AHA PALS Pediatric Advanced Life Support EXAM 2026-
2027 LATEST UPDATED VERSION QUESTIONS AND
ANSWERS JUST RELEASED
Several healthcare providers are participating in an attempted resuscitation. Which of the
following is most consistent with the responsibilities of the team leader of the resuscitation?
Records medications and interventions
Assigns roles to team members
Administers defibrillation shocks
Provides compressions - answer>>Assigns roles to team members
Which of the following conditions is appropriate for use of an oropharyngeal airway?
Conscious with no gag reflex
Unconscious with a gag reflex
Unconscious with no gag reflex
Conscious with a gag reflex - answer>>Unconscious with no gag reflex
A child presents with severe respiratory distress, urticaria, stridor, and tachycardia about 10
minutes after eating peanuts. What is the most appropriate initial medication for this child?
Nebulized albuterol
Epinephrine IM
Isotonic crystalloid IV
Methylprednisolone IV - answer>>Epinephrine IM
A mother brings her 7-year-old child to the emergency department. The mother states that
the child has had a fever for the past 4 days and has had little to eat or drink during the past
24 hours. Your initial impression reveals a lethargic child with increased respiratory rate and
pale color. Heart rate is 160/min, respiratory rate is 38/min, and blood pressure is 86/48
mm Hg. Capillary refill is 4 seconds. Which of the following is the most appropriate
intervention for this child?
Fluid bolus of 10 mL/kg of isotonic crystalloid
, Fluid bolus of 20 mL/kg of isotonic crystalloid
Maintenance fluid infusion of isotonic crystalloid at 10 mL/h
Maintenance fluid infusion of 5% dextrose and water at 20 mL/h - answer>>Fluid
bolus of 20 mL/kg of isotonic crystalloid
An intubated 5-year-old child who was in a motor vehicle collision becomes increasingly
more difficult to ventilate. The child has diminished breath sounds and chest expansion on
the right side of the chest, with audible breath sounds and visible chest expansion on the
left. The endotracheal tube insertion depth has not changed. What is the most appropriate
intervention?
Deflate the cuff and pull the tube back
Perform needle decompression on the right chest
Perform needle decompression on the left chest D. Insert a gastric tube -
answer>>Perform needle decompression on the right chest
A 2-year-old child with a 2-day history of a barking cough presents with audible stridor on
inspiration, intercostal retractions, and agitation. What is the most appropriate intervention
for this child?
Lay the child flat on a stretcher
Suction the mouth and nose
Administer nebulized epinephrine
Administer inhaled albuterol - answer>>Administer nebulized epinephrine
Which of the following oxygen saturations indicates the need for additional intervention?
96% on room air
95% on room air
93% on 4 L of oxygen
97% on 50% oxygen - answer>>93% on 4 L of oxygen
A 3-year-old child presents with a 2-day history of nausea and vomiting. She is alert, with no
increase in respiratory effort, and is pale in color. The child's heart rate is 160/min,
, respiratory rate is 40/min, and blood pressure is 100/70 mm Hg. Her extremities are cool,
with sluggish capillary refill. Which term best describes this child's physiologic state?
Compensated shock
Cardiogenic shock
Hypotensive shock
Obstructive shock - answer>>Compensated shock
A 3-year-old child presents with dehydration after a 2-day history of vomiting and diarrhea.
The child after has received 2 fluid boluses of 20 mL/ kg of normal saline. After the second
bolus, the child is alert and interacting. Her heart rate is 110/ min, respiratory rate is
30/min, and blood pressure is 92/64 mm Hg. Her capillary refill time is 2 seconds, and
oxygen saturation is 98%. What is the most appropriate next intervention for this child?
Administer another 20 mL/kg normal saline fluid bolus
Administer 10 mL/kg of packed red cells
Continue to monitor and reevaluate the child
Initiate a dopamine drip of 20 mcg/kg per minute - answer>>Continue to monitor
and reevaluate the child
A 3-year-old child presents with a high fever and a petechial rash. The child is lethargic, has
no signs of increased work of breathing, and is pale in color. His heart rate is 180/min,
respiratory rate is 30/min, blood pressure is 80/68 mm Hg. Capillary refill time is 4 seconds,
and oxygen saturation is 88%. Airway and lungs are clear. Peripheral pulses are diminished.
Which of the following is the most appropriate initial intervention?
Provide 100% oxygen via a nonrebreathing mask B. Obtain IV access
Administer dopamine
Administer an antibiotic - answer>>Provide 100% oxygen via a nonrebreathing mask
16. An alert toddler presents with a barking cough, moderate stridor, and moderate
retractions. The child's color is pink. What is the most appropriate initial intervention?
