PALS (Pediatric Advanced Life Support (American Heart Association)) — Free Online Mock Test

PALS exam at a glance

PALS full-length mock tests

Attempt 50 full-length PALS mock tests, each a distinct question set built on the real 26-question, 60-minute pattern — with instant scoring and section-wise analysis. The first 3 are free.

PALS key facts & eligibility

Who is eligible for PALS?

Healthcare providers (nurses, physicians, paramedics and others) who manage paediatric emergencies; current BLS knowledge is expected.

Last verified July 2026 against AHA — PALS. Always confirm current details on the official website before you register.

PALS section breakdown

The PALS mock test on Wrexa Edge replicates the real exam's section structure — same names, same question count per section, same time limits. Inter-section breaks are enforced.

• PALS Provider — MCQ + Mega-codes (26 Q)
  26 questions · 60 minutes · ~138 sec/question

PALS scoring & marking scheme

Strategy: PALS has no negative marking. Attempt every question — blank answers cost you potential marks but cannot pull your score down.

Scale: PALS (pass 84% MCQ + skills).

How PALS is conducted

• Mode
  Standard — practice without proctoring on Wrexa Edge, or enable optional webcam proctoring to simulate test-day conditions.
• Test format
  Linear / fixed-form — every candidate sees the same number of questions per section.
• Backtracking
  Allowed — you can revisit and change answers within a section.
• Mark for review
  Available — flag tough questions and return to them before submitting the section.

PALS time strategy

With 26 questions in 60 minutes, you have about 138 seconds per question on average. Successful candidates aim for the following pacing on each section:

• PALS Provider — MCQ + Mega-codes (26 Q)
  Target ~138 sec/question. If a question takes more than 207 seconds, mark for review and move on.

Wrexa Edge's analytics show your actual time-per-question after every mock so you can spot which sections you're losing time on.

PALS topics covered

Across the 50 Wrexa Edge variants of PALS, the following topics appear most often (sample distribution from one variant):

PALS Provider — MCQ + Mega-codes (26 Q)

• Pediatric — CPR · 4
• Pediatric — Arrhythmias · 3
• Pediatric — Shock · 3
• Pediatric — Assessment · 3
• Pediatric — Medications · 1
• Pediatric — Etiology · 1
• Pediatric — Bradycardia · 1
• Pediatric — Tachycardia · 1

PALS difficulty calibration

Advanced tier. Advanced-level: high-stakes exam with rigorous content depth. Expect 4-8 months of structured prep.

AHA provider credential for paediatric resus — required for Paeds residents, ED, ICU nurses, paramedics. ~14 hour blended course + 50 MCQ post-test + practical mega-codes. Topics: Paeds assessment, respiratory failure, shock, arrhythmias, cardiac arrest algorithms. · Official language: English.

Verified content — Wrexa Edge's PALS bank has been deeply curated with real exam-aligned content (estimated 100% syllabus coverage).

How Wrexa Edge prepares you for PALS

• Real test-day interface
  Our vignette skin mirrors the actual PALS testing software — same timer, palette, tools, and navigation.
• 50 distinct variants
  1300 unique practice questions, each variant a fresh test — not just shuffled options.
• Detailed analytics
  Scaled score, section accuracy, topic-wise heatmap, time-per-question — see where to focus after every attempt.
• Spaced repetition (Notebook)
  Wrong answers and flagged questions flow into an SM-2 spaced-repetition deck so you actually retain what you learn.
• Optional proctoring
  Browser-based face-api detection (no install) — turn it on to simulate a high-stakes environment.
• Free to start
  No credit card. Sign up, pick a variant, and your first PALS mock starts in under a minute.

Expert take: what PALS really tests

PALS is an AHA provider course for paediatric emergencies, completed by passing an 84% written exam plus skills and a Megacode scenario, with a two-year card. Because the Megacode tests real-time algorithm application, memorising the paediatric bradycardia, tachycardia, shock and arrest algorithms is essential.

PALS study plan

A phase-by-phase roadmap from your first concept to test-ready. Stretch or compress each phase to fit the time you have before your attempt.

Where PALS can take you

A strong PALS result opens up these careers and higher-study paths:

• Paediatric emergency skills
  PALS certifies healthcare providers to manage paediatric emergencies.
• Required in many roles
  Often required for ED, PICU, paediatric and paramedic staff.
• Algorithm-driven care
  Standardises paediatric resuscitation with clear algorithms.
• Two-year card
  The AHA course card is valid for two years.

