PALS ALL QUESTIONS AND CORRECT VERIFIED ANSWERS
LATEST UPDATE 2026/2027 BEST EXAM SOLUTION RATED A
+
Which of the following is likely to be the most helpful technique to identify potentially
reversible metabolic and toxic causes during the attempted resuscitation of a young child in
cardiac arrest?
Obtaining a urine sample for toxicology screen
Obtaining chest and abdominal radiographs
Soliciting a history from the caregiver or family
Obtaining a venous blood gas - CORRECT ANSWERS Soliciting a history from the caregiver or
family
You are caring for a patient who developed a tension pneumothorax after several hours of
positive-pressure ventilation. Which of the following would be the most appropriate site for
needle decompression?
Over the third rib at the midclavicular line
Under the eighth rib at the midaxillary line
Over the fifth rib at the sternal border
Under the sixth rib at the midclavicular line - CORRECT ANSWERS Over the third rib at the
midclavicular line
You attempted synchronized cardioversion for an infant with supraventricular tachycardia
(SVT) and poor perfusion. The SVT persists after the initial 1 J/kg shock. Which of the
following should you attempt now?
Synchronized cardioversion at a dose of 2 J/kg
Synchronized cardioversion at a dose of 4 J/kg
Unsynchronized cardioversion at a dose of 2 J/kg
Unsynchronized cardioversion at a dose of 4 J/kg - CORRECT ANSWERS Synchronized
cardioversion at a dose of 2 J/kg
You are treating a 5-month-old with a 2-day history of vomiting and diarrhea. The patient is
listless. The respiratory rate is 52/min and unlabored. The heart rate is 170/min and pulses
are present but weak. Capillary refill is delayed. You are administering high-flow oxygen, and
intravenous access is in place. At this point the most important therapy is to:
, PALS ALL QUESTIONS AND CORRECT VERIFIED ANSWERS
LATEST UPDATE 2024/2025 BEST EXAM SOLUTION RATED A+
Administer an epinephrine bolus
Begin bag-mask ventilation
Provide a rapid 20 ml/kg isotonic crystalloid fluid bolus
Administer a bolus of 0.5 g/kg of dextrose - CORRECT ANSWERS Provide a rapid 20 ml/kg
isotonic crystalloid fluid bolus
Which of the following groups of clinical findings would be most consistent with categorizing
a patient with compensated shock?
Normal systolic blood pressure, decreased level of consciousness, cool extremities with
delayed capillary refill, and faint or nonpalpable distal pulses
Decreased level of consciousness, extensor posturing in response to pain, hypertension, and
apnea
Normal blood pressure, normal level of consciousness, bounding distal pulses, hypercarbia,
hypoxemia, and normal urine output
Unresponsiveness, normal breathing, and good distal pulses - CORRECT ANSWERS Normal
systolic blood pressure, decreased level of consciousness, cool extremities with delayed
capillary refill, and faint or nonpalpable distal pulses
You are caring for a child who was resuscitated after a drowning event. The child is intubated
and ventilated with 100% oxygen with equal breath sounds and exhaled CO2 detected. The
heart rate is slow and the monitor shows sinus bradycardia. The skin is cool, mottled, and
moist; distal pulses are not palpable and the central pulses are weak. Intravenous access has
been established. The core temperature is 37.3oC. Based on the PALS bradycardia algorithm,
which of the following should be provided first?
Epinephrine IV
Transcutaneous pacing
Atropine IV
Dobutamine IV infusion - CORRECT ANSWERS Epinephrine IV
You are caring for a 5-year-old patient with supraventricular tachycardia (heart rate =
220/min). The child is lethargic. The skin is pale and cool with delayed capillary refill. Distal
pulses are not palpable. Which of the following would be the best treatment to provide
without delay?
LATEST UPDATE 2026/2027 BEST EXAM SOLUTION RATED A
+
Which of the following is likely to be the most helpful technique to identify potentially
reversible metabolic and toxic causes during the attempted resuscitation of a young child in
cardiac arrest?
Obtaining a urine sample for toxicology screen
Obtaining chest and abdominal radiographs
Soliciting a history from the caregiver or family
Obtaining a venous blood gas - CORRECT ANSWERS Soliciting a history from the caregiver or
family
You are caring for a patient who developed a tension pneumothorax after several hours of
positive-pressure ventilation. Which of the following would be the most appropriate site for
needle decompression?
Over the third rib at the midclavicular line
Under the eighth rib at the midaxillary line
Over the fifth rib at the sternal border
Under the sixth rib at the midclavicular line - CORRECT ANSWERS Over the third rib at the
midclavicular line
You attempted synchronized cardioversion for an infant with supraventricular tachycardia
(SVT) and poor perfusion. The SVT persists after the initial 1 J/kg shock. Which of the
following should you attempt now?
Synchronized cardioversion at a dose of 2 J/kg
Synchronized cardioversion at a dose of 4 J/kg
Unsynchronized cardioversion at a dose of 2 J/kg
Unsynchronized cardioversion at a dose of 4 J/kg - CORRECT ANSWERS Synchronized
cardioversion at a dose of 2 J/kg
You are treating a 5-month-old with a 2-day history of vomiting and diarrhea. The patient is
listless. The respiratory rate is 52/min and unlabored. The heart rate is 170/min and pulses
are present but weak. Capillary refill is delayed. You are administering high-flow oxygen, and
intravenous access is in place. At this point the most important therapy is to:
, PALS ALL QUESTIONS AND CORRECT VERIFIED ANSWERS
LATEST UPDATE 2024/2025 BEST EXAM SOLUTION RATED A+
Administer an epinephrine bolus
Begin bag-mask ventilation
Provide a rapid 20 ml/kg isotonic crystalloid fluid bolus
Administer a bolus of 0.5 g/kg of dextrose - CORRECT ANSWERS Provide a rapid 20 ml/kg
isotonic crystalloid fluid bolus
Which of the following groups of clinical findings would be most consistent with categorizing
a patient with compensated shock?
Normal systolic blood pressure, decreased level of consciousness, cool extremities with
delayed capillary refill, and faint or nonpalpable distal pulses
Decreased level of consciousness, extensor posturing in response to pain, hypertension, and
apnea
Normal blood pressure, normal level of consciousness, bounding distal pulses, hypercarbia,
hypoxemia, and normal urine output
Unresponsiveness, normal breathing, and good distal pulses - CORRECT ANSWERS Normal
systolic blood pressure, decreased level of consciousness, cool extremities with delayed
capillary refill, and faint or nonpalpable distal pulses
You are caring for a child who was resuscitated after a drowning event. The child is intubated
and ventilated with 100% oxygen with equal breath sounds and exhaled CO2 detected. The
heart rate is slow and the monitor shows sinus bradycardia. The skin is cool, mottled, and
moist; distal pulses are not palpable and the central pulses are weak. Intravenous access has
been established. The core temperature is 37.3oC. Based on the PALS bradycardia algorithm,
which of the following should be provided first?
Epinephrine IV
Transcutaneous pacing
Atropine IV
Dobutamine IV infusion - CORRECT ANSWERS Epinephrine IV
You are caring for a 5-year-old patient with supraventricular tachycardia (heart rate =
220/min). The child is lethargic. The skin is pale and cool with delayed capillary refill. Distal
pulses are not palpable. Which of the following would be the best treatment to provide
without delay?
