6/10/25, 9:50 AM PALS EXA
PALS ACTUAL PRACTICE EXAM 2025-2026 \NEWEST
VERSION WITH ALL UPDATED QUESTIONS AND
ACCURATE DETAILED ANSWERS \VERIFIED SOLUTIONS
ALREADY GRADED A+
What treatments would be Dexamethasone
most appropriate for this Nebulized epinephrine
patient?
Infants who begin to display Respiratory failure
signs of
becoming weaker,
decreased respiratory
effort, & poor air movement
are at high risk for [blank].
Infants & children who are at Half a size smaller than predicted for the child
risk for
respiratory failure should be
ventilated &
prepared for intubation by a
team member with
significant pediatric
expertise.
When calculating the tube
size based on the child's
age, to avoid injury to the
subglottic area, you should
use an endotracheal tube
that is:
What are the common Asthma
causes of lower airway Bronchiolitis
obstruction?
1/35
,6/10/25, 10:10 AM PALS 2025
How can small airways be Smooth muscle bronchial
obstructed in acute lower constriction Mucus
airway obstruction? plugging
How do infants initially Decreased interpleural pressure
respond to lower airway
obstruction?
What is the first priority in Restore adequate oxygenation
managing lower airway
obstruction?
Bag-mask ventilation has Risk of lung collapse
been used on a child w/ Decreased blood supply to the heart
lower airway obstruction.
Which complications may
occur?
Conditions that [blank] air Increased
resistance lead to Effort
increased respiratory
[blank].
Nasal
What are the signs of
flaring
increased respiratory effort
Retracti
that can lead to fatigue &
ons
respiratory failure?
Head bobbing
Seesaw respirations
Determine the respiratory 30
rate by counting the 2
number of times the chest
rises in
[blank] seconds & multiplying
by [blank].
Tachypnea is often the Distress
first sign of
respiratory [blank] in
infants.
What do central Hydrogen ions in the cerebrospinal fluid
chemoreceptors respond
2/35
,6/10/25, 10:10 AM PALS 2025
to?
Why may excessive It impedes venous return
ventilation during CPR be It increases intrathoracic pressure
harmful?
What should you do if you Reposition the
cannot achieve effective airway Verify
ventilation with a bag- the mask
mask size
device?
Oxygen saturation
How are effective
Exhaled carbon dioxide
oxygenation & ventilation
Visible chest rise w/ each breath
assessed?
How can gastric inflation It decreases lung compliance
impair bag-mask
ventilation?
What is the most appropriate Deliver each breath over about 1 second
precautionary action to
minimize gastric inflation
during a
bag-mask ventilation?
Which is true about the Tissue hypoxia can occur with normal arterial oxygen saturation
difference between
hypoxemia & tissue
hypoxia?
What does hyperventilation, PaCO2 less than 35 mm Hg
which refers to increased
alveolar ventilation, result
in?
What happens to the May increase when dissolved oxygen is increased
arterial oxygen level in a
child w/ severe anemia?
Which is true of increased May be caused by disordered control of breathing
carbon dioxide tension in
arterial blood?
3/35
, 6/10/25, 10:10 AM PALS 2025
What happens when PaCO2 increases
ventilation is
inadequate?
What is a critical symptom of Decreased level of consciousness
hypercarbia?
Which of the following Mild increase in respiratory effort
indicates mild respiratory
distress?
Which of the following Marked tachypnea &/or apnea
indicates severe
respiratory distress?
Which of the following May occur w/o signs of respiratory distress
statements about
respiratory failure is true?
Which is most likely to be Ability to maintain a patent airway
present in a child who has
respiratory distress [not
respiratory failure]?
What steps should be taken Support an open airway
as part of initial Monitor O2 saturation by
pulse oximetry Monitor
management of a child in heart rate, rhythm, & bp
respiratory
distress?
Covers mouth
Which are ideal
& nose Has a
characteristics of face
soft rim
masks for ventilation?
Transparent
What is the rationale for Allows you to see the color of the child's lips
using a transparent mask?
What is the function of the Prevents rebreathing of carbon dioxide
nonrebreathing outlet
valve of a self-inflating
bag?