Obtain a chest radiograph
Administer nebulized epinephrine
Prepare for a surgical airway
2027 LATEST UPDATED VERSION QUESTIONS AND
ANSWERS JUST RELEASED
Several healthcare providers are participating in an attempted resuscitation. Which of the
following is most consistent with the responsibilities of the team leader of the resuscitation?
Records medications and interventions
Assigns roles to team members
Administers defibrillation shocks
Provides compressions - answer>>Assigns roles to team members
Which of the following conditions is appropriate for use of an oropharyngeal airway?
Conscious with no gag reflex
Unconscious with a gag reflex
Unconscious with no gag reflex
Conscious with a gag reflex - answer>>Unconscious with no gag reflex
A child presents with severe respiratory distress, urticaria, stridor, and tachycardia about 10
minutes after eating peanuts. What is the most appropriate initial medication for this child?
Nebulized albuterol
Epinephrine IM
Isotonic crystalloid IV
Methylprednisolone IV - answer>>Epinephrine IM
A mother brings her 7-year-old child to the emergency department. The mother states that
the child has had a fever for the past 4 days and has had little to eat or drink during the past
24 hours. Your initial impression reveals a lethargic child with increased respiratory rate and
pale color. Heart rate is 160/min, respiratory rate is 38/min, and blood pressure is 86/48
mm Hg. Capillary refill is 4 seconds. Which of the following is the most appropriate
intervention for this child?
Fluid bolus of 10 mL/kg of isotonic crystalloid
, Fluid bolus of 20 mL/kg of isotonic crystalloid
Maintenance fluid infusion of isotonic crystalloid at 10 mL/h
Maintenance fluid infusion of 5% dextrose and water at 20 mL/h - answer>>Fluid
bolus of 20 mL/kg of isotonic crystalloid
An intubated 5-year-old child who was in a motor vehicle collision becomes increasingly
more difficult to ventilate. The child has diminished breath sounds and chest expansion on
the right side of the chest, with audible breath sounds and visible chest expansion on the
left. The endotracheal tube insertion depth has not changed. What is the most appropriate
intervention?
Deflate the cuff and pull the tube back
Perform needle decompression on the right chest
Perform needle decompression on the left chest D. Insert a gastric tube -
answer>>Perform needle decompression on the right chest
A 2-year-old child with a 2-day history of a barking cough presents with audible stridor on
inspiration, intercostal retractions, and agitation. What is the most appropriate intervention
for this child?
Lay the child flat on a stretcher
Suction the mouth and nose
Administer nebulized epinephrine
Administer inhaled albuterol - answer>>Administer nebulized epinephrine
Which of the following oxygen saturations indicates the need for additional intervention?
96% on room air
95% on room air
93% on 4 L of oxygen
97% on 50% oxygen - answer>>93% on 4 L of oxygen
A 3-year-old child presents with a 2-day history of nausea and vomiting. She is alert, with no
increase in respiratory effort, and is pale in color. The child's heart rate is 160/min,
, respiratory rate is 40/min, and blood pressure is 100/70 mm Hg. Her extremities are cool,
with sluggish capillary refill. Which term best describes this child's physiologic state?
Compensated shock
Cardiogenic shock
Hypotensive shock
Obstructive shock - answer>>Compensated shock
A 3-year-old child presents with dehydration after a 2-day history of vomiting and diarrhea.
The child after has received 2 fluid boluses of 20 mL/ kg of normal saline. After the second
bolus, the child is alert and interacting. Her heart rate is 110/ min, respiratory rate is
30/min, and blood pressure is 92/64 mm Hg. Her capillary refill time is 2 seconds, and
oxygen saturation is 98%. What is the most appropriate next intervention for this child?
Administer another 20 mL/kg normal saline fluid bolus
Administer 10 mL/kg of packed red cells
Continue to monitor and reevaluate the child
Initiate a dopamine drip of 20 mcg/kg per minute - answer>>Continue to monitor
and reevaluate the child
A 3-year-old child presents with a high fever and a petechial rash. The child is lethargic, has
no signs of increased work of breathing, and is pale in color. His heart rate is 180/min,
respiratory rate is 30/min, blood pressure is 80/68 mm Hg. Capillary refill time is 4 seconds,
and oxygen saturation is 88%. Airway and lungs are clear. Peripheral pulses are diminished.
Which of the following is the most appropriate initial intervention?
Provide 100% oxygen via a nonrebreathing mask B. Obtain IV access
Administer dopamine
Administer an antibiotic - answer>>Provide 100% oxygen via a nonrebreathing mask
16. An alert toddler presents with a barking cough, moderate stridor, and moderate
retractions. The child's color is pink. What is the most appropriate initial intervention?
Obtain a chest radiograph
Administer nebulized epinephrine
Prepare for a surgical airway
