PALS Certification Practice Exam

This is a sample exam with 20 multiple-choice questions from the real exam. On the real exam, you will need to answer at least 80% of the questions correctly to receive certification, but if you don't pass on your first attempt you can retake the exam as many times as needed until you earn a passing score.

1. The PALS provider must be able to identify all of the following cardiac rhythms EXCEPT:

2. Problems leading to cardiac arrest in children may include:

3. When checking for a pulse, perform the check for:

4. You come upon a scene and find a child who has collapsed. The child is responsive and breathing. The next appropriate intervention is to:

5. In the intervention stage of the Evaluate-Identify-Intervene sequence, interventions may include:

6. The normal respiratory rate for a 5 year old child is:

7. When evaluating a child’s heart rate and rhythm, the provider must consider the child’s:

8. As perfusion decreases, the provider will usually first notice:

9. In a child with hypotension, the cardiac rhythm that is an ominous sign of impending arrest is:

10. An anterior-posterior chest x-ray is useful in determining all of the following EXCEPT:

11. Late and ominous signs of respiratory failure include all of the following EXCEPT:

12. A child is brought to the Emergency Department following ingestion of an unknown number of his grandmother's blood pressure medication. The main therapeutic intervention is to:

13. The goal of the PALS team in the treatment of shock is to:

14. A child with a history of congenital heart disease is brought to the Emergency Department by EMS with cyanotis of her hands and feet, seesaw respirations and grunting. This child is probably in:

15. In caring for a child in shock, the provider knows that all of the following are warning signs that compensatory mechanisms are failing EXCEPT:

16. Vasoactive therapy to decrease systemic vascular resistance (SVR) in shock might include all of the following EXCEPT:

17. You are caring for a 6 year old in septic shock with signs of vasoconstricted (cold) shock. After several fluid boluses, she is still hypotensive. The vasoactive drug of choice is:

18. A 5 year old child has a heart rate of 48, absent peripheral pulses, and lethargy. The child's airway is open and oxygen is being administered. The next intervention should be to:

19. A child has a heart rate of 110. The ECG shows a regular rhythm with regular P-P waves, normal QRS complexes, and a regular R to R pattern. This rhythm is likely:

20. As the provider for an 8 year old child in supraventricular tachycardia, you assess that he has peripheral pulses with the rhythm. Pulse oximetry and other vital signs are stable. The most appropriate intervention to consider is: