PALS PRETEST ACTUAL TEST PAPER 2026
QUESTIONS WITH VERIFIED ANSWERS
GRADED A+
◉Identify the rhythm. Answer: Normal Sinus Rhythm
◉Identify the rhythm. Answer: VF with successful defibrillation and
resumption of organized rhythm
◉Identify the rhythm. Answer: SVT converting to sinus rhythm after
adenosine administration
◉Identify the rhythm. Answer: Torsades de pointes
◉Identify the rhythm. Answer: Supreaventricular Tachycardia (SVT)
◉Identify the rhythm. Answer: Sinus Tachycardia
◉Identify the rhythm. Answer: Sinus Bradycardis
◉Identify the rhythm. Answer: Asystole
◉Identify the rhythm. Answer: Wide-Complex Tachycardia
◉Identify the rhythm. Answer: Pulseless Electrical Activity
◉Which statement is correct about endotracheal drug administration
during resuscitative efforts for pediatric
patients? Answer: It is the least desirable route of administration
◉Which oxygen delivery system most reliably delivers a high (90%
or greater) concentration of inspired oxygen to a 7-year-old child?
Answer: Nonrebreathing face mask
, ◉Paramedics are called to the home of a 1-year-old 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 emergency department, the child is
intubated and ventilated with 100% oxygen, and IV access is
established. The heart rate is now 150/min with weak central pulses
but no distal pulses. Systolic blood pressure is 74 mm Hg. Which
intervention should be provided next? Answer: Rapid bolus of 20
mL/kg of isotonic crystalloid
◉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 mm Hg, and glucose is
30 mg/dL (1.65 mol/L). You administer 100% oxygen via face mask
and start an IV. Which treatment is the most appropriate for this
infant? Answer: Administer a bolus of isotonic crystalloid 20 mL/kg
over 5 to 20 minutes, and also give D2;W 2 to 4 mL/kg IV
◉A 9-year-old 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 SpO, is 92%. Which medication do you prepare to give to this
patient? Answer: Albuterol
◉You are part of a team attempting to resuscitate a child with
ventricular fibrillation cardiac arrest. You delivered 2 unsynchronized
QUESTIONS WITH VERIFIED ANSWERS
GRADED A+
◉Identify the rhythm. Answer: Normal Sinus Rhythm
◉Identify the rhythm. Answer: VF with successful defibrillation and
resumption of organized rhythm
◉Identify the rhythm. Answer: SVT converting to sinus rhythm after
adenosine administration
◉Identify the rhythm. Answer: Torsades de pointes
◉Identify the rhythm. Answer: Supreaventricular Tachycardia (SVT)
◉Identify the rhythm. Answer: Sinus Tachycardia
◉Identify the rhythm. Answer: Sinus Bradycardis
◉Identify the rhythm. Answer: Asystole
◉Identify the rhythm. Answer: Wide-Complex Tachycardia
◉Identify the rhythm. Answer: Pulseless Electrical Activity
◉Which statement is correct about endotracheal drug administration
during resuscitative efforts for pediatric
patients? Answer: It is the least desirable route of administration
◉Which oxygen delivery system most reliably delivers a high (90%
or greater) concentration of inspired oxygen to a 7-year-old child?
Answer: Nonrebreathing face mask
, ◉Paramedics are called to the home of a 1-year-old 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 emergency department, the child is
intubated and ventilated with 100% oxygen, and IV access is
established. The heart rate is now 150/min with weak central pulses
but no distal pulses. Systolic blood pressure is 74 mm Hg. Which
intervention should be provided next? Answer: Rapid bolus of 20
mL/kg of isotonic crystalloid
◉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 mm Hg, and glucose is
30 mg/dL (1.65 mol/L). You administer 100% oxygen via face mask
and start an IV. Which treatment is the most appropriate for this
infant? Answer: Administer a bolus of isotonic crystalloid 20 mL/kg
over 5 to 20 minutes, and also give D2;W 2 to 4 mL/kg IV
◉A 9-year-old 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 SpO, is 92%. Which medication do you prepare to give to this
patient? Answer: Albuterol
◉You are part of a team attempting to resuscitate a child with
ventricular fibrillation cardiac arrest. You delivered 2 unsynchronized
