PALS Provider: Course

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What to Expect

You’ve completed your Pediatric Advanced Life Support (PALS) Provider Course, building the skills necessary to recognize and manage pediatric emergencies—including respiratory failure, shock, and cardiac arrest. Now, it's time to demonstrate that knowledge and earn your certification.

This exam is not designed to trip you up—it’s built to verify that you’re ready to perform in a real-world emergency. Here’s what to expect:

Exam Overview

  • 65 questions, covering all critical PALS topics, including multiple-choice and true/false formats.
  • Questions are randomized for each attempt—no two exams are alike.
  • Time limit: 90 minutes. Be prepared to complete the exam in one sitting.
  • All questions must be answered before you can submit.
  • Immediate feedback is provided after each question, including rationale.
  • Passing score: 75%.
  • Three attempts allowed before a required review break.

Before You Begin

  • This is an individual assessment. No notes, no assistance—rely on your training.
  • Ensure your internet connection is stable and your device is fully charged.
  • Find a quiet environment to focus and avoid interruptions.
  • While you may review answers before submission, remember that real emergencies require timely, confident decisions.

After the Exam

  • If you pass, you’ll immediately receive your official PALS Certification Card.
  • If not, you’ll have two more chances before a cooldown period and review are required.

Need Help?

If you experience a technical issue or need clarification about a question, contact support@firstaidweb.com. We’re here to help.

You’re ready—begin your exam when you're confident.

What is the recommended treatment for a pediatric patient with anaphylaxis and poor perfusion?

The maximum single dose of adenosine for pediatric SVT is 12 mg.

What is the maximum time allowed for pulse checks during pediatric CPR?

What is the first action when a child in cardiac arrest has an identified shockable rhythm?

The preferred method to confirm endotracheal tube placement is waveform capnography.

What is the correct action if a child remains in shock despite adequate fluid resuscitation?

The maximum dose of atropine for pediatric bradycardia is 5 mg.

What is the compression depth for high-quality CPR in a child?

What is the initial dose of epinephrine during pediatric cardiac arrest?

Pulseless electrical activity (PEA) requires defibrillation during pediatric resuscitation.

What is the target oxygen saturation for neonates in the first 5 minutes of life?

Hypovolemia is a reversible cause of pediatric cardiac arrest.

What is the recommended ventilation rate for a child with an advanced airway during CPR?

Intraosseous access should only be used as a last resort in pediatric resuscitation.

What is the first-line treatment for a child with complete airway obstruction?

The recommended compression depth for children is 1/3 the depth of the chest.

How often should rescuers switch roles during pediatric CPR to prevent fatigue?

Adenosine is the first-line drug for treating stable SVT in children.

What is the initial dose of epinephrine during neonatal resuscitation?

The preferred method to confirm endotracheal tube placement is waveform capnography.

What is the recommended compression fraction for high-quality pediatric CPR?

How should you treat a child with a shockable rhythm during cardiac arrest?

Torsades de pointes in pediatric patients is treated with magnesium sulfate.

Chest compressions should be paused to deliver ventilations during CPR with an advanced airway.

How often should rescuers rotate roles during high-quality CPR?

The target oxygen saturation for neonates during the first 10 minutes of resuscitation is 90-95%.

What is the first-line treatment for bradycardia due to increased vagal tone in children?

What is the initial treatment for bradycardia with poor perfusion in a child?

What is the target oxygen saturation for pediatric resuscitation?

Which of the following is NOT a reversible cause of pediatric cardiac arrest?

What is the appropriate action for pediatric anaphylaxis with airway compromise?

What is the fluid bolus dose for pediatric patients in septic shock?

What is the recommended action for a child in respiratory arrest with a pulse?

What is the maximum fluid bolus dose for a child in shock?

Pulseless electrical activity (PEA) is treated with defibrillation in pediatric patients.

What is the recommended compression-to-ventilation ratio for two-rescuer child CPR?

How often should rescuers rotate roles during pediatric CPR?

What is the maximum cumulative dose of lidocaine in pediatric resuscitation?

What is the correct dose of epinephrine for neonatal resuscitation?

Hypothermia is included in the "H's" for reversible cardiac arrest causes.

What is the target compression fraction for high-quality CPR?

What is the proper treatment for a child with respiratory failure and a pulse?

What is the recommended dose of magnesium sulfate for torsades de pointes in children?

What is the appropriate management for a child in bradycardia unresponsive to oxygen?

Epinephrine should be administered every 3-5 minutes during pediatric cardiac arrest.

What is the initial step in managing a pediatric patient with severe upper airway obstruction?

Which drug is recommended for torsades de pointes in pediatric patients?

What is the correct fluid bolus for a child in shock due to hypovolemia?

The initial dose of epinephrine in pediatric cardiac arrest is 0.1 mg/kg IV.

What is the preferred treatment for torsades de pointes in pediatric patients?

How often should epinephrine be administered during pediatric cardiac arrest?

What is the appropriate oxygen saturation target during neonatal resuscitation?

Synchronized cardioversion is the treatment of choice for pediatric PEA.

What is the correct dose of epinephrine for pediatric cardiac arrest?

Tension pneumothorax is a reversible cause of pediatric cardiac arrest.

What is the initial treatment for a child in severe respiratory distress?

What is the recommended dose of atropine for pediatric bradycardia?

What is the compression depth for high-quality CPR in an infant?

Tension pneumothorax is one of the “T’s” in reversible causes of pediatric cardiac arrest.

What is the correct dose of epinephrine for pediatric cardiac arrest?

What is the recommended depth for chest compressions in children?

The initial fluid bolus for neonatal hypovolemic shock is 20 mL/kg.

Hypovolemia is a reversible cause of pediatric cardiac arrest.

What is the goal oxygen saturation for neonates after birth?

What is the initial treatment for a child with suspected SVT and no signs of instability?