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PALS Exam Questions & Study Guide | Pediatric Advanced Life Support Certification Prep

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Prepare for your PALS certification exam with this comprehensive question bank and study guide. Master pediatric assessment, CPR, respiratory emergencies, shock management, and more.

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HEARTCODE PALS EXAM QUESTIONS
AND ANSWERS GRADED A+ LATEST
UPDATE 2026


1 . What should the first rescuer arriving on the scene of a unresponsive
infant or child do?: 1. Verify scene safety

2. Check for responsiveness

3. Shout for help

4. Activate the emergency response system

2. How long should assessing for breathing and a pulse take?: No longer
than
10 seconds


3. What should you do to check for breathing? : Look for chest rise and fall

4. Where can you check a pulse on an infant and a child?: Infant =
Brachial Child = Femoral

5. If the child does not have normal breathing and a pulse of 641min is
present, you will need to:

1/50

,A) begin CPR

B) monitor

C) provide rescue breathing: Provide rescue breathing

6. For an unwitnessed cardiac arrest, what should you do after
determining unresponsiveness and there is no breathing and no pulse?

A) shout for help

B) perform high quality CPR for 2 minutes

C) provide rescue breaths

D) activate the emergency response system: Perform high quality CPR for 2
minutes

7. The appropriate rate for compressions for children is 100-1201min.
What is the correct depth for children?

A) approximately 2 inches (one third the AP diameter)

B) approximately 3 inches (one half AP diameter)

C) approximately 4 inches (two thirds AP diameter): Approximately 2 inches
(one third the AP diameter)

8. What is the compression to ventilation ratio for 1- and 2-rescuer CPR
for children and infants?
2/50

,A) 15:2 for both

B) 30:2 for both

C) single rescuer 15:2, 2 rescuers 30:2

D) single rescuer 30:2, 2 rescuers 15:2: Single rescuer 30:2, 2 rescuers 15:2

9. How should 1 -rescuer infant compressions be delivered?

A) with 2 fingers or 2 thumbs

B) with 1 finger or 2 thumbs

C) with 2 hands or 2 fingers

D) with 1 hand or 2 fingers: With 2 fingers or 2 thumbs



10. What is the preferred technique for infant compressions when there are
2 or more rescuers present?

A) 1 finger technique

B) 1 thumb encircling hands technique

C) 2 thumb encircling hands technique

D) 2 finger technique: 2 thumb encircling hands technique
3/50

, 1 1 . What are the 4 universal steps for operation of an AED?: 1. Turn on the
AED

2. Attach pads to the patient

3. Analyze the heart rhythm

4. Deliver indicated shock

12. If the AED indicates no shock advised, what should be the next action?

A) start chest compressions

B) call for help

C) remove AED pads

D) give 2 rescue breaths: Start chest compressions

13. What does A-B-C in the Pediatric Assessment Triangle (PAT) stand
for?: A

- Appearance

B - Work of Breathing
C - Circulation
14. When is the Pediatric Assessment Triangle (PAT) performed to make
an initial assessment?
4/50

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