PALS PRETEST EXAM QUESTIONS AND
ANSWERS UPDATED (2024/2025)
(VERIFIED ANSWERS)
A 9yo boy is agitated and leaning forward on the bed in obvious respiratory
distress. - ANS ✓Albuterol
Which oxygen delivery system most reliably delivers a high (90% or
greater) concentration of inspired oxygen to a 7yo child? - ANS
✓Nonrebreathing face mask
Paramedics are called to the home of a 1yo 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 - ANS ✓Rapid bolus of 20ml/kg of isotonic crystalloid
A 7yo boy is found unresponsive, apneic, and pulseless. CPR is ongoing -
ANS ✓Identify and treat reversible causes
You are preparing to use a manual defibrillator in the pediatric setting.
Which best describes when it is appropriate to use the smaller, pediatric-
sized paddles? - ANS ✓If the child weighs less than 10kg or is less than 1 year
old
What compression-to-ventilation ratio should be used for 2-rescuer infant
CPR? - ANS ✓15 compressions to 2 breaths
You find an infant who is unresponsive, is not breathing, and does not have
a pulse. You shout for nearby help, but no one arrives. What action should
1
PALS PreTest
, PALS
you take next? - ANS ✓Provide CPR for about 2 minutes before leaving to
activate the emergency response system
You are assisting in the elective intubation of an average-sized 4yo child
with respiratory failure. A colleague is retrieving the color-coded length-
based tape from the resuscitation cart. Which of the following is likely to be
the estimated size of the uncuffed endotracheal tube for this child? - ANS
✓5mm tube
A pale and very sleepy but arousable 3yo child with a hx of diarrhea is
brought to the hospital. Primary assessment reveals a respiratory rate of
45/min with good breath sounds bilaterally - ANS ✓Administer a bolus of 20
ml/kg isotonic crystalloid
You are evaluating an irritable 6yo girl with mottled skin color. - ANS
✓Compensated shock associated with tachycardia and inadequate tissue
perfusion
You assisted with the elective endotracheal intubation of a child with
respiratory failure and a perfusing rhythm - ANS ✓Adequate bilateral breath
sounds and chest expansion plus detection of ETCO2 with waveform
capnography
You and another rescuer begin CPR. Your colleague begins compressions,
and you notice that the compression rate is too slow. What should you say
to offer constructive feedback? - ANS ✓You need to compress at a rate of 100-
120 per minute."
A 10mo infant boy is brought to the emergency department. Your initial
assessment reveals a lethargic, pale infant with slow respirations and slow,
weak central pulses. - ANS ✓Epinephrine 0.01 mg/kg IV/IO
A 1yo boy is brought to the emergency department for evaluation of poor
feeding, irritability, and sweating - ANS ✓Administer adenosine 0.1 mg/kg IV
rapid push
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PALS PreTest
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