AHA PALS FINAL EXAM 2026 COMPLETE
EXAM QUESTIONS AND ACCURATE
ANSWERS |ALREADY PASSED!!
In which of the following situations may IO access be used?
An extremity with slow a capillary refill time
A 2-week-old infant is being evaluated for irritability and poor feeding. His blood pressure is
55/40 mm Hg, and capillary refill time is 5 seconds. Which statement best describes your
assessment of this infant's blood pressure?
It is hypotensive.
You are caring for patients in the emergency department. Which 2-year-old child requires
immediate intervention?
A child who is grunting
A 3-year-old child is having difficulty breathing. What finding would most likely lead you to
suspect an upper airway obstruction in this child?
Increased inspiratory effort with retractions
A team member is unable to perform an assigned task because it is beyond the team
member's scope of practice. What action should the team member take?
Ask for a new task or role
You are the Team Leader during a pediatric resuscitation attempt. What action is an element
of high-quality CPR?
Allowing complete chest wall recoil after each compression
,An 8-year-old child is brought to the emergency department by his mother for difficulty
breathing. He has a history of asthma and nut allergies. His mother tells you that he recently
ate a cookie at a family picnic. What condition is most likely to be present in this child?
Upper airway obstruction
An 8-year-old child is brought to the emergency department by ambulance after being
involved in a motor vehicle collision. What finding would suggest that immediate intervention
is needed?
Decreased level of consciousness
A 6-year-old child is found unresponsive, not breathing, and without a pulse. One healthcare
worker leaves to activate the emergency response system and get the resuscitation
equipment. You and another healthcare provider immediately begin performing CPR. What
compression-to-ventilation ratio do you use?
15:2
A 3-year-old child is in cardiac arrest, and high-quality CPR is in progress. You are the Team
Leader. The first rhythm check reveals the rhythm shown here. Defibrillation is attempted
with a shock dose of 2 J/kg. After shock administration, what should you say to your team
members?
"Resume compressions."
You are caring for a 5-year-old boy with a 4-day history of high fever and cough. He is having
increasing lethargy, grunting, and sleepiness. Now he is difficult to arouse and is unresponsive
to voice commands. His oxygen saturation is 72% on room air and 89% when on a
nonrebreathing oxygen mask. He has shallow respirations with a respiratory rate of 38/min.
Auscultation of the lungs reveals bilateral crackles. What assessment finding is consistent with
respiratory failure in this child?
Oxygen saturation
You are caring for a 5-year-old boy with a 4-day history of high fever and cough. He is having
increasing lethargy, grunting, and sleepiness. Now he is difficult to arouse and is unresponsive
to voice commands. His oxygen saturation is 72% on room air and 89% when on a
nonrebreathing oxygen mask. He has shallow respirations with a respiratory rate of 38/min.
Auscultation of the lungs reveals bilateral crackles. What medication would be most
appropriate?
An antibiotic
, During a resuscitation attempt, the Team Leader asks you to administer an initial dose of
epinephrine at 0.1 mg/kg to be given IO. How should you respond?
"I think the correct dose is 0.01 mg/kg. Should I give that dose instead?"
A 6-month-old infant is unresponsive. You begin checking for breathing at the same time you
check for the infant's pulse. What is the maximum time you should spend trying to
simultaneously check for breathing and palpate the infant's pulse before starting CPR?
10 seconds
A 10-year-old child is being evaluated for a headache. What is a normal finding for this 10-
year-old child?
Heart rate of 88/min
A 6-year-old boy is being evaluated for difficulty breathing. What finding would suggest this
child has respiratory distress?
Audible inspiratory stridor
A 4-year-old child in cardiac arrest is brought to the emergency department by ambulance.
High-quality CPR is being performed. The cardiac monitor displays the rhythm strip shown
here. The estimated weight of the child is 20 kg. What dosage range should you use for initial
defibrillation?
2 to 4 J/kg
A 4-year-old child in cardiac arrest is brought to the emergency department by ambulance.
High-quality CPR is being performed. The cardiac monitor displays the rhythm strip shown
here. The estimated weight of the child is 20 kg. As the Team Leader, how many joules do you
tell your team member to use to perform initial defibrillation?
40 J
You respond to an infant who is unresponsive, is not breathing, and does not have a pulse.
You do not have a mobile device, and you shout for nearby help but no one arrives. What
action should you take next?
Begin CPR for 2 minutes before leaving to activate the emergency response system
What ratio for compressions to breaths should be used for 1-rescuer infant CPR?
