Pediatric Advanced Life Support (PALS) Test
2026–2027 | Practice Questions & Exam Prep
In which of the following situations may IO access be used? - correct answers -An extremity with slow
capillary refill time.
A 2 - week old infant is being evaluated irritability and poor feeding. His blood pressure is 55/40 mm Hg
and capillary refill time is 5 seconds. Which statement best describes your assessment of this infants
blood pressure? - correct answers -It is Hypotensive
You are caring for patients in the emergency department. Which two year old requires immediate
interventions? - correct answers -A child who is grunting
A 3 year old child is having difficulty breathing. What finding would most likely lead you to expect an
upper airway obstruction in this child? - correct answers -Increased inspiratory effort with retractions
A team member is unable to perform an assigned task because it is beyond the team member's scope of
practice. What action should the team member take? - correct answers -Ask for a new task or role.
You are the team lead during a pediatric resuscitation attempt. Which action is high quality CPR? -
correct answers -Allow complete chest wall recoil after each compression.
A 8 year old child is brought to the emergency department by his mother for difficultly breathing. He has
a history is asthma and nut allergies. His mother tells you that he has recently ate a cookie at a family
picnic. Which condition is most likely present with this child? - correct answers -Upper airy way
obstruction
1
, An 8-year-old child is brought to the emergency department by ambulance after being involved in a
motor vehicle collision. What finding would suggest that immediate intervention is needed? - correct
answers -Decreased level of consciousness
A 6-year-old child is found unresponsive, not breathing, and without a pulse. One healthcare worker
leaves to activate the emergency response system and get the resuscitation equipment. You and
another healthcare provider immediately begin performing CPR. What compression-to-ventilation -ratio
do you use? - correct answers -15:2
A 3-year-old child is in cardiac arrest, and high-quality CPR is in progress. You are the Team Leader. The
first rhythm check reveals the rhythm shown here. Defibrillation is attempted with a shock dose of 2
J/kg. After shock administration, what should you say to your team members? - correct answers -
Resume compressions
You are caring for a 5-year-old boy with a 4-day history of high fever and cough. He is having increasing
lethargy, grunting, and sleepiness. Now he is difficult to arouse and is unresponsive to voice commands.
His oxygen saturation is 72% on room air and 89% when on a nonrebreathing oxygen mask. He has
shallow respirations with a respiratory rate of 38/min. Auscultation of the lungs reveals bilateral
crackles.
11. What assessment finding is consistent with respiratory failure in this child? - correct answers -
Oxygen Saturation
You are caring for a 5-year-old boy with a 4-day history of high fever and cough. He is having increasing
lethargy, grunting, and sleepiness. Now he is difficult to arouse and is unresponsive to voice commands.
His oxygen saturation is 72% on room air and 89% when on a nonrebreathing oxygen mask. He has
shallow respirations with a respiratory rate of 38/min. Auscultation of the lungs reveals bilateral
crackles.
What medication would be most appropriate? - correct answers -Antibiotics
During a resuscitation attempt, the Team Leader asks you to administer an initial dose of epinephrine at
0.1 mg/kg to be given IO. How should you respond? - correct answers -I think the correct dose is 0.01
mg/kg. Should I give that dose instead?'
2
2026–2027 | Practice Questions & Exam Prep
In which of the following situations may IO access be used? - correct answers -An extremity with slow
capillary refill time.
A 2 - week old infant is being evaluated irritability and poor feeding. His blood pressure is 55/40 mm Hg
and capillary refill time is 5 seconds. Which statement best describes your assessment of this infants
blood pressure? - correct answers -It is Hypotensive
You are caring for patients in the emergency department. Which two year old requires immediate
interventions? - correct answers -A child who is grunting
A 3 year old child is having difficulty breathing. What finding would most likely lead you to expect an
upper airway obstruction in this child? - correct answers -Increased inspiratory effort with retractions
A team member is unable to perform an assigned task because it is beyond the team member's scope of
practice. What action should the team member take? - correct answers -Ask for a new task or role.
You are the team lead during a pediatric resuscitation attempt. Which action is high quality CPR? -
correct answers -Allow complete chest wall recoil after each compression.
A 8 year old child is brought to the emergency department by his mother for difficultly breathing. He has
a history is asthma and nut allergies. His mother tells you that he has recently ate a cookie at a family
picnic. Which condition is most likely present with this child? - correct answers -Upper airy way
obstruction
1
, An 8-year-old child is brought to the emergency department by ambulance after being involved in a
motor vehicle collision. What finding would suggest that immediate intervention is needed? - correct
answers -Decreased level of consciousness
A 6-year-old child is found unresponsive, not breathing, and without a pulse. One healthcare worker
leaves to activate the emergency response system and get the resuscitation equipment. You and
another healthcare provider immediately begin performing CPR. What compression-to-ventilation -ratio
do you use? - correct answers -15:2
A 3-year-old child is in cardiac arrest, and high-quality CPR is in progress. You are the Team Leader. The
first rhythm check reveals the rhythm shown here. Defibrillation is attempted with a shock dose of 2
J/kg. After shock administration, what should you say to your team members? - correct answers -
Resume compressions
You are caring for a 5-year-old boy with a 4-day history of high fever and cough. He is having increasing
lethargy, grunting, and sleepiness. Now he is difficult to arouse and is unresponsive to voice commands.
His oxygen saturation is 72% on room air and 89% when on a nonrebreathing oxygen mask. He has
shallow respirations with a respiratory rate of 38/min. Auscultation of the lungs reveals bilateral
crackles.
11. What assessment finding is consistent with respiratory failure in this child? - correct answers -
Oxygen Saturation
You are caring for a 5-year-old boy with a 4-day history of high fever and cough. He is having increasing
lethargy, grunting, and sleepiness. Now he is difficult to arouse and is unresponsive to voice commands.
His oxygen saturation is 72% on room air and 89% when on a nonrebreathing oxygen mask. He has
shallow respirations with a respiratory rate of 38/min. Auscultation of the lungs reveals bilateral
crackles.
What medication would be most appropriate? - correct answers -Antibiotics
During a resuscitation attempt, the Team Leader asks you to administer an initial dose of epinephrine at
0.1 mg/kg to be given IO. How should you respond? - correct answers -I think the correct dose is 0.01
mg/kg. Should I give that dose instead?'
2
