PALS FINAL EXAM ACTUAL 2026 LATEST
QUESTIONS CORRECTLY ANSWERED
UPDATED VERSION |GUARANTEED PASS
PALS resuscitation team notes the following ECG waveform and the child does not have a
pulse. The team prepares to intervene to address which arrhythmia?
torsades
The emergency response team is providing care to a preschooler who is experiencing shock.
The primary goal, common to all types of shock, is to restore a favorable balance between
tissue perfusion and metabolic demand with a focus on what?
The primary goal in shock, regardless of cause, is to restore a favorable balance between tissue
perfusion and metabolic demand with a focus on oxygen delivery and oxygen demand.
The PALS resuscitation team is providing care to an intubated child in cardiac arrest. Which
result best determines the adequacy of the team’s chest compressions?
End-tidal carbon dioxide level between 15 and 20 mmHg
The PALS team leader is conducting a debriefing session with the team. Which topic(s) would
the team leader most likely address during the session?
Summary of the event, including what actions were taken, Discussion of the pros and cons of
the interventions, Identification of ways to improve, Evaluation of the objective data gathered
during the event
Assessment of a 7-year-old patient with septic shock reveals capillary refill of 3 seconds,
diminished pulses, narrow pulse pressure and cool, mottled extremities. The emergency
response team interprets these findings as indicating which type of septic shock?
Most children in septic shock present with cold shock (i.e., delayed capillary refill, diminished
pulses, peripheral vasoconstriction, narrow pulse pressure, and cool, mottled extremities)
instead of warm shock.
, Primary assessment of a 10-year-old child reveals septic shock. As part of the secondary
assessment, laboratory testing is completed to evaluate the child’s status. Which laboratory
tests would be ordered for this child?
Laboratory testing for the child in septic shock may include CBC, blood cultures, blood gasses,
coagulation panel, renal function tests, liver function panel and lactate level.
A 4-year-old patient presents with tachycardia, tachypnea, cold extremities and weak pulses.
Assessment also reveals an enlarged liver and neck vein distension. The provider interprets
these assessment findings as suggesting which type of shock?
cardio
Fever
Hyperglycemia
A 2-year-old child arrives at the emergency department with the parents. The child is
unresponsive, is not breathing and has no pulse. Two emergency department providers begin
high-quality CPR. Which action(s) by the providers demonstrates high-quality CPR?
Allowing the chest to recoil fully after each compression
Providing ventilations that last about 1 second each
Compressing the chest about 2 inches
Giving 2 ventilations to every 15 compressions
A PALS resuscitation team is preparing to defibrillate a child experiencing cardiac arrest. For
which rhythm(s) would this action be appropriate?
VF and pVT are shockable cardiac arrest rhythms.
A provider is assessing a child with suspected shock. Which statement correctly describes
hypotension and shock?
Hypotension is not a consistent feature of shock;
A provider is caring for a 4-year-old child in the urgent care clinic. Primary assessment reveals
difficulty breathing and an oxygen saturation of 91%. The provider administers oxygen by
nasal cannula with the goal of improving the child’s oxygen saturation above what
percentage?
QUESTIONS CORRECTLY ANSWERED
UPDATED VERSION |GUARANTEED PASS
PALS resuscitation team notes the following ECG waveform and the child does not have a
pulse. The team prepares to intervene to address which arrhythmia?
torsades
The emergency response team is providing care to a preschooler who is experiencing shock.
The primary goal, common to all types of shock, is to restore a favorable balance between
tissue perfusion and metabolic demand with a focus on what?
The primary goal in shock, regardless of cause, is to restore a favorable balance between tissue
perfusion and metabolic demand with a focus on oxygen delivery and oxygen demand.
The PALS resuscitation team is providing care to an intubated child in cardiac arrest. Which
result best determines the adequacy of the team’s chest compressions?
End-tidal carbon dioxide level between 15 and 20 mmHg
The PALS team leader is conducting a debriefing session with the team. Which topic(s) would
the team leader most likely address during the session?
Summary of the event, including what actions were taken, Discussion of the pros and cons of
the interventions, Identification of ways to improve, Evaluation of the objective data gathered
during the event
Assessment of a 7-year-old patient with septic shock reveals capillary refill of 3 seconds,
diminished pulses, narrow pulse pressure and cool, mottled extremities. The emergency
response team interprets these findings as indicating which type of septic shock?
Most children in septic shock present with cold shock (i.e., delayed capillary refill, diminished
pulses, peripheral vasoconstriction, narrow pulse pressure, and cool, mottled extremities)
instead of warm shock.
, Primary assessment of a 10-year-old child reveals septic shock. As part of the secondary
assessment, laboratory testing is completed to evaluate the child’s status. Which laboratory
tests would be ordered for this child?
Laboratory testing for the child in septic shock may include CBC, blood cultures, blood gasses,
coagulation panel, renal function tests, liver function panel and lactate level.
A 4-year-old patient presents with tachycardia, tachypnea, cold extremities and weak pulses.
Assessment also reveals an enlarged liver and neck vein distension. The provider interprets
these assessment findings as suggesting which type of shock?
cardio
Fever
Hyperglycemia
A 2-year-old child arrives at the emergency department with the parents. The child is
unresponsive, is not breathing and has no pulse. Two emergency department providers begin
high-quality CPR. Which action(s) by the providers demonstrates high-quality CPR?
Allowing the chest to recoil fully after each compression
Providing ventilations that last about 1 second each
Compressing the chest about 2 inches
Giving 2 ventilations to every 15 compressions
A PALS resuscitation team is preparing to defibrillate a child experiencing cardiac arrest. For
which rhythm(s) would this action be appropriate?
VF and pVT are shockable cardiac arrest rhythms.
A provider is assessing a child with suspected shock. Which statement correctly describes
hypotension and shock?
Hypotension is not a consistent feature of shock;
A provider is caring for a 4-year-old child in the urgent care clinic. Primary assessment reveals
difficulty breathing and an oxygen saturation of 91%. The provider administers oxygen by
nasal cannula with the goal of improving the child’s oxygen saturation above what
percentage?
