EPALS CERTIFICATION SCRIPT 2026 QUESTIONS WITH
SOLUTIONS GRADED A+
● Blow-By Oxygen. Answer: Gentle oxygen delivery near child's face without tight-fitting
mask for anxious patients
● Uncuffed Endotracheal Tube. Answer: Traditional pediatric ET tube without cuff
historically preferred for children under 8 years
● PAT. Answer: Acronym for Pediatric Assessment Triangle providing initial impression within
30-60 seconds
● Exposure Assessment. Answer: Complete examination removing clothing to identify
injuries while preventing hypothermia
● Epinephrine Infusion. Answer: Continuous IV administration of epinephrine for shock
unresponsive to fluids
● Oxygen Therapy. Answer: Administration of supplemental oxygen to improve arterial
oxygen saturation and tissue oxygenation
● Absent Epigastric Sounds. Answer: No air sounds over stomach indicating tube not in
esophagus
● AVPU Scale. Answer: Rapid consciousness assessment: Alert, Voice responsive, Pain
responsive, Unresponsive
● TICLS. Answer: Mnemonic for Appearance assessment: Tone, Interactiveness,
Consolability, Look/gaze, Speech/cry
● Upper Airway Obstruction. Answer: Blockage of air passage above vocal cords causing
stridor and inspiratory difficulty
● Decreased Urine Output. Answer: Oliguria or anuria from decreased kidney perfusion
indicating shock
● GCS. Answer: Acronym for Glasgow Coma Scale with scores ranging 3-15
, ● ABCDE Assessment. Answer: Primary assessment sequence: Airway, Breathing,
Circulation, Disability, Exposure
● SpO2. Answer: Symbol for oxygen saturation measured by pulse oximeter
● Oropharyngeal Airway. Answer: Curved plastic device inserted over tongue maintaining
airway patency in unconscious patients
● Epiglottitis. Answer: Life-threatening bacterial infection causing epiglottis swelling and
complete airway obstruction
● Normal Saline. Answer: 0.9% sodium chloride solution commonly used for pediatric
resuscitation
● Intraosseous Access. Answer: Needle placed through bone into marrow space for
emergency vascular access
● Disability Assessment. Answer: Brief neurologic evaluation using AVPU scale or Glasgow
Coma Scale
● Emergency Pediatric Advanced Life Support. Answer: Comprehensive training program
for healthcare providers managing critically ill or injured children from infancy through
adolescence
● CRT. Answer: Abbreviation for Capillary Refill Time with normal less than 2 seconds
● Glasgow Coma Scale. Answer: Neurologic assessment scoring eye opening, verbal
response, and motor response
● Vascular Access. Answer: Establishment of intravenous or intraosseous route for fluid and
medication administration
● Exposure Assessment. Answer: Complete examination removing clothing to identify
injuries while preventing hypothermia
● Laryngotracheobronchitis. Answer: Medical term for croup involving inflammation of
larynx, trachea, and bronchi
● Blood Products. Answer: Packed red blood cells, platelets, plasma, or whole blood for
resuscitation
● Pulse Oximetry. Answer: Non-invasive measurement of oxygen saturation in arterial blood
SOLUTIONS GRADED A+
● Blow-By Oxygen. Answer: Gentle oxygen delivery near child's face without tight-fitting
mask for anxious patients
● Uncuffed Endotracheal Tube. Answer: Traditional pediatric ET tube without cuff
historically preferred for children under 8 years
● PAT. Answer: Acronym for Pediatric Assessment Triangle providing initial impression within
30-60 seconds
● Exposure Assessment. Answer: Complete examination removing clothing to identify
injuries while preventing hypothermia
● Epinephrine Infusion. Answer: Continuous IV administration of epinephrine for shock
unresponsive to fluids
● Oxygen Therapy. Answer: Administration of supplemental oxygen to improve arterial
oxygen saturation and tissue oxygenation
● Absent Epigastric Sounds. Answer: No air sounds over stomach indicating tube not in
esophagus
● AVPU Scale. Answer: Rapid consciousness assessment: Alert, Voice responsive, Pain
responsive, Unresponsive
● TICLS. Answer: Mnemonic for Appearance assessment: Tone, Interactiveness,
Consolability, Look/gaze, Speech/cry
● Upper Airway Obstruction. Answer: Blockage of air passage above vocal cords causing
stridor and inspiratory difficulty
● Decreased Urine Output. Answer: Oliguria or anuria from decreased kidney perfusion
indicating shock
● GCS. Answer: Acronym for Glasgow Coma Scale with scores ranging 3-15
, ● ABCDE Assessment. Answer: Primary assessment sequence: Airway, Breathing,
Circulation, Disability, Exposure
● SpO2. Answer: Symbol for oxygen saturation measured by pulse oximeter
● Oropharyngeal Airway. Answer: Curved plastic device inserted over tongue maintaining
airway patency in unconscious patients
● Epiglottitis. Answer: Life-threatening bacterial infection causing epiglottis swelling and
complete airway obstruction
● Normal Saline. Answer: 0.9% sodium chloride solution commonly used for pediatric
resuscitation
● Intraosseous Access. Answer: Needle placed through bone into marrow space for
emergency vascular access
● Disability Assessment. Answer: Brief neurologic evaluation using AVPU scale or Glasgow
Coma Scale
● Emergency Pediatric Advanced Life Support. Answer: Comprehensive training program
for healthcare providers managing critically ill or injured children from infancy through
adolescence
● CRT. Answer: Abbreviation for Capillary Refill Time with normal less than 2 seconds
● Glasgow Coma Scale. Answer: Neurologic assessment scoring eye opening, verbal
response, and motor response
● Vascular Access. Answer: Establishment of intravenous or intraosseous route for fluid and
medication administration
● Exposure Assessment. Answer: Complete examination removing clothing to identify
injuries while preventing hypothermia
● Laryngotracheobronchitis. Answer: Medical term for croup involving inflammation of
larynx, trachea, and bronchi
● Blood Products. Answer: Packed red blood cells, platelets, plasma, or whole blood for
resuscitation
● Pulse Oximetry. Answer: Non-invasive measurement of oxygen saturation in arterial blood
