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PALS PRETEST COMPREHENSIVE EXAM SCRIPT 2026 QUESTIONS WITH SOLUTIONS

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PALS PRETEST COMPREHENSIVE EXAM SCRIPT 2026 QUESTIONS WITH SOLUTIONS

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PALS PRETEST
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November 25, 2025
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Written in
2025/2026
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PALS PRETEST COMPREHENSIVE EXAM SCRIPT
2026 QUESTIONS WITH SOLUTIONS

◉ Scenario: A 3-yr-old presents with a hx of comiting and diarrhea
over a period of 4 days. The child's BP is 64/40 mm Hg and cap refill
is 3 sec.
8. Vascular access has been obtained. You should administer:
A. A bolus of 300 mL of a colloid solution
B. A blus of 10 mL/kg of a colloid solution
C. A bolus of 500 mL of an isotonic crystalloid solution
D. A bolus of 20 mL/kg of an isotonic crystalloid solution. Answer: D.
A bolus of 20 mL/kg of an isotonic crystalloid solution


◉ For the infant of child in early shock, the body attempts to
compensate by:
A. Increasing the heart rate
B. Lowering blood pressure
C. Decreasing the ventilaroty rate
D. Redistributing blood flow from the vital organs to the skin and
muscles. Answer: A. Increasing the heart rate


◉ Cardiac Arrest in the pediatric population is most often the result
of:

, A. Hypothermia
B. Prolonged hypoxia
C. V fib
D. Congenital heart dz. Answer: B. Prolonged hypoxia


◉ You have attempted to deliver your first positive-pressure
ventilation to a patient experiencing a respiratory arrest. The
patient's chest did not rise when you delivered the first breath. You
should now:
A. Check for a pulse
B. Begin chest compressions
C. Readjust the patient's head position
D. Assemble the equipment needed for a surgical airway. Answer: C.
readjust the pt's head position


◉ Atropine:
A. suppresses ventricular dysrhythmias
B. Increases the force of myocardial contraction
C. causes vasoconstriction and increases cardiac output
D. Increases heart rate and blocks the action of the vagus nerves.
Answer: D. Increases heart rate and blocks the action of the vagus
nerves
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