PALS 2025 QUESTIONS AND CORRECT
ANSWERS
WhichA2pulsesA2shouldA2beA2assessedA2toA2monitorA2systemicA2perfusionA2inA2aA2child?A2-
A2Ans--peripheralA2andA2central
WhatA2shouldA2theA2firstA2rescuerA2arrivingA2onA2theA2sceneA2ofA2anA2unresponsiveA2infant
A2orA2childA2do?A2(inA2order)A2-A2Ans--1.A2verifyA2sceneA2safety
2.A2checkA2forA2responsiveness
3.A2shoutA2forA2help
4.A2activateA2theA2emergencyA2responseA2system
WhyA2mayA2excessiveA2ventilationA2duringA2CPRA2beA2harmful?A2-A2Ans---
A2itA2increasesA2intrathoracicA2pressure
-A2itA2impedesA2venousA2return
IfA2youA2cannotA2achieveA2effectiveA2ventilationA2(ie,A2theA2chestA2doesA2notA2rise),A2doA2t
heA2following:A2-A2Ans---A2reposition/reopenA2theA2airwayA2(sniffingA2position)
-A2verifyA2maskA2sizeA2andA2ensureA2aA2tightA2face-maskA2seal
-A2suctionA2theA2airwayA2ifA2needed
-A2checkA2theA2O2A2source
-A2checkA2theA2ventilationA2bagA2andA2mask
-A2treatA2gastricA2inflationA2(NG/OG)
-A2considerA22-personA2bag-maskA2ventilationA2andA2insertingA2anA2OPA
VentilationA2rateA2-A2Ans--1A2breathA2everyA22-
3A2secondsA2deliveredA2overA21A2secondA2(20-30A2breathsA2perA2minute)
EarlyA2signsA2ofA2tissueA2hypoxiaA2-A2Ans---A2tachypnea
-A2increasedA2respiratoryA2effortA2(nasalA2flaring,A2retractions)
-A2tachycardia
-A2pallor,A2mottling,A2cyanosis
-A2agitation,A2anxiety,A2irritability
LateA2signsA2ofA2tissueA2hypoxiaA2-A2Ans---
A2bradypnea,A2inadequateA2respiratoryA2effort,A2apnea
-A2increasedA2respiratoryA2effortA2(headA2bobbing,A2seesawA2respirations,A2grunting)
-A2bradycardia
-A2pallor,A2mottling,A2cyanosis
-A2decreasedA2levelA2ofA2consciousness
WhatA2isA2theA2roleA2ofA2theA2diaphragmA2duringA2normalA2breathingA2inA2infants?A2-
A2Ans--pullsA2theA2ribsA2slightlyA2inward
, S/SA2mildA2respiratoryA2distressA2-A2Ans---A2mildA2tachypnea
-A2mildA2increaseA2inA2respiratoryA2effortA2(nasalA2flaring,A2retractions)
-A2abnormalA2airwayA2soundsA2(stridor,A2wheezing,A2grunting)
S/SA2SevereA2respiratoryA2distressA2-A2Ans---A2markedA2tachypnea
-A2markedA2increaseA2inA2respiratoryA2effort
-A2paradoxicalA2throacoabdominalA2breathingA2(seesawA2breathing)
-A2accessoryA2muscleA2useA2(headA2bobbing)
-A2abnormalA2airwayA2soundsA2(grunting)
-A2decreasedA2levelA2ofA2consciousness
S/SA2ImpendingA2respiratoryA2arrestA2-A2Ans---
A2bradypnea,A2apnea,A2respiratoryA2pauses
-A2lowA2oxygenA2saturationA2(hypoxemia)A2despiteA2high-flowA2supplementalA2oxygen
-A2inadequateA2respiratoryA2effortA2(shallowA2respirations)
-A2decreasedA2levelA2ofA2consciousnessA2(unresponsive)
-A2bradycardia
WhatA2stepsA2shouldA2beA2takenA2asA2partA2ofA2initialA2managementA2ofA2aA2childA2inA2res
piratoryA2distress?A2-A2Ans---A2monitorA2O2A2satA2byA2pulseA2ox
-A2monitorA2HR,A2rhythm,A2and,A2BP
-A2supportA2anA2openA2airway
StridorA2-A2Ans--high-pitchedA2breathingA2duringA2inspirations
CracklesA2-A2Ans--breathA2soundsA2heartA2duringA2expirations
HowA2shouldA21-rescuerA2infantA2compressionsA2beA2delivered?A2-A2Ans---
A2twoA2fingersA2orA2twoA2thumbs
-A2rateA2ofA2100-120
-A2singleA2rescuerA2(30:2)
-A2twoA2rescuerA2(15:2)
HowA2shouldA21-rescurerA2childA2compressionsA2beA2delivered?A2-A2Ans--
eitherA2oneA2orA2twoA2hands
-A2compressA2atA2leastA21/3A2theA2chestA2diameterA2(approximatelyA22A2inches)
GuidelinesA2forA2rescueA2breathingA2forA2infantsA2andA2childrenA2-A2Ans---
A2giveA21A2breathA2everyA22-3A2secondsA2(aboutA220-30/min)
-A2givenA2eachA2breathA2inA21A2second
-A2visibleA2chestA2rise
-A2checkA2pulseA2everyA22A2minutes
-A2useA2oxygenA2asA2soonA2asA2itA2isA2available
2-personA2bagA2maskA2ventilationA2mayA2beA2necessaryA2when:A2-A2Ans---
