MINDPLUG SOLUTIONS, EMPOWERING MINDS, BUILDING FUTURES
PALS UPDATED FINAL EXAM – COMPLETE PRACTICE
TEST & VERIFIED QUESTIONS & ANSWERS (2025
EDITION) GRADED A+
The PALS resuscitation team is providing care to an intubated child in cardiac arrest. Which
result best determines the adequacy of the team’s chest compressions?
End-tidal carbon dioxide level between 15 and 20 mmHg
The PALS team leader is conducting a debriefing session with the team. Which topic(s)
would the team leader most likely address during the session?
Summary of the event, including what actions were taken, Discussion of the pros and
cons of the interventions, Identification of ways to improve, Evaluation of the
objective data gathered during the event
Assessment of a 7-year-old patient with septic shock reveals capillary refill of 3 seconds,
diminished pulses, narrow pulse pressure and cool, mottled extremities. The emergency
response team interprets these findings as indicating which type of septic shock?
Most children in septic shock present with cold shock (i.e., delayed capillary refill,
diminished pulses, peripheral vasoconstriction, narrow pulse pressure, and cool,
mottled extremities) instead of warm shock.
EDUCATIONAL SUPPORT • ACADEMIC RESOURCES • PROFESSIONAL GUIDANCE
, MINDPLUG SOLUTIONS, EMPOWERING MINDS, BUILDING FUTURES
Primary assessment of a 10-year-old child reveals septic shock. As part of the secondary
assessment, laboratory testing is completed to evaluate the child’s status. Which
laboratory tests would be ordered for this child?
Laboratory testing for the child in septic shock may include CBC, blood cultures,
blood gasses, coagulation panel, renal function tests, liver function panel and lactate
level.
A 4-year-old patient presents with tachycardia, tachypnea, cold extremities and weak
pulses. Assessment also reveals an enlarged liver and neck vein distension. The provider
interprets these assessment findings as suggesting which type of shock?
cardio
A 10-year-old child has collapsed in the gym of the elementary school. The school nurse
arrives and determines that the child is unresponsive. The school nurse then
simultaneously checks for breathing and a central pulse, limiting this assessment to which
time frame?
5 seconds, but no more than 10.
A child being cared for in the pediatric telemetry unit suddenly displays the following ECG
waveform. The provider prepares to intervene because the child is demonstrating which
type of arrhythmia?
Supraventricular tachycardia
EDUCATIONAL SUPPORT • ACADEMIC RESOURCES • PROFESSIONAL GUIDANCE
PALS UPDATED FINAL EXAM – COMPLETE PRACTICE
TEST & VERIFIED QUESTIONS & ANSWERS (2025
EDITION) GRADED A+
The PALS resuscitation team is providing care to an intubated child in cardiac arrest. Which
result best determines the adequacy of the team’s chest compressions?
End-tidal carbon dioxide level between 15 and 20 mmHg
The PALS team leader is conducting a debriefing session with the team. Which topic(s)
would the team leader most likely address during the session?
Summary of the event, including what actions were taken, Discussion of the pros and
cons of the interventions, Identification of ways to improve, Evaluation of the
objective data gathered during the event
Assessment of a 7-year-old patient with septic shock reveals capillary refill of 3 seconds,
diminished pulses, narrow pulse pressure and cool, mottled extremities. The emergency
response team interprets these findings as indicating which type of septic shock?
Most children in septic shock present with cold shock (i.e., delayed capillary refill,
diminished pulses, peripheral vasoconstriction, narrow pulse pressure, and cool,
mottled extremities) instead of warm shock.
EDUCATIONAL SUPPORT • ACADEMIC RESOURCES • PROFESSIONAL GUIDANCE
, MINDPLUG SOLUTIONS, EMPOWERING MINDS, BUILDING FUTURES
Primary assessment of a 10-year-old child reveals septic shock. As part of the secondary
assessment, laboratory testing is completed to evaluate the child’s status. Which
laboratory tests would be ordered for this child?
Laboratory testing for the child in septic shock may include CBC, blood cultures,
blood gasses, coagulation panel, renal function tests, liver function panel and lactate
level.
A 4-year-old patient presents with tachycardia, tachypnea, cold extremities and weak
pulses. Assessment also reveals an enlarged liver and neck vein distension. The provider
interprets these assessment findings as suggesting which type of shock?
cardio
A 10-year-old child has collapsed in the gym of the elementary school. The school nurse
arrives and determines that the child is unresponsive. The school nurse then
simultaneously checks for breathing and a central pulse, limiting this assessment to which
time frame?
5 seconds, but no more than 10.
A child being cared for in the pediatric telemetry unit suddenly displays the following ECG
waveform. The provider prepares to intervene because the child is demonstrating which
type of arrhythmia?
Supraventricular tachycardia
EDUCATIONAL SUPPORT • ACADEMIC RESOURCES • PROFESSIONAL GUIDANCE
