PALS PRETEST QUESTIONS AND
ANSWERS
 PALS POST TEST QUESTIONS AND
ANSWERS

PALS FINAL EXAM REVIEW 2024
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 - 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?
Place cold packs on the distal upper and lower extremities
Ask the child to blow through a small straw
Exert light pressure on the eyes bilaterally
Provide synchronized cardioversion at 0.5 to 1 J/kg - Provide synchronized cardioversion at 0.5
to 1 J/kg
You are initiating treatment for a child with septic shock and hypotension. While administering
high-flow oxygen you determine that the child's respirations are adequate and SpO2 is 100%.
You have just established vascular access and obtained blood samples. Which of the following is
the next most appropriate therapy to support systemic perfusion?
Administer repeated fluid boluses of isotonic colloid
Administer repeated fluid boluses of isotonic crystalloid