PALS FINAL EXAM 2025 WITH ACTUAL
CORRECT QUESTIONS AND VERIFIED
DETAILED ANSWERS |FREQUENTLY TESTED
QUESTIONS AND SOLUTIONS |ALREADY
GRADED A+|BRAND NEW!!|LATEST UPDATE
|GUARANTEED PASS
Which of the following is correct regarding post resuscitation management of the pediatric patient?
The goal of post resuscitation care are to preserve neurologic function, prevent secondary organ injury
and treat the cause of the illness.
You and your team members are currently resuscitating a 7-year-old male patient who was found face
down in a pool. EMS states the patient was in the water for an unknown amount of time. The patient is
currently in asystole, is cyanotic with an advanced airway in place. Inline waveform capnography is
showing a small peak upon mechanical ventilation with a ETCO2 of 12. Which of the following is the
most appropriate care for this patient?
DOPE
You and your partner are providing high-quality CPR to a 7-year-old female. The correct compression to
ventilation ratio is:
15:2
You decide that BLS ventilations are no longer effective in your pediatric patient resuscitation. You elect
to place an endotracheal tube. The preferred method for confirming and monitoring the placement of
this ETT is:
End-tidal CO2 monitoring
A 7-month-old patient presents with supraventricular tachycardia. The patient is hemodynamically
stable. The best method of a vagal maneuver is:
Application of a cold stimulus to the face (e.g., a washcloth soaked in iced water, cold pack, or crushed
ice mixed with water in a plastic bag or glove) for up to 10 seconds.
Atropine is indicated for:
1|Page
,Symptomatic bradycardia
Consideration for _____________ through devices such as BiPAP or CPAP is indicated for infants or
children with suspected lung tissue disease.
Continuous PEEP
An accepted initial therapy for a patient with suspected croup is:
Nebulized epinephrine
Which of the following is a sign of respiratory failure?
Decrease in ventilation and oxygenation
Which of the statements about supraventricular tachycardia (SVT) is correct?
The clinical presentations demonstrate that children and infants lack the ability to tolerate this rhythm
well.
The mother of a 9-year-old patient reports that her son was playing with a friend when he collapsed
while running. At the patients side, you apply an AED and deliver one shock. The patient regains a pulse
but remains unresponsive. you successfully place an ETT. There is no evidence of shock or trauma. Your
target range for SpO2 is:
94% - 99%
Which of the following rhythms is non-shockable?
asystole
You and your team are treating a 9-year-old patient who is tachycardic. She has a heart rate of 184 and
is short of breath but still able to speak in full sentences and is able to follow commands. Emergency
intervention for this patient intially is __________.
The patient is conscious, able to speak in full sentences and is able to follow commands, attempting
vagal maneuvers first is appropriate for this patient.
If bradycardia is the result of a complete heart block or an abnormal sinus node function, what therapy
is recommended?
cardiac pacing
The correct IV epinephrine dose for the symptomatic bradycardia patient is:
Administration of epinephrine for continuing symptomatic bradycardia via IV/IO is 0.01 mg/kg (1:10,000:
0.1 ml/kg).
You arrive on scene to a 4-year-old child who presents pulseless and apneic with high-quality CPR being
performed and vascular access established. Which is your next intervention?
epinephrine
Define tachypnea:
2|Page
, Tachypnea is defined as an elevated breathing rate for age
What is the most common pre-arrest rhythm in children?
Bradyarrhythmia
Which of the following is a lower airway obstruction?
bronchiolitis
You are called to the bedside of a patient admitted to the pediatric intensive care unit (PICU) for a 22-
month-old patient in severe respiratory distress. The patient has a patent airway, is tachypneic with an
increased work of breathing, has as a pulse rate of 150 beats per minute, with no neurologic deficits,
and is normothermic. What mnemonic should be used to aid the performance of a secondary
assessment?
SAMPLE
The chief purpose of the respiratory system is to:
exchange gases
Treatment of obstructive shock includes which of the following?
Look for and treat causes of obstructive shock
You are administering a bolus of normal saline to a 16 kg child. The appropriate volume is:
320 (20 x 16)
What can cause head-bobbing in the infant patient?
Increased respiratory effort
Hypoxemic ischemia results from:
caused by arterial or arteriolar obstruction or vasoconstriction
Your patient is a 4-year-old boy who pulled the handle of a pot of hot oil from the top of the stove
causing the contents to cover him. You note that the patient is being given iv fluids. The patient is most
likely in what kind of shock due to the burns?
Hypovolemic shock
You are evaluating a 3-year-old female patient in the emergency department. Her parents brought her
in for an evaluation of increasing cough, difficulty breathing, sputum and now increased irritability. On
assessing your patient, you note a temperature of 100.4 F, respiratory rate of 38, and a room air SpO2 of
93%. With this information you can infer that the patient's airway resistance is:
increase?