A2makingA2aA2sealA2isA2difficult
ANSWERS
WhichA2pulsesA2shouldA2beA2assessedA2toA2monitorA2systemicA2perfusionA2inA2aA2child?A2-
A2Ans--peripheralA2andA2central
WhatA2shouldA2theA2firstA2rescuerA2arrivingA2onA2theA2sceneA2ofA2anA2unresponsiveA2infant
A2orA2childA2do?A2(inA2order)A2-A2Ans--1.A2verifyA2sceneA2safety
2.A2checkA2forA2responsiveness
3.A2shoutA2forA2help
4.A2activateA2theA2emergencyA2responseA2system
WhyA2mayA2excessiveA2ventilationA2duringA2CPRA2beA2harmful?A2-A2Ans---
A2itA2increasesA2intrathoracicA2pressure
-A2itA2impedesA2venousA2return
IfA2youA2cannotA2achieveA2effectiveA2ventilationA2(ie,A2theA2chestA2doesA2notA2rise),A2doA2t
heA2following:A2-A2Ans---A2reposition/reopenA2theA2airwayA2(sniffingA2position)
-A2verifyA2maskA2sizeA2andA2ensureA2aA2tightA2face-maskA2seal
-A2suctionA2theA2airwayA2ifA2needed
-A2checkA2theA2O2A2source
-A2checkA2theA2ventilationA2bagA2andA2mask
-A2treatA2gastricA2inflationA2(NG/OG)
-A2considerA22-personA2bag-maskA2ventilationA2andA2insertingA2anA2OPA
VentilationA2rateA2-A2Ans--1A2breathA2everyA22-
3A2secondsA2deliveredA2overA21A2secondA2(20-30A2breathsA2perA2minute)
EarlyA2signsA2ofA2tissueA2hypoxiaA2-A2Ans---A2tachypnea
-A2increasedA2respiratoryA2effortA2(nasalA2flaring,A2retractions)
-A2tachycardia
-A2pallor,A2mottling,A2cyanosis
-A2agitation,A2anxiety,A2irritability
LateA2signsA2ofA2tissueA2hypoxiaA2-A2Ans---
A2bradypnea,A2inadequateA2respiratoryA2effort,A2apnea
-A2increasedA2respiratoryA2effortA2(headA2bobbing,A2seesawA2respirations,A2grunting)
-A2bradycardia
-A2pallor,A2mottling,A2cyanosis
-A2decreasedA2levelA2ofA2consciousness
WhatA2isA2theA2roleA2ofA2theA2diaphragmA2duringA2normalA2breathingA2inA2infants?A2-
A2Ans--pullsA2theA2ribsA2slightlyA2inward
, S/SA2mildA2respiratoryA2distressA2-A2Ans---A2mildA2tachypnea
-A2mildA2increaseA2inA2respiratoryA2effortA2(nasalA2flaring,A2retractions)
-A2abnormalA2airwayA2soundsA2(stridor,A2wheezing,A2grunting)
S/SA2SevereA2respiratoryA2distressA2-A2Ans---A2markedA2tachypnea
-A2markedA2increaseA2inA2respiratoryA2effort
-A2paradoxicalA2throacoabdominalA2breathingA2(seesawA2breathing)
-A2accessoryA2muscleA2useA2(headA2bobbing)
-A2abnormalA2airwayA2soundsA2(grunting)
-A2decreasedA2levelA2ofA2consciousness
S/SA2ImpendingA2respiratoryA2arrestA2-A2Ans---
A2bradypnea,A2apnea,A2respiratoryA2pauses
-A2lowA2oxygenA2saturationA2(hypoxemia)A2despiteA2high-flowA2supplementalA2oxygen
-A2inadequateA2respiratoryA2effortA2(shallowA2respirations)
-A2decreasedA2levelA2ofA2consciousnessA2(unresponsive)
-A2bradycardia
WhatA2stepsA2shouldA2beA2takenA2asA2partA2ofA2initialA2managementA2ofA2aA2childA2inA2res
piratoryA2distress?A2-A2Ans---A2monitorA2O2A2satA2byA2pulseA2ox
-A2monitorA2HR,A2rhythm,A2and,A2BP
-A2supportA2anA2openA2airway
StridorA2-A2Ans--high-pitchedA2breathingA2duringA2inspirations
CracklesA2-A2Ans--breathA2soundsA2heartA2duringA2expirations
HowA2shouldA21-rescuerA2infantA2compressionsA2beA2delivered?A2-A2Ans---
A2twoA2fingersA2orA2twoA2thumbs
-A2rateA2ofA2100-120
-A2singleA2rescuerA2(30:2)
-A2twoA2rescuerA2(15:2)
HowA2shouldA21-rescurerA2childA2compressionsA2beA2delivered?A2-A2Ans--
eitherA2oneA2orA2twoA2hands
-A2compressA2atA2leastA21/3A2theA2chestA2diameterA2(approximatelyA22A2inches)
GuidelinesA2forA2rescueA2breathingA2forA2infantsA2andA2childrenA2-A2Ans---
A2giveA21A2breathA2everyA22-3A2secondsA2(aboutA220-30/min)
-A2givenA2eachA2breathA2inA21A2second
-A2visibleA2chestA2rise
-A2checkA2pulseA2everyA22A2minutes
-A2useA2oxygenA2asA2soonA2asA2itA2isA2available
2-personA2bagA2maskA2ventilationA2mayA2beA2necessaryA2when:A2-A2Ans---
A2makingA2aA2sealA2isA2difficult