PALS POST TEST ACTUAL EXAM 2026
QUESTIONS AND ANSWERS 100% CORRECT
GRADED A+
⩥ Disordered Control of Breathing. Answer: A 4 year old child is
brought to the emergency department for seizures. The seizures stopped
a few minutes ago, but the child continues to have slow and irregular
respirations. Which condition is most consistent with your assessment?
⩥ blood glucose. Answer: An 8 year old child is brought to the
emergency department with a 2 day history of lethargy and polyuria. The
child has new onset rapid, deep, and labored breathing. Which
diagnostic test should you order first?
⩥ Reposition the patient, and insert an oral airway. Answer: After rectal
administration of diazepam, an 8 year old boy with a history of seizures
is no unresponsive to painful stimuli. His respirations are shallow, at a
rate of 10/min. His Oxygen saturation is 94% on 2L of NC oxygen. On
examination, the child is snoring with poor chest rise and poor air entry
bilaterally. What action should you take next?
⩥ Provide bag mask ventilation. Answer: After rectal administration of
diazepam, an 8 year old boy with a history of seizures is no
unresponsive to painful stimuli. His respirations are shallow, at a rate of
10/min. His Oxygen saturation is 94% on 2L of NC oxygen. On
examination, the child is snoring with poor chest rise and poor air entry
,bilaterally. After repositioning the patient and you insert an Oral airway,
the patient continues to deteriorate. What next step is the most
appropriate?
⩥ 15:2. Answer: A 6 year old child is found unresponsive, not breathing,
and without a pulse. one health care worker leaves to activate the
emergency response system and get the resuscitation equipment. You
and another healthcare provider immediatly begin CPR. Which
compression to ventilation ratio do you use?
⩥ 94%-99%. Answer: In post resuscitation management after cardiac
arrest, extra care should be taken to avoid repercussion injury. what
should the ideal oxygen saturation range most likely be?
⩥ "resume compressions". Answer: 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?
⩥ 2-4 J/kg. Answer: A 4 year old child in cardiac arrest is brought to the
emergency department by ambulance. High quality CPR is being
performed. The cardiac monitor displays the rhythm strip shown here.
The estimated weight of the child is 20 kg. What dose range should you
use for the initial defibrillation?
,⩥ 40 Joules. Answer: A 4 year old child in cardiac arrest is brought to
the emergency department by ambulance. High quality CPR is being
performed. The cardiac monitor displays the rhythm strip shown here.
The estimated weight of the child is 20 kg. As the team leader, how
many joules do you tell your team member to use to perform initial
Defib?
⩥ Allowing complete chest wall recoil after each compression. Answer:
You are the team leader during a pediatric resuscitation attempt. which
action is an element of high quality CPR?
⩥ blood pressure. Answer: You are caring for a 3 month old boy with a 2
day history of fever, vomiting and diarrhea. His parents state that he has
been sleeping much more. His HR is 190/min, temp is 38.3 degrees C
(101 F) blood pressure is 59/29 mmHg, Resp rate is 70/min and shallow,
and oxygen sat is 94% on 100% oxygen. His capillary refills time is 4-5
seconds, and he has mottled, cool extremities. The infant weighs 6 Kg.
Which assessment finding indicates that the infant is in hypotensive
shock?
⩥ hypovolemic shock. Answer: You are caring for a 3 month old boy
with a 2 day history of fever, vomiting and diarrhea. His parents state
that he has been sleeping much more. His HR is 190/min, temp is 38.3
degrees C (101 F) blood pressure is 59/29 mmHg, Resp rate is 70/min
and shallow, and oxygen sat is 94% on 100% oxygen. His capillary
refills time is 4-5 seconds, and he has mottled, cool extremities. The
infant weighs 6 Kg. On the basis of this infants presentation, which type
of shock does this infant have?
, ⩥ 20 ml/kg normal saline. Answer: You are caring for a 3 month old boy
with a 2 day history of fever, vomiting and diarrhea. His parents state
that he has been sleeping much more. His HR is 190/min, temp is 38.3
degrees C (101 F) blood pressure is 59/29 mmHg, Resp rate is 70/min
and shallow, and oxygen sat is 94% on 100% oxygen. His capillary
refills time is 4-5 seconds, and he has mottled, cool extremities. The
infant weighs 6 Kg. You have decided that this infant Needs fluid
resuscitation. How much fluid should you administer?
⩥ It is Hypotensive. Answer: 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?
⩥ Ask for a new task or role. Answer: A team member is unable to
perform an assigned task because it is beyond the team members scope
of practice. Which action should the team member take?
⩥ crackles. Answer: Which abnormality helps identify children with
acute respiratory distress caused by lung tissue disease?
⩥ cardiac arrest. Answer: Which condition in a child would IO access
most likely be attempted before vascular access?
