PALS POST TEST FINAL PAPER 2026 FULL
QUESTIONS AND CORRECT SOLUTIONS
GRADED A+
⩥ A provider is forming an initial impression of a child using the
Pediatric Assessment Triangle (PAT). During which step of the PAT may
the provider use the mnemonic TICLS to assess the patient? Answer:
Appearance
⩥ 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?
Answer: Supraventricular tachycardia
⩥ A 2-year-old child of unknown weight arrives at the emergency
department in cardiac arrest. When preparing to administer medications,
which action would be appropriate for the team to take? Answer:
Estimate weight using a length-based resuscitation tape.
⩥ A 9-year-old patient is presenting with decreased breath sounds,
bradycardia, slowed respiratory rate and a low O2 saturation level. The
provider interprets these findings as indicating which condition?
Answer: Respiratory failure
, ⩥ A 5-year-old child with a history of a chronic neuromuscular disease
is experiencing respiratory distress. The child is breathing spontaneously
and receiving supplemental oxygen. Which additional intervention is a
critical component of airway management for this patient? Answer:
Airway clearance
⩥ An 8-year-old child being treated in the emergency department has
significant respiratory distress. The child also exhibits hives, wheezing,
angioedema, tachycardia and tachypnea. The parents state that the child,
who is allergic to peanuts, had eaten some popcorn that had peanuts in it.
The team initiates care, preparing to administer which agent first?
Answer: Epinephrine
⩥ A 12-lead ECG is ordered for a child complaining of a "racing heart."
When placing the electrodes on the child, at which location would the
lead for V4 be placed? Answer: Fifth intercostal space at midclavicular
line, left side
⩥ 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? Answer: At least 5
seconds, but no more than 10
⩥ A 30-month old child has been diagnosed with moderate croup. Which
medication(s) would the provider administer? Answer: 1. Racemic
epinephrine
QUESTIONS AND CORRECT SOLUTIONS
GRADED A+
⩥ A provider is forming an initial impression of a child using the
Pediatric Assessment Triangle (PAT). During which step of the PAT may
the provider use the mnemonic TICLS to assess the patient? Answer:
Appearance
⩥ 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?
Answer: Supraventricular tachycardia
⩥ A 2-year-old child of unknown weight arrives at the emergency
department in cardiac arrest. When preparing to administer medications,
which action would be appropriate for the team to take? Answer:
Estimate weight using a length-based resuscitation tape.
⩥ A 9-year-old patient is presenting with decreased breath sounds,
bradycardia, slowed respiratory rate and a low O2 saturation level. The
provider interprets these findings as indicating which condition?
Answer: Respiratory failure
, ⩥ A 5-year-old child with a history of a chronic neuromuscular disease
is experiencing respiratory distress. The child is breathing spontaneously
and receiving supplemental oxygen. Which additional intervention is a
critical component of airway management for this patient? Answer:
Airway clearance
⩥ An 8-year-old child being treated in the emergency department has
significant respiratory distress. The child also exhibits hives, wheezing,
angioedema, tachycardia and tachypnea. The parents state that the child,
who is allergic to peanuts, had eaten some popcorn that had peanuts in it.
The team initiates care, preparing to administer which agent first?
Answer: Epinephrine
⩥ A 12-lead ECG is ordered for a child complaining of a "racing heart."
When placing the electrodes on the child, at which location would the
lead for V4 be placed? Answer: Fifth intercostal space at midclavicular
line, left side
⩥ 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? Answer: At least 5
seconds, but no more than 10
⩥ A 30-month old child has been diagnosed with moderate croup. Which
medication(s) would the provider administer? Answer: 1. Racemic
epinephrine
