PALS PRETEST PRACTICE
EXAMINATION 2026 QUESTIONS
WITH ANSWERS GRADED A+
◍ Sinus tachycardia.
Answer: nan
◍ Sinus bradycardia.
Answer: nan
◍ Scenario: You are called to see a 14-mo-old child with difficulty breathing
and a history of poor feeding. Mom reports that the child has had a fever and
cough for the past two days.1. Your general impression revelas that the child
is poorly responsive to his surroundings and that he is breathing rapidly.
Intercostal retractions are present. His skin color is pale. Which of the
following accurately reflects your general impression findings?
A. Normal appearance, normal work of breathing, and normal circulation to
the skin
B. Abnormal appearance, abnormal WOB, and normal circulation
C. Normal appearance, normal WOB, and abnormal circulation to the skin.
D. Abnormal appearance, abnormal WOB, and abnormal circulation.
Answer: D. Abnormal appearance, abnormal WOB, and abnormal
circulationRational: Poorly responsive, rapid rate/presence of retractions,
pallor
◍ Supraventricular tachycardia.
Answer: nan
◍ Asystole.
Answer: nan
◍ Wide-complex tachycardia.
, Answer: nan
◍ Scenario: You are called to see a 14-mo-old child with difficulty breathing
and a history of poor feeding. Mom reports that the child has had a fever and
cough for the past two days.2. Your primary assessment reveals an open
airway. The child's ventilatory rate is 48 per min. Auscultation of the chest
reveals bilateral expiratory wheezes. A weak brachial pulse is present adn
the skin is pale. Capillary refill is 2-3 seconds, temp is 102.8 F, and the
pulse ox reveals an SpO2 of 86%. This child's presentation is most
consistent with:
A. Respiraotry distress
B. Resp failure
C. Resp arrest
D. Cardiopulmonary arrest.
Answer: B. Respiratory FailureRationale: defined as "a clinical condition in
which there is inadequate blood oxygenation and/or ventilation to meet the
metabolic demands of body tissues"
◍ Scenario: You are called to see a 14-mo-old child with difficulty breathing
and a history of poor feeding. Mom reports that the child has had a fever and
cough for the past two days.3. The cardiac monitor has been applied and
reveals the following rhythm. The rhythm displayed is: (slow, p wave for
every QRS, regular)
A. Sinus brady
B. V. fib
C. Supraventricular tachy
D. 2nd-degree AV block type 1.
Answer: A. Sinus Brady
◍ Scenario: You are called to see a 14-mo-old child with difficulty breathing
and a history of poor feeding. Mom reports that the child has had a fever and
cough for the past two days.4. Your next course of action should be to:
A. Begin chest compressions
B. Administer supplemental oxygen by NC
EXAMINATION 2026 QUESTIONS
WITH ANSWERS GRADED A+
◍ Sinus tachycardia.
Answer: nan
◍ Sinus bradycardia.
Answer: nan
◍ Scenario: You are called to see a 14-mo-old child with difficulty breathing
and a history of poor feeding. Mom reports that the child has had a fever and
cough for the past two days.1. Your general impression revelas that the child
is poorly responsive to his surroundings and that he is breathing rapidly.
Intercostal retractions are present. His skin color is pale. Which of the
following accurately reflects your general impression findings?
A. Normal appearance, normal work of breathing, and normal circulation to
the skin
B. Abnormal appearance, abnormal WOB, and normal circulation
C. Normal appearance, normal WOB, and abnormal circulation to the skin.
D. Abnormal appearance, abnormal WOB, and abnormal circulation.
Answer: D. Abnormal appearance, abnormal WOB, and abnormal
circulationRational: Poorly responsive, rapid rate/presence of retractions,
pallor
◍ Supraventricular tachycardia.
Answer: nan
◍ Asystole.
Answer: nan
◍ Wide-complex tachycardia.
, Answer: nan
◍ Scenario: You are called to see a 14-mo-old child with difficulty breathing
and a history of poor feeding. Mom reports that the child has had a fever and
cough for the past two days.2. Your primary assessment reveals an open
airway. The child's ventilatory rate is 48 per min. Auscultation of the chest
reveals bilateral expiratory wheezes. A weak brachial pulse is present adn
the skin is pale. Capillary refill is 2-3 seconds, temp is 102.8 F, and the
pulse ox reveals an SpO2 of 86%. This child's presentation is most
consistent with:
A. Respiraotry distress
B. Resp failure
C. Resp arrest
D. Cardiopulmonary arrest.
Answer: B. Respiratory FailureRationale: defined as "a clinical condition in
which there is inadequate blood oxygenation and/or ventilation to meet the
metabolic demands of body tissues"
◍ Scenario: You are called to see a 14-mo-old child with difficulty breathing
and a history of poor feeding. Mom reports that the child has had a fever and
cough for the past two days.3. The cardiac monitor has been applied and
reveals the following rhythm. The rhythm displayed is: (slow, p wave for
every QRS, regular)
A. Sinus brady
B. V. fib
C. Supraventricular tachy
D. 2nd-degree AV block type 1.
Answer: A. Sinus Brady
◍ Scenario: You are called to see a 14-mo-old child with difficulty breathing
and a history of poor feeding. Mom reports that the child has had a fever and
cough for the past two days.4. Your next course of action should be to:
A. Begin chest compressions
B. Administer supplemental oxygen by NC
