PALS: Test Study Guide Exam Questions
with correct Answers 2025/2026 A+
Graded 100% Verified
D. An extremity with slow a capillary refill time
In which of the following situations may IO access be used?
A. An extremity with signs of infection
B. An extremity with signs of a crush injury
C. An extremity with a previous unsuccessful IO attempt
D. An extremity with slow a capillary refill time
C. It is hypotensive.
A 2-week-old infant is being evaluated for irritability and poor feeding. His blood pressure is
55/40 mm Hg,
and capillary refill time is 5 seconds. Which statement best describes your assessment of this
infant's blood
pressure?
A. It represents compensated shock.
B. It is hypertensive.
C. It is hypotensive.
D. It is normal.
A. A child who is grunting
You are caring for patients in the emergency department. Which 2-year-old child requires
immediate
intervention?
A. A child who is grunting
B. A child with an SpO2 of 95% on room air
C. A child with a systolic blood pressure of 92 mm Hg
D. A child with a temperature of 37.4°C (99.3°F)
,C. Increased inspiratory effort with retractions
A 3-year-old child is having difficulty breathing. What finding would most likely lead you to
suspect an upper
airway obstruction in this child?
A. Expiratory breath sounds
B. Decreased expiratory effort
C. Increased inspiratory effort with retractions
D. Normal inspiratory sounds
A. Ask for a new task or role
A team member is unable to perform an assigned task because it is beyond the team member's
scope of practice. What action should the team member take?
A. Ask for a new task or role
B. Refuse to perform the task
C. Do it anyway
D. Seek expert consultation
C. Allowing complete chest wall recoil after each compression
You are the Team Leader during a pediatric resuscitation attempt. What action is an element of
high-quality CPR?
A. Providing a compression depth of one fourth the depth of the chest
B. Providing a compression rate of 80 to 100/min
C. Allowing complete chest wall recoil after each compression
D. Performing pulse checks every minute
D. Upper airway obstruction
An 8-year-old child is brought to the emergency department by his mother for difficulty
breathing. He has a history of asthma and nut allergies. His mother tells you that he recently ate
a cookie at a family picnic.
What condition is most likely to be present in this child?
A. Disordered control of breathing
B. Hypovolemic shock
C. Lung tissue disease
D. Upper airway obstruction
A. Decreased level of consciousness
, An 8-year-old child is brought to the emergency department by ambulance after being involved
in a motor
vehicle collision. What finding would suggest that immediate intervention is needed?
A. Decreased level of consciousness
B. Systolic blood pressure of 106 mm Hg
C. Temperature of 38.1°C (100.5°F)
D. Warm, moist skin
C. 15:2
A 6-year-old child is found unresponsive, not breathing, and without a pulse. One healthcare
worker leaves to activate the emergency response system and get the resuscitation equipment.
You and another healthcare provider immediately begin performing CPR. What
compression-to-ventilation ratio do you use?
A. 15:1
B. 30:1
C. 15:2
D. 30:2
B. An antibiotic
Use this scenario to answer the question:
You are caring for a 5-year-old boy with a 4-day history of high fever and cough. He is having
increasing lethargy, grunting, and sleepiness. Now he is difficult to arouse and is unresponsive
to voice commands. His oxygen saturation is 72% on room air and 89% when on a
non-rebreathing oxygen mask. He has shallow respirations with a respiratory rate of 38/min.
Auscultation of the lungs reveals bilateral crackles.
What medication would be most appropriate?
A. A bronchodilator
B. An antibiotic
C. A corticosteroid
D. A vasopressor
D. "Resume compressions."
with correct Answers 2025/2026 A+
Graded 100% Verified
D. An extremity with slow a capillary refill time
In which of the following situations may IO access be used?
A. An extremity with signs of infection
B. An extremity with signs of a crush injury
C. An extremity with a previous unsuccessful IO attempt
D. An extremity with slow a capillary refill time
C. It is hypotensive.
A 2-week-old infant is being evaluated for irritability and poor feeding. His blood pressure is
55/40 mm Hg,
and capillary refill time is 5 seconds. Which statement best describes your assessment of this
infant's blood
pressure?
A. It represents compensated shock.
B. It is hypertensive.
C. It is hypotensive.
D. It is normal.
A. A child who is grunting
You are caring for patients in the emergency department. Which 2-year-old child requires
immediate
intervention?
A. A child who is grunting
B. A child with an SpO2 of 95% on room air
C. A child with a systolic blood pressure of 92 mm Hg
D. A child with a temperature of 37.4°C (99.3°F)
,C. Increased inspiratory effort with retractions
A 3-year-old child is having difficulty breathing. What finding would most likely lead you to
suspect an upper
airway obstruction in this child?
A. Expiratory breath sounds
B. Decreased expiratory effort
C. Increased inspiratory effort with retractions
D. Normal inspiratory sounds
A. Ask for a new task or role
A team member is unable to perform an assigned task because it is beyond the team member's
scope of practice. What action should the team member take?
A. Ask for a new task or role
B. Refuse to perform the task
C. Do it anyway
D. Seek expert consultation
C. Allowing complete chest wall recoil after each compression
You are the Team Leader during a pediatric resuscitation attempt. What action is an element of
high-quality CPR?
A. Providing a compression depth of one fourth the depth of the chest
B. Providing a compression rate of 80 to 100/min
C. Allowing complete chest wall recoil after each compression
D. Performing pulse checks every minute
D. Upper airway obstruction
An 8-year-old child is brought to the emergency department by his mother for difficulty
breathing. He has a history of asthma and nut allergies. His mother tells you that he recently ate
a cookie at a family picnic.
What condition is most likely to be present in this child?
A. Disordered control of breathing
B. Hypovolemic shock
C. Lung tissue disease
D. Upper airway obstruction
A. Decreased level of consciousness
, An 8-year-old child is brought to the emergency department by ambulance after being involved
in a motor
vehicle collision. What finding would suggest that immediate intervention is needed?
A. Decreased level of consciousness
B. Systolic blood pressure of 106 mm Hg
C. Temperature of 38.1°C (100.5°F)
D. Warm, moist skin
C. 15:2
A 6-year-old child is found unresponsive, not breathing, and without a pulse. One healthcare
worker leaves to activate the emergency response system and get the resuscitation equipment.
You and another healthcare provider immediately begin performing CPR. What
compression-to-ventilation ratio do you use?
A. 15:1
B. 30:1
C. 15:2
D. 30:2
B. An antibiotic
Use this scenario to answer the question:
You are caring for a 5-year-old boy with a 4-day history of high fever and cough. He is having
increasing lethargy, grunting, and sleepiness. Now he is difficult to arouse and is unresponsive
to voice commands. His oxygen saturation is 72% on room air and 89% when on a
non-rebreathing oxygen mask. He has shallow respirations with a respiratory rate of 38/min.
Auscultation of the lungs reveals bilateral crackles.
What medication would be most appropriate?
A. A bronchodilator
B. An antibiotic
C. A corticosteroid
D. A vasopressor
D. "Resume compressions."
