MINDPLUG SOLUTIONS, EMPOWERING MINDS, BUILDING FUTURES
PALS PRECOURSE SELF-ASSESSMENT (2026)
COMPREHENSIVE PREPARATION WITH VERIFIED
QUESTIONS & ANSWERS (A+ GRADED)
A previously healthy infant with a history of vomiting and diarrhea is brought to the
emergency department by her parents. During your assessment, you find that the infant
responds only to painful stimulation. The infant's respiratory rate is 40 breaths per minute,
and central pulses are rapid and weak. The infant has good bilateral breath sounds, cool
extremities, and a capillary refill time of more than 5 seconds. The infant's blood pressure
is 85/65 mmHg, and glucose is 30 mg/dL (1.65 mmol/L)
Administer a bolus of isotonic crystalloid 20 ml/kg over 5-20 minutes, and also give D25W
2-4 ml/kg IV
A 9yo boy is agitated and leaning forward on the bed in obvious respiratory distress. The
patient is speaking in short phrases and tells you that he has asthma but does not carry an
inhaler. He has nasal flaring, severe suprasternal and intercostal retractions, and
decreased air movement with prolonged expiratory time and wheezing. You administer
100% oxygen by a nonrebreathing mask. His spO2 is 92%. Which med do you prepare to
give to this patient?
Albuterol (duh)
Paramedics are called to the home of a 1yo child. Their initial assessment reveals a child
who responds only to painful stimuli and has irregular breathing, faint central pulses,
bruises over the abdomen, abdominal distention, and cyanosis. Bag-mask ventilation with
100% oxygen is initiated. The child's heart rate is 36/min. Peripheral pulses cannot be
palpated, and central pulses are barely palpable. The cardiac monitor shows sinus
bradycardia. Two-rescuer CPR is started. Upon arrival to the em
Rapid bolus of 20ml/kg of isotonic crystalloid
EDUCATIONAL SUPPORT • ACADEMIC RESOURCES • PROFESSIONAL GUIDANCE
, MINDPLUG SOLUTIONS, EMPOWERING MINDS, BUILDING FUTURES
You are called to help treat an infant with severe symptomatic bradycardia (heart rate
66/min) associated with respiratory distress. The bradycardia persists despite
establishment of an effective airway, oxygenation, and ventilation. There is no heart block
present. Which is the first drug you should administer?
Epinephrine
Which statement is correct about the use of calcium chloride in pediatric patients?
Routine administration is not indicated during cardiac arrest
Which statement is correct about endotracheal drug administration during resuscitative
efforts for pediatric patients?
It is the least desirable route of administration
Initial impression of a 2yo girl shows her to be alert with mild breathing difficulty during
inspiration and pale skin color. On primary assessment, she makes high-pitched
inspiratory sounds (mild stridor) when agitated; otherwise, her breathing is quiet. Her spO2
is 92% on room air, and she has mild inspiratory intercostal retractions. Lung auscultation
reveals transmitted upper airway sounds with adequate distal breath sounds bilaterally.
Which is the most appropriate initial intervention for
Humidified oxygen as tolerated
You are part of a team attempting to resuscitate a child with ventricular fibrillation cardiac
arrest. You delivered 2 unsynchronized shocks. A team member established IO access, so
you give a dose of epinephrine, 0.01 mg/kg IO. At the next rhythm check, persistent
EDUCATIONAL SUPPORT • ACADEMIC RESOURCES • PROFESSIONAL GUIDANCE
PALS PRECOURSE SELF-ASSESSMENT (2026)
COMPREHENSIVE PREPARATION WITH VERIFIED
QUESTIONS & ANSWERS (A+ GRADED)
A previously healthy infant with a history of vomiting and diarrhea is brought to the
emergency department by her parents. During your assessment, you find that the infant
responds only to painful stimulation. The infant's respiratory rate is 40 breaths per minute,
and central pulses are rapid and weak. The infant has good bilateral breath sounds, cool
extremities, and a capillary refill time of more than 5 seconds. The infant's blood pressure
is 85/65 mmHg, and glucose is 30 mg/dL (1.65 mmol/L)
Administer a bolus of isotonic crystalloid 20 ml/kg over 5-20 minutes, and also give D25W
2-4 ml/kg IV
A 9yo boy is agitated and leaning forward on the bed in obvious respiratory distress. The
patient is speaking in short phrases and tells you that he has asthma but does not carry an
inhaler. He has nasal flaring, severe suprasternal and intercostal retractions, and
decreased air movement with prolonged expiratory time and wheezing. You administer
100% oxygen by a nonrebreathing mask. His spO2 is 92%. Which med do you prepare to
give to this patient?
Albuterol (duh)
Paramedics are called to the home of a 1yo child. Their initial assessment reveals a child
who responds only to painful stimuli and has irregular breathing, faint central pulses,
bruises over the abdomen, abdominal distention, and cyanosis. Bag-mask ventilation with
100% oxygen is initiated. The child's heart rate is 36/min. Peripheral pulses cannot be
palpated, and central pulses are barely palpable. The cardiac monitor shows sinus
bradycardia. Two-rescuer CPR is started. Upon arrival to the em
Rapid bolus of 20ml/kg of isotonic crystalloid
EDUCATIONAL SUPPORT • ACADEMIC RESOURCES • PROFESSIONAL GUIDANCE
, MINDPLUG SOLUTIONS, EMPOWERING MINDS, BUILDING FUTURES
You are called to help treat an infant with severe symptomatic bradycardia (heart rate
66/min) associated with respiratory distress. The bradycardia persists despite
establishment of an effective airway, oxygenation, and ventilation. There is no heart block
present. Which is the first drug you should administer?
Epinephrine
Which statement is correct about the use of calcium chloride in pediatric patients?
Routine administration is not indicated during cardiac arrest
Which statement is correct about endotracheal drug administration during resuscitative
efforts for pediatric patients?
It is the least desirable route of administration
Initial impression of a 2yo girl shows her to be alert with mild breathing difficulty during
inspiration and pale skin color. On primary assessment, she makes high-pitched
inspiratory sounds (mild stridor) when agitated; otherwise, her breathing is quiet. Her spO2
is 92% on room air, and she has mild inspiratory intercostal retractions. Lung auscultation
reveals transmitted upper airway sounds with adequate distal breath sounds bilaterally.
Which is the most appropriate initial intervention for
Humidified oxygen as tolerated
You are part of a team attempting to resuscitate a child with ventricular fibrillation cardiac
arrest. You delivered 2 unsynchronized shocks. A team member established IO access, so
you give a dose of epinephrine, 0.01 mg/kg IO. At the next rhythm check, persistent
EDUCATIONAL SUPPORT • ACADEMIC RESOURCES • PROFESSIONAL GUIDANCE