A diagnostic test that shows acidosis, tissue hypoxia, anaerobic respiration, and/or high glucose is:
Arterial lactate
3|Page
CORRECT QUESTIONS AND VERIFIED
DETAILED ANSWERS |FREQUENTLY TESTED
QUESTIONS AND SOLUTIONS |ALREADY
GRADED A+|BRAND NEW!!|LATEST UPDATE
|GUARANTEED PASS
Which of the following is correct regarding post resuscitation management of the pediatric patient?
The goal of post resuscitation care are to preserve neurologic function, prevent secondary organ injury
and treat the cause of the illness.
You and your team members are currently resuscitating a 7-year-old male patient who was found face
down in a pool. EMS states the patient was in the water for an unknown amount of time. The patient is
currently in asystole, is cyanotic with an advanced airway in place. Inline waveform capnography is
showing a small peak upon mechanical ventilation with a ETCO2 of 12. Which of the following is the
most appropriate care for this patient?
DOPE
You and your partner are providing high-quality CPR to a 7-year-old female. The correct compression to
ventilation ratio is:
15:2
You decide that BLS ventilations are no longer effective in your pediatric patient resuscitation. You elect
to place an endotracheal tube. The preferred method for confirming and monitoring the placement of
this ETT is:
End-tidal CO2 monitoring
A 7-month-old patient presents with supraventricular tachycardia. The patient is hemodynamically
stable. The best method of a vagal maneuver is:
Application of a cold stimulus to the face (e.g., a washcloth soaked in iced water, cold pack, or crushed
ice mixed with water in a plastic bag or glove) for up to 10 seconds.
Atropine is indicated for:
1|Page
,Symptomatic bradycardia
Consideration for _____________ through devices such as BiPAP or CPAP is indicated for infants or
children with suspected lung tissue disease.
Continuous PEEP
An accepted initial therapy for a patient with suspected croup is:
Nebulized epinephrine
Which of the following is a sign of respiratory failure?
Decrease in ventilation and oxygenation
Which of the statements about supraventricular tachycardia (SVT) is correct?
The clinical presentations demonstrate that children and infants lack the ability to tolerate this rhythm
well.
The mother of a 9-year-old patient reports that her son was playing with a friend when he collapsed
while running. At the patients side, you apply an AED and deliver one shock. The patient regains a pulse
but remains unresponsive. you successfully place an ETT. There is no evidence of shock or trauma. Your
target range for SpO2 is:
94% - 99%
Which of the following rhythms is non-shockable?
asystole
You and your team are treating a 9-year-old patient who is tachycardic. She has a heart rate of 184 and
is short of breath but still able to speak in full sentences and is able to follow commands. Emergency
intervention for this patient intially is __________.
The patient is conscious, able to speak in full sentences and is able to follow commands, attempting
vagal maneuvers first is appropriate for this patient.
If bradycardia is the result of a complete heart block or an abnormal sinus node function, what therapy
is recommended?
cardiac pacing
The correct IV epinephrine dose for the symptomatic bradycardia patient is:
Administration of epinephrine for continuing symptomatic bradycardia via IV/IO is 0.01 mg/kg (1:10,000:
0.1 ml/kg).
You arrive on scene to a 4-year-old child who presents pulseless and apneic with high-quality CPR being
performed and vascular access established. Which is your next intervention?
epinephrine
Define tachypnea:
2|Page
, Tachypnea is defined as an elevated breathing rate for age
What is the most common pre-arrest rhythm in children?
Bradyarrhythmia
Which of the following is a lower airway obstruction?
bronchiolitis
You are called to the bedside of a patient admitted to the pediatric intensive care unit (PICU) for a 22-
month-old patient in severe respiratory distress. The patient has a patent airway, is tachypneic with an
increased work of breathing, has as a pulse rate of 150 beats per minute, with no neurologic deficits,
and is normothermic. What mnemonic should be used to aid the performance of a secondary
assessment?
SAMPLE
The chief purpose of the respiratory system is to:
exchange gases
Treatment of obstructive shock includes which of the following?
Look for and treat causes of obstructive shock
You are administering a bolus of normal saline to a 16 kg child. The appropriate volume is:
320 (20 x 16)
What can cause head-bobbing in the infant patient?
Increased respiratory effort
Hypoxemic ischemia results from:
caused by arterial or arteriolar obstruction or vasoconstriction
Your patient is a 4-year-old boy who pulled the handle of a pot of hot oil from the top of the stove
causing the contents to cover him. You note that the patient is being given iv fluids. The patient is most
likely in what kind of shock due to the burns?
Hypovolemic shock
You are evaluating a 3-year-old female patient in the emergency department. Her parents brought her
in for an evaluation of increasing cough, difficulty breathing, sputum and now increased irritability. On
assessing your patient, you note a temperature of 100.4 F, respiratory rate of 38, and a room air SpO2 of
93%. With this information you can infer that the patient's airway resistance is:
increase?
A diagnostic test that shows acidosis, tissue hypoxia, anaerobic respiration, and/or high glucose is:
Arterial lactate
3|Page
