PALS PEDIATRIC EMERGENCY
RESUSCITATION FINAL EXAM 2025
ACCURATE UPDATED QUESTIONS AND
VERIFIED ANSWERS
⫸ You are caring for a 5-year-old patient with supraventricular
tachycardia (heart rate = 220/min). The child is lethargic. The skin is
pale and cool with delayed capillary refill. Distal pulses are not palpable.
Which of the following would be the best treatment to provide without
delay?
Place cold packs on the distal upper and lower extremities
Ask the child to blow through a small straw
Exert light pressure on the eyes bilaterally
Provide synchronized cardioversion at 0.5 to 1 J/kg. Answer: Provide
synchronized cardioversion at 0.5 to 1 J/kg
⫸ You are initiating treatment for a child with septic shock and
hypotension. While administering high-flow oxygen you determine that
the child's respirations are adequate and SpO2 is 100%. You have just
established vascular access and obtained blood samples. Which of the
following is the next most appropriate therapy to support systemic
perfusion?
,Administer repeated fluid boluses of isotonic colloid
Administer repeated fluid boluses of isotonic crystalloid
Begin immediate dopamine infusion
Begin immediate dobutamine infusion. Answer: Administer repeated
fluid boluses of isotonic crystalloid
⫸ You are treating an 8-year-old with ventricular tachycardia with
pulses and adequate perfusion. You attempted synchronized
cardioversion without success. While seeking expert consultation, it
would be most appropriate to:
Administer a loading dose of milrinone
Consider possible metabolic and toxicologic causes
Initiate overdrive pacing transcutaneously
Deliver an unsynchronized shock. Answer: Consider possible metabolic
and toxicologic causes
⫸ You are caring for a 2-year-old unconscious patient who is intubated
and receiving mechanical ventilation. The child's heart rate suddenly
drops to 40/min and his color becomes mottled. You should respond to
these changes by:
Increasing the ventilator rate
Increasing tidal volume
, Increasing positive end-expiratory pressure (PEEP)
Using a resuscitation bag provide manual ventilation with 100% oxygen.
Answer: Using a resuscitation bag provide manual ventilation with
100% oxygen
⫸ You are caring for a 9-month-old patient with pronounced respiratory
distress. You initiated high-flow oxygen using a nonrebreathing mask
about 10 minutes ago and established intravenous access. Initially the
infant's heart rate was in the 150/min range with strong pulses. Suddenly
the infant's respiratory rate falls to 6/min with significant intercostals
retractions, and little air movement is heard. The infant becomes
cyanotic and the heart rate decreases to 95/min. Which of the following
treatments would be best for you to provide now?
Administer epinephrine IV
Provide bag-mask ventilation
Administer magnesium sulfate IV
Intubate and ventilate. Answer: Provide bag-mask ventilation
⫸ Which of the following is likely to be the most helpful technique to
identify potentially reversible metabolic and toxic causes during the
attempted resuscitation of a young child in cardiac arrest?
Obtaining a urine sample for toxicology screen
Obtaining chest and abdominal radiographs
RESUSCITATION FINAL EXAM 2025
ACCURATE UPDATED QUESTIONS AND
VERIFIED ANSWERS
⫸ You are caring for a 5-year-old patient with supraventricular
tachycardia (heart rate = 220/min). The child is lethargic. The skin is
pale and cool with delayed capillary refill. Distal pulses are not palpable.
Which of the following would be the best treatment to provide without
delay?
Place cold packs on the distal upper and lower extremities
Ask the child to blow through a small straw
Exert light pressure on the eyes bilaterally
Provide synchronized cardioversion at 0.5 to 1 J/kg. Answer: Provide
synchronized cardioversion at 0.5 to 1 J/kg
⫸ You are initiating treatment for a child with septic shock and
hypotension. While administering high-flow oxygen you determine that
the child's respirations are adequate and SpO2 is 100%. You have just
established vascular access and obtained blood samples. Which of the
following is the next most appropriate therapy to support systemic
perfusion?
,Administer repeated fluid boluses of isotonic colloid
Administer repeated fluid boluses of isotonic crystalloid
Begin immediate dopamine infusion
Begin immediate dobutamine infusion. Answer: Administer repeated
fluid boluses of isotonic crystalloid
⫸ You are treating an 8-year-old with ventricular tachycardia with
pulses and adequate perfusion. You attempted synchronized
cardioversion without success. While seeking expert consultation, it
would be most appropriate to:
Administer a loading dose of milrinone
Consider possible metabolic and toxicologic causes
Initiate overdrive pacing transcutaneously
Deliver an unsynchronized shock. Answer: Consider possible metabolic
and toxicologic causes
⫸ You are caring for a 2-year-old unconscious patient who is intubated
and receiving mechanical ventilation. The child's heart rate suddenly
drops to 40/min and his color becomes mottled. You should respond to
these changes by:
Increasing the ventilator rate
Increasing tidal volume
, Increasing positive end-expiratory pressure (PEEP)
Using a resuscitation bag provide manual ventilation with 100% oxygen.
Answer: Using a resuscitation bag provide manual ventilation with
100% oxygen
⫸ You are caring for a 9-month-old patient with pronounced respiratory
distress. You initiated high-flow oxygen using a nonrebreathing mask
about 10 minutes ago and established intravenous access. Initially the
infant's heart rate was in the 150/min range with strong pulses. Suddenly
the infant's respiratory rate falls to 6/min with significant intercostals
retractions, and little air movement is heard. The infant becomes
cyanotic and the heart rate decreases to 95/min. Which of the following
treatments would be best for you to provide now?
Administer epinephrine IV
Provide bag-mask ventilation
Administer magnesium sulfate IV
Intubate and ventilate. Answer: Provide bag-mask ventilation
⫸ Which of the following is likely to be the most helpful technique to
identify potentially reversible metabolic and toxic causes during the
attempted resuscitation of a young child in cardiac arrest?
Obtaining a urine sample for toxicology screen
Obtaining chest and abdominal radiographs
