PALS version B Exam 2025 Questions and
Answers
You are treating an 8-year-old with ventricular tachycardia (VT) with pulses and adequate perfusion.
You attempted synchronized cardioversion without success. While seeking expert consultation, it
would be most appropriate to:
Administer a loading dose of milrinone
Initiate overdrive pacing transcutaneously
Consider possible metabolic and toxicologic causes
Deliver an unsynchronized shock - ANSWER✔✔-Consider possible metabolic and toxicologic
causes
You are caring for a patient who developed a tension pneumothorax after several hours of positive-
pressure ventilation. Which of the following would be the most appropriate site for needle
decompression?
Over the third rib (ie, second intercostal space) at the mid-clavicular line
FOR STUDY PURPOSES ONLY COPYRIGHT © 2025 ALL RIGHTS RESERVED 1
, Under the eighth rib at the midaxillary line
Over the fifth rib at the sternal border
Under the sixth rib at the midclavicular line - ANSWER✔✔-Over the third rib (ie, second
intercostal space) at the mid-clavicular line
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 colloidge
Administer repeated fluid boluses of isotonic crystalloid
Begin immediate dopamine infusion
Begin immediate dobutamine infusion - ANSWER✔✔-Administer repeated fluid boluses of
isotonic crystalloid
You are caring for a 5-year-old patient with supraventricular tachycardia (SVT) (heart rate is
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?
Provide synchronized cardioversion at 0.5 to 1 J/kg
Place cold packs on the distal upper and lower extremities
FOR STUDY PURPOSES ONLY COPYRIGHT © 2025 ALL RIGHTS RESERVED 2
Answers
You are treating an 8-year-old with ventricular tachycardia (VT) with pulses and adequate perfusion.
You attempted synchronized cardioversion without success. While seeking expert consultation, it
would be most appropriate to:
Administer a loading dose of milrinone
Initiate overdrive pacing transcutaneously
Consider possible metabolic and toxicologic causes
Deliver an unsynchronized shock - ANSWER✔✔-Consider possible metabolic and toxicologic
causes
You are caring for a patient who developed a tension pneumothorax after several hours of positive-
pressure ventilation. Which of the following would be the most appropriate site for needle
decompression?
Over the third rib (ie, second intercostal space) at the mid-clavicular line
FOR STUDY PURPOSES ONLY COPYRIGHT © 2025 ALL RIGHTS RESERVED 1
, Under the eighth rib at the midaxillary line
Over the fifth rib at the sternal border
Under the sixth rib at the midclavicular line - ANSWER✔✔-Over the third rib (ie, second
intercostal space) at the mid-clavicular line
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 colloidge
Administer repeated fluid boluses of isotonic crystalloid
Begin immediate dopamine infusion
Begin immediate dobutamine infusion - ANSWER✔✔-Administer repeated fluid boluses of
isotonic crystalloid
You are caring for a 5-year-old patient with supraventricular tachycardia (SVT) (heart rate is
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?
Provide synchronized cardioversion at 0.5 to 1 J/kg
Place cold packs on the distal upper and lower extremities
FOR STUDY PURPOSES ONLY COPYRIGHT © 2025 ALL RIGHTS RESERVED 2
