MINDPLUG ACADEMIC SOLUTIONS | VERIFIED EXAM GUIDES | 2025 EDITION
PALS Precourse Self-Assessment (2025) –
Complete Verified Questions & 100%
Correct Answers
You need to provide rescue breaths to a child victim with a pulse. What is the appropriate rate for
delivering breaths?
1 breath every 2-3 seconds
A child becomes unresponsive in the emergency department and is not breathing. You are uncertain if a
faint pulse is present. You shout for help and provide ventilation with 100% oxygen. The rhythm shown
here is seen on the cardiac monitor. What is your next action?
Start high-quality CPR
A pale and very sleepy but arousable 3-year-old child with a history of diarrhea is brought to the
hospital.
Primary assessment reveals a respiratory rate of 45/min with good breath sounds bilaterally. Heart rate
is 150/min, blood pressure is 90/64 mm Hg, and SpO, is 92% in room air. Capillary refill is 5 seconds, and
peripheral pulses are weak. After placing the child on a nonrebreathing face mask (10-L/min flow) with
100% oxygen and obtaining vascular access, which is the most appropriate immediate treatment for this
child?
Administer a bolus of 20 mL/kg isotonic crystalloid
What compression-to-ventilation ratio should be used for 2-rescuer infant CPR?
15 compressions to 2 breaths
MINDPLUG ACADEMIC SOLUTIONS – TURNING STUDY INTO STRATEGY
,MINDPLUG ACADEMIC SOLUTIONS | VERIFIED EXAM GUIDES | 2025 EDITION
A 3-year-old boy presents with multiple-system trauma. The child was an unrestrained passenger in a
high-speed motor vehicle crash. On primary assessment, he is unresponsive to voice or painful
stimulation. His respiratory rate is 5/min, heart rate and pulses are 170/min, systolic blood pressure is
60 mm Hg, capillary refill is 5 seconds, and SpOz is 75% on room air. Which action should you take first?
While a colleague provides spinal motion restriction, open the airway with a jaw thrust and provide bag-
mask ventilation
A 10-month-old infant boy is brought to the emergency department. Your initial assessment reveals a
lethargic, pale infant with slow respirations and slow, weak central pulses. One team member begins
ventilation with a bag-mask device with 100% oxygen. A second team member attaches the
monitor/defibrillator and obtains vital signs while a third team member attempts to establish IV/O
access. The patient's heart rate is 38/min with the rhythm shown here. The infant's blood pressure is
58/38 mm Hg, and capillary refill is 4 seconds. His central pulses remain weak, and distal pulses cannot
be palpated. Chest compressions are started and I0 access is obtained. Which medication do you
anticipate will be given next?
Epinephrine 0.01 mg/kg IV/IO
You are caring for a 3-year-old with vomiting and diarrhea. You have established IV access. The child's
pulses are palpable but faint, and the child is now lethargic. The heart rate is variable (range, 44/min to
62/min). You begin bag-mask ventilation with 100% oxygen. When the heart rate does not improve, you
begin chest compressions. The rhythm shown here is seen on the cardiac monitor. Which would be the
most appropriate therapy to consider next?
Atropine 0.02 mg/kg IV
Which statement is correct about endotracheal drug administration during resuscitative efforts for
pediatric
patients?
It is the least desirable route of administration
Which oxygen delivery system most reliably delivers a high (90% or greater) concentration of inspired
oxygen to a 7-year-old child?
MINDPLUG ACADEMIC SOLUTIONS – TURNING STUDY INTO STRATEGY
, MINDPLUG ACADEMIC SOLUTIONS | VERIFIED EXAM GUIDES | 2025 EDITION
Nonrebreathing face mask
Paramedics are called to the home of a 1-year-old child. Their initial assessment reveals a child who
responds only to painful stimuli and has irregular breathing, faint central pulses, bruises over the
abdomen, abdominal distention, and cyanosis. Bag-mask ventilation with 100% oxygen is initiated. The
child's heart rate is 36/min. Peripheral pulses cannot be palpated, and central pulses are barely
palpable. The cardiac monitor shows sinus bradycardia. Two-rescuer CPR is started. Upon arrival to the
emergency department, the child is intubated and ventilated with 100% oxygen, and IV access is
established. The heart rate is now 150/min with weak central pulses but no distal pulses. Systolic blood
pressure is 74 mm Hg. Which intervention should be provided next?
Rapid bolus of 20 mL/kg of isotonic crystalloid
A previously healthy infant with a history of vomiting and diarrhea is brought to the emergency
department by her parents. During your assessment, you find that the infant responds only to painful
stimulation. The infant's respiratory rate is 40 breaths per minute, and central pulses are rapid and
weak. The infant has good bilateral breath sounds, cool extremities, and a capillary refill time of more
than 5 seconds. The infant's blood pressure is 85/65 mm Hg, and glucose is 30 mg/dL (1.65 mol/L). You
administer 100% oxygen via face mask and start an IV. Which treatment is the most appropriate for this
infant?
Administer a bolus of isotonic crystalloid 20 mL/kg over 5 to 20 minutes, and also give D2;W 2 to 4
mL/kg IV
A 9-year-old boy is agitated and leaning forward on the bed in obvious respiratory distress. The patient
is speaking in short phrases and tells you that he has asthma but does not carry an inhaler. He has nasal
flaring, severe suprasternal and intercostal retractions, and decreased air movement with prolonged
expiratory time and wheezing. You administer 100% oxygen by a nonrebreathing mask. His SpO, is 92%.
Which medication do you prepare to give to this patient?
