ARC PALS FINAL ONLINE PRETEST
EXAM QUESTIONS AND ANSWERS 100%
PASS 2026/2027
What is considered in adequate perfusion when assessing or caring for a pediatric patient with
an arrhythmia? - ANS Acutely altered mental status, hypotension, diminished peripheral
pulses
A child in the pediatric stepped down Unit is exhibiting signs of respiratory distress. When
assessing this child, which circulation finding might be present? - ANS Pallor
Laboratory tests are ordered for a child who has been vomiting for three days and is
diaphoretic, tachypneic, lethargic and pale. Which test would the provider use to determine the
adequacy of perfusion and oxygen delivery? - ANS Lactate
A 5-year-old child with a history of 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? -
ANS Airway clearance (e.g., suctioning)
The PALS resuscitation team is providing care to an intubated child in cardiac arrest. Which of
the following can be used to monitor the adequacy of the teams compressions? - ANS End-
title carbon dioxide levels, presence of an arterial weight form or arterial blood pressure in
patients with indwelling arterial catheters
@2026 ALLRIGHTS RESERVED 1
, After ROSC, a child is experiencing post cardiac arrest hypoperfusion. The PALS resuscitation
team would administer which element to restore intravascular volume and optimize preload? -
ANS Isotonic fluid boluses
A 15-year-old. Patient is being evaluated during a follow-up visit after being diagnosed with
Lyme disease two months ago. A rhythm strip is obtained and shown below. The provider
interprets this rhythm as indicating which arrhythmia? - ANS First-degree AV block
A 4-year-old patient presents with tachycardia, tachypnea, cold extremities and weak pulses.
Assessment also reveals an enlarged liver and neck vein distention. The provider interprets
these assessment findings as suggesting which type of shock? - ANS Cardiogenic
Primary assessment of a 10-year-old child reveals septic shock. As part of the secondary
assessment, if not already done as part of initial, sepsis care, laboratory testing is completed to
evaluate the child's status. Which laboratory test would be ordered for this child? - ANS CBC,
blood cultures, lactate level
A child being cared for in the pediatric telemetry unit suddenly displays the following ECG wave
form. The provider prepares to intervene because the child is demonstrating which type of
arrhythmia? - ANS Supraventricular tachycardia
A healthcare provider is performing a primary assessment of a child in respiratory distress. The
provider documents increased work of breathing, when which findings are observed? -
ANS Nasal flaring, accessory muscle use, intercostal or substernal or suprasternal retractions
A 9-year-old patient is presenting with diminished breath sounds, bradycardia, slowed
respiratory rate, and a low O2 saturation level. The provider interprets these findings as
indicating which condition? - ANS Respiratory failure
@2026 ALLRIGHTS RESERVED 2
EXAM QUESTIONS AND ANSWERS 100%
PASS 2026/2027
What is considered in adequate perfusion when assessing or caring for a pediatric patient with
an arrhythmia? - ANS Acutely altered mental status, hypotension, diminished peripheral
pulses
A child in the pediatric stepped down Unit is exhibiting signs of respiratory distress. When
assessing this child, which circulation finding might be present? - ANS Pallor
Laboratory tests are ordered for a child who has been vomiting for three days and is
diaphoretic, tachypneic, lethargic and pale. Which test would the provider use to determine the
adequacy of perfusion and oxygen delivery? - ANS Lactate
A 5-year-old child with a history of 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? -
ANS Airway clearance (e.g., suctioning)
The PALS resuscitation team is providing care to an intubated child in cardiac arrest. Which of
the following can be used to monitor the adequacy of the teams compressions? - ANS End-
title carbon dioxide levels, presence of an arterial weight form or arterial blood pressure in
patients with indwelling arterial catheters
@2026 ALLRIGHTS RESERVED 1
, After ROSC, a child is experiencing post cardiac arrest hypoperfusion. The PALS resuscitation
team would administer which element to restore intravascular volume and optimize preload? -
ANS Isotonic fluid boluses
A 15-year-old. Patient is being evaluated during a follow-up visit after being diagnosed with
Lyme disease two months ago. A rhythm strip is obtained and shown below. The provider
interprets this rhythm as indicating which arrhythmia? - ANS First-degree AV block
A 4-year-old patient presents with tachycardia, tachypnea, cold extremities and weak pulses.
Assessment also reveals an enlarged liver and neck vein distention. The provider interprets
these assessment findings as suggesting which type of shock? - ANS Cardiogenic
Primary assessment of a 10-year-old child reveals septic shock. As part of the secondary
assessment, if not already done as part of initial, sepsis care, laboratory testing is completed to
evaluate the child's status. Which laboratory test would be ordered for this child? - ANS CBC,
blood cultures, lactate level
A child being cared for in the pediatric telemetry unit suddenly displays the following ECG wave
form. The provider prepares to intervene because the child is demonstrating which type of
arrhythmia? - ANS Supraventricular tachycardia
A healthcare provider is performing a primary assessment of a child in respiratory distress. The
provider documents increased work of breathing, when which findings are observed? -
ANS Nasal flaring, accessory muscle use, intercostal or substernal or suprasternal retractions
A 9-year-old patient is presenting with diminished breath sounds, bradycardia, slowed
respiratory rate, and a low O2 saturation level. The provider interprets these findings as
indicating which condition? - ANS Respiratory failure
@2026 ALLRIGHTS RESERVED 2
