1|Page
ARC PALS EXAM NEWEST 2026 ACTUAL EXAM|
AMERICAN RED CROSS -PALS FINAL EXAM REVIEW
WITH COMPLETE 150 REAL EXAM QUESTIONS AND
CORRECT VERIFIED ANSWERS/ ALREADY GRADED
A+ (BRAND NEW!!)
A PALS resuscitation team is preparing to defibrillation child
experiencing cardiac arrest. For which rhythms with this action be
appropriate? - ANSWER - PVT, VF
An unresponsive 7-year-old child with no pulses brought to the pediatric
urgent care center by his parents and CPR is initiated. The cardiac
monitor reveals ventricular fibrillation. Which action with the PALS
team take first? - ANSWER - Initiate defibrillation with 2J/kg
A 6-year-old patient is brought to the emergency department after
bicycle accident. Assessment reveals chest pain on inspiration, diminish
breath sounds on the right side and respiratory distress. The provider
suspects obstructive shock caused by what condition? - ANSWER -
Tension pneumothorax
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 bpm. Which action with the provider initiate
first? - ANSWER - Deliver one BVM ventilation every 2 to 3 seconds
pg. 1
,2|Page
A child, exhibiting narrow complex tachycardia with adequate perfusion,
is to receive a scene. The provider would be alert for which result after
administering this medication? - ANSWER - Transient Asystole
A 7-year-old patient with septic shock has received three
balanced/buffered crystalloid fluid boluses (60-ml/kg) and reassessment
reveals capillary refill of three seconds, diminished pulses, narrow, pulse
pressure, and cool, modeled extremities. The emergency response team
interpret findings as indicating which type of septic shock? - ANSWER -
Fluid refractory
What is the priority intervention for a patient with a narrow-complex
tachycardia (160 bpm) and a blood pressure of 72/48 mmHg? -
ANSWER - Perform immediate synchronized cardioversion
A patient is admitted to the emergency department of a large medical
center. The patient is diagnosed with STEMI. The facility is capable of
administering PCI. To achieve the best outcomes, therapy should be
administered to this patient within what time frame? - ANSWER -
Within 90 minutes of the patient's first medical contact
A member of the resuscitation team is preparing to administer
medications intravenously to a patient in cardiac arrest. The team
member should follow each peripherally administered drug dose with a
normal saline flush. How much would the team member give? -
ANSWER - 10 to 20 mL
pg. 2
,3|Page
A 30-year-old patient has been brought to the emergency department in
cardiac arrest. The cardiac monitor shows the following rhythm.
Interpretation of this rhythm would suggest which of the following as a
possible precipitating factor? - ANSWER - Electrocution
A member of the resuscitation team is preparing to defibrillate a patient
in cardiac arrest using a biphasic defibrillator. The team member would
set the energy dose according to the manufacturer's recommendations,
which is usually: - ANSWER - 120 to 200 joules
Cardiac monitoring indicates that a patient has a ventricular
tachyarrhythmia. The patient has a pulse and is not showing any signs of
hemodynamic compromise. A 12-lead ECG reveals an irregular rhythm
with QRS complexes greater than 0.12 second in duration. Which action
would be appropriate at this time? - ANSWER - Consider an
antiarrhythmic medication
A patient is in cardiac arrest. The cardiac monitor shows asystole. In
addition to providing continuous high-quality CPR, what is the other
priority intervention for this patient? - ANSWER - Administering
epinephrine as early as possible
For a patient with third-degree atrioventricular (AV) block and a blood
pressure of 70/48 mmHg, what interventions should be considered? -
ANSWER - Administer atropine
Initiate a dopamine infusion
pg. 3
, 4|Page
Initiate transcutaneous pacing
A patient in the telemetry unit is receiving continuous cardiac
monitoring. The patient has a history of myocardial infarction. The
patient's ECG rhythm strip is shown in the following figure. The
provider interprets this strip as indicating which arrhythmia? - ANSWER
- Third-degree AV block
After cardiac arrest and successful resuscitation, the patient has a return
of spontaneous circulation. The patient is unable to follow verbal
commands. Targeted temperature management is initiated. Which
method(s) would be appropriate for the resuscitation team to use? -
ANSWER - Applying cooling blankets to the patient's body
Using an endovascular catheter
Giving an ice-cold IV fluid bolus
A patient with acute renal failure experiences cardiac arrest. Just before
the cardiac arrest, the patient's ECG showed peaked T waves. What
might be causing the patient's cardiac arrest? - ANSWER -
Hyperkalemia
A patient in cardiac arrest experiences return of spontaneous circulation.
