AHA PALS FINAL EXAM 2026 & DETAILED PASSED
ANSWERS GRADED A+
1. A 12-year-old child being evaluated
Second degree
in the pediatric intensive care unit
displays the fol- lowing ECG waveform.
Second Degree Heart Block (Mobitz II)
The team interprets this as which
arrhythmia? the picture shown is not the picture in
the actual exam
2. Laboratory tests are ordered for a child who
Lactate has been vomiting for 3 days and
is di- aphoretic, tachypneic, lethargic and
pale.
Which test would the provider use to
deter- mine the adequacy of oxygen
delivery?
3. A 9-year-old patient is presenting 65 beats per minute.
with decreased breath sounds, Which action would
bradycardia, slowed respiratory rate the provider initiate
and a low O2 sat- uration level. The first?
provider interprets these findings as
indicating which condition?
4. A 4-year-old child is brought to the
emer- gency department by the
parents. Assess- ment reveals that
the child has only gasp- ing
respirations and the pulse rate is
1/
23
,AHA PALS FINAL EXAM 2026 & DETAILED PASSED
ANSWERS GRADED A+
Respiratory failure
Deliver 1 BVM ventilation every 3 to 5 sec-
onds.
5.
2/
23
,AHA PALS FINAL EXAM 2026 & DETAILED PASSED
ANSWERS GRADED A+
A 15-year-old patient is being First-degree atrioventricular (AV) block
evaluated during a follow-up visit
after being diag- nosed with Lymethe picture shown is not the picture in the
disease 2 months ago. A rhythm actual exam
strip is obtained as shown below.
The provider interprets this rhythm as
indi- cating which arrhythmia?
6. A child in cardiac arrest Hypotension Fever
experiences re- turn of spontaneous
circulation but is ex- hibiting signs
of post-cardiac arrest syn-
drome (PCAS). The PALS resuscitation
team determines that the child is Hyperglycemi
a
experiencing
a systemic response to
ischemia/reperfu- sion. The team
bases this determination on which
finding(s)?
7. A 2-year-old child arrives at the
emer- gency department with the 8. A PALS resuscitation
parents. The child is unresponsive, is team is preparing to
not breathing and has no pulse. Two defibrillate a child
emergency department providers experiencing cardiac
begin high-quality CPR. Which ar-
action(s) by the providers
demonstrates high-quality CPR?
3/
23
ANSWERS GRADED A+
1. A 12-year-old child being evaluated
Second degree
in the pediatric intensive care unit
displays the fol- lowing ECG waveform.
Second Degree Heart Block (Mobitz II)
The team interprets this as which
arrhythmia? the picture shown is not the picture in
the actual exam
2. Laboratory tests are ordered for a child who
Lactate has been vomiting for 3 days and
is di- aphoretic, tachypneic, lethargic and
pale.
Which test would the provider use to
deter- mine the adequacy of oxygen
delivery?
3. A 9-year-old patient is presenting 65 beats per minute.
with decreased breath sounds, Which action would
bradycardia, slowed respiratory rate the provider initiate
and a low O2 sat- uration level. The first?
provider interprets these findings as
indicating which condition?
4. A 4-year-old child is brought to the
emer- gency department by the
parents. Assess- ment reveals that
the child has only gasp- ing
respirations and the pulse rate is
1/
23
,AHA PALS FINAL EXAM 2026 & DETAILED PASSED
ANSWERS GRADED A+
Respiratory failure
Deliver 1 BVM ventilation every 3 to 5 sec-
onds.
5.
2/
23
,AHA PALS FINAL EXAM 2026 & DETAILED PASSED
ANSWERS GRADED A+
A 15-year-old patient is being First-degree atrioventricular (AV) block
evaluated during a follow-up visit
after being diag- nosed with Lymethe picture shown is not the picture in the
disease 2 months ago. A rhythm actual exam
strip is obtained as shown below.
The provider interprets this rhythm as
indi- cating which arrhythmia?
6. A child in cardiac arrest Hypotension Fever
experiences re- turn of spontaneous
circulation but is ex- hibiting signs
of post-cardiac arrest syn-
drome (PCAS). The PALS resuscitation
team determines that the child is Hyperglycemi
a
experiencing
a systemic response to
ischemia/reperfu- sion. The team
bases this determination on which
finding(s)?
7. A 2-year-old child arrives at the
emer- gency department with the 8. A PALS resuscitation
parents. The child is unresponsive, is team is preparing to
not breathing and has no pulse. Two defibrillate a child
emergency department providers experiencing cardiac
begin high-quality CPR. Which ar-
action(s) by the providers
demonstrates high-quality CPR?
3/
23
