PALS PRE EXAM SELF-ASSESSMENT
QUESTIONS AND ANSWERS 2026 RATED A+
You are preparing to use a manual defibrillation in the
pediatric setting. Which best describes when it is appropriate
to use the smaller, pediatric-sized paddles?
A.) If the child weights less that 30kg or less than 5 years old.
B.) If the child weights less than 20kg or is less than 3 years
old.
,PALS PRE EXAM SELF-ASSESSMENT
QUESTIONS AND ANSWERS 2026 RATED A+
C.) If the child weighs less than 10 kg or is less the 1 year old.
D.) If the child weights less than 40 kg or is less than 10 years
old.
C.) If the child weighs less than 10 kg or is less that 1 year
old.
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 re 170/min, systolic blood pressure is 60
mmHg, capillary refill is 5 seconds, and Sp02 is 75% on room
air. Which action should you take first?
A.) Establish immediate vascular access
B.) While a colleague provides spinal motion restriction, open
the airway with a jaw thrust and provided bag-mask
ventilation.
C.) Provide 100% oxygen by simple mask.
D.) Perform immediate endotracheal intubation.
,PALS PRE EXAM SELF-ASSESSMENT
QUESTIONS AND ANSWERS 2026 RATED A+
B.) While a colleague provides spinal motion restriction, open
the airway with a jaw thrust and provide bag-mask ventilation.
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 (rang, 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?
A.) Atropine 0.02 mg/kg IV
B.) Transcutaneous pacing
C.) Synchronized cardio version at 0.5 J/kg
D.) Epinephrine 0.1 mg/kg IV
A.) Atropine 0.02 mg/kg IV
You are a caring for a 6 year old patient who is receiving
positive pressure mechanical ventilation via an endotracheal
tube. The child begins to move his head and suddenly
, PALS PRE EXAM SELF-ASSESSMENT
QUESTIONS AND ANSWERS 2026 RATED A+
becomes cyanotic, and his heart rate decreases. His Sp02 is
65%. You remove the child from the mechanical ventilation
and begin to provide manual ventilation with a bag via
endotracheal tube. During manual ventilation with 100%
oxygen, the child's color and heart rate improve slightly and
his blood pressure remains adequate. Breath sounds and chest
expansion are present and adequate on the right side and are
present but consistently diminished on the left side. The
trachea is not deviated and the neck veins are not distended. A
suction catheter passes easily beyond the tip of the
endotracheal tube. Which of the following is the most likely
cause of this child's acute deterioration?
A.) Tracheal tube obstruction
B.) Tracheal tube displacement int
B.) Tracheal tube displacement into the right main bronchus.
You just assisted with the elective endotracheal intubation of a
child with respiratory failure and a perfusing rhythm. Which
provides a reliable, prompt assessment of correct endotracheal
tube placement in this child?
QUESTIONS AND ANSWERS 2026 RATED A+
You are preparing to use a manual defibrillation in the
pediatric setting. Which best describes when it is appropriate
to use the smaller, pediatric-sized paddles?
A.) If the child weights less that 30kg or less than 5 years old.
B.) If the child weights less than 20kg or is less than 3 years
old.
,PALS PRE EXAM SELF-ASSESSMENT
QUESTIONS AND ANSWERS 2026 RATED A+
C.) If the child weighs less than 10 kg or is less the 1 year old.
D.) If the child weights less than 40 kg or is less than 10 years
old.
C.) If the child weighs less than 10 kg or is less that 1 year
old.
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 re 170/min, systolic blood pressure is 60
mmHg, capillary refill is 5 seconds, and Sp02 is 75% on room
air. Which action should you take first?
A.) Establish immediate vascular access
B.) While a colleague provides spinal motion restriction, open
the airway with a jaw thrust and provided bag-mask
ventilation.
C.) Provide 100% oxygen by simple mask.
D.) Perform immediate endotracheal intubation.
,PALS PRE EXAM SELF-ASSESSMENT
QUESTIONS AND ANSWERS 2026 RATED A+
B.) While a colleague provides spinal motion restriction, open
the airway with a jaw thrust and provide bag-mask ventilation.
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 (rang, 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?
A.) Atropine 0.02 mg/kg IV
B.) Transcutaneous pacing
C.) Synchronized cardio version at 0.5 J/kg
D.) Epinephrine 0.1 mg/kg IV
A.) Atropine 0.02 mg/kg IV
You are a caring for a 6 year old patient who is receiving
positive pressure mechanical ventilation via an endotracheal
tube. The child begins to move his head and suddenly
, PALS PRE EXAM SELF-ASSESSMENT
QUESTIONS AND ANSWERS 2026 RATED A+
becomes cyanotic, and his heart rate decreases. His Sp02 is
65%. You remove the child from the mechanical ventilation
and begin to provide manual ventilation with a bag via
endotracheal tube. During manual ventilation with 100%
oxygen, the child's color and heart rate improve slightly and
his blood pressure remains adequate. Breath sounds and chest
expansion are present and adequate on the right side and are
present but consistently diminished on the left side. The
trachea is not deviated and the neck veins are not distended. A
suction catheter passes easily beyond the tip of the
endotracheal tube. Which of the following is the most likely
cause of this child's acute deterioration?
A.) Tracheal tube obstruction
B.) Tracheal tube displacement int
B.) Tracheal tube displacement into the right main bronchus.
You just assisted with the elective endotracheal intubation of a
child with respiratory failure and a perfusing rhythm. Which
provides a reliable, prompt assessment of correct endotracheal
tube placement in this child?
