PALS UPDATED EXAM 1 2026
QUESTIONS AND VERIFIED ANSWERS
GRADED A+ ( LATEST!!)
Assessment of a 7-year-old patient with septic shock reveals capillary refill of 3 seconds,
diminished pulses, narrow pulse pressure and cool, mottled extremities. The emergency response
team interprets these findings as indicating which type of septic shock?
Most children in septic shock present with cold shock (i.e., delayed capillary refill, diminished
pulses, peripheral vasoconstriction, narrow pulse pressure, and cool, mottled extremities) instead
of warm shock.
Primary assessment of a 10-year-old child reveals septic shock. As part of the secondary
assessment, laboratory testing is completed to evaluate the child’s status. Which laboratory tests
would be ordered for this child?
Laboratory testing for the child in septic shock may include CBC, blood cultures, blood gasses,
coagulation panel, renal function tests, liver function panel and lactate level.
A 4-year-old patient presents with tachycardia, tachypnea, cold extremities and weak pulses.
Assessment also reveals an enlarged liver and neck vein distension. The provider interprets these
assessment findings as suggesting which type of shock?
cardio
A 10-year-old child has collapsed in the gym of the elementary school. The school nurse arrives
and determines that the child is unresponsive. The school nurse then simultaneously checks for
breathing and a central pulse, limiting this assessment to which time frame?
, 5 seconds, but no more than 10.
A child being cared for in the pediatric telemetry unit suddenly displays the following ECG
waveform. The provider prepares to intervene because the child is demonstrating which type of
arrhythmia?
Supraventricular tachycardia
A 6-year-old patient is brought to the emergency department after a bicycle accident. Assessment
reveals tracheal deviation to the left side, chest pain on inspiration and decreased breath sounds
on the right side. The provider suspects obstructive shock caused by what condition?
tension pneumothorax
A child is experiencing stable supraventricular tachycardia (SVT) and is to receive treatment.
Which initial treatment would the provider administer?
vagal
An unresponsive 7-year-old child with no pulse is brought to the pediatric urgent care center by
his parents and CPR is initiated. The cardiac monitor reveals ventricular fibrillation. Which
action would the PALS team take first?
initiate defibrillation with 2 J/kg.
QUESTIONS AND VERIFIED ANSWERS
GRADED A+ ( LATEST!!)
Assessment of a 7-year-old patient with septic shock reveals capillary refill of 3 seconds,
diminished pulses, narrow pulse pressure and cool, mottled extremities. The emergency response
team interprets these findings as indicating which type of septic shock?
Most children in septic shock present with cold shock (i.e., delayed capillary refill, diminished
pulses, peripheral vasoconstriction, narrow pulse pressure, and cool, mottled extremities) instead
of warm shock.
Primary assessment of a 10-year-old child reveals septic shock. As part of the secondary
assessment, laboratory testing is completed to evaluate the child’s status. Which laboratory tests
would be ordered for this child?
Laboratory testing for the child in septic shock may include CBC, blood cultures, blood gasses,
coagulation panel, renal function tests, liver function panel and lactate level.
A 4-year-old patient presents with tachycardia, tachypnea, cold extremities and weak pulses.
Assessment also reveals an enlarged liver and neck vein distension. The provider interprets these
assessment findings as suggesting which type of shock?
cardio
A 10-year-old child has collapsed in the gym of the elementary school. The school nurse arrives
and determines that the child is unresponsive. The school nurse then simultaneously checks for
breathing and a central pulse, limiting this assessment to which time frame?
, 5 seconds, but no more than 10.
A child being cared for in the pediatric telemetry unit suddenly displays the following ECG
waveform. The provider prepares to intervene because the child is demonstrating which type of
arrhythmia?
Supraventricular tachycardia
A 6-year-old patient is brought to the emergency department after a bicycle accident. Assessment
reveals tracheal deviation to the left side, chest pain on inspiration and decreased breath sounds
on the right side. The provider suspects obstructive shock caused by what condition?
tension pneumothorax
A child is experiencing stable supraventricular tachycardia (SVT) and is to receive treatment.
Which initial treatment would the provider administer?
vagal
An unresponsive 7-year-old child with no pulse is brought to the pediatric urgent care center by
his parents and CPR is initiated. The cardiac monitor reveals ventricular fibrillation. Which
action would the PALS team take first?
initiate defibrillation with 2 J/kg.
