2026 Pals Exam A With Verified
Correct Answers. Graded A+.
D. An extremity with slow a capillary refill time - correct answers ✔️✔️In which of the
following situations may IO access be used?
A. An extremity with signs of infection
B. An extremity with a sign of a crush injury
C. An extremity with a previous unsuccessful IO attempt
D. An extremity with slow a capillary refill time
C. It is Hypotensive - correct answers ✔️ ✔️ A 2 week old infant is being evaluated for
irritability and poor feeding. His BP is 55/40 mmHg, and cap refill time is 5 seconds.
Which statement best describes your assessment of this infants BP?
A. It represents compensated shock
B. It is hypertensive
C. It is Hypotensive
D. It is normal
A. A child who is grunting - correct answers ✔️
✔️You are caring for patients in the
emergency department. Which 2 year old child requires immediate intervention?
A. A child who is grunting
B. A child with an Sp02 of 95% on room air
C. A child with a systolic blood pressure of 92 mm Hg
D. A child with a temperature of 37.4 C (99.3 F)
, C. Increased inspiratory effort with retractions - correct answers ✔️ ✔️ A 3 year old child
is having difficulty breathing. Which finding would most likely lead you to suspect an
upper airway obstruction in this child?
A. Expiratory breath sounds
B. Decreased expiratory effort
C. Increased inspiratory effort with retractions
D. Normal inspiratory sounds
A. Ask for a new task or role - correct answers ✔️
✔️ A team member is unable to
perform an assigned task because it is beyond the team members scope of practice.
Which action should the team member take?
A. Ask for a new task or role
B. Refuse to perform the task
C. Do it anyway
D. Seek expert consultation
C. Allowing complete chest wall recoil after each compression - correct answers
✔️ ✔️ You are the team leader during a pediatric resuscitation attempt. which action is
an element of high quality CPR?
A. Providing a compression depth of one fourth the depth of the chest
B. Providing a compression rate of 80 to 100/min
C. Allowing complete chest wall recoil after each compression
D. Performing pulse checks every minute
D. upper airway obstruction - correct answers ✔️ ✔️ An 8 year old child is brought to the
ED by his mother for difficulty breathing. He has a history of asthma and nut allergies.
He's mother tells you that he recently ate a cookie at a family picnic. Which condition is
most likely to be present in this child?
A. Disordered control of breathing
B. Hypovolemic shock
C. Lung tissue disease
D. upper airway obstruction
A. Decreased level of consciousness - correct answers ✔️ ✔️An 8 year old child is
brought to the ED by ambulance after being involved in a MVC. Which finding would
suggest that immediate intervention is needed?
A. Decreased level of consciousness
B. Systolic blood pressure of 106 mm Hg
C. Temperature of 38.1 C (100.5 F)
D. Warm, moist skin
Correct Answers. Graded A+.
D. An extremity with slow a capillary refill time - correct answers ✔️✔️In which of the
following situations may IO access be used?
A. An extremity with signs of infection
B. An extremity with a sign of a crush injury
C. An extremity with a previous unsuccessful IO attempt
D. An extremity with slow a capillary refill time
C. It is Hypotensive - correct answers ✔️ ✔️ A 2 week old infant is being evaluated for
irritability and poor feeding. His BP is 55/40 mmHg, and cap refill time is 5 seconds.
Which statement best describes your assessment of this infants BP?
A. It represents compensated shock
B. It is hypertensive
C. It is Hypotensive
D. It is normal
A. A child who is grunting - correct answers ✔️
✔️You are caring for patients in the
emergency department. Which 2 year old child requires immediate intervention?
A. A child who is grunting
B. A child with an Sp02 of 95% on room air
C. A child with a systolic blood pressure of 92 mm Hg
D. A child with a temperature of 37.4 C (99.3 F)
, C. Increased inspiratory effort with retractions - correct answers ✔️ ✔️ A 3 year old child
is having difficulty breathing. Which finding would most likely lead you to suspect an
upper airway obstruction in this child?
A. Expiratory breath sounds
B. Decreased expiratory effort
C. Increased inspiratory effort with retractions
D. Normal inspiratory sounds
A. Ask for a new task or role - correct answers ✔️
✔️ A team member is unable to
perform an assigned task because it is beyond the team members scope of practice.
Which action should the team member take?
A. Ask for a new task or role
B. Refuse to perform the task
C. Do it anyway
D. Seek expert consultation
C. Allowing complete chest wall recoil after each compression - correct answers
✔️ ✔️ You are the team leader during a pediatric resuscitation attempt. which action is
an element of high quality CPR?
A. Providing a compression depth of one fourth the depth of the chest
B. Providing a compression rate of 80 to 100/min
C. Allowing complete chest wall recoil after each compression
D. Performing pulse checks every minute
D. upper airway obstruction - correct answers ✔️ ✔️ An 8 year old child is brought to the
ED by his mother for difficulty breathing. He has a history of asthma and nut allergies.
He's mother tells you that he recently ate a cookie at a family picnic. Which condition is
most likely to be present in this child?
A. Disordered control of breathing
B. Hypovolemic shock
C. Lung tissue disease
D. upper airway obstruction
A. Decreased level of consciousness - correct answers ✔️ ✔️An 8 year old child is
brought to the ED by ambulance after being involved in a MVC. Which finding would
suggest that immediate intervention is needed?
A. Decreased level of consciousness
B. Systolic blood pressure of 106 mm Hg
C. Temperature of 38.1 C (100.5 F)
D. Warm, moist skin
