CERTIFICATION EXAM QUESTIONS AND CORRECT
ANSWERS (VERIFIED ANSWRS) Q&A 2027
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1. The primary goal of Pediatric Advanced Life Support (PALS)
is to:
A. Provide long-term rehabilitation
B. Prevent and treat life-threatening emergencies in children
C. Diagnose chronic pediatric diseases
D. Replace routine pediatric care
Correct Answer: B. Prevent and treat life-threatening
emergencies in children
Rationale: PALS focuses on rapid recognition, stabilization, and
management of critically ill or injured infants and children.
2. The first step in assessing a critically ill child is to:
A. Obtain a complete medical history
B. Perform advanced laboratory tests
C. Assess airway, breathing, and circulation
D. Administer medication immediately
Correct Answer: C. Assess airway, breathing, and circulation
,Rationale: The ABC approach identifies immediate threats to
life and guides emergency interventions.
3. During the initial assessment of a child, the healthcare
provider should first determine:
A. The child's immunization status
B. Whether the child is responsive
C. The child's dietary habits
D. The child's family history
Correct Answer: B. Whether the child is responsive
Rationale: Responsiveness helps determine the urgency of care
and whether immediate resuscitation is required.
4. The most common cause of cardiac arrest in children is:
A. Primary cardiac disease
B. Respiratory failure and shock
C. Hypertension
D. Heart valve disease
Correct Answer: B. Respiratory failure and shock
Rationale: Pediatric cardiac arrests commonly result from
progressive respiratory problems or circulatory shock.
,5. A child who is not breathing normally but has a pulse
should receive:
A. Chest compressions only
B. Rescue breathing and oxygen support
C. Defibrillation immediately
D. No intervention
Correct Answer: B. Rescue breathing and oxygen support
Rationale: A child with a pulse but inadequate breathing
requires ventilation support.
6. The recommended chest compression rate during pediatric
CPR is:
A. 40–60 compressions/minute
B. 60–80 compressions/minute
C. 100–120 compressions/minute
D. 140–160 compressions/minute
Correct Answer: C. 100–120 compressions/minute
Rationale: High-quality CPR requires compressions at 100–120
per minute with adequate depth and recoil.
7. The recommended compression depth for a child during
CPR is approximately:
, A. One inch
B. One-third the depth of the chest
C. Half the chest depth
D. Two-thirds the chest depth
Correct Answer: B. One-third the depth of the chest
Rationale: Pediatric compressions should be about one-third
the anterior-posterior diameter of the chest.
8. The correct compression-to-ventilation ratio for two
rescuers performing CPR on a child is:
A. 15:2
B. 30:1
C. 5:1
D. 50:5
Correct Answer: A. 15:2
Rationale: Two-rescuer pediatric CPR uses a 15:2 compression-
to-ventilation ratio.
9. A normal heart rate in children generally:
A. Remains constant regardless of age
B. Is higher in younger children
C. Is lower in infants than adults
D. Does not affect assessment