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PALS Practice Test

Note: This Practice Test covers five core PALS algorithms: Cardiac Arrest, Bradycardia with a Pulse, Tachyarrhythmia with a Pulse, Pediatric Septic Shock, and the Pediatric Post–Cardiac Arrest Care Algorithm.

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1. A child is found pulseless with ventricular fibrillation. What is the first shock dose?
A.

1 J/kg

B.

 2 J/kg

C.

5 J/kg

D.

10 J/kg

Please select atleast one answer!

2. During CPR, chest compressions should be performed at what rate?
A.

60–80/min

B.

80–100/min

C.

100–120/min

D.

More than 140/min

Please select atleast one answer!
3. How often should epinephrine be administered during cardiac arrest?
A.

Every minute

B.

3-5 minutes

C.

Every 10 minutes

D.

Once only

Please select atleast one answer!
4. Which rhythm is considered shockable?
A.

Asystole

B.

Pulseless electrical activity

C.

Ventricular fibrillation

D.

Sinus bradycardia

Please select atleast one answer!
5. Which action improves CPR quality?
A.

Frequent interruptions

B.

Shallow compressions

C.

Allow complete chest recoil

D.

Compress slower than 80/min

Please select atleast one answer!
6. A child has a heart rate of 50/min despite adequate oxygenation and ventilation and has poor perfusion. What should you do next?
A.

Observe closely

B.

Begin CPR

C.

Administer adenosine

D.

Perform synchronized cardioversion

Please select atleast one answer!
7. Which medication is commonly used for symptomatic bradycardia caused by increased vagal tone or primary AV block?
A.

Adenosine

B.

Atropine

C.

Magnesium

D.

Amiodarone

Please select atleast one answer!
8. If bradycardia persists despite oxygenation, ventilation, CPR, and epinephrine, what should be considered?
A.

Defibrillation

B.

Transcutaneous pacing

C.

Adenosine

D.

Synchronized cardioversion

Please select atleast one answer!
9. What is the priority when treating pediatric bradycardia?
A.

Defibrillation

B.

Oxygenation and ventilation

C.

Lidocaine

D.

Amiodarone

Please select atleast one answer!
10. Which medication is recommended every 3–5 minutes during symptomatic bradycardia if the heart rate remains low?
A.

Epinephrine

B.

Dopamine

C.

Adenosine

D.

Procainamide

Please select atleast one answer!
11. A 6-year-old child has a heart rate of 240/min with a narrow QRS complex and is alert. Vagal maneuvers are unsuccessful. What is the next intervention?
A.

Immediate defibrillation

B.

Adenosine rapid IV/IO push

C.

Epinephrine infusion

D.

Amiodarone infusion

Please select atleast one answer!
12. A child with SVT develops hypotension and altered mental status. What is the most appropriate treatment?
A.

Amiodarone

B.

Adenosine

C.

Synchronized cardioversion

D.

Defibrillation

Please select atleast one answer!
13. Which initial energy dose is recommended for synchronized cardioversion in pediatric tachycardia?
A.

0.5–1 J/kg

B.

2–4 J/kg

C.

5–6 J/kg

D.

10 J/kg

Please select atleast one answer!
14. A child has a wide-complex tachycardia with good perfusion. Which medication may be considered?
A.

Atropine

B.

Lidocaine or amiodarone

C.

Calcium chloride

D.

Sodium bicarbonate

Please select atleast one answer!
15. Which finding indicates unstable tachycardia?
A.

Mild fever

B.

Heart rate of 170/min with normal blood pressure

C.

Hypotension with altered mental status

D.

Normal capillary refill

Please select atleast one answer!
16. What is the initial treatment priority for pediatric septic shock?
A.

Immediate antibiotics only

B.

Airway, breathing, circulation, and oxygenation

C.

Defibrillation

D.

Adenosine

Please select atleast one answer!
17. Which intervention should be provided as early as possible after recognizing septic shock?
A.

Antibiotics

B.

Defibrillation

C.

Atropine

D.

Magnesium

Please select atleast one answer!
18. What is the recommended initial crystalloid fluid bolus for septic shock?
A.

 5 mL/kg

B.

10 mL/kg

C.

20 mL/kg

D.

50 mL/kg

Please select atleast one answer!
19. If hypotension persists despite adequate fluid resuscitation, what should be started?
A.

Vasoactive infusion

B.

Adenosine

C.

Defibrillation

D.

Atropine

Please select atleast one answer!
20. Which clinical finding may indicate septic shock?
A.

Warm skin only

B.

Poor capillary refill and altered mental status

C.

Bradycardia only

D.

Isolated hypertension

Please select atleast one answer!
21. Following return of spontaneous circulation (ROSC), what is the priority?
A.

Stop monitoring

B.

Optimize airway, breathing, and circulation

C.

Defibrillation

D.

Adenosine

Please select atleast one answer!
22. What oxygen strategy is recommended after ROSC?
A.

Maintain oxygen saturation at 100% indefinitely

B.

Titrate oxygen to avoid both hypoxemia and hyperoxemia

C.

Remove oxygen immediately

D.

Use room air for every patient

Please select atleast one answer!
23. Why should blood glucose be monitored after cardiac arrest?
A.

It does not affect recovery.

B.

Both hypoglycemia and hyperglycemia can worsen neurological outcomes.

C.

It is required only for diabetic patients.

D.

It replaces neurological assessment.

Please select atleast one answer!
24. Which temperature management strategy is appropriate after ROSC?
A.

Allow fever to develop.

B.

Prevent and treat fever.

C.

Keep the child severely hypothermic.

D.

No temperature monitoring is needed.

Please select atleast one answer!
25. Which assessment should be performed continuously during post-cardiac arrest care?
A.

Neurological status and hemodynamic monitoring

B.

Skin color only

C.

Respiratory rate only

D.

Blood pressure once every 12 hours

Please select atleast one answer!
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