AHA PALS Post-Test
2025
1. In which of the following situations may IO access be An extremity with slow a
used? capillary refill time
2. A 2-week-old infant is being evaluated for irritability It is hypotensive.
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?
3. You are caring for patients in the emergency depart- A child who is grunting
ment. Which 2-year-old child requires immediate inter-
vention?
4. A 3-year-old child is having difficulty breathing. What Increased inspiratory ef-
finding would most likely lead you to suspect an upper fort with retractions
airway obstruction in this child?
5. A team member is unable to perform an assigned Ask for a new task or role
task because it is beyond the team member's scope of
practice. What action should the team member take?
6. You are the Team Leader during a pediatric resuscita- Allowing complete chest
tion attempt. What action is an element of high-quality wall recoil after each com-
CPR? pression
7. An 8-year-old child is brought to the emergency de- Upper airway obstruction
partment 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?
8. An 8-year-old child is brought to the emergency de- Decreased level of con-
partment by ambulance after being involved in a mo- sciousness
, AHA PALS Post-Test
2025
tor vehicle collision. What finding would suggest that
immediate intervention is needed?
9. A 6-year-old child is found unresponsive, not breath- 15:2
ing, and without a pulse. One healthcare worker
leaves to activate the emergency response system
and get the resuscitation equipment. You and anoth-
er healthcare provider immediately begin perform-
ing CPR. What compression-to-ventilation ratio do you
use?
10. A 3-year-old child is in cardiac arrest, and high-quality "Resume compressions."
CPR is in progress. You are the Team Leader. The first
rhythm check reveals the rhythm shown here. Defibril-
lation is attempted with a shock dose of 2 J/kg. After
shock administration, what should you say to your
team members?
11. You are caring for a 5-year-old boy with a 4-day his- Oxygen saturation
tory 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. Auscul-
tation of the lungs reveals bilateral crackles. What as-
sessment finding is consistent with respiratory failure
in this child?
12. You are caring for a 5-year-old boy with a 4-day his- An antibiotic
tory 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
2025
1. In which of the following situations may IO access be An extremity with slow a
used? capillary refill time
2. A 2-week-old infant is being evaluated for irritability It is hypotensive.
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?
3. You are caring for patients in the emergency depart- A child who is grunting
ment. Which 2-year-old child requires immediate inter-
vention?
4. A 3-year-old child is having difficulty breathing. What Increased inspiratory ef-
finding would most likely lead you to suspect an upper fort with retractions
airway obstruction in this child?
5. A team member is unable to perform an assigned Ask for a new task or role
task because it is beyond the team member's scope of
practice. What action should the team member take?
6. You are the Team Leader during a pediatric resuscita- Allowing complete chest
tion attempt. What action is an element of high-quality wall recoil after each com-
CPR? pression
7. An 8-year-old child is brought to the emergency de- Upper airway obstruction
partment 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?
8. An 8-year-old child is brought to the emergency de- Decreased level of con-
partment by ambulance after being involved in a mo- sciousness
, AHA PALS Post-Test
2025
tor vehicle collision. What finding would suggest that
immediate intervention is needed?
9. A 6-year-old child is found unresponsive, not breath- 15:2
ing, and without a pulse. One healthcare worker
leaves to activate the emergency response system
and get the resuscitation equipment. You and anoth-
er healthcare provider immediately begin perform-
ing CPR. What compression-to-ventilation ratio do you
use?
10. A 3-year-old child is in cardiac arrest, and high-quality "Resume compressions."
CPR is in progress. You are the Team Leader. The first
rhythm check reveals the rhythm shown here. Defibril-
lation is attempted with a shock dose of 2 J/kg. After
shock administration, what should you say to your
team members?
11. You are caring for a 5-year-old boy with a 4-day his- Oxygen saturation
tory 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. Auscul-
tation of the lungs reveals bilateral crackles. What as-
sessment finding is consistent with respiratory failure
in this child?
12. You are caring for a 5-year-old boy with a 4-day his- An antibiotic
tory 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
