PALS EXAM QUESTIONS AND 100% CORRECT ANSWERS|LATEST 2025/2026|GUARANTEED A+|ACCURATE AND VERIFIED

A previously healthy infant with a history of vomiting and diarrhea is brought to the emergenc
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y department by her parents. During your assessment, you find that the infant responds only t
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o painful stimulation. The infant has good bilateral breath sounds, cool extremities, and a capil
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lary refill time of more than 5 seconds. The infant's blood pressure is 85/65 mmHg and glucose
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Bis 30 mg/dL. You administer 100% oxygen via face mask and start an IV. Which treatment is th
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e most appropriate for this infant?
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a) Administer D50W 0.45% NaCl 20 mL/kg bolus over 15 minutes
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b) Administer LR solution 20 mL/kg over 60 minutes
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c) Administer a bolus of isotonic crystalloid 20 mL/kg over 5 to 20 minutes and also give D25W
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2 to 4 mL/kg IV
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d) Administer D10W 20 mL/kg over 5 minutes - ANSWER-
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c) Administer a bolus of isotonic crystalloid 20 mL/kg over 5 to 20 minutes and also give
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B D25W 2 to 4 mL/kg B B B B




Which statement is correct about endotracheal drug administration during resuscitative effort
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s for pediatric patients?
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a) The intravenous drug dose should be used
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b) It is the preferred route of drug administration
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c) The drug dose used is lower than the intravenous dose
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,d) It is the least desirable route of administration - ANSWER-
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d) It is the least desirable route of administration
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Which statement is correct about the effects of epinephrine during attempted resuscitation?
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a) Epi decreases peripheral vascular resistance and reduces myocardial afterload
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b) Epi stimulates spontaneous contractions when asystole is present
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c) Epi decreases myocardial oxygen consumption
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d) Epi is contraindicated in VFib - ANSWER-
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Epinephrine stimulates spontaneous contractions when asystole is present
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Which oxygen delivery system most reliably delivers a high (90% or greater) concentration of i
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nspired oxygen to a 7yo child?
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a) nasal cannula
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b) simple oxygen mask
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c) nonrebreather face mask
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d) face tent - ANSWER-
B B B B c) nonrebreathing face mask
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A 9-year-
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old boy is agitated and leaning forward on the bed in obvious respiratory distress. The patient
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is speaking in short phrases and tells you that he has asthma but does not carry an inhaler. He
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has nasal flaring, severe suprasternal and intercostal retractions, and decreased air movemen
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, t with prolonged expiratory time and wheezing. You administer 100% oxygen by a nonrebreat
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hing mask. His POx is 92%. Which medication do you prepare to give to this patient?
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a) Albuterol
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b) Adenosine
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c) Amiodarone
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d) Procainamide - ANSWER-
B B B a) Albuterol
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You are part of team attempting to resuscitate a child with ventricular fibrillation cardiac arres
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t. You deliver 2 unsynchronized shocks. A team member established IO access, so you give a d
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ose of epi, 0.01 mg/kg IO. At the next rhythm check, persistent ventricular fibrillation is presen
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t. You administer a 4-
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J/kg shock ad resume CPR. Which drug and dose should be administered next?
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a) Magnesium sulfate 25 to 50 mg/kg IO
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b) Epinephrine 0.1 mg/kg IO
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c) Atropine 0.02 mg/kg IO
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d) Amiodarone 5 mg/kg IO - ANSWER-
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Paramedics are called to the home of a 1-year- B B B B B B B B



old child. Their initial assessment reveals a child who responds only to painful stimuli and has i
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rregular breathing, faint central pulse, bruises over the abdomen, abdominal distention, and c
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yanosis. Bag- B



mask ventilation with 100% oxygen is initiated. The child's heart rate is 36/min. Peripheral pul
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ses cannot be palpated, and central pulses are barely palpable. The cardiac monitor shows sin
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