ARC PALS Final Online Pretest | Actual Exam Questions &
100% Correct Answers | Latest Update 2026 |
Certification Exam Prep
1. What is the primary indicator of adequate perfusion in a pediatric patient?
Normal blood pressure and capillary refill time
Increased heart rate
Elevated respiratory rate
Decreased urine output
2. In a scenario where a 5-year-old child is found unresponsive and not
breathing, how would the compression rate differ from that of a 7-year-old
child during CPR?
The compression rate is not applicable for children under 6 years old.
The compression rate remains the same at 100 to 120 compressions
per minute.
The compression rate should be decreased to 80 to 100 compressions
per minute.
The compression rate should be increased to 120 to 140 compressions
per minute.
3. What is the recommended duration for assessing breathing and central pulse
in an unresponsive child?
5 seconds
10 seconds
1 minute
30 seconds
,4. Which of the following is used to monitor chest compression adequacy in a
patient experiencing cardiac arrest?
O2 saturation
ETCO2 levels
Blood pH
ECG rhythm
5. The goals of managing shock are
comfort measures
determine cause and treat
nutritional therapy
oxygenation and improved circulation
6. What is the recommended IV/I/O dose of epinephrine for a pediatric patient
experiencing cardiac arrest?
0.01 mg/kg
0.1 mg/kg
0.5 mg/kg
0.5 mg
7. In a scenario where a child presents with pulseless electrical activity (PEA),
what is the first step the resuscitation team should take?
Check for a pulse every minute
Administer epinephrine immediately
Initiate high-quality CPR
, Prepare for defibrillation
8. Describe why measuring lactate levels is important in assessing a child with
signs of dehydration and shock.
Measuring lactate levels helps determine the severity of tissue
hypoxia and the adequacy of perfusion.
Measuring lactate levels evaluates the child's electrolyte balance.
Measuring lactate levels indicates the child's hydration status.
Measuring lactate levels assesses the child's blood sugar levels.
9. You are assessing a 5-year-old patient who is sleepy and has intermittent
agitation, decreased muscle tone, and bradypnea. Which of the following
interventions should you perform first for this child?
Place the child on high-flow oxygen.
Open the child's airway and suction if needed.
Assist the child with ventilation.
Intubate the trachea.
10. A 2-year-old was seen to be unresponsive. He was gasping and upon
checking for the pulse, it was not felt within 10 seconds. What is the next step
in management?
Do rescue breathing
Activate emergency response system and get the AED
Hook to cardiac monitor and pulse oximeter
Perform cardiopulmonary resuscitation (CPR)
, 11. Describe the significance of the compression rate during CPR for a pediatric
patient.
Compression rates should vary based on the child's age.
A slower compression rate allows for better oxygenation of the
blood.
The compression rate is less important than the depth of
compressions.
The compression rate of 100 to 120 compressions per minute is
crucial to maintain adequate blood flow and oxygen delivery to
vital organs.
12. What is the first-line medication for treating a severe asthma exacerbation in
children?
Epinephrine
Prednisone
Ipratropium
Albuterol
13. 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? Select the correct answer to
this question.
No more than 3 seconds
No more than 5 seconds
No more than 10 seconds
No more than 15 seconds
100% Correct Answers | Latest Update 2026 |
Certification Exam Prep
1. What is the primary indicator of adequate perfusion in a pediatric patient?
Normal blood pressure and capillary refill time
Increased heart rate
Elevated respiratory rate
Decreased urine output
2. In a scenario where a 5-year-old child is found unresponsive and not
breathing, how would the compression rate differ from that of a 7-year-old
child during CPR?
The compression rate is not applicable for children under 6 years old.
The compression rate remains the same at 100 to 120 compressions
per minute.
The compression rate should be decreased to 80 to 100 compressions
per minute.
The compression rate should be increased to 120 to 140 compressions
per minute.
3. What is the recommended duration for assessing breathing and central pulse
in an unresponsive child?
5 seconds
10 seconds
1 minute
30 seconds
,4. Which of the following is used to monitor chest compression adequacy in a
patient experiencing cardiac arrest?
O2 saturation
ETCO2 levels
Blood pH
ECG rhythm
5. The goals of managing shock are
comfort measures
determine cause and treat
nutritional therapy
oxygenation and improved circulation
6. What is the recommended IV/I/O dose of epinephrine for a pediatric patient
experiencing cardiac arrest?
0.01 mg/kg
0.1 mg/kg
0.5 mg/kg
0.5 mg
7. In a scenario where a child presents with pulseless electrical activity (PEA),
what is the first step the resuscitation team should take?
Check for a pulse every minute
Administer epinephrine immediately
Initiate high-quality CPR
, Prepare for defibrillation
8. Describe why measuring lactate levels is important in assessing a child with
signs of dehydration and shock.
Measuring lactate levels helps determine the severity of tissue
hypoxia and the adequacy of perfusion.
Measuring lactate levels evaluates the child's electrolyte balance.
Measuring lactate levels indicates the child's hydration status.
Measuring lactate levels assesses the child's blood sugar levels.
9. You are assessing a 5-year-old patient who is sleepy and has intermittent
agitation, decreased muscle tone, and bradypnea. Which of the following
interventions should you perform first for this child?
Place the child on high-flow oxygen.
Open the child's airway and suction if needed.
Assist the child with ventilation.
Intubate the trachea.
10. A 2-year-old was seen to be unresponsive. He was gasping and upon
checking for the pulse, it was not felt within 10 seconds. What is the next step
in management?
Do rescue breathing
Activate emergency response system and get the AED
Hook to cardiac monitor and pulse oximeter
Perform cardiopulmonary resuscitation (CPR)
, 11. Describe the significance of the compression rate during CPR for a pediatric
patient.
Compression rates should vary based on the child's age.
A slower compression rate allows for better oxygenation of the
blood.
The compression rate is less important than the depth of
compressions.
The compression rate of 100 to 120 compressions per minute is
crucial to maintain adequate blood flow and oxygen delivery to
vital organs.
12. What is the first-line medication for treating a severe asthma exacerbation in
children?
Epinephrine
Prednisone
Ipratropium
Albuterol
13. 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? Select the correct answer to
this question.
No more than 3 seconds
No more than 5 seconds
No more than 10 seconds
No more than 15 seconds
