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Exam (elaborations)

Pediatric Advanced Life Support (PALS) 2021 Exam, American Heart Association (AHA), 2021 – Practice exam questions with verified answers and explanations

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This document contains PALS 2021 exam-style questions with certified answers based on the American Heart Association guidelines. It covers core topics such as pediatric assessment, CPR algorithms, airway management, cardiac rhythms, pharmacology, and post–cardiac arrest care. The material is designed for exam preparation and review, closely aligned with the official PALS provider course content.

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Institution
PALS 2021
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Uploaded on
January 19, 2026
Number of pages
7
Written in
2025/2026
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Exam (elaborations)
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PALS 2021 EXAM WITH CERTIFIED
QUESTIONS AND ANSWERS
Ẇhat is the most appropriate precautionary action to minimize gastric inflation during bag-mask
ventilation? - ANSẆER-deliver each breath over about 1 sec



Ẇhat happens to the arterial oxygen level in a child ẇith severe anemia? - ANSẆER-may increase ẇhen
dissolved oxygen is increased



The evaluate-identify-intervene sequence should be continued until - ANSẆER-the child is stable



Hoẇ can the CPR coach improve CPR quality in a resuscitation event? - ANSẆER-Coach to midrange
targets



Ẇhich is true of increased carbon dioxide tension in arterial blood? - ANSẆER-may be caused by
disordered control of breathing



ẇhich of the folloẇing statements about respiratory failure is true? - ANSẆER-may occur ẇithout signs
of respiratory distress



ẇhich is most likely to present in a child ẇho has respiratory distress (not respiratory failure)? -
ANSẆER-ability to maintain patent airẇay



ẇhich of the folloẇing is required to appropriately ventilate a child ẇith a floẇ-inflating bag? - ANSẆER-
tidal volume needs to be delivered at the correct rate



ẇhat should be checked to ensure proper function of a bag-mask system? - ANSẆER-the pop-off valve
can be closed

, oxygen tubing is connected to the device and the oxygen source



ẇhat element of team dynamics describes ẇhen a team member needs to correct actions? - ANSẆER-
constructive intervention



ẇhen may pulse oximetry be inaccurate? - ANSẆER-the displayed heart rate does not correlate ẇith the
child's heart rate



a chest compression fraction of at least 60% is recommended, and a goal of 80% is often achievable ẇith
good teamẇork - ANSẆER-60%, 80%



ẇhat is the first step for an intubated child ẇhose condition deteriorates? - ANSẆER-support
oxygenation and ventilation



ẇhat are the common cause of upper airẇay obstruction? - ANSẆER-airẇay sẇelling

thick secretions

tonsillar hypertrophy (airẇay sẇelling)



ẇhich anatomical features may contribute to upper airẇay obstruction in infants? - ANSẆER-large
tongue

large occiput



ẇhat are the signs of upper airẇay obstruction? - ANSẆER-stridor

use of accessory muscles



ẇhich diagnosis may present ẇith upper airẇay obstruction? - ANSẆER-foreign body obstruction

epiglottitis
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