1
PALS Actual Exam Questions and
Answers Latest Solution 2025 Graded
A+
1) A provider is assessing a child with suspected shock. Which statement correctly
describes hypotension and shock? - ANSWER>>Hypotension is not a consistent
feature of shock presentation in children.
2) A 10-year-old child has collapsed in the gym of the elementary school. The school
nurse arrives and determines that the child is unresponsive. The school nurse then
simultaneously checks for breathing and a central pulse, limiting this assessment
to which time frame? - ANSWER>>No more than 10 seconds
3) A 4-year-old child is brought to the emergency department by the parents.
Assessment reveals that the child has only gasping respirations and the pulse
rate is 65 beats per minute. Which action would the provider initiate first? -
ANSWER>>Deliver 1 BVM ventilation every 2 to 3 seconds.
4) A 7-year-old child collapses on the playground at school. The school nurse is
called to the scene and determines that the child is unresponsive and is not
breathing and has no pulse. The nurse initiates CPR. At what rate and depth
would the nurse deliver compressions to this child? - ANSWER>>100 to 120
compressions per minute at a depth of about 2 inches
5) What is considered inadequate perfusion when assessing/caring for a pediatric
patient with an arrhythmia? - ANSWER>>Diminished peripheral pulses
6) Acutely altered mental status
7) Hypotension
,2
8) A 9-year-old child is brought to the emergency department because the child
suddenly collapsed at school. The child's ECG reveals the following waveform, and
primary assessment findings indicate that the child has inadequate perfusion.
Which primary assessment findings indicate this? - ANSWER>>Signs of shock
9) Acutely altered mental status
10)Hypotension
11) A 9-year-old patient is presenting with diminished breath sounds, bradycardia,
slowed respiratory rate and a low O2 saturation level. The provider interprets
these findings as indicating which condition? - ANSWER>>Respiratory failure
12) A 6-year-old child is brought to the emergency department. The child has been
experiencing extremely watery stools over the past several days. After
completing the assessment, the healthcare provider suspects that the child may
be experiencing shock. Which type of shock would the provider most likely
suspect? - ANSWER>>Hypovolemia
13) A 2-year-old child of unknown weight arrives at the emergency department in
cardiac arrest. When preparing to administer medications, which action would be
appropriate for the team to take? - ANSWER>>Estimate weight using a length-
based resuscitation tape.
14) An 11-year-old child develops ventricular tachycardia with a pulse with
inadequate perfusion. The PALS team would prepare the child for which
intervention? - ANSWER>>Synchronized electrical cardioversion
15) A 5-year-old child with a history of a chronic neuromuscular disease is
experiencing respiratory distress. The child is breathing spontaneously and
receiving supplemental oxygen. Which additional intervention is a critical
, 3
component of airway management for this patient? - ANSWER>>Airway
clearance (e.g., suctioning)
16) Primary assessment of a 10-year-old child reveals septic shock. As part of the
secondary assessment, if not already done as part of initial sepsis care,
laboratory testing is completed to evaluate the child's status. Which laboratory
tests would be ordered for this child? - ANSWER>>Complete blood count (CBC)
17) Lactate level
18) Blood cultures
19) A 6-year-old patient is brought to the emergency department after a bicycle
accident. Assessment reveals chest pain on inspiration, diminished breath
sounds on the right side, and respiratory distress. The provider suspects
obstructive shock caused by what condition? - ANSWER>>Tension
pneumothorax
20) A child exhibiting a narrow-complex tachycardia with adequate perfusion is to
receive adenosine. The provider would be alert for which result after
administering this medication? - ANSWER>>Transient asystole
21) 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? - ANSWER>>Oxygen delivery and oxygen demand
22) An 8-year-old child being treated in the emergency department has significant
respiratory distress. The child also exhibits hives, wheezing, angioedema,
tachycardia and dyspnea. The parents state that the child, who is allergic to
peanuts, had eaten some popcorn that had peanuts in it. The team initiates care,
preparing to administer which agent first? - ANSWER>>Epinephrine
PALS Actual Exam Questions and
Answers Latest Solution 2025 Graded
A+
1) A provider is assessing a child with suspected shock. Which statement correctly
describes hypotension and shock? - ANSWER>>Hypotension is not a consistent
feature of shock presentation in children.
