PALS Updated Final Exam Practice
Test 2026 | Verified Answers | Exam
Prep
1. In a situation where a 10-year-old child is found
unresponsive with no visible signs of breathing, what
should the school nurse do after checking for a pulse
for 10 seconds?
Initiate CPR if no pulse is detected.
Administer oxygen immediately.
Wait for emergency services to arrive.
Check the child's blood pressure.
2. In a scenario where a child presents with a rapid heart
rate and the ECG shows ventricular tachycardia, what
should be the immediate action taken by the
healthcare provider?
Administer synchronized cardioversion
Provide supplemental oxygen
Perform a thorough physical examination
, Initiate CPR immediately
3. Describe the rationale behind using vagal maneuvers
as an initial treatment for stable SVT in children.
Vagal maneuvers have no effect on heart rate
in children.
Vagal maneuvers increase the heart rate by
stimulating the sympathetic nervous system.
Vagal maneuvers stimulate the vagus nerve,
which can help slow down the heart rate.
Vagal maneuvers are used to induce cardiac
arrest in severe cases.
4. In a scenario where a 7-year-old child presents with
severe diarrhea and signs of hypovolemic shock, what
initial intervention should be prioritized?
Administer intravenous fluids
Provide supplemental oxygen
Perform chest compressions
Administer epinephrine
,5. What is the common arrhythmia associated with Lyme
disease that may be identified on an ECG?
Atrial fibrillation
Sinus bradycardia
Heart block
Ventricular tachycardia
6. What is the first action a provider should take when a
child presents with gasping respirations and a pulse
rate of 65 beats per minute?
Administer oxygen via nasal cannula.
Initiate positive pressure ventilation.
Perform chest compressions.
Administer intravenous fluids.
7. Describe the role of epinephrine in the management
of pediatric cardiac arrest.
Epinephrine helps to stabilize heart rhythm in
pediatric patients.
Epinephrine is primarily used to treat
respiratory distress in children.
, Epinephrine is used to reduce the heart rate in
pediatric emergencies.
Epinephrine is used to increase coronary and
cerebral perfusion pressure during cardiac
arrest.
8. In a scenario where a child in cardiac arrest shows
signs of unstable bradycardia and has not responded
to CPR, what would be the next appropriate step in
management?
Provide fluid resuscitation
Intubate the child
Administer epinephrine
Continue CPR without medication
9. Describe how the TICLS mnemonic aids in the
assessment of a pediatric patient during the Pediatric
Assessment Triangle.
The TICLS mnemonic helps assess the child's
tone, interaction, consolability, look/gaze,
and speech/cry to evaluate their overall
condition.
The TICLS mnemonic is a method for
calculating drug dosages in pediatric
Test 2026 | Verified Answers | Exam
Prep
1. In a situation where a 10-year-old child is found
unresponsive with no visible signs of breathing, what
should the school nurse do after checking for a pulse
for 10 seconds?
Initiate CPR if no pulse is detected.
Administer oxygen immediately.
Wait for emergency services to arrive.
Check the child's blood pressure.
2. In a scenario where a child presents with a rapid heart
rate and the ECG shows ventricular tachycardia, what
should be the immediate action taken by the
healthcare provider?
Administer synchronized cardioversion
Provide supplemental oxygen
Perform a thorough physical examination
, Initiate CPR immediately
3. Describe the rationale behind using vagal maneuvers
as an initial treatment for stable SVT in children.
Vagal maneuvers have no effect on heart rate
in children.
Vagal maneuvers increase the heart rate by
stimulating the sympathetic nervous system.
Vagal maneuvers stimulate the vagus nerve,
which can help slow down the heart rate.
Vagal maneuvers are used to induce cardiac
arrest in severe cases.
4. In a scenario where a 7-year-old child presents with
severe diarrhea and signs of hypovolemic shock, what
initial intervention should be prioritized?
Administer intravenous fluids
Provide supplemental oxygen
Perform chest compressions
Administer epinephrine
,5. What is the common arrhythmia associated with Lyme
disease that may be identified on an ECG?
Atrial fibrillation
Sinus bradycardia
Heart block
Ventricular tachycardia
6. What is the first action a provider should take when a
child presents with gasping respirations and a pulse
rate of 65 beats per minute?
Administer oxygen via nasal cannula.
Initiate positive pressure ventilation.
Perform chest compressions.
Administer intravenous fluids.
7. Describe the role of epinephrine in the management
of pediatric cardiac arrest.
Epinephrine helps to stabilize heart rhythm in
pediatric patients.
Epinephrine is primarily used to treat
respiratory distress in children.
, Epinephrine is used to reduce the heart rate in
pediatric emergencies.
Epinephrine is used to increase coronary and
cerebral perfusion pressure during cardiac
arrest.
8. In a scenario where a child in cardiac arrest shows
signs of unstable bradycardia and has not responded
to CPR, what would be the next appropriate step in
management?
Provide fluid resuscitation
Intubate the child
Administer epinephrine
Continue CPR without medication
9. Describe how the TICLS mnemonic aids in the
assessment of a pediatric patient during the Pediatric
Assessment Triangle.
The TICLS mnemonic helps assess the child's
tone, interaction, consolability, look/gaze,
and speech/cry to evaluate their overall
condition.
The TICLS mnemonic is a method for
calculating drug dosages in pediatric