Albuterol
MINDPLUG ACADEMIC SOLUTIONS – TURNING STUDY INTO STRATEGY
PALS Precourse Self-Assessment (2025) –
Complete Verified Questions & 100%
Correct Answers
You need to provide rescue breaths to a child victim with a pulse. What is the appropriate rate for
delivering breaths?
1 breath every 2-3 seconds
A child becomes unresponsive in the emergency department and is not breathing. You are uncertain if a
faint pulse is present. You shout for help and provide ventilation with 100% oxygen. The rhythm shown
here is seen on the cardiac monitor. What is your next action?
Start high-quality CPR
A pale and very sleepy but arousable 3-year-old child with a history of diarrhea is brought to the
hospital.
Primary assessment reveals a respiratory rate of 45/min with good breath sounds bilaterally. Heart rate
is 150/min, blood pressure is 90/64 mm Hg, and SpO, is 92% in room air. Capillary refill is 5 seconds, and
peripheral pulses are weak. After placing the child on a nonrebreathing face mask (10-L/min flow) with
100% oxygen and obtaining vascular access, which is the most appropriate immediate treatment for this
child?
Administer a bolus of 20 mL/kg isotonic crystalloid
What compression-to-ventilation ratio should be used for 2-rescuer infant CPR?
15 compressions to 2 breaths
MINDPLUG ACADEMIC SOLUTIONS – TURNING STUDY INTO STRATEGY
,MINDPLUG ACADEMIC SOLUTIONS | VERIFIED EXAM GUIDES | 2025 EDITION
A 3-year-old boy presents with multiple-system trauma. The child was an unrestrained passenger in a
high-speed motor vehicle crash. On primary assessment, he is unresponsive to voice or painful
stimulation. His respiratory rate is 5/min, heart rate and pulses are 170/min, systolic blood pressure is
60 mm Hg, capillary refill is 5 seconds, and SpOz is 75% on room air. Which action should you take first?
While a colleague provides spinal motion restriction, open the airway with a jaw thrust and provide bag-
mask ventilation
A 10-month-old infant boy is brought to the emergency department. Your initial assessment reveals a
lethargic, pale infant with slow respirations and slow, weak central pulses. One team member begins
ventilation with a bag-mask device with 100% oxygen. A second team member attaches the
monitor/defibrillator and obtains vital signs while a third team member attempts to establish IV/O
access. The patient's heart rate is 38/min with the rhythm shown here. The infant's blood pressure is
58/38 mm Hg, and capillary refill is 4 seconds. His central pulses remain weak, and distal pulses cannot
be palpated. Chest compressions are started and I0 access is obtained. Which medication do you
anticipate will be given next?
Epinephrine 0.01 mg/kg IV/IO
You are caring for a 3-year-old with vomiting and diarrhea. You have established IV access. The child's
pulses are palpable but faint, and the child is now lethargic. The heart rate is variable (range, 44/min to
62/min). You begin bag-mask ventilation with 100% oxygen. When the heart rate does not improve, you
begin chest compressions. The rhythm shown here is seen on the cardiac monitor. Which would be the
most appropriate therapy to consider next?
Atropine 0.02 mg/kg IV
Which statement is correct about endotracheal drug administration during resuscitative efforts for
pediatric
patients?
It is the least desirable route of administration
Which oxygen delivery system most reliably delivers a high (90% or greater) concentration of inspired
oxygen to a 7-year-old child?
MINDPLUG ACADEMIC SOLUTIONS – TURNING STUDY INTO STRATEGY
, MINDPLUG ACADEMIC SOLUTIONS | VERIFIED EXAM GUIDES | 2025 EDITION
Nonrebreathing face mask
Paramedics are called to the home of a 1-year-old child. Their initial assessment reveals a child who
responds only to painful stimuli and has irregular breathing, faint central pulses, bruises over the
abdomen, abdominal distention, and cyanosis. Bag-mask ventilation with 100% oxygen is initiated. The
child's heart rate is 36/min. Peripheral pulses cannot be palpated, and central pulses are barely
palpable. The cardiac monitor shows sinus bradycardia. Two-rescuer CPR is started. Upon arrival to the
emergency department, the child is intubated and ventilated with 100% oxygen, and IV access is
established. The heart rate is now 150/min with weak central pulses but no distal pulses. Systolic blood
pressure is 74 mm Hg. Which intervention should be provided next?
Rapid bolus of 20 mL/kg of isotonic crystalloid
A previously healthy infant with a history of vomiting and diarrhea is brought to the emergency
department by her parents. During your assessment, you find that the infant responds only to painful
stimulation. The infant's respiratory rate is 40 breaths per minute, and central pulses are rapid and
weak. The infant has good bilateral breath sounds, cool extremities, and a capillary refill time of more
than 5 seconds. The infant's blood pressure is 85/65 mm Hg, and glucose is 30 mg/dL (1.65 mol/L). You
administer 100% oxygen via face mask and start an IV. Which treatment is the most appropriate for this
infant?
Administer a bolus of isotonic crystalloid 20 mL/kg over 5 to 20 minutes, and also give D2;W 2 to 4
mL/kg IV
A 9-year-old boy is agitated and leaning forward on the bed in obvious respiratory distress. The patient
is speaking in short phrases and tells you that he has asthma but does not carry an inhaler. He has nasal
flaring, severe suprasternal and intercostal retractions, and decreased air movement with prolonged
expiratory time and wheezing. You administer 100% oxygen by a nonrebreathing mask. His SpO, is 92%.
Which medication do you prepare to give to this patient?
Albuterol
MINDPLUG ACADEMIC SOLUTIONS – TURNING STUDY INTO STRATEGY
