PALS PRETEST 2026
ACCURATE ACTUAL EXAM
WITH FREQUENTLY TESTED
QUESTIONS AND STUDY
GUIDE\EXPERT VERIFIED
FOR GUARANTEED
PASS\ALREADY GRADED A+
You are caring for a 3yo with vomiting and diarrhea. You have established IV access. The child's pulses
are palpable but faint, and the child is now lethargic
Atropine 0.02 mg/kg IV
You need to provide rescue breaths to a child victim with a pulse. What is the appropriate rate for
delivering breaths?
1 breath every 3-5 seconds
A child becomes unresponsive in the emergency department and is not breathing. You are uncertain if
a faint pulse is present
Start high-quality CPR
You find a 10yo boy to be unresponsive. You shout for help, and after finding that he is not breathing
and has no pulse, you and a colleague begin CPR. Another colleague activates the emergency response
system.brings the emergency equipment, and places the child on a cardiac monitor/defibrillator,
which reveals the rhythm shown here. You attempt defibrillation at 2 J/kg and give 2 minutes of CPR.
The rhythm persists at the second rhythm check, at which point you attempt defibrillation with 4 J/kg.
A fourth colleague arrives, starts an IV, and administers 1 dose of epinephrine 0.01 mg/kg. If
ventricular fibrillation or pulseless ventricular tachycardia persists after 2 minutes of CPR, you will
administer another shock. Which drug and dose should be administered next?
Lidocaine 1 mg/kg IV
, A 4yo boy is in pulseless arrest in the PICU. High-quality CPR is in progress. You quickly review his
chart and find that his baseline-corrected QT interval on a 12-lead ECG is prolonged. The monitor
shows recurrent episodes of the rhythm shown here. The patient has received 1 dose of epinephrine
0.01 mg/kg, but the rhythm shown here continues. If this rhythm persists at the next rhythm check,
which medication would be most appropriate to administer at that time?
Magnesium sulfate 25-50 mg/kg IV
A 3yo unresponsive, apneic child is brought to the emergency department. EMS personnel report that
the child became unresponsive as they arrived at the hospital. The child is receiving CPR with bag-
mask ventilation. The rhythm shown here is on the cardiac monitor. A biphasic manual defibrillator is
present. You quickly use the length from head to of the child on a color-coded length-based
resuscitation tape to estimate the approximate weight as 15kg. Which therapy is most appropriate for
this child at this time?
Attempt defibrillation at 30 J, and then resume CPR, beginning with compressions
You are alone and witness a child suddenly collapse. There is no suspected head or neck injury. A
colleague responded to your shout for help and is activating the emergency response system and is
retrieving the resuscitation equipment, including a defibrillator. After delivering 30 compressions,
what would be your next action?
Open the airway with a head tilt-chin lift maneuver and give 2 breaths
You are giving chest compressions for a child in cardiac arrest? What is the proper depth of
compressions for a child?
Compress the chest at least one third the depth of the chest, about 2 inches (5 cm)
An 8mo infant is brought to the emergency department for evaluation of severe diarrhea and
dehydration. On arrival to the emergency department, the infant becomes unresponsive, apneic, and
pulseless. You shout for help and start CPR. Another provider arrives, at which point you switch to 2-
rescuer CPR. The rhythm shown here is seen on the cardiac monitor. The infant is intubated and
ventilated with with 100% oxygen. An IO line is established, and a dose of epinephrine is given. While
continuing high-quality CPR, what do you do next?
Give normal saline 20 ml/kg IO rapidly
You are supervising a student who is inserting an IO needle into an infant's tibia. The student asks you
what she should look for to know that she successfully inserted the needle into the bone marrow
cavity. What do you tell her?
Fluids can be administered freely without local soft tissue swelling."
Why is allowing complete chest recoil important when performing high-quality CPR?
