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2026 AHA PALS (Pediatric Advanced Life Support
You are evaluating a 48-year-old man with crushing
substernal chest pain. The patient is pale, diaphoretic, cool
to the touch, and slow to respond to your questions. The
blood pressure is 58/32 mm Hg, the heart rate is 190/min,
the respiratory rate is 18 breaths/min, and the pulse
oximeter is unable to obtain a reading because there is no
radial pulse. The lead II ECG displays a regular wide-
complex tachycardia. What
intervention should you perform next?
A. Procedural sedation
B. 12-lead ECG
C. Amiodarone administration
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D. Synchronized cardioversion - ANSWER-D.
Synchronized cardioversion
What is the initial priority for an unconscious patient with
any tachycardia on the monitor?
A. Review the patient's home medications.
B. Evaluate the breath sounds.
C. Determine whether pulses are present.
D. Administer sedative drugs. - ANSWER-C. Determine
whether pulses are present.
Which rhythm requires synchronized cardioversion?
A. Unstable supraventricular tachycardia
B. Atrial fibrillation
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C. Sinus tachycardia
D. NSR on monitor but no pulse - ANSWER-A. Unstable
supraventricular tachycardia
What is the usual post-cardiac arrest target range for
PETCO2 when ventilating a patient who achieves return of
spontaneous circulation (ROSC)?
A. 30to35mmHg
B. 35to40mmHg
C. 40to45mmHg
D. 45to50mmHg - ANSWER-B. 35to40mmHg
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Which condition is a contraindication to therapeutic
hypothermia during the postcardiac
arrest period for patients who achieve return of
spontaneous circulation ROSC?
A. Initial rhythm of asystole
B. Responding to verbal commands
C. Patient age greater than 60 years
D. Desire to provide coronary reperfusion (eg, PCI) -
ANSWER-B. Responding to verbal commands
What is the potential danger of using ties that pass
circumferentially around the patient's neck when securing
an advanced airway?
A. May interfere with effective ventilation
2026 AHA PALS (Pediatric Advanced Life Support
You are evaluating a 48-year-old man with crushing
substernal chest pain. The patient is pale, diaphoretic, cool
to the touch, and slow to respond to your questions. The
blood pressure is 58/32 mm Hg, the heart rate is 190/min,
the respiratory rate is 18 breaths/min, and the pulse
oximeter is unable to obtain a reading because there is no
radial pulse. The lead II ECG displays a regular wide-
complex tachycardia. What
intervention should you perform next?
A. Procedural sedation
B. 12-lead ECG
C. Amiodarone administration
,2|Page
D. Synchronized cardioversion - ANSWER-D.
Synchronized cardioversion
What is the initial priority for an unconscious patient with
any tachycardia on the monitor?
A. Review the patient's home medications.
B. Evaluate the breath sounds.
C. Determine whether pulses are present.
D. Administer sedative drugs. - ANSWER-C. Determine
whether pulses are present.
Which rhythm requires synchronized cardioversion?
A. Unstable supraventricular tachycardia
B. Atrial fibrillation
,3|Page
C. Sinus tachycardia
D. NSR on monitor but no pulse - ANSWER-A. Unstable
supraventricular tachycardia
What is the usual post-cardiac arrest target range for
PETCO2 when ventilating a patient who achieves return of
spontaneous circulation (ROSC)?
A. 30to35mmHg
B. 35to40mmHg
C. 40to45mmHg
D. 45to50mmHg - ANSWER-B. 35to40mmHg
, 4|Page
Which condition is a contraindication to therapeutic
hypothermia during the postcardiac
arrest period for patients who achieve return of
spontaneous circulation ROSC?
A. Initial rhythm of asystole
B. Responding to verbal commands
C. Patient age greater than 60 years
D. Desire to provide coronary reperfusion (eg, PCI) -
ANSWER-B. Responding to verbal commands
What is the potential danger of using ties that pass
circumferentially around the patient's neck when securing
an advanced airway?
A. May interfere with effective ventilation
