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Exam (elaborations)

PALS Questions and Correct Answers 2025 – Complete Pediatric Advanced Life Support Exam Review

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This document provides a complete set of Pediatric Advanced Life Support (PALS) practice questions with correct answers for 2025. It covers critical topics such as respiratory emergencies, shock management, cardiac arrest algorithms, rhythm identification, medication dosing, and post–resuscitation care. The material is structured in a question-and-answer format ideal for exam preparation and rapid review. It is comprehensive and aligned with current PALS guidelines, making it useful for both initial certification and recertification study.

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Uploaded on
December 6, 2025
Number of pages
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Written in
2025/2026
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PALS QUESTIONS AND CORRECT
ANSWERS 2025


A 6 month old infant is unresponsive. You begin checking for breathing at
the same time you check for the infants pulse.
Which is the maximum time you should spend when trying to
simultaneously check for breathing and palpate the infants pulse before
starting CPR? - correct answer- 10 seconds




A 4 year old child is brought to the emergency department for seizures. The
seizures stopped a few minutes ago, but the child continues to have slow
and irregular respirations. Which condition is most consistent with your
assessment? - correct answer- Disordered Control of Breathing




An 8 year old child is brought to the emergency department with a 2 day
history of lethargy and polyuria. The child has new onset rapid, deep, and
labored breathing. Which diagnostic test should you order first? - correct
answer- blood glucose




After rectal administration of diazepam, an 8 year old boy with a history of
seizures is no unresponsive to painful stimuli. His respirations are shallow,
at a rate of 10/min. His Oxygen saturation is 94% on 2L of NC oxygen. On
examination, the child is snoring with poor chest rise and poor air entry
bilaterally. What action should you take next? - correct answer- Reposition
the patient, and insert an oral airway




After rectal administration of diazepam, an 8 year old boy with a history of
seizures is no unresponsive to painful stimuli. His respirations are shallow,
at a rate of 10/min. His Oxygen saturation is 94% on 2L of NC oxygen. On

, examination, the child is snoring with poor chest rise and poor air entry
bilaterally. After repositioning the patient and you insert an Oral airway, the
patient continues to deteriorate. What next step is the most appropriate? -
correct answer- Provide bag mask ventilation




A 6 year old child is found unresponsive, not breathing, and without a pulse.
one health care worker leaves to activate the emergency response system
and get the resuscitation equipment. You and another healthcare provider
immediatly begin CPR. Which compression to ventilation ratio do you use?
- correct answer- 15:2




In post resuscitation management after cardiac arrest, extra care should be
taken to avoid repercussion injury. what should the ideal oxygen
saturation range most likely be? - correct answer- 94%-99%




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
administration of the shock, what should you say to you team members? -
correct answer- "resume compressions"




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 dose range should you use for the initial defibrillation? -
correct answer- 2-4 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

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