As part of post-cardiac arrest care, the patient is receiving mechanical
ventilation at an initial rate of 10 breaths/min and a fraction of inspired
oxygen (FiO2) of 0.30. Which finding(s) would indicate the need for
pg. 4
ARC PALS EXAM NEWEST 2026 ACTUAL EXAM|
AMERICAN RED CROSS -PALS FINAL EXAM REVIEW
WITH COMPLETE 150 REAL EXAM QUESTIONS AND
CORRECT VERIFIED ANSWERS/ ALREADY GRADED
A+ (BRAND NEW!!)
A PALS resuscitation team is preparing to defibrillation child
experiencing cardiac arrest. For which rhythms with this action be
appropriate? - ANSWER - PVT, VF
An unresponsive 7-year-old child with no pulses brought to the pediatric
urgent care center by his parents and CPR is initiated. The cardiac
monitor reveals ventricular fibrillation. Which action with the PALS
team take first? - ANSWER - Initiate defibrillation with 2J/kg
A 6-year-old patient is brought to the emergency department after
bicycle accident. Assessment reveals chest pain on inspiration, diminish
breath sounds on the right side and respiratory distress. The provider
suspects obstructive shock caused by what condition? - ANSWER -
Tension pneumothorax
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 bpm. Which action with the provider initiate
first? - ANSWER - Deliver one BVM ventilation every 2 to 3 seconds
pg. 1
,2|Page
A child, exhibiting narrow complex tachycardia with adequate perfusion,
is to receive a scene. The provider would be alert for which result after
administering this medication? - ANSWER - Transient Asystole
A 7-year-old patient with septic shock has received three
balanced/buffered crystalloid fluid boluses (60-ml/kg) and reassessment
reveals capillary refill of three seconds, diminished pulses, narrow, pulse
pressure, and cool, modeled extremities. The emergency response team
interpret findings as indicating which type of septic shock? - ANSWER -
Fluid refractory
What is the priority intervention for a patient with a narrow-complex
tachycardia (160 bpm) and a blood pressure of 72/48 mmHg? -
ANSWER - Perform immediate synchronized cardioversion
A patient is admitted to the emergency department of a large medical
center. The patient is diagnosed with STEMI. The facility is capable of
administering PCI. To achieve the best outcomes, therapy should be
administered to this patient within what time frame? - ANSWER -
Within 90 minutes of the patient's first medical contact
A member of the resuscitation team is preparing to administer
medications intravenously to a patient in cardiac arrest. The team
member should follow each peripherally administered drug dose with a
normal saline flush. How much would the team member give? -
ANSWER - 10 to 20 mL
pg. 2
,3|Page
A 30-year-old patient has been brought to the emergency department in
cardiac arrest. The cardiac monitor shows the following rhythm.
Interpretation of this rhythm would suggest which of the following as a
possible precipitating factor? - ANSWER - Electrocution
A member of the resuscitation team is preparing to defibrillate a patient
in cardiac arrest using a biphasic defibrillator. The team member would
set the energy dose according to the manufacturer's recommendations,
which is usually: - ANSWER - 120 to 200 joules
Cardiac monitoring indicates that a patient has a ventricular
tachyarrhythmia. The patient has a pulse and is not showing any signs of
hemodynamic compromise. A 12-lead ECG reveals an irregular rhythm
with QRS complexes greater than 0.12 second in duration. Which action
would be appropriate at this time? - ANSWER - Consider an
antiarrhythmic medication
A patient is in cardiac arrest. The cardiac monitor shows asystole. In
addition to providing continuous high-quality CPR, what is the other
priority intervention for this patient? - ANSWER - Administering
epinephrine as early as possible
For a patient with third-degree atrioventricular (AV) block and a blood
pressure of 70/48 mmHg, what interventions should be considered? -
ANSWER - Administer atropine
Initiate a dopamine infusion
pg. 3
, 4|Page
Initiate transcutaneous pacing
A patient in the telemetry unit is receiving continuous cardiac
monitoring. The patient has a history of myocardial infarction. The
patient's ECG rhythm strip is shown in the following figure. The
provider interprets this strip as indicating which arrhythmia? - ANSWER
- Third-degree AV block
After cardiac arrest and successful resuscitation, the patient has a return
of spontaneous circulation. The patient is unable to follow verbal
commands. Targeted temperature management is initiated. Which
method(s) would be appropriate for the resuscitation team to use? -
ANSWER - Applying cooling blankets to the patient's body
Using an endovascular catheter
Giving an ice-cold IV fluid bolus
A patient with acute renal failure experiences cardiac arrest. Just before
the cardiac arrest, the patient's ECG showed peaked T waves. What
might be causing the patient's cardiac arrest? - ANSWER -
Hyperkalemia
A patient in cardiac arrest experiences return of spontaneous circulation.
As part of post-cardiac arrest care, the patient is receiving mechanical
ventilation at an initial rate of 10 breaths/min and a fraction of inspired
oxygen (FiO2) of 0.30. Which finding(s) would indicate the need for
pg. 4
