PALS POST TEST STUDY SHEET 2026
QUESTIONS WITH CORRECT ANSWERS
◉ You are caring for a 5 yo patient with SVT. The child is lethargic.
The skin is pale & cool with delayed capillary refill. Distal pulses are
not palpable. Which of the following would be the best treatment to
provide without delay? Answer: Provide synchronized cardioversion
at 0.5 to 1 J/kg
◉ You are initiating treatment for a child with septic shock &
hypotension. While administering high-flow oxygen you determine
that the child's respirations are adequate & Sp02 is 100%. You have
just established vascular access & obtained blood samples. Which of
the following is the next most appropriate therapy to support
systemic perfusion? Answer: Administer repeated fluid boluses of
isotonic crystalloid
◉ You are treating an 8 yo with ventricular tachycardia with pulses
& adequate perfusion. You attempted synchronized cardioversion
without success. While seeking expert consultation, it would be
most appropriate to: Answer: Consider possible metabolic &
toxicologic causes
◉ You are caring for a 2 yo unconscious pt who is intubated &
receiving mechanical ventilation. The child's HR suddenly drops to
, 40/min & his color becomes mottled. You should respond to these
changes by: Answer: Using a resuscitation bag provide manual
ventilation with 100% oxygen
◉ You are caring for a 9 mo pt with pronounced respiratory distress.
You initiated high-flow oxygen using a nonrebreathing mask about
10 minutes ago & established IV access. Initially the infant's HR was
in the 150/min range with strong pulses. Suddenly the infant's
respiratory rate falls to 6/min with significant intercostal
retractions, & little air movement is heard. The infant becomes
cyanotic & the HR decreases to 95/min. Which of the following
treatments would be best for you to provide now? Answer: Provide
BMV
◉ Which of the following is likely to be the most helpful technique to
ID potentially reversible metabolic & toxic causes during the
attempted resuscitation of a young child in cardiac arrest? Answer:
Soliciting a history from the caregiver or family
◉ You are caring for a pt who developed a tension pneumothorax
after several hours of positive-pressure ventilation. Which of the
following would be the most appropriate site for needle
decompression? Answer: Over the third rib at the midclavicular line
◉ You attempted synchronized cardioversion for an infant with SVT
& poor perfusion. The SVT persists after the initial 1 J/kg shock.
QUESTIONS WITH CORRECT ANSWERS
◉ You are caring for a 5 yo patient with SVT. The child is lethargic.
The skin is pale & cool with delayed capillary refill. Distal pulses are
not palpable. Which of the following would be the best treatment to
provide without delay? Answer: Provide synchronized cardioversion
at 0.5 to 1 J/kg
◉ You are initiating treatment for a child with septic shock &
hypotension. While administering high-flow oxygen you determine
that the child's respirations are adequate & Sp02 is 100%. You have
just established vascular access & obtained blood samples. Which of
the following is the next most appropriate therapy to support
systemic perfusion? Answer: Administer repeated fluid boluses of
isotonic crystalloid
◉ You are treating an 8 yo with ventricular tachycardia with pulses
& adequate perfusion. You attempted synchronized cardioversion
without success. While seeking expert consultation, it would be
most appropriate to: Answer: Consider possible metabolic &
toxicologic causes
◉ You are caring for a 2 yo unconscious pt who is intubated &
receiving mechanical ventilation. The child's HR suddenly drops to
, 40/min & his color becomes mottled. You should respond to these
changes by: Answer: Using a resuscitation bag provide manual
ventilation with 100% oxygen
◉ You are caring for a 9 mo pt with pronounced respiratory distress.
You initiated high-flow oxygen using a nonrebreathing mask about
10 minutes ago & established IV access. Initially the infant's HR was
in the 150/min range with strong pulses. Suddenly the infant's
respiratory rate falls to 6/min with significant intercostal
retractions, & little air movement is heard. The infant becomes
cyanotic & the HR decreases to 95/min. Which of the following
treatments would be best for you to provide now? Answer: Provide
BMV
◉ Which of the following is likely to be the most helpful technique to
ID potentially reversible metabolic & toxic causes during the
attempted resuscitation of a young child in cardiac arrest? Answer:
Soliciting a history from the caregiver or family
◉ You are caring for a pt who developed a tension pneumothorax
after several hours of positive-pressure ventilation. Which of the
following would be the most appropriate site for needle
decompression? Answer: Over the third rib at the midclavicular line
◉ You attempted synchronized cardioversion for an infant with SVT
& poor perfusion. The SVT persists after the initial 1 J/kg shock.
