PALS VERSION B EXAM QUESTIONS AND CORRECT ANSWERS
2026 /2027 GRADED A+|BRAND NEW!!!
You are caring for an 8-month-old with bradycardia and very poor perfusion that has persisted
despite effective ventilations with high-flow oxygen. You should begin chest compressions if the
heart rate is:
More than 200/min
More than 150/min
Less than 100/min
Less than 60/min - Answer -Less than 60/min
You are caring for a 3-year-old with myocarditis and heart failure. She has become poorly
responsive to a sternal rub and is difficult to rouse. She has a sinus rhythm with a heart rate of
175/min, and a blood pressure of 88/65 mm Hg. Her skin is cool and mottled, capillary refill
time is 5 seconds and she has barely palpable distal pulses. Oxygen saturation is 90% on high-
flow, high-concentration oxygen by face mask. Her respirations are labored at 50/min with
moderate retractions, and crackles are heard at the bases. Which of the following would be the
most appropriate therapy for this child?
Obtain a STAT echocardiogram and chest x-ray
Perform synchronized cardioversion at 0.5 joules/kg
Provide assisted ventilations with 100% oxygen and prepare for endotracheal intubation
Administer epinephrine 0.1 mL/kg of 1:10,000 solution IV - Answer -Provide assisted
ventilations with 100% oxygen and prepare for endotracheal intubation
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, You are treating a 5-month-old with a 2-day history of vomiting and diarrhea. The patient is
listless. The respiratory rate is 52/min and unlabored. The heart rate is 170/min and pulses are
present but weak. Capillary refill is delayed. You are administering high-flow oxygen and
intravenous access is in place. At this point the most important therapy is to:
Administer an epinephrine bolus
Begin bag-mask ventilation
Provide a rapid 20 mL/kg isotonic crystalloid fluid bolus
Administer a bolus of 0.5 g/kg of dextrose - Answer -Provide a rapid 20 mL/kg isotonic
crystalloid fluid bolus
Which of the following groups of clinical findings would be most consistent with categorizing a
patient with compensated shock?
Decreased level of consciousness, extensor posturing in response to pain, hypertension, and
apnea
Normal systolic blood pressure, decreased level of consciousness, cool extremities with delayed
capillary refill, and faint or nonpalpable distal pulsesd.
Normal blood pressure, normal level of consciousness, bounding distal pulses, hypercarbia,
hypoxemia, and normal urine output
Unresponsiveness, normal breathing, and good distal pulses - Answer -Normal systolic blood
pressure, decreased level of consciousness, cool extremities with delayed capillary refill, and
faint or nonpalpable distal pulsesd.
You are treating a 10-year-old patient after a motor vehicle crash. The patient is unresponsive
and flexes his arms at the elbow in response to a painful stimulus. An endotracheal tube is in
place with position confirmed. You are ventilating using a resuscitation bag with oxygen, and the
child has an Spot of 95% and good chest excursion bilaterally. Blood pressure is 130/70 mm Hg
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2026 /2027 GRADED A+|BRAND NEW!!!
You are caring for an 8-month-old with bradycardia and very poor perfusion that has persisted
despite effective ventilations with high-flow oxygen. You should begin chest compressions if the
heart rate is:
More than 200/min
More than 150/min
Less than 100/min
Less than 60/min - Answer -Less than 60/min
You are caring for a 3-year-old with myocarditis and heart failure. She has become poorly
responsive to a sternal rub and is difficult to rouse. She has a sinus rhythm with a heart rate of
175/min, and a blood pressure of 88/65 mm Hg. Her skin is cool and mottled, capillary refill
time is 5 seconds and she has barely palpable distal pulses. Oxygen saturation is 90% on high-
flow, high-concentration oxygen by face mask. Her respirations are labored at 50/min with
moderate retractions, and crackles are heard at the bases. Which of the following would be the
most appropriate therapy for this child?
Obtain a STAT echocardiogram and chest x-ray
Perform synchronized cardioversion at 0.5 joules/kg
Provide assisted ventilations with 100% oxygen and prepare for endotracheal intubation
Administer epinephrine 0.1 mL/kg of 1:10,000 solution IV - Answer -Provide assisted
ventilations with 100% oxygen and prepare for endotracheal intubation
1|Page
, You are treating a 5-month-old with a 2-day history of vomiting and diarrhea. The patient is
listless. The respiratory rate is 52/min and unlabored. The heart rate is 170/min and pulses are
present but weak. Capillary refill is delayed. You are administering high-flow oxygen and
intravenous access is in place. At this point the most important therapy is to:
Administer an epinephrine bolus
Begin bag-mask ventilation
Provide a rapid 20 mL/kg isotonic crystalloid fluid bolus
Administer a bolus of 0.5 g/kg of dextrose - Answer -Provide a rapid 20 mL/kg isotonic
crystalloid fluid bolus
Which of the following groups of clinical findings would be most consistent with categorizing a
patient with compensated shock?
Decreased level of consciousness, extensor posturing in response to pain, hypertension, and
apnea
Normal systolic blood pressure, decreased level of consciousness, cool extremities with delayed
capillary refill, and faint or nonpalpable distal pulsesd.
Normal blood pressure, normal level of consciousness, bounding distal pulses, hypercarbia,
hypoxemia, and normal urine output
Unresponsiveness, normal breathing, and good distal pulses - Answer -Normal systolic blood
pressure, decreased level of consciousness, cool extremities with delayed capillary refill, and
faint or nonpalpable distal pulsesd.
You are treating a 10-year-old patient after a motor vehicle crash. The patient is unresponsive
and flexes his arms at the elbow in response to a painful stimulus. An endotracheal tube is in
place with position confirmed. You are ventilating using a resuscitation bag with oxygen, and the
child has an Spot of 95% and good chest excursion bilaterally. Blood pressure is 130/70 mm Hg
2|Page
