PEDIATRIC ADVANCED LIFE SUPPORT PRE-TEST
QUESTIONS WITH 100% ACCURATE ANSWERS
STUDYGLOBAL
PEDIATRIC
5/10/25
, Introduction
Welcome to the Pediatric Advanced Life Support (PALS) Pre-Test.
This assessment is designed to help you evaluate your current knowledge of pediatric emergency care
and identify areas for review prior to your PALS course. The questions are based on key concepts
covered in PALS, including recognition and management of respiratory and circulatory emergencies,
rhythm recognition, and effective team dynamics.
Please answer each question to the best of your ability. This is not a graded test but a valuable tool to
guide your learning and preparation.
Good luck!
QUESTIONS:
You are called to help treat an infant with severe symptomatic bradycardia (heart rate 66/min)
associated with respiratory distress. The bradycardia persists despite establishment of an effective
airway, oxygenation, and ventilation. There is no heart block present. Which is the first drug you should
administer? - Accurate answers Epinephrine
Initial impression of a 2yo girl shows her to be alert with mild breathing difficulty during inspiration and
pale skin color. On primary assessment, she makes high-pitched inspiratory sounds (mild stridor) when
agitated; otherwise, her breathing is quiet. Her spO2 is 92% on room air, and she has mild inspiratory
intercostal retractions. Lung auscultation reveals transmitted upper airway sounds with adequate distal
breath sounds bilaterally. Which is the most appropriate initial intervention for this child? - Accurate
answers Humidified oxygen as tolerated
You are part of a team attempting to resuscitate a child with ventricular fibrillation cardiac arrest. You
delivered 2 unsynchronized shocks. A team member established IO access, so you give a dose of
epinephrine, 0.01 mg/kg IO. At the next rhythm check, persistent ventricular fibrillation is present. You
administer a 4 J/kg shock and resume CPR. Which drug and dose should be administered next? -
Accurate answers Amiodarone 5 mg/kg IO
Which statement is correct about the effects of epinephrine during attempted resuscitation? -
Accurate answers Epinephrine stimulates spontaneous contractions when asystole is present
A previously healthy infant with a history of vomiting and diarrhea is brought to the emergency
department by her parents. During your assessment, you find that the infant responds only to painful
stimulation. - Accurate answers Administer a bolus of isotonic crystalloid 20 ml/kg over 5-20
minutes, and also give D25W 2-4 ml/kg IV
Which statement is correct about endotracheal drug administration during resuscitative efforts for
pediatric patients? - Accurate answers It is the least desirable route of administration
Which statement is correct about the use of calcium chloride in pediatric patients? - Accurate answers
Routine administration is not indicated during cardiac arrest
QUESTIONS WITH 100% ACCURATE ANSWERS
STUDYGLOBAL
PEDIATRIC
5/10/25
, Introduction
Welcome to the Pediatric Advanced Life Support (PALS) Pre-Test.
This assessment is designed to help you evaluate your current knowledge of pediatric emergency care
and identify areas for review prior to your PALS course. The questions are based on key concepts
covered in PALS, including recognition and management of respiratory and circulatory emergencies,
rhythm recognition, and effective team dynamics.
Please answer each question to the best of your ability. This is not a graded test but a valuable tool to
guide your learning and preparation.
Good luck!
QUESTIONS:
You are called to help treat an infant with severe symptomatic bradycardia (heart rate 66/min)
associated with respiratory distress. The bradycardia persists despite establishment of an effective
airway, oxygenation, and ventilation. There is no heart block present. Which is the first drug you should
administer? - Accurate answers Epinephrine
Initial impression of a 2yo girl shows her to be alert with mild breathing difficulty during inspiration and
pale skin color. On primary assessment, she makes high-pitched inspiratory sounds (mild stridor) when
agitated; otherwise, her breathing is quiet. Her spO2 is 92% on room air, and she has mild inspiratory
intercostal retractions. Lung auscultation reveals transmitted upper airway sounds with adequate distal
breath sounds bilaterally. Which is the most appropriate initial intervention for this child? - Accurate
answers Humidified oxygen as tolerated
You are part of a team attempting to resuscitate a child with ventricular fibrillation cardiac arrest. You
delivered 2 unsynchronized shocks. A team member established IO access, so you give a dose of
epinephrine, 0.01 mg/kg IO. At the next rhythm check, persistent ventricular fibrillation is present. You
administer a 4 J/kg shock and resume CPR. Which drug and dose should be administered next? -
Accurate answers Amiodarone 5 mg/kg IO
Which statement is correct about the effects of epinephrine during attempted resuscitation? -
Accurate answers Epinephrine stimulates spontaneous contractions when asystole is present
A previously healthy infant with a history of vomiting and diarrhea is brought to the emergency
department by her parents. During your assessment, you find that the infant responds only to painful
stimulation. - Accurate answers Administer a bolus of isotonic crystalloid 20 ml/kg over 5-20
minutes, and also give D25W 2-4 ml/kg IV
Which statement is correct about endotracheal drug administration during resuscitative efforts for
pediatric patients? - Accurate answers It is the least desirable route of administration
Which statement is correct about the use of calcium chloride in pediatric patients? - Accurate answers
Routine administration is not indicated during cardiac arrest