QUESTIONS AND ANSWERS 100% CORRECT
GRADED A+
⩥ Disordered Control of Breathing. Answer: A 4 year old child is
brought to the emergency department for seizures. The seizures stopped
a few minutes ago, but the child continues to have slow and irregular
respirations. Which condition is most consistent with your assessment?
⩥ blood glucose. Answer: An 8 year old child is brought to the
emergency department with a 2 day history of lethargy and polyuria. The
child has new onset rapid, deep, and labored breathing. Which
diagnostic test should you order first?
⩥ Reposition the patient, and insert an oral airway. Answer: After rectal
administration of diazepam, an 8 year old boy with a history of seizures
is no unresponsive to painful stimuli. His respirations are shallow, at a
rate of 10/min. His Oxygen saturation is 94% on 2L of NC oxygen. On
examination, the child is snoring with poor chest rise and poor air entry
bilaterally. What action should you take next?
⩥ Provide bag mask ventilation. Answer: After rectal administration of
diazepam, an 8 year old boy with a history of seizures is no
unresponsive to painful stimuli. His respirations are shallow, at a rate of
10/min. His Oxygen saturation is 94% on 2L of NC oxygen. On
examination, the child is snoring with poor chest rise and poor air entry
,bilaterally. After repositioning the patient and you insert an Oral airway,
the patient continues to deteriorate. What next step is the most
appropriate?
⩥ 15:2. Answer: A 6 year old child is found unresponsive, not breathing,
and without a pulse. one health care worker leaves to activate the
emergency response system and get the resuscitation equipment. You
and another healthcare provider immediatly begin CPR. Which
compression to ventilation ratio do you use?
⩥ 94%-99%. Answer: In post resuscitation management after cardiac
arrest, extra care should be taken to avoid repercussion injury. what
should the ideal oxygen saturation range most likely be?
⩥ "resume compressions". Answer: 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?
⩥ 2-4 J/kg. Answer: A 4 year old child in cardiac arrest is brought to the
emergency department by ambulance. High quality CPR is being
performed. The cardiac monitor displays the rhythm strip shown here.
The estimated weight of the child is 20 kg. What dose range should you
use for the initial defibrillation?
,⩥ 40 Joules. Answer: A 4 year old child in cardiac arrest is brought to
the emergency department by ambulance. High quality CPR is being
performed. The cardiac monitor displays the rhythm strip shown here.
The estimated weight of the child is 20 kg. As the team leader, how
many joules do you tell your team member to use to perform initial
Defib?
⩥ Allowing complete chest wall recoil after each compression. Answer:
You are the team leader during a pediatric resuscitation attempt. which
action is an element of high quality CPR?
⩥ blood pressure. Answer: You are caring for a 3 month old boy with a 2
day history of fever, vomiting and diarrhea. His parents state that he has
been sleeping much more. His HR is 190/min, temp is 38.3 degrees C
(101 F) blood pressure is 59/29 mmHg, Resp rate is 70/min and shallow,
and oxygen sat is 94% on 100% oxygen. His capillary refills time is 4-5
seconds, and he has mottled, cool extremities. The infant weighs 6 Kg.
Which assessment finding indicates that the infant is in hypotensive
shock?
⩥ hypovolemic shock. Answer: You are caring for a 3 month old boy
with a 2 day history of fever, vomiting and diarrhea. His parents state
that he has been sleeping much more. His HR is 190/min, temp is 38.3
degrees C (101 F) blood pressure is 59/29 mmHg, Resp rate is 70/min
and shallow, and oxygen sat is 94% on 100% oxygen. His capillary
refills time is 4-5 seconds, and he has mottled, cool extremities. The
infant weighs 6 Kg. On the basis of this infants presentation, which type
of shock does this infant have?
, ⩥ 20 ml/kg normal saline. Answer: You are caring for a 3 month old boy
with a 2 day history of fever, vomiting and diarrhea. His parents state
that he has been sleeping much more. His HR is 190/min, temp is 38.3
degrees C (101 F) blood pressure is 59/29 mmHg, Resp rate is 70/min
and shallow, and oxygen sat is 94% on 100% oxygen. His capillary
refills time is 4-5 seconds, and he has mottled, cool extremities. The
infant weighs 6 Kg. You have decided that this infant Needs fluid
resuscitation. How much fluid should you administer?
⩥ It is Hypotensive. Answer: 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?
⩥ Ask for a new task or role. Answer: A team member is unable to
perform an assigned task because it is beyond the team members scope
of practice. Which action should the team member take?
⩥ crackles. Answer: Which abnormality helps identify children with
acute respiratory distress caused by lung tissue disease?
⩥ cardiac arrest. Answer: Which condition in a child would IO access
most likely be attempted before vascular access?
