PALS Test: Guide, Practice Questions, and Latest Updates

PALS Test: Guide, Practice Questions, and Latest Updates | Medical ProCerts Blog

An Overview of Pediatric Advanced Life Support

Pediatric Advanced Life Support, or PALS, is a vital certification for healthcare professionals who manage critically ill pediatric patients, primarily in a hospital or pre-hospital setting. This includes but is not limited to pediatricians, emergency room doctors, nurses, paramedics, and any healthcare worker in direct response roles.

What to Expect on the PALS Exam and Skills Test

The PALS test is a combination of written examination and hands-on skills assessment, designed to evaluate a healthcare provider’s ability to efficiently and effectively manage critically ill children. The written portion comprises multiple-choice questions about theoretical concepts, while the skills test involves real-world scenarios that assess your practical abilities.

Medical Procerts' comprehensive guide to the PALS test and PALS Practice Tests is designed for medical professionals.

RELATED: PALS Megacode Practice

Recent Updates on PALS from the American Heart Association ACLS Guidelines for 2020

The American Heart Association regularly updates its PALS protocols. Notably, the 2020 updates emphasized the importance of high-quality chest compressions, integrated team response, and early defibrillation in cardiac arrest cases, with emphasis also on recovery. These updates have direct implications on the PALS test.

RELATED: Recognize Agonal Breathing, Perform Rescue Breathing, Save a Life with CPR and BLS

Top 10 PALS Test Questions Based on the AHA 2020 Guidelines

Here’s a glimpse of what you might find in the PALS practice tests, based on the AHA 2020 guidelines:

  1. What is the recommended compression rate for pediatric patients?
  2. What is the recommended compression to ventilation ratio for a single rescuer providing CPR to a child?
  3. What is the correct sequence of steps in the pediatric systematic approach?
  4. What are the essential components of high-quality CPR?
  5. When should you initiate early defibrillation in a pediatric patient?
  6. What are the vital signs of shock in a pediatric patient?
  7. What is the first medication administered during a pediatric cardiac arrest?
  8. How should you first manage a child with symptomatic bradycardia?
  9. What is the recommended dose of epinephrine in a pediatric patient during a cardiac arrest?
  10. When should you consider extracorporeal CPR (eCPR) in pediatric patients?

(Answers provided at the end of the article.)

The PALS test is a combination of written examination and hands-on skills assessment, designed to evaluate a healthcare provider's ability to efficiently and effectively manage critically ill children.

RELATED: PALS Certification and How it Can Help You As a Healthcare Professional

Your Next Step in PALS Certification

Ready to take the next step? Check out Medical ProCerts’ accredited, AHA-compliant online PALS certifications at To further enhance your preparation, don’t forget to download the PALS Algorithm course pack that includes the most recent PALS algorithms at

In Conclusion

Mastering Pediatric Advanced Life Support is a critical part of any healthcare professional’s training. If you’re gearing up for your PALS test, remember that practice is key. The more you familiarize yourself with PALS test questions and answers, the better prepared you’ll be.

Remember, the goal of PALS is not just to pass a test but to ensure that when a child’s life hangs in the balance, you have the knowledge and skills to make a difference.

Stay updated, keep learning, and keep saving lives!

RELATED: A Comprehensive Guide to BLS Practice Test 2023

Answers to the PALS Test Questions

  1. 100-120 compressions per minute.
  2. 30:2 compressions to ventilations.
  3. Assess, Identify, Intervene.
  4. High-quality chest compressions, adequate ventilation, and defibrillation.
  5. As soon as a defibrillator is available.
  6. Changes in mental status, cool extremities, delayed capillary refill.
  7. Epinephrine.
  8. If there is compromise in the child’s condition, obtain a patent airway, assist with breathing, and apply a cardiac and pulse ox monitor.
  9. 0.01 mg/kg for intravenous or intraosseous administration.
  10.  When conventional CPR fails in patients with a reversible cause of cardiac arrest.

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