PALS PRETEST EXAMINATION TEST 2026
QUESTIONS WITH ANSWERS GRADED A+
◉ Scenario: You are called to see a 14-mo-old child with difficulty
breathing and a history of poor feeding. Mom reports that the child
has had a fever and cough for the past two days.
2. Your primary assessment reveals an open airway. The child's
ventilatory rate is 48 per min. Auscultation of the chest reveals
bilateral expiratory wheezes. A weak brachial pulse is present adn
the skin is pale. Capillary refill is 2-3 seconds, temp is 102.8 F, and
the pulse ox reveals an SpO2 of 86%. This child's presentation is
most consistent with:
A. Respiraotry distress
B. Resp failure
C. Resp arrest
D. Cardiopulmonary arrest. Answer: B. Respiratory Failure
Rationale: defined as "a clinical condition in which there is
inadequate blood oxygenation and/or ventilation to meet the
metabolic demands of body tissues"
◉ Scenario: You are called to see a 14-mo-old child with difficulty
breathing and a history of poor feeding. Mom reports that the child
has had a fever and cough for the past two days.
, 3. The cardiac monitor has been applied and reveals the following
rhythm. The rhythm displayed is: (slow, p wave for every QRS,
regular)
A. Sinus brady
B. V. fib
C. Supraventricular tachy
D. 2nd-degree AV block type 1. Answer: A. Sinus Brady
◉ Scenario: You are called to see a 14-mo-old child with difficulty
breathing and a history of poor feeding. Mom reports that the child
has had a fever and cough for the past two days.
4. Your next course of action should be to:
A. Begin chest compressions
B. Administer supplemental oxygen by NC
C. Admin O2 using a nonrebreather mask
D. Assist ventilations with O2 and a bag-mask device. Answer: D.
Assist ventilations with O2 and a bag-mask device
Rationale: failure/arrest require ventilation using BMV.
◉ Scenario: You are called to see a 14-mo-old child with difficulty
breathing and a history of poor feeding. Mom reports that the child
has had a fever and cough for the past two days.
5. Aphysician orders a chest radiograph and nebulized albuterol.
What is the rationale for the use of albuterol in this situation?
QUESTIONS WITH ANSWERS GRADED A+
◉ Scenario: You are called to see a 14-mo-old child with difficulty
breathing and a history of poor feeding. Mom reports that the child
has had a fever and cough for the past two days.
2. Your primary assessment reveals an open airway. The child's
ventilatory rate is 48 per min. Auscultation of the chest reveals
bilateral expiratory wheezes. A weak brachial pulse is present adn
the skin is pale. Capillary refill is 2-3 seconds, temp is 102.8 F, and
the pulse ox reveals an SpO2 of 86%. This child's presentation is
most consistent with:
A. Respiraotry distress
B. Resp failure
C. Resp arrest
D. Cardiopulmonary arrest. Answer: B. Respiratory Failure
Rationale: defined as "a clinical condition in which there is
inadequate blood oxygenation and/or ventilation to meet the
metabolic demands of body tissues"
◉ Scenario: You are called to see a 14-mo-old child with difficulty
breathing and a history of poor feeding. Mom reports that the child
has had a fever and cough for the past two days.
, 3. The cardiac monitor has been applied and reveals the following
rhythm. The rhythm displayed is: (slow, p wave for every QRS,
regular)
A. Sinus brady
B. V. fib
C. Supraventricular tachy
D. 2nd-degree AV block type 1. Answer: A. Sinus Brady
◉ Scenario: You are called to see a 14-mo-old child with difficulty
breathing and a history of poor feeding. Mom reports that the child
has had a fever and cough for the past two days.
4. Your next course of action should be to:
A. Begin chest compressions
B. Administer supplemental oxygen by NC
C. Admin O2 using a nonrebreather mask
D. Assist ventilations with O2 and a bag-mask device. Answer: D.
Assist ventilations with O2 and a bag-mask device
Rationale: failure/arrest require ventilation using BMV.
◉ Scenario: You are called to see a 14-mo-old child with difficulty
breathing and a history of poor feeding. Mom reports that the child
has had a fever and cough for the past two days.
5. Aphysician orders a chest radiograph and nebulized albuterol.
What is the rationale for the use of albuterol in this situation?
