PALS All Questions With 100% Correct
Answers Latest 2025
You are caring for a child who was resuscitated after a drowning
event. The child is intubated and ventilated with 100% oxygen with
equal breath sounds and exhaled CO2 detected. The heart rate is
slow and the monitor shows sinus bradycardia. The skin is cool,
mottled, and moist; distal pulses are not palpable and the central
pulses are weak. Intravenous access has been established. The core
temperature is 37.3oC. Based on the PALS bradycardia algorithm,
which of the following should be provided first?
Epinephrine IV
Transcutaneous pacing
Atropine IV
Dobutamine IV infusion -
correct answer ✅Epinephrine IV
You are caring for a 5-year-old patient with supraventricular
tachycardia (heart rate = 220/min). The child is lethargic. The skin is
pale and cool with delayed capillary refill. Distal pulses are not
palpable. Which of the following would be the best treatment to
provide without delay?
Place cold packs on the distal upper and lower extremities
,PALS All Questions With 100% Correct
Answers Latest 2025
Ask the child to blow through a small straw
Exert light pressure on the eyes bilaterally
Provide synchronized cardioversion at 0.5 to 1 J/kg -
correct answer ✅Provide synchronized cardioversion at 0.5 to 1
J/kg
You are initiating treatment for a child with septic shock and
hypotension. While administering high-flow oxygen you determine
that the child's respirations are adequate and SpO2 is 100%. You
have just established vascular access and obtained blood samples.
Which of the following is the next most appropriate therapy to
support systemic perfusion?
Administer repeated fluid boluses of isotonic colloid
Administer repeated fluid boluses of isotonic crystalloid
Begin immediate dopamine infusion
Begin immediate dobutamine infusion -
correct answer ✅Administer repeated fluid boluses of isotonic
crystalloid
You are treating an 8-year-old with ventricular tachycardia with
pulses and adequate perfusion. You attempted synchronized
, PALS All Questions With 100% Correct
Answers Latest 2025
cardioversion without success. While seeking expert consultation, it
would be most appropriate to:
Administer a loading dose of milrinone
Consider possible metabolic and toxicologic causes
Initiate overdrive pacing transcutaneously
Deliver an unsynchronized shock -
correct answer ✅Consider possible metabolic and toxicologic
causes
You are caring for a 2-year-old unconscious patient who is intubated
and receiving mechanical ventilation. The child's heart rate
suddenly drops to 40/min and his color becomes mottled. You
should respond to these changes by:
Increasing the ventilator rate
Increasing tidal volume
Increasing positive end-expiratory pressure (PEEP)
Using a resuscitation bag provide manual ventilation with 100%
oxygen -
Answers Latest 2025
You are caring for a child who was resuscitated after a drowning
event. The child is intubated and ventilated with 100% oxygen with
equal breath sounds and exhaled CO2 detected. The heart rate is
slow and the monitor shows sinus bradycardia. The skin is cool,
mottled, and moist; distal pulses are not palpable and the central
pulses are weak. Intravenous access has been established. The core
temperature is 37.3oC. Based on the PALS bradycardia algorithm,
which of the following should be provided first?
Epinephrine IV
Transcutaneous pacing
Atropine IV
Dobutamine IV infusion -
correct answer ✅Epinephrine IV
You are caring for a 5-year-old patient with supraventricular
tachycardia (heart rate = 220/min). The child is lethargic. The skin is
pale and cool with delayed capillary refill. Distal pulses are not
palpable. Which of the following would be the best treatment to
provide without delay?
Place cold packs on the distal upper and lower extremities
,PALS All Questions With 100% Correct
Answers Latest 2025
Ask the child to blow through a small straw
Exert light pressure on the eyes bilaterally
Provide synchronized cardioversion at 0.5 to 1 J/kg -
correct answer ✅Provide synchronized cardioversion at 0.5 to 1
J/kg
You are initiating treatment for a child with septic shock and
hypotension. While administering high-flow oxygen you determine
that the child's respirations are adequate and SpO2 is 100%. You
have just established vascular access and obtained blood samples.
Which of the following is the next most appropriate therapy to
support systemic perfusion?
Administer repeated fluid boluses of isotonic colloid
Administer repeated fluid boluses of isotonic crystalloid
Begin immediate dopamine infusion
Begin immediate dobutamine infusion -
correct answer ✅Administer repeated fluid boluses of isotonic
crystalloid
You are treating an 8-year-old with ventricular tachycardia with
pulses and adequate perfusion. You attempted synchronized
, PALS All Questions With 100% Correct
Answers Latest 2025
cardioversion without success. While seeking expert consultation, it
would be most appropriate to:
Administer a loading dose of milrinone
Consider possible metabolic and toxicologic causes
Initiate overdrive pacing transcutaneously
Deliver an unsynchronized shock -
correct answer ✅Consider possible metabolic and toxicologic
causes
You are caring for a 2-year-old unconscious patient who is intubated
and receiving mechanical ventilation. The child's heart rate
suddenly drops to 40/min and his color becomes mottled. You
should respond to these changes by:
Increasing the ventilator rate
Increasing tidal volume
Increasing positive end-expiratory pressure (PEEP)
Using a resuscitation bag provide manual ventilation with 100%
oxygen -
