PALS Final Review Exam [2026/2027] Updated Version |
Verified Questions & Detailed Rationales for Top Performance
A child with an upper airway obstruction caused by infection-induced
edema should not receive suction and instead be placed in a comfortable
position and given what medication? - VERIFIED ANSWER - Nebulized e
While assessing a pediatric patient using the ABCDE algorithm, life-
threatening conditions associated with the letter E for Exposure are: -
VERIFIED ANSWER - Severe hypothermia, substantial bleeding, petechiae,
or purpura indicating septic shock
The preferred initial method of removing a foreign body airway
obstruction in a responsive patient less than one year of age is: -
VERIFIED ANSWER - Back blows and chest thrusts
What medication should be administered for severe cases of croup with
imminent respiratory failure? - VERIFIED ANSWER - Dexamethasone
Infection of the central nervous system (CNS) can cause hypoventilation
or __________. - VERIFIED ANSWER - Apnea
,During a resuscitation, it is important that all members of the team
understand the concept of: - VERIFIED ANSWER - Each member of the
team caring for a pediatric patient must understand his role and the role
of other members. In most pediatric resuscitation efforts, there is one
team leader who will ensure that everything gets done by the right person
at the right time.
You are serving in the capacity of team leader during the resuscitation of
a pediatric medical patient. Which of the items listed below is a
responsibility of the team leader? - VERIFIED ANSWER - Assign roles to
team members
The best vasoactive agent for a child in warm septic shock is: - VERIFIED
ANSWER - NoE
Anemic hypoxia results from: - VERIFIED ANSWER - Anemic hypoxia results
from the amount of functional hemoglobin is too small, and hence the
capacity of the blood to carry oxygen is too low
Which of the following is correct regarding post resuscitation
management of the pediatric patient? - VERIFIED ANSWER - The goal of
,post resuscitation care are to preserve neurologic function, prevent
secondary organ injury and treat the cause of the illness.
You and your team members are currently resuscitating a 7-year-old
male patient who was found face down in a pool. EMS states the patient
was in the water for an unknown amount of time. The patient is currently
in asystole, is cyanotic with an advanced airway in place. Inline waveform
capnography is showing a small peak upon mechanical ventilation with a
ETCO2 of 12. Which of the following is the most appropriate care for this
patient? - VERIFIED ANSWER - DOPE
You and your partner are providing high-quality CPR to a 7-year-old
female. The correct compression to ventilation ratio is: - VERIFIED
ANSWER - 15:2
You decide that BLS ventilations are no longer effective in your pediatric
patient resuscitation. You elect to place an endotracheal tube. The
preferred method for confirming and monitoring the placement of this ETT
is: - VERIFIED ANSWER - End-tidal CO2 monitoring
A 7-month-old patient presents with supraventricular tachycardia. The
patient is hemodynamically stable. The best method of a vagal maneuver
, is: - VERIFIED ANSWER - Application of a cold stimulus to the face (e.g., a
washcloth soaked in iced water, cold pack, or crushed ice mixed with
water in a plastic bag or glove) for up to 10 seconds.
Atropine is indicated for: - VERIFIED ANSWER - Symptomatic bradycardia
Consideration for _____________ through devices such as BiPAP or CPAP
is indicated for infants or children with suspected lung tissue disease. -
VERIFIED ANSWER - Continuous PEEP
An accepted initial therapy for a patient with suspected croup is: -
VERIFIED ANSWER - Nebulized epinephrine
Which of the following is a sign of respiratory failure? - VERIFIED ANSWER
- Decrease in ventilation and oxygenation
Which of the statements about supraventricular tachycardia (SVT) is
correct? - VERIFIED ANSWER - The clinical presentations demonstrate that
children and infants lack the ability to tolerate this rhythm well.
Verified Questions & Detailed Rationales for Top Performance
A child with an upper airway obstruction caused by infection-induced
edema should not receive suction and instead be placed in a comfortable
position and given what medication? - VERIFIED ANSWER - Nebulized e
While assessing a pediatric patient using the ABCDE algorithm, life-
threatening conditions associated with the letter E for Exposure are: -
VERIFIED ANSWER - Severe hypothermia, substantial bleeding, petechiae,
or purpura indicating septic shock
The preferred initial method of removing a foreign body airway
obstruction in a responsive patient less than one year of age is: -
VERIFIED ANSWER - Back blows and chest thrusts
What medication should be administered for severe cases of croup with
imminent respiratory failure? - VERIFIED ANSWER - Dexamethasone
Infection of the central nervous system (CNS) can cause hypoventilation
or __________. - VERIFIED ANSWER - Apnea
,During a resuscitation, it is important that all members of the team
understand the concept of: - VERIFIED ANSWER - Each member of the
team caring for a pediatric patient must understand his role and the role
of other members. In most pediatric resuscitation efforts, there is one
team leader who will ensure that everything gets done by the right person
at the right time.
You are serving in the capacity of team leader during the resuscitation of
a pediatric medical patient. Which of the items listed below is a
responsibility of the team leader? - VERIFIED ANSWER - Assign roles to
team members
The best vasoactive agent for a child in warm septic shock is: - VERIFIED
ANSWER - NoE
Anemic hypoxia results from: - VERIFIED ANSWER - Anemic hypoxia results
from the amount of functional hemoglobin is too small, and hence the
capacity of the blood to carry oxygen is too low
Which of the following is correct regarding post resuscitation
management of the pediatric patient? - VERIFIED ANSWER - The goal of
,post resuscitation care are to preserve neurologic function, prevent
secondary organ injury and treat the cause of the illness.
You and your team members are currently resuscitating a 7-year-old
male patient who was found face down in a pool. EMS states the patient
was in the water for an unknown amount of time. The patient is currently
in asystole, is cyanotic with an advanced airway in place. Inline waveform
capnography is showing a small peak upon mechanical ventilation with a
ETCO2 of 12. Which of the following is the most appropriate care for this
patient? - VERIFIED ANSWER - DOPE
You and your partner are providing high-quality CPR to a 7-year-old
female. The correct compression to ventilation ratio is: - VERIFIED
ANSWER - 15:2
You decide that BLS ventilations are no longer effective in your pediatric
patient resuscitation. You elect to place an endotracheal tube. The
preferred method for confirming and monitoring the placement of this ETT
is: - VERIFIED ANSWER - End-tidal CO2 monitoring
A 7-month-old patient presents with supraventricular tachycardia. The
patient is hemodynamically stable. The best method of a vagal maneuver
, is: - VERIFIED ANSWER - Application of a cold stimulus to the face (e.g., a
washcloth soaked in iced water, cold pack, or crushed ice mixed with
water in a plastic bag or glove) for up to 10 seconds.
Atropine is indicated for: - VERIFIED ANSWER - Symptomatic bradycardia
Consideration for _____________ through devices such as BiPAP or CPAP
is indicated for infants or children with suspected lung tissue disease. -
VERIFIED ANSWER - Continuous PEEP
An accepted initial therapy for a patient with suspected croup is: -
VERIFIED ANSWER - Nebulized epinephrine
Which of the following is a sign of respiratory failure? - VERIFIED ANSWER
- Decrease in ventilation and oxygenation
Which of the statements about supraventricular tachycardia (SVT) is
correct? - VERIFIED ANSWER - The clinical presentations demonstrate that
children and infants lack the ability to tolerate this rhythm well.
