PALS UPDATED FINAL 2026
COMPLETE ACTUAL EXAM
QUESTIONS WITH
DETAILED VERIFIED
ANSWERS (100% CORRECT
ANSWERS)A+ STUDY
MATERIAL
A 30-month old child has been diagnosed with moderate croup. Which medication(s) would the
provider administer?
Corticosteroids, Racemic epinephrine
After ROSC, a child is experiencing post–cardiac arrest hemodynamic instability. The PALS
resuscitation team would administer which element to restore intravascular volume and optimize
preload?
Isotonic fluid boluses
A 5-year-old child with a history of a chronic neuromuscular disease is experiencing respiratory
distress. The child is breathing spontaneously and receiving supplemental oxygen. Which additional
intervention is a critical component of airway management for this patient?
Airway clearance
A provider is forming an initial impression of a child using the Pediatric Assessment Triangle (PAT).
During which step of the PAT may the provider use the mnemonic TICLS to assess the patient?
appearance
A child in the pediatric intensive care unit displays the following ECG waveform. The child has no
pulse. The resuscitation team interprets this as which arrhythmia
, Monomorphic pulseless ventricular tachycardia
A child experiencing unstable bradycardia is receiving CPR. Despite efforts with CPR, including
assuring oxygenation and ventilation, the child’s status remains unchanged. Which medication would
the emergency response team expect to administer next?
epi
A 4-year-old child suddenly collapses in the playroom of the facility. A healthcare provider observes
the event and hurries over to assess the child. The healthcare provider completes which assessment
first?
rapid
A 12-year-old child being evaluated in the pediatric intensive care unit displays the following ECG
waveform. The team interprets this as which arrhythmia?
second degree
Laboratory tests are ordered for a child who has been vomiting for 3 days and is diaphoretic,
tachypneic, lethargic and pale. Which test would the provider use to determine the adequacy of
oxygen delivery?
Lactate
A 9-year-old patient is presenting with decreased breath sounds, bradycardia, slowed respiratory rate
and a low O2 saturation level. The provider interprets these findings as indicating which condition?
Respiratory failure
A 4-year-old child is brought to the emergency department by the parents. Assessment reveals that
the child has only gasping respirations and the pulse rate is 65 beats per minute. Which action would
the provider initiate first?
Deliver 1 BVM ventilation every 3 to 5 seconds.
A 15-year-old patient is being evaluated during a follow-up visit after being diagnosed with Lyme
disease 2 months ago. A rhythm strip is obtained as shown below. The provider interprets this rhythm
as indicating which arrhythmia?
First-degree atrioventricular (AV) block
A child in cardiac arrest experiences return of spontaneous circulation but is exhibiting signs of post–
cardiac arrest syndrome (PCAS). The PALS resuscitation team determines that the child is experiencing
a systemic response to ischemia/reperfusion. The team bases this determination on which finding(s)?
Hypotension
Fever
Hyperglycemia
COMPLETE ACTUAL EXAM
QUESTIONS WITH
DETAILED VERIFIED
ANSWERS (100% CORRECT
ANSWERS)A+ STUDY
MATERIAL
A 30-month old child has been diagnosed with moderate croup. Which medication(s) would the
provider administer?
Corticosteroids, Racemic epinephrine
After ROSC, a child is experiencing post–cardiac arrest hemodynamic instability. The PALS
resuscitation team would administer which element to restore intravascular volume and optimize
preload?
Isotonic fluid boluses
A 5-year-old child with a history of a chronic neuromuscular disease is experiencing respiratory
distress. The child is breathing spontaneously and receiving supplemental oxygen. Which additional
intervention is a critical component of airway management for this patient?
Airway clearance
A provider is forming an initial impression of a child using the Pediatric Assessment Triangle (PAT).
During which step of the PAT may the provider use the mnemonic TICLS to assess the patient?
appearance
A child in the pediatric intensive care unit displays the following ECG waveform. The child has no
pulse. The resuscitation team interprets this as which arrhythmia
, Monomorphic pulseless ventricular tachycardia
A child experiencing unstable bradycardia is receiving CPR. Despite efforts with CPR, including
assuring oxygenation and ventilation, the child’s status remains unchanged. Which medication would
the emergency response team expect to administer next?
epi
A 4-year-old child suddenly collapses in the playroom of the facility. A healthcare provider observes
the event and hurries over to assess the child. The healthcare provider completes which assessment
first?
rapid
A 12-year-old child being evaluated in the pediatric intensive care unit displays the following ECG
waveform. The team interprets this as which arrhythmia?
second degree
Laboratory tests are ordered for a child who has been vomiting for 3 days and is diaphoretic,
tachypneic, lethargic and pale. Which test would the provider use to determine the adequacy of
oxygen delivery?
Lactate
A 9-year-old patient is presenting with decreased breath sounds, bradycardia, slowed respiratory rate
and a low O2 saturation level. The provider interprets these findings as indicating which condition?
Respiratory failure
A 4-year-old child is brought to the emergency department by the parents. Assessment reveals that
the child has only gasping respirations and the pulse rate is 65 beats per minute. Which action would
the provider initiate first?
Deliver 1 BVM ventilation every 3 to 5 seconds.
A 15-year-old patient is being evaluated during a follow-up visit after being diagnosed with Lyme
disease 2 months ago. A rhythm strip is obtained as shown below. The provider interprets this rhythm
as indicating which arrhythmia?
First-degree atrioventricular (AV) block
A child in cardiac arrest experiences return of spontaneous circulation but is exhibiting signs of post–
cardiac arrest syndrome (PCAS). The PALS resuscitation team determines that the child is experiencing
a systemic response to ischemia/reperfusion. The team bases this determination on which finding(s)?
Hypotension
Fever
Hyperglycemia