2) A 10-year-old child has collapsed in the gym of the elementary school. The school
nurse arrives and determines that the child is unresponsive. The school nurse then
simultaneously checks for breathing and a central pulse, limiting this assessment
to which time frame? - ANSWER>>No more than 10 seconds
3) A 4-year-old child is brought to the emergency department by the parents.
Assessment reveals that the child has only gasping respirations and the pulse
rate is 65 beats per minute. Which action would the provider initiate first? -
ANSWER>>Deliver 1 BVM ventilation every 2 to 3 seconds.
4) A 7-year-old child collapses on the playground at school. The school nurse is
called to the scene and determines that the child is unresponsive and is not
breathing and has no pulse. The nurse initiates CPR. At what rate and depth
would the nurse deliver compressions to this child? - ANSWER>>100 to 120
compressions per minute at a depth of about 2 inches
5) What is considered inadequate perfusion when assessing/caring for a pediatric
patient with an arrhythmia? - ANSWER>>Diminished peripheral pulses
6) Acutely altered mental status
7) Hypotension
,2
8) A 9-year-old child is brought to the emergency department because the child
suddenly collapsed at school. The child's ECG reveals the following waveform, and
primary assessment findings indicate that the child has inadequate perfusion.
Which primary assessment findings indicate this? - ANSWER>>Signs of shock
9) Acutely altered mental status
10)Hypotension
11) A 9-year-old patient is presenting with diminished breath sounds, bradycardia,
slowed respiratory rate and a low O2 saturation level. The provider interprets
these findings as indicating which condition? - ANSWER>>Respiratory failure
12) A 6-year-old child is brought to the emergency department. The child has been
experiencing extremely watery stools over the past several days. After
completing the assessment, the healthcare provider suspects that the child may
be experiencing shock. Which type of shock would the provider most likely
suspect? - ANSWER>>Hypovolemia
13) A 2-year-old child of unknown weight arrives at the emergency department in
cardiac arrest. When preparing to administer medications, which action would be
appropriate for the team to take? - ANSWER>>Estimate weight using a length-
based resuscitation tape.
14) An 11-year-old child develops ventricular tachycardia with a pulse with
inadequate perfusion. The PALS team would prepare the child for which
intervention? - ANSWER>>Synchronized electrical cardioversion
15) A 5-year-old child with a history of a chronic neuromuscular disease is
experiencing respiratory distress. The child is breathing spontaneously and
receiving supplemental oxygen. Which additional intervention is a critical
, 3
component of airway management for this patient? - ANSWER>>Airway
clearance (e.g., suctioning)
16) Primary assessment of a 10-year-old child reveals septic shock. As part of the
secondary assessment, if not already done as part of initial sepsis care,
laboratory testing is completed to evaluate the child's status. Which laboratory
tests would be ordered for this child? - ANSWER>>Complete blood count (CBC)
17) Lactate level
18) Blood cultures
19) A 6-year-old patient is brought to the emergency department after a bicycle
accident. Assessment reveals chest pain on inspiration, diminished breath
sounds on the right side, and respiratory distress. The provider suspects
obstructive shock caused by what condition? - ANSWER>>Tension
pneumothorax
20) A child exhibiting a narrow-complex tachycardia with adequate perfusion is to
receive adenosine. The provider would be alert for which result after
administering this medication? - ANSWER>>Transient asystole
21) 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? - ANSWER>>Oxygen delivery and oxygen demand
22) An 8-year-old child being treated in the emergency department has significant
respiratory distress. The child also exhibits hives, wheezing, angioedema,
tachycardia and dyspnea. The parents state that the child, who is allergic to
peanuts, had eaten some popcorn that had peanuts in it. The team initiates care,
preparing to administer which agent first? - ANSWER>>Epinephrine