Which of the following is Tidal volume needs to be delivered at the correct rate
required to
appropriately ventilate a
4/35
PALS ACTUAL PRACTICE EXAM 2025-2026 \NEWEST
VERSION WITH ALL UPDATED QUESTIONS AND
ACCURATE DETAILED ANSWERS \VERIFIED SOLUTIONS
ALREADY GRADED A+
What treatments would be Dexamethasone
most appropriate for this Nebulized epinephrine
patient?
Infants who begin to display Respiratory failure
signs of
becoming weaker,
decreased respiratory
effort, & poor air movement
are at high risk for [blank].
Infants & children who are at Half a size smaller than predicted for the child
risk for
respiratory failure should be
ventilated &
prepared for intubation by a
team member with
significant pediatric
expertise.
When calculating the tube
size based on the child's
age, to avoid injury to the
subglottic area, you should
use an endotracheal tube
that is:
What are the common Asthma
causes of lower airway Bronchiolitis
obstruction?
1/35
,6/10/25, 10:10 AM PALS 2025
How can small airways be Smooth muscle bronchial
obstructed in acute lower constriction Mucus
airway obstruction? plugging
How do infants initially Decreased interpleural pressure
respond to lower airway
obstruction?
What is the first priority in Restore adequate oxygenation
managing lower airway
obstruction?
Bag-mask ventilation has Risk of lung collapse
been used on a child w/ Decreased blood supply to the heart
lower airway obstruction.
Which complications may
occur?
Conditions that [blank] air Increased
resistance lead to Effort
increased respiratory
[blank].
Nasal
What are the signs of
flaring
increased respiratory effort
Retracti
that can lead to fatigue &
ons
respiratory failure?
Head bobbing
Seesaw respirations
Determine the respiratory 30
rate by counting the 2
number of times the chest
rises in
[blank] seconds & multiplying
by [blank].
Tachypnea is often the Distress
first sign of
respiratory [blank] in
infants.
What do central Hydrogen ions in the cerebrospinal fluid
chemoreceptors respond
2/35
,6/10/25, 10:10 AM PALS 2025
to?
Why may excessive It impedes venous return
ventilation during CPR be It increases intrathoracic pressure
harmful?
What should you do if you Reposition the
cannot achieve effective airway Verify
ventilation with a bag- the mask
mask size
device?
Oxygen saturation
How are effective
Exhaled carbon dioxide
oxygenation & ventilation
Visible chest rise w/ each breath
assessed?
How can gastric inflation It decreases lung compliance
impair bag-mask
ventilation?
What is the most appropriate Deliver each breath over about 1 second
precautionary action to
minimize gastric inflation
during a
bag-mask ventilation?
Which is true about the Tissue hypoxia can occur with normal arterial oxygen saturation
difference between
hypoxemia & tissue
hypoxia?
What does hyperventilation, PaCO2 less than 35 mm Hg
which refers to increased
alveolar ventilation, result
in?
What happens to the May increase when dissolved oxygen is increased
arterial oxygen level in a
child w/ severe anemia?
Which is true of increased May be caused by disordered control of breathing
carbon dioxide tension in
arterial blood?
3/35
, 6/10/25, 10:10 AM PALS 2025
What happens when PaCO2 increases
ventilation is
inadequate?
What is a critical symptom of Decreased level of consciousness
hypercarbia?
Which of the following Mild increase in respiratory effort
indicates mild respiratory
distress?
Which of the following Marked tachypnea &/or apnea
indicates severe
respiratory distress?
Which of the following May occur w/o signs of respiratory distress
statements about
respiratory failure is true?
Which is most likely to be Ability to maintain a patent airway
present in a child who has
respiratory distress [not
respiratory failure]?
What steps should be taken Support an open airway
as part of initial Monitor O2 saturation by
pulse oximetry Monitor
management of a child in heart rate, rhythm, & bp
respiratory
distress?
Covers mouth
Which are ideal
& nose Has a
characteristics of face
soft rim
masks for ventilation?
Transparent
What is the rationale for Allows you to see the color of the child's lips
using a transparent mask?
What is the function of the Prevents rebreathing of carbon dioxide
nonrebreathing outlet
valve of a self-inflating
bag?
Which of the following is Tidal volume needs to be delivered at the correct rate
required to
appropriately ventilate a
4/35
