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2026 Pals Exam A / AHA
PALS Exam Questions &
Answers
(Verified 100%
Correct)
A 10 year old child is being evaluated for a head ache. Which is a
normal finding for this 10 year old child?
A. Blood pressure of 60/50 mm Hg
B. Heart rate of 88/min
C. Respiratory of 8/min
D. Temperature of 39.6 C (103.2 F) - ✔✔✔ANSWER-B. Heart rate of
88/min
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A 10 year old child is brought to the ED for fever and cough. You obtain
an O2 sat on the child. Which oxygen saturation would indicate that
immediate intervention is needed? - ✔✔✔ANSWER88% on 4L of
Nasal oxygen
A 2 week old infant is being evaluated for irritability and poor feeding.
His BP is 55/40 mmHg, and cap refill time is 5 seconds. Which
statement best describes your assessment of this infants BP?
A. It represents compensated shock
B. It is hypertensive
C. It is Hypotensive
D. It is normal - ✔✔✔ANSWER-C. It is Hypotensive
A 3 year old boy is brought to the ED by his mother. His is lethargic,
with retractions and nasal flaring. He has a respiratory rate of 70/min,
with warm extremities and brisk cap refill. To which immediate life
treating condition could this Childs condition most likely progress if left
untreated?
A. Cardiogenic shock
B. Hypovolemic shock
C. Respiratory distress
D. Respiratory failure - ✔✔✔ANSWER-D. Respiratory failure
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A 3 year old child is brought to the emergency department by his mother.
Which is a normal finding for a 3 year old child? - ✔✔✔ANSWER-
Respiratory rate of 24/min A 3 year old child is having difficulty
breathing. Which finding would most likely lead you to suspect an upper
airway obstruction in this child?
A. Expiratory breath sounds
B. Decreased expiratory effort
C. Increased inspiratory effort with retractions
D. Normal inspiratory sounds - ✔✔✔ANSWER-C. Increased inspiratory
effort with retractions
A 3 year old child is in cardiac arrest, and high quality CPR is in
progress. You are the team leader. The first rhythm check reveals the
rhythm shown here.
Defibrillation is attempted with a shock dose of 2 J/kg. after
administration of the shock, what should you say to you team members?
A. Check for a pulse
B. Give epinephrine 0.01 mg/kg
C. Let's check the rhythm
D. Resume compressions - ✔✔✔ANSWER-D. Resume compressions
A 4 year old child in cardiac arrest is brought to the emergency
department by ambulance. High quality CPR is being performed. The
2026 Pals Exam A / AHA
PALS Exam Questions &
Answers
(Verified 100%
Correct)
A 10 year old child is being evaluated for a head ache. Which is a
normal finding for this 10 year old child?
A. Blood pressure of 60/50 mm Hg
B. Heart rate of 88/min
C. Respiratory of 8/min
D. Temperature of 39.6 C (103.2 F) - ✔✔✔ANSWER-B. Heart rate of
88/min
,2|Page
A 10 year old child is brought to the ED for fever and cough. You obtain
an O2 sat on the child. Which oxygen saturation would indicate that
immediate intervention is needed? - ✔✔✔ANSWER88% on 4L of
Nasal oxygen
A 2 week old infant is being evaluated for irritability and poor feeding.
His BP is 55/40 mmHg, and cap refill time is 5 seconds. Which
statement best describes your assessment of this infants BP?
A. It represents compensated shock
B. It is hypertensive
C. It is Hypotensive
D. It is normal - ✔✔✔ANSWER-C. It is Hypotensive
A 3 year old boy is brought to the ED by his mother. His is lethargic,
with retractions and nasal flaring. He has a respiratory rate of 70/min,
with warm extremities and brisk cap refill. To which immediate life
treating condition could this Childs condition most likely progress if left
untreated?
A. Cardiogenic shock
B. Hypovolemic shock
C. Respiratory distress
D. Respiratory failure - ✔✔✔ANSWER-D. Respiratory failure
, 3|Page
A 3 year old child is brought to the emergency department by his mother.
Which is a normal finding for a 3 year old child? - ✔✔✔ANSWER-
Respiratory rate of 24/min A 3 year old child is having difficulty
breathing. Which finding would most likely lead you to suspect an upper
airway obstruction in this child?
A. Expiratory breath sounds
B. Decreased expiratory effort
C. Increased inspiratory effort with retractions
D. Normal inspiratory sounds - ✔✔✔ANSWER-C. Increased inspiratory
effort with retractions
A 3 year old child is in cardiac arrest, and high quality CPR is in
progress. You are the team leader. The first rhythm check reveals the
rhythm shown here.
Defibrillation is attempted with a shock dose of 2 J/kg. after
administration of the shock, what should you say to you team members?
A. Check for a pulse
B. Give epinephrine 0.01 mg/kg
C. Let's check the rhythm
D. Resume compressions - ✔✔✔ANSWER-D. Resume compressions
A 4 year old child in cardiac arrest is brought to the emergency
department by ambulance. High quality CPR is being performed. The
