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PALS Final Exam – Updated Exam with Verified Solutions 2026/2027 • Instant Download • Pediatric Advanced Life Support A+ Review Guide

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This document contains the updated PALS Final Exam with verified correct solutions for the 2026/2027 academic year. It covers critical Pediatric Advanced Life Support topics including post–cardiac arrest syndrome (PCAS), ischemia–reperfusion response, hemodynamic management, airway confirmation, and post–cardiac arrest care priorities. Designed for healthcare professionals, nursing students, and clinicians, this guide supports exam preparation, certification review, and mastery of PALS algorithms and clinical decision-making.

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PALS FINAL EXAM UPDATED EXAM WITH
VERIFIED SOLUTIONS.

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.

, Page | 2

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

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