PALS ACTUAL TEST PAPER STUDY GUIDE
PRACTICE SOLUTION 2026 PERFECT
GRADE RECORD.
⫸ Disordered Control of Breathing Answer: A 4 year old child is
brought to the emergency department for seizures. The seizures
stopped a few minutes ago, but the child continues to have slow and
irregular respirations. Which condition is most consistent with your
assessment?
⫸ blood glucose Answer: An 8 year old child is brought to the
emergency department with a 2 day history of lethargy and polyuria.
The child has new onset rapid, deep, and labored breathing. Which
diagnostic test should you order first?
⫸ Reposition the patient, and insert an oral airway Answer: After
rectal administration of diazepam, an 8 year old boy with a history of
seizures is no unresponsive to painful stimuli. His respirations are
shallow, at a rate of 10/min. His Oxygen saturation is 94% on 2L of
NC oxygen. On examination, the child is snoring with poor chest rise
and poor air entry bilaterally. What action should you take next?
⫸ Provide bag mask ventilation Answer: After rectal administration
of diazepam, an 8 year old boy with a history of seizures is no
unresponsive to painful stimuli. His respirations are shallow, at a rate
of 10/min. His Oxygen saturation is 94% on 2L of NC oxygen. On
, examination, the child is snoring with poor chest rise and poor air
entry bilaterally. After repositioning the patient and you insert an Oral
airway, the patient continues to deteriorate. What next step is the most
appropriate?
⫸ 15:2 Answer: A 6 year old child is found unresponsive, not
breathing, and without a pulse. one health care worker leaves to
activate the emergency response system and get the resuscitation
equipment. You and another healthcare provider immediatly begin
CPR. Which compression to ventilation ratio do you use?
⫸ 94%-99% Answer: In post resuscitation management after cardiac
arrest, extra care should be taken to avoid repercussion injury. what
should the ideal oxygen saturation range most likely be?
⫸ "resume compressions" Answer: A 3 year old child is in cardiac
arrest, and high quality CPR is in progress. You are the team leader.
The first rhythm check reveals the rhythm shown here. Defibrillation
is attempted with a shock dose of 2 J/kg. after administration of the
shock, what should you say to you team members?
⫸ 2-4 J/kg Answer: A 4 year old child in cardiac arrest is brought to
the emergency department by ambulance. High quality CPR is being
performed. The cardiac monitor displays the rhythm strip shown here.
The estimated weight of the child is 20 kg. What dose range should
you use for the initial defibrillation?
⫸ 40 Joules Answer: A 4 year old child in cardiac arrest is brought to
the emergency department by ambulance. High quality CPR is being
PRACTICE SOLUTION 2026 PERFECT
GRADE RECORD.
⫸ Disordered Control of Breathing Answer: A 4 year old child is
brought to the emergency department for seizures. The seizures
stopped a few minutes ago, but the child continues to have slow and
irregular respirations. Which condition is most consistent with your
assessment?
⫸ blood glucose Answer: An 8 year old child is brought to the
emergency department with a 2 day history of lethargy and polyuria.
The child has new onset rapid, deep, and labored breathing. Which
diagnostic test should you order first?
⫸ Reposition the patient, and insert an oral airway Answer: After
rectal administration of diazepam, an 8 year old boy with a history of
seizures is no unresponsive to painful stimuli. His respirations are
shallow, at a rate of 10/min. His Oxygen saturation is 94% on 2L of
NC oxygen. On examination, the child is snoring with poor chest rise
and poor air entry bilaterally. What action should you take next?
⫸ Provide bag mask ventilation Answer: After rectal administration
of diazepam, an 8 year old boy with a history of seizures is no
unresponsive to painful stimuli. His respirations are shallow, at a rate
of 10/min. His Oxygen saturation is 94% on 2L of NC oxygen. On
, examination, the child is snoring with poor chest rise and poor air
entry bilaterally. After repositioning the patient and you insert an Oral
airway, the patient continues to deteriorate. What next step is the most
appropriate?
⫸ 15:2 Answer: A 6 year old child is found unresponsive, not
breathing, and without a pulse. one health care worker leaves to
activate the emergency response system and get the resuscitation
equipment. You and another healthcare provider immediatly begin
CPR. Which compression to ventilation ratio do you use?
⫸ 94%-99% Answer: In post resuscitation management after cardiac
arrest, extra care should be taken to avoid repercussion injury. what
should the ideal oxygen saturation range most likely be?
⫸ "resume compressions" Answer: A 3 year old child is in cardiac
arrest, and high quality CPR is in progress. You are the team leader.
The first rhythm check reveals the rhythm shown here. Defibrillation
is attempted with a shock dose of 2 J/kg. after administration of the
shock, what should you say to you team members?
⫸ 2-4 J/kg Answer: A 4 year old child in cardiac arrest is brought to
the emergency department by ambulance. High quality CPR is being
performed. The cardiac monitor displays the rhythm strip shown here.
The estimated weight of the child is 20 kg. What dose range should
you use for the initial defibrillation?
⫸ 40 Joules Answer: A 4 year old child in cardiac arrest is brought to
the emergency department by ambulance. High quality CPR is being
