PALS EXAM LATEST 2026-2027 ACTUAL EXAM WITH COMPLETE
QUESTIONS AND CORRECT DETAILED ANSWERS (100% VERIFIED
ANSWERS) |ALREADY GRADED A+| ||PROFESSOR VERIFIED||
||BRANDNEW!!!||
A child was admitted to the pediatric intensive care unit (PICU)
after a severe head injury and has been placed on mechanical
ventilation. The healthcare provider is most concerned about
increasing intracranial pressure if which assessment findings are
present? - ANSWER-Irregular, decreased respirations
The healthcare provider understands that characteristics of
asthma include which findings? - ANSWER-Inflammation and
spasm of the lower airways
The parents of a child in respiratory failure told the PALS team
that their child ingested some of a grandparent's opioid pain
medication that was left over from knee surgery. Which of the
following might be an appropriate intervention? - ANSWER-
Naloxone administration
The healthcare provider suspects impending respiratory failure in
a recently admitted school-aged child. Which new assessment
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finding would the healthcare provider most likely observe? -
ANSWER-Respiratory rate change from 25 to 11 breaths per
minute
A 5-year-old patient is brought to the emergency department with
a temperature of 102.4° F and a cough. Upon assessment, the
healthcare provider observes decreased breath sounds and
localized crackles and tachycardia. The provider suspects these
findings most likely indicate which disorder? - ANSWER-
Pneumonia
Based on the primary assessment, Mark suspects which of the
following is the cause of Sullivan's respiratory distress? -
ANSWER-croup
Which of the following interventions should Mark include in next
steps of care for Sullivan? - ANSWER-Administration of
dexamethasone
Administration of nebulized epinephrine
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Which additional therapeutic intervention should be considered at
this time? - ANSWER-Heliox
The team notes the following when assessing Maya:
Airway: Patent airway
Breathing: Respiratory rate of 28; retractions with breathing;
breath sounds present in all fields, wheezing and prolonged
expiration noted throughout; oxygen saturation of 92% on room
air
Circulation: No cyanosis/pallor noted; heart rate of 116; blood
pressure 102/61; skin warm and dry
Disability: Alert
Exposure: Temperature 101° F (38.3° C); weight 20 kg
Based on the rapid and primary assessment findings recorded in
the patient chart and the grandparent's verbalizations, the team
recognizes that Maya is experiencing a _____ asthma
exacerbation. - ANSWER-Moderate
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Which first-line asthma medication would Joanne order to
administer to Maya immediately? - ANSWER-Albuterol via
nebulized solution
Based on these assessment findings, what is the appropriate next
step of care? - ANSWER-Administer a second dose of albuterol
after 20 minutes
Jeremy prepares the prednisolone dose for Maya. Which of the
following is the correct oral dose of prednisolone (5 mL/15 mg) to
administer to Maya, based on her weight of 20 kg? - ANSWER-
6.6 mL
Using critical thinking and assessment data, what is the next best
course of action? - ANSWER-Administer a third dose of albuterol
Which assessment findings would the healthcare provider expect
to note in a patient experiencing compensated shock? -
ANSWER-Irritability, tachypnea and capillary refill of 3 seconds