PALS Final Exam Review 2026/2027 Version

PALS Final Exam Review Answers 2026/2027 Version
Mikey, a 2-year-old boy, is sitting upright on a hospital bed in room 3 of your emergency department.
Your initial impression from the door does not raise immediate concern. On your entry to the room, you
are able to look at Mikey more closely and notice on inhalation his nostrils are flaring. This is a sign of: -
✔✔Respiratory distress
The proper site for a peripheral pulse assessment in the infant patient is: - ✔✔brachial
You are called to the scene of a 3-year-old patient who was found anxious, *cyanotic* and lethargic after
a fall down a flight of stairs. On assessing the patient, you find vital signs with a respiratory rate of 30,
regular pulse rate of 130, regular capillary refill time of 4 seconds, and a blood pressure of 102/61. What
kind of shock is the patient experiencing? - ✔✔compensate shock?
A mnemonic that aids in performing a primary assessment is: - ✔✔ABCDE
A consideration of treatment for a pediatric patient with acute fulminant myocarditis who is in cardiac
arrest or at a high risk of cardiac arrest is: - ✔✔Extracorporeal membrane oxygenation (ECMO)
Which of the following is the correct meaning for one of the individual letters in the AVPU scale? -
✔✔Alert - The child is alert and awake and responds to normal stimuli based upon age and environment
The recommended route of vascular access on a hypotensive pediatric patient is: - ✔✔central IV
You are called to the bedside of a 12-year-old male patient who was admitted after a week of persistent
vomiting, diarrhea and limiting oral intake of both solids and liquids. The patient's airway is patent,
ventilatory rate is within normal limits and the patient's circulatory status presents with tachycardia, a
blood pressure of 70/40 and a capillary refill time of 5 seconds. The patient is speaking incoherently. The
patient has no history of cardiac problems or congenital defects. The appropriate fluid administration
dose for this patient is: - ✔✔20 ml/kg 0.9% NaCl over 10 minutes