EPALS ACTUAL EXAM PAPER 2026 QUESTIONS WITH
ANSWERS GRADED A+
● Non-Rebreather Mask. Answer: High-concentration oxygen delivery with reservoir bag and
one-way valves
● IO Access. Answer: Abbreviation for Intraosseous providing rapid access when IV difficult
● Lower Airway Obstruction. Answer: Obstruction below vocal cords causing wheezing and
expiratory difficulty
● Absent Peripheral Pulses. Answer: Loss of radial or pedal pulses indicating severe shock
● LR. Answer: Abbreviation for Lactated Ringer's solution
● Glasgow Coma Scale. Answer: Neurologic assessment scoring eye opening, verbal
response, and motor response
● Breathing Assessment. Answer: Evaluation of respiratory rate, effort, air exchange, and
oxygen saturation
● Obstructive Shock. Answer: Shock from physical obstruction to blood flow such as cardiac
tamponade or tension pneumothorax
● Absent Epigastric Sounds. Answer: No air sounds over stomach indicating tube not in
esophagus
● PAT. Answer: Acronym for Pediatric Assessment Triangle providing initial impression within
30-60 seconds
● Nasopharyngeal Airway. Answer: Soft rubber tube inserted through nostril into posterior
pharynx
● Intraosseous Access. Answer: Needle placed through bone into marrow space for
emergency vascular access
● Oxygen Therapy. Answer: Administration of supplemental oxygen to improve arterial
oxygen saturation and tissue oxygenation
, ● Asthma. Answer: Chronic inflammatory airway disease causing reversible
bronchoconstriction, mucus production, and wheezing
● Cool Extremities. Answer: Decreased temperature of arms and legs from vasoconstriction
and poor perfusion
● Respiratory Failure. Answer: Inadequate oxygenation, ventilation, or both despite
increased respiratory effort
● Simple Face Mask. Answer: Oxygen delivery covering nose and mouth providing
moderate oxygen concentrations
● Decreased Urine Output. Answer: Oliguria or anuria from decreased kidney perfusion
indicating shock
● Nasal Cannula. Answer: Oxygen delivery device with prongs inserted into nostrils
providing low-flow oxygen
● Lactated Ringer's. Answer: Isotonic crystalloid with electrolytes resembling plasma
composition
● AVPU Scale. Answer: Rapid consciousness assessment: Alert, Voice responsive, Pain
responsive, Unresponsive
● EPALS. Answer: Acronym for Emergency Pediatric Advanced Life Support focusing on
systematic assessment and evidence-based interventions
● Pediatric Assessment Triangle. Answer: Rapid visual and auditory assessment tool
evaluating appearance, work of breathing, and circulation to skin
● Anaphylactic Shock. Answer: Distributive shock from severe allergic reaction causing
massive vasodilation and capillary leak
● Bronchiolitis. Answer: Viral lower airway infection causing wheezing and respiratory
distress in infants
● Bradycardia. Answer: Heart rate below normal range for age often ominous sign in
pediatric arrest
● Macintosh Blade. Answer: Curved laryngoscope blade placed in vallecula lifting epiglottis
indirectly
ANSWERS GRADED A+
● Non-Rebreather Mask. Answer: High-concentration oxygen delivery with reservoir bag and
one-way valves
● IO Access. Answer: Abbreviation for Intraosseous providing rapid access when IV difficult
● Lower Airway Obstruction. Answer: Obstruction below vocal cords causing wheezing and
expiratory difficulty
● Absent Peripheral Pulses. Answer: Loss of radial or pedal pulses indicating severe shock
● LR. Answer: Abbreviation for Lactated Ringer's solution
● Glasgow Coma Scale. Answer: Neurologic assessment scoring eye opening, verbal
response, and motor response
● Breathing Assessment. Answer: Evaluation of respiratory rate, effort, air exchange, and
oxygen saturation
● Obstructive Shock. Answer: Shock from physical obstruction to blood flow such as cardiac
tamponade or tension pneumothorax
● Absent Epigastric Sounds. Answer: No air sounds over stomach indicating tube not in
esophagus
● PAT. Answer: Acronym for Pediatric Assessment Triangle providing initial impression within
30-60 seconds
● Nasopharyngeal Airway. Answer: Soft rubber tube inserted through nostril into posterior
pharynx
● Intraosseous Access. Answer: Needle placed through bone into marrow space for
emergency vascular access
● Oxygen Therapy. Answer: Administration of supplemental oxygen to improve arterial
oxygen saturation and tissue oxygenation
, ● Asthma. Answer: Chronic inflammatory airway disease causing reversible
bronchoconstriction, mucus production, and wheezing
● Cool Extremities. Answer: Decreased temperature of arms and legs from vasoconstriction
and poor perfusion
● Respiratory Failure. Answer: Inadequate oxygenation, ventilation, or both despite
increased respiratory effort
● Simple Face Mask. Answer: Oxygen delivery covering nose and mouth providing
moderate oxygen concentrations
● Decreased Urine Output. Answer: Oliguria or anuria from decreased kidney perfusion
indicating shock
● Nasal Cannula. Answer: Oxygen delivery device with prongs inserted into nostrils
providing low-flow oxygen
● Lactated Ringer's. Answer: Isotonic crystalloid with electrolytes resembling plasma
composition
● AVPU Scale. Answer: Rapid consciousness assessment: Alert, Voice responsive, Pain
responsive, Unresponsive
● EPALS. Answer: Acronym for Emergency Pediatric Advanced Life Support focusing on
systematic assessment and evidence-based interventions
● Pediatric Assessment Triangle. Answer: Rapid visual and auditory assessment tool
evaluating appearance, work of breathing, and circulation to skin
● Anaphylactic Shock. Answer: Distributive shock from severe allergic reaction causing
massive vasodilation and capillary leak
● Bronchiolitis. Answer: Viral lower airway infection causing wheezing and respiratory
distress in infants
● Bradycardia. Answer: Heart rate below normal range for age often ominous sign in
pediatric arrest
● Macintosh Blade. Answer: Curved laryngoscope blade placed in vallecula lifting epiglottis
indirectly
