PALS TEST PRACTICE EXAMINATION
2026 QUESTIONS WITH ANSWERS
GRADED A+
◍ SVT converting to sinus rhythm after adenosine administration.
Answer: nan
◍ Sinus bradycardia.
Answer: nan
◍ Sinus bradycardia - version 2.
Answer: nan
◍ In which of the following situations may IO access be used?
A. An extremity with signs of infection
B. An extremity with a sign of a crush injury
C. An extremity with a previous unsuccessful IO attempt
D. An extremity with slow a capillary refill time.
Answer: D. An extremity with slow a capillary refill time
◍ A 2 week old infant is being evaluated for irritability and poor feeding. His
BP is 55/40 mmHg, and cap refill time is 5 seconds. Which statement best
describes your assessment of this infants BP?
A. It represents compensated shock
B. It is hypertensive
C. It is Hypotensive
D. It is normal.
Answer: C. It is Hypotensive
◍ You are caring for patients in the emergency department. Which 2 year old
child requires immediate intervention?
A. A child who is grunting
, B. A child with an Sp02 of 95% on room air
C. A child with a systolic blood pressure of 92 mm Hg
D. A child with a temperature of 37.4 C (99.3 F).
Answer: A. A child who is grunting
◍ A 3 year old child is having difficulty breathing. Which finding would most
likely lead you to suspect an upper airway obstruction in this child?
A. Expiratory breath sounds
B. Decreased expiratory effort
C. Increased inspiratory effort with retractions
D. Normal inspiratory sounds.
Answer: C. Increased inspiratory effort with retractions
◍ A team member is unable to perform an assigned task because it is beyond
the team members scope of practice. Which action should the team member
take?
A. Ask for a new task or role
B. Refuse to perform the task
C. Do it anyway
D. Seek expert consultation.
Answer: A. Ask for a new task or role
◍ You are the team leader during a pediatric resuscitation attempt. which
action is an element of high quality CPR?
A. Providing a compression depth of one fourth the depth of the chest
B. Providing a compression rate of 80 to 100/min
C. Allowing complete chest wall recoil after each compression
D. Performing pulse checks every minute.
Answer: C. Allowing complete chest wall recoil after each compression
◍ Normal sinus rhythm.
Answer: nan
◍ An 8 year old child is brought to the ED by his mother for difficulty
breathing. He has a history of asthma and nut allergies. He's mother tells
you that he recently ate a cookie at a family picnic. Which condition is most
, likely to be present in this child?
A. Disordered control of breathing
B. Hypovolemic shock
C. Lung tissue disease
D. upper airway obstruction.
Answer: D. upper airway obstruction
◍ Asystole.
Answer: nan
◍ An 8 year old child is brought to the ED by ambulance after being involved
in a MV
C. Which finding would suggest that immediate intervention is needed?
A. Decreased level of consciousness
B. Systolic blood pressure of 106 mm Hg
C. Temperature of 38.1 C (100.5 F)
D. Warm, moist skin.
Answer: A. Decreased level of consciousness
◍ Wide complex tachycardia.
Answer: nan
◍ Wide complex tachycardia - version 2.
Answer: nan
◍ 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 CP
R. Which compression to ventilation ratio do you use?
A. 15:1
B. 30:1
C. 15:2
D. 30:2.
Answer: C. 15:2
2026 QUESTIONS WITH ANSWERS
GRADED A+
◍ SVT converting to sinus rhythm after adenosine administration.
Answer: nan
◍ Sinus bradycardia.
Answer: nan
◍ Sinus bradycardia - version 2.
Answer: nan
◍ In which of the following situations may IO access be used?
A. An extremity with signs of infection
B. An extremity with a sign of a crush injury
C. An extremity with a previous unsuccessful IO attempt
D. An extremity with slow a capillary refill time.
Answer: D. An extremity with slow a capillary refill time
◍ A 2 week old infant is being evaluated for irritability and poor feeding. His
BP is 55/40 mmHg, and cap refill time is 5 seconds. Which statement best
describes your assessment of this infants BP?
A. It represents compensated shock
B. It is hypertensive
C. It is Hypotensive
D. It is normal.
Answer: C. It is Hypotensive
◍ You are caring for patients in the emergency department. Which 2 year old
child requires immediate intervention?
A. A child who is grunting
, B. A child with an Sp02 of 95% on room air
C. A child with a systolic blood pressure of 92 mm Hg
D. A child with a temperature of 37.4 C (99.3 F).
Answer: A. A child who is grunting
◍ A 3 year old child is having difficulty breathing. Which finding would most
likely lead you to suspect an upper airway obstruction in this child?
A. Expiratory breath sounds
B. Decreased expiratory effort
C. Increased inspiratory effort with retractions
D. Normal inspiratory sounds.
Answer: C. Increased inspiratory effort with retractions
◍ A team member is unable to perform an assigned task because it is beyond
the team members scope of practice. Which action should the team member
take?
A. Ask for a new task or role
B. Refuse to perform the task
C. Do it anyway
D. Seek expert consultation.
Answer: A. Ask for a new task or role
◍ You are the team leader during a pediatric resuscitation attempt. which
action is an element of high quality CPR?
A. Providing a compression depth of one fourth the depth of the chest
B. Providing a compression rate of 80 to 100/min
C. Allowing complete chest wall recoil after each compression
D. Performing pulse checks every minute.
Answer: C. Allowing complete chest wall recoil after each compression
◍ Normal sinus rhythm.
Answer: nan
◍ An 8 year old child is brought to the ED by his mother for difficulty
breathing. He has a history of asthma and nut allergies. He's mother tells
you that he recently ate a cookie at a family picnic. Which condition is most
, likely to be present in this child?
A. Disordered control of breathing
B. Hypovolemic shock
C. Lung tissue disease
D. upper airway obstruction.
Answer: D. upper airway obstruction
◍ Asystole.
Answer: nan
◍ An 8 year old child is brought to the ED by ambulance after being involved
in a MV
C. Which finding would suggest that immediate intervention is needed?
A. Decreased level of consciousness
B. Systolic blood pressure of 106 mm Hg
C. Temperature of 38.1 C (100.5 F)
D. Warm, moist skin.
Answer: A. Decreased level of consciousness
◍ Wide complex tachycardia.
Answer: nan
◍ Wide complex tachycardia - version 2.
Answer: nan
◍ 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 CP
R. Which compression to ventilation ratio do you use?
A. 15:1
B. 30:1
C. 15:2
D. 30:2.
Answer: C. 15:2
