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PALS Practice Exam Verified Questions And
Correct Answers 2025 Graded A+
A provider is assessing a child with suspected shock. Which statement correctly describes hypotension and shock? - Correct Answer>>Hypotension is not a consistent feature of shock presentation in children. 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? - Correct Answer>>No more than 10 seconds 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? - Correct Answer>>Deliver 1 BVM ventilation every 2 to 3 seconds. A 7-year-old child collapses on the playground at school. The school nurse is called to the scene and determines that the child is unresponsive and is not breathing and has no pulse. The nurse initiates CPR. At what rate and depth would the nurse deliver compressions to this child? - Correct Answer>>100 to 120 compressions per minute at a depth of about 2 inches What is considered inadequate perfusion when assessing/caring for a pediatric patient with an arrhythmia? -
Correct Answer>>Diminished peripheral pulses Acutely altered mental status Hypotension A 9-year-old child is brought to the emergency department because the child suddenly collapsed at school. The child's ECG reveals the following waveform, and primary assessment findings indicate that the child has inadequate perfusion. Which primary assessment findings indicate this? - Correct Answer>>Signs of shock Acutely altered mental status Hypotension A 9-year-old patient is presenting with diminished breath sounds, bradycardia, slowed respiratory rate and a low O saturation level. The provider interprets these findings as indicating which condition? - Correct Answer>>Respiratory failure A 6-year-old child is brought to the emergency department. The child has been experiencing extremely watery stools over the past several days. After completing the assessment, the healthcare provider suspects that the child may be experiencing shock. Which type of shock would the provider most likely suspect? - Correct Answer>>Hypovolemia A 2-year-old child of unknown weight arrives at the emergency department in cardiac arrest. When preparing to administer medications, which action would be appropriate for the team to take? - Correct Answer>>Estimate weight using a length
perfusion is to receive adenosine. The provider would be alert for which result after administering this medication? - Correct Answer>>Transient asystole The emergency response team is providing care to a preschooler who is experiencing shock. The primary goal, common to all types of shock, is to restore a favorable balance between tissue perfusion and metabolic demand with a focus on what? - Correct Answer>>Oxygen delivery and oxygen demand An 8-year-old child being treated in the emergency department has significant respiratory distress. The child also exhibits hives, wheezing, angioedema, tachycardia and dyspnea. The parents state that the child, who is allergic to peanuts, had eaten some popcorn that had peanuts in it. The team initiates care, preparing to administer which agent first? - Correct Answer>>Epinephrine 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? - Correct Answer>>Monomorphic pulseless ventricular tachycardia A 2-year-old child arrives at the emergency department with the parents. The child is unresponsive, is not breathing and has no pulse. Two emergency department providers begin high quality CPR. Which action(s) by the providers demonstrates high-quality CPR? - Correct Answer>>Compressing the chest about 2 inches
Providing ventilations that last about 1 second each Giving 2 ventilations to every 15 compressions Allowing the chest to recoil fully after each compression 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? - Correct Answer>>First-degree atrioventricular (AV) block 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? - Correct Answer>>Cardiogenic 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? - Correct Answer>>Supraventricular tachycardia A child is experiencing supraventricular tachycardia (SVT) with adequate perfusion and is to receive treatment. Which initial treatment would the provider administer? - Correct Answer>>Vagal maneuvers A provider is caring for a 4-year-old child in the urgent care clinic. Primary assessment reveals difficulty breathing and an oxygen saturation of 91%. The provider administers oxygen by nasal cannula with the goal of improving the child's oxygen saturation to what percentage range? - Correct Answer>>94%
despite supporting oxygenation and ventilation is receiving compressions. Despite these efforts, the child's status remains unchanged. Which medication would the emergency response team expect to administer next? - Correct Answer>>Epinephrine An 11-year-old soccer player is brought to the emergency department. After a quick assessment, the team realizes this patient is experiencing a severe asthma exacerbation. Which medication would the team administer immediately? - Correct Answer>>Albuterol with or without ipratropium bromide 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? - Correct Answer>>Second-degree atrioventricular (AV) block, type I 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)? - Correct Answer>>Hypotension Fever Hyperglycemia The PALS team is providing post-cardiac arrest care to an 8 year-old child in the pediatric intensive care unit. Which intervention would the team implement to achieve the primary goal of post-cardiac arrest care, after assuring adequate
oxygenation and ventilation? - Correct Answer>>Ensure adequate mean arterial pressure. An advanced airway was placed in a 5-year-old child. Which action(s) would be most appropriate for the team to take to confirm correct placement? - Correct Answer>>Auscultate over the lungs and epigastrium for air movement. Observe for bilateral chest rise. Evaluate results of capnography. A provider is forming an initial impression of a child using the Pediatric Assessment Triangle (PAT). For which part of the PAT may the provider use the mnemonic TICLS to assess the patient? - Correct Answer>>Appearance 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 perfusion and oxygen delivery? - Correct Answer>>Lactate The PALS resuscitation team notes the following ECG waveform and the child does not have a pulse. The team prepares to intervene to address which arrhythmia? - Correct Answer>>Torsades de pointes Assessment of a 3-month-old infant admitted with respiratory distress reveals fever, grunting and a wet, "junky" cough. The infant's parents said the child had a recent respiratory infection with a fever. A rapid respiratory syncytial virus (RSV) test is positive. Which condition would the provider most likely suspect as the cause? - Correct Answer>>Bronchiolitis
A healthcare provider notices petechiae on the arms and legs while performing a rapid skin assessment of a child with a high fever and respiratory distress. Based on this assessment, which condition should the provider consider? - Correct Answer>>Life-threatening systemic infection After ROSC, a child is experiencing post-cardiac arrest hypoperfusion. The PALS resuscitation team would administer which element to restore intravascular volume and optimize preload? - Correct Answer>>Isotonic fluid boluses A child in the pediatric step-down unit is exhibiting signs of respiratory distress. When assessing this child, which circulation finding might be present? - Correct Answer>>Pallor A 12-year-old is being treated in the urgent care clinic. The mother reports that the child came home from school yesterday with a high fever, vomiting and multiple episodes of watery diarrhea. The healthcare provider obtains a rhythm strip and notes the following waveform. The provider interprets this as which type of arrhythmia? - Correct Answer>>Sinus tachycardia Which action would the PALS team initiate to manage increased intracranial pressure in a pediatric patient? - Correct Answer>>Maintain the head in midline position. What is the correct IV/IO dose of epinephrine for a pediatric patient in cardiac arrest? - Correct Answer>>0.01 mg/kg every 3 to 5 min (max single dose 1 mg) 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? - Correct Answer>>Initiate defibrillation with 2 J/kg. The PALS resuscitation team is providing care to an intubated child in cardiac arrest. Which of the following can be used to monitor the adequacy of the team's chest compressions? - Correct Answer>>End-tidal carbon dioxide levels Presence of an arterial waveform or arterial blood pressure in patients with indwelling arterial catheters