Give 30 compressions to 2 breaths
EXAM QUESTIONS AND ACCURATE
ANSWERS |ALREADY PASSED!!
In which of the following situations may IO access be used?
An extremity with slow a capillary refill time
A 2-week-old infant is being evaluated for irritability and poor feeding. His blood pressure is
55/40 mm Hg, and capillary refill time is 5 seconds. Which statement best describes your
assessment of this infant's blood pressure?
It is hypotensive.
You are caring for patients in the emergency department. Which 2-year-old child requires
immediate intervention?
A child who is grunting
A 3-year-old child is having difficulty breathing. What finding would most likely lead you to
suspect an upper airway obstruction in this child?
Increased inspiratory effort with retractions
A team member is unable to perform an assigned task because it is beyond the team
member's scope of practice. What action should the team member take?
Ask for a new task or role
You are the Team Leader during a pediatric resuscitation attempt. What action is an element
of high-quality CPR?
Allowing complete chest wall recoil after each compression
,An 8-year-old child is brought to the emergency department by his mother for difficulty
breathing. He has a history of asthma and nut allergies. His mother tells you that he recently
ate a cookie at a family picnic. What condition is most likely to be present in this child?
Upper airway obstruction
An 8-year-old child is brought to the emergency department by ambulance after being
involved in a motor vehicle collision. What finding would suggest that immediate intervention
is needed?
Decreased level of consciousness
A 6-year-old child is found unresponsive, not breathing, and without a pulse. One healthcare
worker leaves to activate the emergency response system and get the resuscitation
equipment. You and another healthcare provider immediately begin performing CPR. What
compression-to-ventilation ratio do you use?
15:2
A 3-year-old child is in cardiac arrest, and high-quality CPR is in progress. You are the Team
Leader. The first rhythm check reveals the rhythm shown here. Defibrillation is attempted
with a shock dose of 2 J/kg. After shock administration, what should you say to your team
members?
"Resume compressions."
You are caring for a 5-year-old boy with a 4-day history of high fever and cough. He is having
increasing lethargy, grunting, and sleepiness. Now he is difficult to arouse and is unresponsive
to voice commands. His oxygen saturation is 72% on room air and 89% when on a
nonrebreathing oxygen mask. He has shallow respirations with a respiratory rate of 38/min.
Auscultation of the lungs reveals bilateral crackles. What assessment finding is consistent with
respiratory failure in this child?
Oxygen saturation
You are caring for a 5-year-old boy with a 4-day history of high fever and cough. He is having
increasing lethargy, grunting, and sleepiness. Now he is difficult to arouse and is unresponsive
to voice commands. His oxygen saturation is 72% on room air and 89% when on a
nonrebreathing oxygen mask. He has shallow respirations with a respiratory rate of 38/min.
Auscultation of the lungs reveals bilateral crackles. What medication would be most
appropriate?
An antibiotic
, During a resuscitation attempt, the Team Leader asks you to administer an initial dose of
epinephrine at 0.1 mg/kg to be given IO. How should you respond?
"I think the correct dose is 0.01 mg/kg. Should I give that dose instead?"
A 6-month-old infant is unresponsive. You begin checking for breathing at the same time you
check for the infant's pulse. What is the maximum time you should spend trying to
simultaneously check for breathing and palpate the infant's pulse before starting CPR?
10 seconds
A 10-year-old child is being evaluated for a headache. What is a normal finding for this 10-
year-old child?
Heart rate of 88/min
A 6-year-old boy is being evaluated for difficulty breathing. What finding would suggest this
child has respiratory distress?
Audible inspiratory stridor
A 4-year-old child in cardiac arrest is brought to the emergency department by ambulance.
High-quality CPR is being performed. The cardiac monitor displays the rhythm strip shown
here. The estimated weight of the child is 20 kg. What dosage range should you use for initial
defibrillation?
2 to 4 J/kg
A 4-year-old child in cardiac arrest is brought to the emergency department by ambulance.
High-quality CPR is being performed. The cardiac monitor displays the rhythm strip shown
here. The estimated weight of the child is 20 kg. As the Team Leader, how many joules do you
tell your team member to use to perform initial defibrillation?
40 J
You respond to an infant who is unresponsive, is not breathing, and does not have a pulse.
You do not have a mobile device, and you shout for nearby help but no one arrives. What
action should you take next?
Begin CPR for 2 minutes before leaving to activate the emergency response system
What ratio for compressions to breaths should be used for 1-rescuer infant CPR?
Give 30 compressions to 2 breaths