The heart will refill with blood between compressions
An 18mo child has a 1 week hx of cough and runny nose. The child has diffuse cyanosis and is
responsive only to painful stimulation with slow respirations and rapid central pulses. The child's
respiratory rate has decreased from 65/min to 10/min, severe inspiratory intercostal retractions are
ACCURATE ACTUAL EXAM
WITH FREQUENTLY TESTED
QUESTIONS AND STUDY
GUIDE\EXPERT VERIFIED
FOR GUARANTEED
PASS\ALREADY GRADED A+
You are caring for a 3yo with vomiting and diarrhea. You have established IV access. The child's pulses
are palpable but faint, and the child is now lethargic
Atropine 0.02 mg/kg IV
You need to provide rescue breaths to a child victim with a pulse. What is the appropriate rate for
delivering breaths?
1 breath every 3-5 seconds
A child becomes unresponsive in the emergency department and is not breathing. You are uncertain if
a faint pulse is present
Start high-quality CPR
You find a 10yo boy to be unresponsive. You shout for help, and after finding that he is not breathing
and has no pulse, you and a colleague begin CPR. Another colleague activates the emergency response
system.brings the emergency equipment, and places the child on a cardiac monitor/defibrillator,
which reveals the rhythm shown here. You attempt defibrillation at 2 J/kg and give 2 minutes of CPR.
The rhythm persists at the second rhythm check, at which point you attempt defibrillation with 4 J/kg.
A fourth colleague arrives, starts an IV, and administers 1 dose of epinephrine 0.01 mg/kg. If
ventricular fibrillation or pulseless ventricular tachycardia persists after 2 minutes of CPR, you will
administer another shock. Which drug and dose should be administered next?
Lidocaine 1 mg/kg IV
, A 4yo boy is in pulseless arrest in the PICU. High-quality CPR is in progress. You quickly review his
chart and find that his baseline-corrected QT interval on a 12-lead ECG is prolonged. The monitor
shows recurrent episodes of the rhythm shown here. The patient has received 1 dose of epinephrine
0.01 mg/kg, but the rhythm shown here continues. If this rhythm persists at the next rhythm check,
which medication would be most appropriate to administer at that time?
Magnesium sulfate 25-50 mg/kg IV
A 3yo unresponsive, apneic child is brought to the emergency department. EMS personnel report that
the child became unresponsive as they arrived at the hospital. The child is receiving CPR with bag-
mask ventilation. The rhythm shown here is on the cardiac monitor. A biphasic manual defibrillator is
present. You quickly use the length from head to of the child on a color-coded length-based
resuscitation tape to estimate the approximate weight as 15kg. Which therapy is most appropriate for
this child at this time?
Attempt defibrillation at 30 J, and then resume CPR, beginning with compressions
You are alone and witness a child suddenly collapse. There is no suspected head or neck injury. A
colleague responded to your shout for help and is activating the emergency response system and is
retrieving the resuscitation equipment, including a defibrillator. After delivering 30 compressions,
what would be your next action?
Open the airway with a head tilt-chin lift maneuver and give 2 breaths
You are giving chest compressions for a child in cardiac arrest? What is the proper depth of
compressions for a child?
Compress the chest at least one third the depth of the chest, about 2 inches (5 cm)
An 8mo infant is brought to the emergency department for evaluation of severe diarrhea and
dehydration. On arrival to the emergency department, the infant becomes unresponsive, apneic, and
pulseless. You shout for help and start CPR. Another provider arrives, at which point you switch to 2-
rescuer CPR. The rhythm shown here is seen on the cardiac monitor. The infant is intubated and
ventilated with with 100% oxygen. An IO line is established, and a dose of epinephrine is given. While
continuing high-quality CPR, what do you do next?
Give normal saline 20 ml/kg IO rapidly
You are supervising a student who is inserting an IO needle into an infant's tibia. The student asks you
what she should look for to know that she successfully inserted the needle into the bone marrow
cavity. What do you tell her?
Fluids can be administered freely without local soft tissue swelling."
Why is allowing complete chest recoil important when performing high-quality CPR?
The heart will refill with blood between compressions
An 18mo child has a 1 week hx of cough and runny nose. The child has diffuse cyanosis and is
responsive only to painful stimulation with slow respirations and rapid central pulses. The child's
respiratory rate has decreased from 65/min to 10/min, severe inspiratory intercostal retractions are
