PALS (Pediatric Advanced Life Support (American Heart Association)) — Free Online Mock Test
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.
Advanced
United States
Medical Licensing
26 questions
60 min
50 distinct variants
Start free practice test →
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 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 · 7
- Pediatric — Arrhythmias · 3
- Pediatric — Shock · 3
- Pediatric — Assessment · 3
- Pediatric — Medications · 1
- Pediatric — Etiology · 1
- Pediatric — Bradycardia · 1
- Pediatric — Tachycardia · 1
Sample PALS questions
A preview of real practice questions from the Wrexa Edge PALS bank — the same style, phrasing and difficulty you'll face on test day. Full solutions unlock free inside the mock.
PALS Provider — MCQ + Mega-codes (26 Q) · Pediatric — Arrhythmias
Q1. Subsequent defibrillation doses in paediatric VF/pVT are:
Why: Correct answer: D — 4 J/kg (and may increase, not exceeding adult doses). Topic: Pediatric — Arrhythmias.
PALS Provider — MCQ + Mega-codes (26 Q) · Pediatric — Medications
Q2. The dose of IV/IO epinephrine in paediatric cardiac arrest is:
Why: Correct answer: A — 0.01 mg/kg (0.1 mL/kg of 1:10,000) every 3–5 minutes. Topic: Pediatric — Medications.
PALS Provider — MCQ + Mega-codes (26 Q) · Pediatric — Arrhythmias
Q3. For symptomatic bradycardia in a child despite oxygenation/ventilation, the first drug is:
Why: Correct answer: B — Epinephrine (atropine if increased vagal tone or AV block). Topic: Pediatric — Arrhythmias.
PALS Provider — MCQ + Mega-codes (26 Q) · Pediatric — Arrhythmias
Q4. First-line treatment for stable supraventricular tachycardia (SVT) in a child is:
Why: Correct answer: C — Vagal manoeuvres, then adenosine if needed. Topic: Pediatric — Arrhythmias.
PALS Provider — MCQ + Mega-codes (26 Q) · Pediatric — Shock
Q5. Signs of compensated shock in a child include:
Why: Correct answer: D — Tachycardia with normal blood pressure and delayed capillary refill. Topic: Pediatric — Shock.
PALS Provider — MCQ + Mega-codes (26 Q) · Pediatric — Assessment
Q6. The PALS systematic approach begins with:
Why: Correct answer: A — Evaluate–Identify–Intervene (and the initial impression). Topic: Pediatric — Assessment.
These are a handful of the 1300 unique PALS questions across all 50 Wrexa Edge variants — start a free mock to attempt the full set with instant scoring.
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.
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.
1
Phase 1 — Learn the syllabus
Weeks 1–4
- Work through every section — PALS Provider — MCQ + Mega-codes (26 Q) — from your core study material
- Make short notes and a formula/fact sheet you can revise quickly
- Attempt topic questions right after finishing each area
2
Phase 2 — Practice & sectionals
Weeks 5–8
- Solve previous-year and practice questions section by section
- Time yourself on PALS Provider — MCQ + Mega-codes (26 Q) and your weakest areas
- Keep an error log and revisit every mistake weekly
3
Phase 3 — Full-length mocks
Weeks 9–12
- Take full-length PALS mocks in the real test interface
- Analyse accuracy, time per question and silly mistakes after each mock
- Revise from notes and re-attempt only weak-topic questions
Where PALS can take you
A strong PALS result opens up these careers and higher-study paths:
Clinical practice
A pass grants the licence required to practise and treat patients in your jurisdiction.
Residency & specialisation
Qualifies you for residency, postgraduate training and specialist certification.
Hospital & public health roles
Positions across hospitals, public-health services and research institutions.
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 10 free full-length PALS mock tests — with instant scoring, detailed explanations and analytics — plus 40 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 10 free for everyone and 40 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 10 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?
- Eligibility for PALS — age, qualification and number of attempts — is set by the official conducting body and can change each cycle, so always confirm the current official notification before applying. Wrexa Edge focuses on realistic PALS practice: 10 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 10 free PALS mocks with instant scoring so you can track your readiness week by week.
Ready to ace PALS?
Join thousands of candidates practising on Wrexa Edge. Free signup, 50 variants per exam, instant scoring.
Start practising free →