PALS Updated FINAL EXAM Preparation Material
PALS UPDATED FINAL EXAM PREPARATION MATERIAL
2025/2026 COMPLETE QUESTIONS AND CORRECT ANSWERS
|ALREADY GRADED A+
A 2-year-old child arrives at the emergency department with the parents. The
child is unresponsive, is not breathing and has no pulse. Two emergency
department providers begin high-quality CPR. Which action(s) by the providers
demonstrates high-quality CPR?
Allowing the chest to recoil fully after each compression
Providing ventilations that last about 1 second each
Compressing the chest about 2 inches
Giving 2 ventilations to every 15 compressions
A PALS resuscitation team is preparing to defibrillate a child experiencing cardiac
arrest. For which rhythm(s) would this action be appropriate?
VF and pVT are shockable cardiac arrest rhythms.
A provider is assessing a child with suspected shock. Which statement correctly
describes hypotension and shock?
Hypotension is not a consistent feature of shock;
A provider is caring for a 4-year-old child in the urgent care clinic. Primary
assessment reveals difficulty breathing and an oxygen saturation of 91%. The
provider administers oxygen by nasal cannula with the goal of improving the
child’s oxygen saturation above what percentage?
1|Page
, PALS Updated FINAL EXAM Preparation Material
Supplemental oxygen should be administered as needed to maintain an oxygen
saturation above 94%.
An 11-year-old soccer player is brought to the emergency department. After a
quick assessment, the team realizes this patient is experiencing a severe asthma
exacerbation. Which medication would the team administer first?
Albuterol plus ipratropium bromid
A child in the pediatric step-down unit is exhibiting signs of respiratory distress.
When assessing this child, which circulation finding might be present?
Pallor is a circulation finding that may be seen in patients with respiratory distress.
A healthcare provider is performing a primary assessment of a child in
respiratory distress. The provider documents increased work of breathing when
which findings are observed?
Nasal flaring, use of accessory muscles to breathe and intercostal, substernal or
suprasternal retractions are all indicators of increased work or effort of breathing.
Grunting and inspiratory stridor are abnormal breath sounds.
An 11-year-old child develops unstable wide-complex tachycardia. Assessment
reveals signs of significant hemodynamic compromise, but the child has a pulse.
The PALS team would prepare the child for which intervention?
First-line treatment for unstable wide-complex tachycardias consists of
synchronized electrical cardioversion, particularly when signs of hemodynamic
compromise are apparent.
2|Page
PALS UPDATED FINAL EXAM PREPARATION MATERIAL
2025/2026 COMPLETE QUESTIONS AND CORRECT ANSWERS
|ALREADY GRADED A+
A 2-year-old child arrives at the emergency department with the parents. The
child is unresponsive, is not breathing and has no pulse. Two emergency
department providers begin high-quality CPR. Which action(s) by the providers
demonstrates high-quality CPR?
Allowing the chest to recoil fully after each compression
Providing ventilations that last about 1 second each
Compressing the chest about 2 inches
Giving 2 ventilations to every 15 compressions
A PALS resuscitation team is preparing to defibrillate a child experiencing cardiac
arrest. For which rhythm(s) would this action be appropriate?
VF and pVT are shockable cardiac arrest rhythms.
A provider is assessing a child with suspected shock. Which statement correctly
describes hypotension and shock?
Hypotension is not a consistent feature of shock;
A provider is caring for a 4-year-old child in the urgent care clinic. Primary
assessment reveals difficulty breathing and an oxygen saturation of 91%. The
provider administers oxygen by nasal cannula with the goal of improving the
child’s oxygen saturation above what percentage?
1|Page
, PALS Updated FINAL EXAM Preparation Material
Supplemental oxygen should be administered as needed to maintain an oxygen
saturation above 94%.
An 11-year-old soccer player is brought to the emergency department. After a
quick assessment, the team realizes this patient is experiencing a severe asthma
exacerbation. Which medication would the team administer first?
Albuterol plus ipratropium bromid
A child in the pediatric step-down unit is exhibiting signs of respiratory distress.
When assessing this child, which circulation finding might be present?
Pallor is a circulation finding that may be seen in patients with respiratory distress.
A healthcare provider is performing a primary assessment of a child in
respiratory distress. The provider documents increased work of breathing when
which findings are observed?
Nasal flaring, use of accessory muscles to breathe and intercostal, substernal or
suprasternal retractions are all indicators of increased work or effort of breathing.
Grunting and inspiratory stridor are abnormal breath sounds.
An 11-year-old child develops unstable wide-complex tachycardia. Assessment
reveals signs of significant hemodynamic compromise, but the child has a pulse.
The PALS team would prepare the child for which intervention?
First-line treatment for unstable wide-complex tachycardias consists of
synchronized electrical cardioversion, particularly when signs of hemodynamic
compromise are apparent.
2|Page
