuscular disease is experiencing respiratory distress. The
child is breathing spontaneously and receiving supplemental oxygen. Which additional
intervention is a critical component of airway management for this patient?
Complete blood count (CBC)
Lactate level
Blood cultures - correct answers ✔️ ✔️Primary assessment of a 10-year-old child
reveals septic shock. As part of the secondary assessment, if not already done as part
of initial sepsis care, laboratory testing is completed to evaluate the child's status. Which
laboratory tests would be ordered for this child?
Tension pneumothorax - correct answers ✔️ ✔️ A 6-year-old patient is brought to the
emergency department after a bicycle accident. Assessment reveals chest pain on
inspiration, diminished breath sounds on the right side, and respiratory distress. The
provider suspects obstructive shock caused by what condition?
Transient asystole - correct answers ✔️ ✔️ A child exhibiting a narrow-complex
tachycardia with adequate perfusion is to receive adenosine. The provider would be
alert for which result after administering this medication?
Answers. Graded A+.
Hypotension is not a consistent feature of shock presentation in children. - correct
answers ✔️✔️A provider is assessing a child with suspected shock. Which statement
correctly describes hypotension and shock?
No more than 10 seconds - correct answers ✔️ ✔️A 10-year-old child has collapsed in
the gym of the elementary school. The school nurse arrives and determines that the
child is unresponsive. The school nurse then simultaneously checks for breathing and a
central pulse, limiting this assessment to which time frame?
Deliver 1 BVM ventilation every 2 to 3 seconds. - correct answers ✔️ ✔️ A 4-year-old
child is brought to the emergency department by the parents. Assessment reveals that
the child has only gasping respirations and the pulse rate is 65 beats per minute. Which
action would the provider initiate first?
100 to 120 compressions per minute at a depth of about 2 inches - correct answers
✔️ ✔️ A 7-year-old child collapses on the playground at school. The school nurse is
called to the scene and determines that the child is unresponsive and is not breathing
and has no pulse. The nurse initiates CPR. At what rate and depth would the nurse
deliver compressions to this child?
Diminished peripheral pulses
Acutely altered mental status
Hypotension - correct answers ✔️ ✔️ What is considered inadequate perfusion when
assessing/caring for a pediatric patient with an arrhythmia?
, Signs of shock
Acutely altered mental status
Hypotension - correct answers ✔️ ✔️ A 9-year-old child is brought to the emergency
department because the child suddenly collapsed at school. The child's ECG reveals
the following waveform, and primary assessment findings indicate that the child has
inadequate perfusion. Which primary assessment findings indicate this?
Respiratory failure - correct answers ✔️ ✔️A 9-year-old patient is presenting with
diminished breath sounds, bradycardia, slowed respiratory rate and a low O2 saturation
level. The provider interprets these findings as indicating which condition?
Hypovolemia - correct answers ✔️ ✔️A 6-year-old child is brought to the emergency
department. The child has been experiencing extremely watery stools over the past
several days. After completing the assessment, the healthcare provider suspects that
the child may be experiencing shock. Which type of shock would the provider most
likely suspect?
Estimate weight using a length-based resuscitation tape. - correct answers ✔️✔️A 2-
year-old child of unknown weight arrives at the emergency department in cardiac arrest.
When preparing to administer medications, which action would be appropriate for the
team to take?
Synchronized electrical cardioversion - correct answers ✔️ ✔️ An 11-year-old child
develops ventricular tachycardia with a pulse with inadequate perfusion. The PALS
team would prepare the child for which intervention?
Airway clearance (e.g., suctioning) - correct answers ✔️✔️A 5-year-old child with a
history of a chronic neuromuscular disease is experiencing respiratory distress. The
child is breathing spontaneously and receiving supplemental oxygen. Which additional
intervention is a critical component of airway management for this patient?
Complete blood count (CBC)
Lactate level
Blood cultures - correct answers ✔️ ✔️Primary assessment of a 10-year-old child
reveals septic shock. As part of the secondary assessment, if not already done as part
of initial sepsis care, laboratory testing is completed to evaluate the child's status. Which
laboratory tests would be ordered for this child?
Tension pneumothorax - correct answers ✔️ ✔️ A 6-year-old patient is brought to the
emergency department after a bicycle accident. Assessment reveals chest pain on
inspiration, diminished breath sounds on the right side, and respiratory distress. The
provider suspects obstructive shock caused by what condition?
Transient asystole - correct answers ✔️ ✔️ A child exhibiting a narrow-complex
tachycardia with adequate perfusion is to receive adenosine. The provider would be
alert for which result after administering this medication?