Best books & official prep for PALS

• AHA PALS Provider Manual — American Heart Association
  The official manual and precourse self-assessment — complete both before the course.
• PALS algorithm study cards — AHA / various
  Memorise the paediatric bradycardia, tachycardia, shock and cardiac-arrest algorithms.

Official practice: Complete the AHA precourse self-assessment, memorise the PALS algorithms, and be ready for the Megacode; the written exam requires 84%.

Previous-year papers: The AHA does not release past exams; the provider manual and precourse assessment are the preparation.

Frequently asked questions

What is the PALS exam pattern?

Pediatric Advanced Life Support (American Heart Association) contains 26 questions across 1 section: PALS Provider — MCQ + Mega-codes (26 Q). Total duration is 60 minutes (about 138 seconds per question).

Does PALS have negative marking?

No — PALS has no negative marking. Each correct answer is worth 1 mark, so attempt every question.

How is PALS scored?

Scaled score range: 0 to 100. PALS (pass 84% MCQ + skills).

How can I practise PALS online for free?

Wrexa Edge gives you 3 free full-length PALS mock tests — with instant scoring, detailed explanations and analytics — plus 47 more with Pro. Start practising in under a minute, no card required.

What is the difficulty level of PALS?

PALS is rated Advanced difficulty on Wrexa Edge. Advanced-level: high-stakes exam with rigorous content depth. Expect 4-8 months of structured prep. AHA provider credential for paediatric resus — required for Paeds residents, ED, ICU nurses, paramedics. ~14 hour blended course + 50 MCQ post-test + practical mega-codes. Topics: Paeds assessment, respiratory failure, shock, arrhythmias, cardiac arrest algorithms. · Official language: English.

How long is the PALS exam?

PALS runs for 60 minutes total. On Wrexa Edge the timer is enforced exactly as on the real exam — including mandatory inter-section breaks.

What topics are covered in PALS?

PALS is split into: PALS Provider — MCQ + Mega-codes (26 Q). Each section is timed and weighted separately. AHA provider credential for paediatric resus — required for Paeds residents, ED, ICU nurses, paramedics. ~14 hour blended course + 50 MCQ post-test + practical mega-codes. Topics: Paeds assessment, respiratory failure, shock, arrhythmias, cardiac arrest algorithms. · Official language: English.

What tools or aids are allowed during PALS?

No special tools are required.

Is the PALS test adaptive?

No — PALS is a fixed-form (linear) test. Every candidate sees the same number of questions per section.

How many PALS mock tests does Wrexa Edge offer?

Wrexa Edge generates 50 distinct PALS variants — each with different question content, not just shuffled options — the first 3 free for everyone and 47 more with Pro. That's 1300 unique practice questions in the real test-day interface.

Is there a free PALS test series 2026?

Yes. The Wrexa Edge PALS test series for 2026 gives you 3 free full-length mock tests (50 in total) plus subject-wise and topic-wise tests — instant scoring and detailed analysis, no card required.

Are PALS previous year question–style papers included?

Every PALS mock is modelled on the official exam pattern and the style of previous years' papers — the same 26-question structure, sections and marking — so your practice mirrors the real paper you'll sit.

Which is the best free PALS mock test online?

Wrexa Edge's PALS mock test replicates the real exam interface, timing and marking scheme, with instant score, section-wise analysis and 50 fresh variants — a strong free choice for 2026 preparation.

Can I take the PALS mock test on mobile?

Yes. PALS mock tests run in any browser on mobile, tablet or desktop — no app or download needed. Start on your phone and your progress and analytics sync when you sign in.

What is the PALS syllabus?

The PALS syllabus maps to its 1 section: PALS Provider — MCQ + Mega-codes (26 Q). Wrexa Edge's mock tests cover the complete syllabus topic by topic — see the topics-covered breakdown above — so you practise every area at real exam difficulty.

What is the eligibility for PALS?

Healthcare providers (nurses, physicians, paramedics and others) who manage paediatric emergencies; current BLS knowledge is expected. Wrexa Edge focuses on realistic PALS practice: 3 free full-length mocks in the exact exam pattern, ready whenever you are.

When is the PALS exam and how should I prepare?

Official PALS exam dates are announced by the conducting body for each cycle — check the latest notification for the current schedule. To be ready, follow a phased study plan and take full-length timed mocks; Wrexa Edge gives you 3 free PALS mocks with instant scoring so you can track your readiness week by week.

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Ready to ace PALS?

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