PALS PRETEST FINAL REVIEW SHEET 2026
QUESTIONS AND VERIFIED SOLUTIONS
GUARANTEED TO PASS
◉ Initial impression of a 2yo girl shows her to be alert with mild
breathing difficulty during inspiration and pale skin color. On primary
assessment, she makes high-pitched inspiratory sounds (mild stridor)
when agitated; otherwise, her breathing is quiet. Her spO2 is 92% on
room air, and she has mild inspiratory intercostal retractions. Lung
auscultation reveals transmitted upper airway sounds with adequate
distal breath sounds bilaterally. Which is the most appropriate initial
intervention for this child? Answer: Humidified oxygen as tolerated
◉ You are part of a team attempting to resuscitate a child with
ventricular fibrillation cardiac arrest. You delivered 2 unsynchronized
shocks. A team member established IO access, so you give a dose of
epinephrine, 0.01 mg/kg IO. At the next rhythm check, persistent
ventricular fibrillation is present. You administer a 4 J/kg shock and
resume CPR. Which drug and dose should be administered next?
Answer: Amiodarone 5 mg/kg IO
◉ Which statement is correct about the effects of epinephrine during
attempted resuscitation? Answer: Epinephrine stimulates spontaneous
contractions when asystole is present
◉ 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. Answer: Administer a bolus of isotonic crystalloid 20
ml/kg over 5-20 minutes, and also give D25W 2-4 ml/kg IV
◉ Which statement is correct about endotracheal drug administration
during resuscitative efforts for pediatric patients? Answer: It is the
least desirable route of administration
, ◉ Which statement is correct about the use of calcium chloride in
pediatric patients? Answer: Routine administration is not indicated
during cardiac arrest
◉ A 9yo boy is agitated and leaning forward on the bed in obvious
respiratory distress. Answer: Albuterol
◉ Which oxygen delivery system most reliably delivers a high (90%
or greater) concentration of inspired oxygen to a 7yo child? Answer:
Nonrebreathing face mask
◉ Paramedics are called to the home of a 1yo 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 Answer: Rapid bolus of 20ml/kg
of isotonic crystalloid
◉ A 7yo boy is found unresponsive, apneic, and pulseless. CPR is
ongoing Answer: Identify and treat reversible causes
◉ You are preparing to use a manual defibrillator in the pediatric
setting. Which best describes when it is appropriate to use the smaller,
pediatric-sized paddles? Answer: If the child weighs less than 10kg or
is less than 1 year old
◉ What compression-to-ventilation ratio should be used for 2-rescuer
infant CPR? Answer: 15 compressions to 2 breaths
◉ You find an infant who is unresponsive, is not breathing, and does
not have a pulse. You shout for nearby help, but no one arrives. What
action should you take next? Answer: Provide CPR for about 2
minutes before leaving to activate the emergency response system
◉ You are assisting in the elective intubation of an average-sized 4yo
child with respiratory failure. A colleague is retrieving the color-
QUESTIONS AND VERIFIED SOLUTIONS
GUARANTEED TO PASS
◉ Initial impression of a 2yo girl shows her to be alert with mild
breathing difficulty during inspiration and pale skin color. On primary
assessment, she makes high-pitched inspiratory sounds (mild stridor)
when agitated; otherwise, her breathing is quiet. Her spO2 is 92% on
room air, and she has mild inspiratory intercostal retractions. Lung
auscultation reveals transmitted upper airway sounds with adequate
distal breath sounds bilaterally. Which is the most appropriate initial
intervention for this child? Answer: Humidified oxygen as tolerated
◉ You are part of a team attempting to resuscitate a child with
ventricular fibrillation cardiac arrest. You delivered 2 unsynchronized
shocks. A team member established IO access, so you give a dose of
epinephrine, 0.01 mg/kg IO. At the next rhythm check, persistent
ventricular fibrillation is present. You administer a 4 J/kg shock and
resume CPR. Which drug and dose should be administered next?
Answer: Amiodarone 5 mg/kg IO
◉ Which statement is correct about the effects of epinephrine during
attempted resuscitation? Answer: Epinephrine stimulates spontaneous
contractions when asystole is present
◉ 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. Answer: Administer a bolus of isotonic crystalloid 20
ml/kg over 5-20 minutes, and also give D25W 2-4 ml/kg IV
◉ Which statement is correct about endotracheal drug administration
during resuscitative efforts for pediatric patients? Answer: It is the
least desirable route of administration
, ◉ Which statement is correct about the use of calcium chloride in
pediatric patients? Answer: Routine administration is not indicated
during cardiac arrest
◉ A 9yo boy is agitated and leaning forward on the bed in obvious
respiratory distress. Answer: Albuterol
◉ Which oxygen delivery system most reliably delivers a high (90%
or greater) concentration of inspired oxygen to a 7yo child? Answer:
Nonrebreathing face mask
◉ Paramedics are called to the home of a 1yo 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 Answer: Rapid bolus of 20ml/kg
of isotonic crystalloid
◉ A 7yo boy is found unresponsive, apneic, and pulseless. CPR is
ongoing Answer: Identify and treat reversible causes
◉ You are preparing to use a manual defibrillator in the pediatric
setting. Which best describes when it is appropriate to use the smaller,
pediatric-sized paddles? Answer: If the child weighs less than 10kg or
is less than 1 year old
◉ What compression-to-ventilation ratio should be used for 2-rescuer
infant CPR? Answer: 15 compressions to 2 breaths
◉ You find an infant who is unresponsive, is not breathing, and does
not have a pulse. You shout for nearby help, but no one arrives. What
action should you take next? Answer: Provide CPR for about 2
minutes before leaving to activate the emergency response system
◉ You are assisting in the elective intubation of an average-sized 4yo
child with respiratory failure. A colleague is retrieving the color-
