AHA PALS
Actual Verified Exam
2026/2027 Academic Year
American Heart Association (AHA)
Verified Questions and Answers | Graded A+ | Latest Guidelines
AHA PALS Actual Verified Exam | 2026/2027 Practice Guide Page 1
, TABLE OF CONTENTS - AREAS COVERED
Section 1: BLS, Assessment & Respiratory Emergencies - Page 3 (25 Qs)
Section 2: Shock Recognition & Management - Page 10 (20 Qs)
Section 3: Arrhythmias & ECG Recognition - Page 17 (20 Qs)
Section 4: Cardiac Arrest, CPR & Defibrillation - Page 24 (20 Qs)
Section 5: Post-Resuscitation, Pharmacology & Team Dynamics - Page 31 (20 Qs)
Answer Key Summary - Page 38
AHA PALS Actual Verified Exam | 2026/2027 Practice Guide Page 2
, Q1. Pediatric assessment triangle components?
A) Appearance, Work of Breathing, Circulation to skin
B) Only HR
C) Only BP
D) Only airway
Correct: A
Rationale: PAT: Appearance (mental status), Work of breathing, Circulation to skin - rapid assessment without
touching.
Q2. Normal HR infant?
A) 60-100
B) 100-180
C) 20-40
D) 200-300
Correct: B
Rationale: Infant HR 100-180 awake, child 80-140, adolescent 60-100. Tachycardia first sign shock.
Q3. First-line for symptomatic bradycardia with poor perfusion?
A) Epinephrine
B) Atropine not effective in infants, give epinephrine and CPR
C) Defibrillation
D) Amiodarone
Correct: B
Rationale: Pediatric bradycardia poor perfusion: CPR, epinephrine 0.01 mg/kg IV/IO. Atropine for vagal or AV block,
not first for primary bradycardia.
Q4. Shock with delayed cap refill, cool skin, weak pulses?
A) Compensated shock
B) Hypotensive shock
C) No shock
D) Respiratory failure
Correct: A
Rationale: Compensated shock: tachycardia, delayed cap refill, cool/pale, weak pulses, BP still normal. Hypotensive
is decompensated late.
Q5. Fluid bolus for child with shock (no cardiac disease)?
A) 20 mL/kg isotonic crystalloid NS/LR
B) 1 mL/kg
C) 100 mL/kg
D) No fluids
Correct: A
Rationale: Pediatric fluid bolus 20 mL/kg isotonic NS/LR rapid, reassess, may repeat. Cardiogenic use smaller 5-10
mL/kg.
Q6. SVT in child - stable first treatment?
A) Vagal maneuvers then adenosine 0.1 mg/kg max 6mg first dose
B) Defibrillation
C) Epinephrine
D) Atropine
Correct: A
Rationale: Stable SVT: vagal, adenosine 0.1 mg/kg (max 6mg) first dose, 0.2 mg/kg max 12mg second. Unstable:
synchronized cardioversion 0.5-1 J/kg.
Q7. Pulseless VT/VF treatment?
A) CPR + defibrillation 2 J/kg then 4 J/kg + epinephrine
B) Only atropine
AHA PALS Actual Verified Exam | 2026/2027 Practice Guide Page 3
Actual Verified Exam
2026/2027 Academic Year
American Heart Association (AHA)
Verified Questions and Answers | Graded A+ | Latest Guidelines
AHA PALS Actual Verified Exam | 2026/2027 Practice Guide Page 1
, TABLE OF CONTENTS - AREAS COVERED
Section 1: BLS, Assessment & Respiratory Emergencies - Page 3 (25 Qs)
Section 2: Shock Recognition & Management - Page 10 (20 Qs)
Section 3: Arrhythmias & ECG Recognition - Page 17 (20 Qs)
Section 4: Cardiac Arrest, CPR & Defibrillation - Page 24 (20 Qs)
Section 5: Post-Resuscitation, Pharmacology & Team Dynamics - Page 31 (20 Qs)
Answer Key Summary - Page 38
AHA PALS Actual Verified Exam | 2026/2027 Practice Guide Page 2
, Q1. Pediatric assessment triangle components?
A) Appearance, Work of Breathing, Circulation to skin
B) Only HR
C) Only BP
D) Only airway
Correct: A
Rationale: PAT: Appearance (mental status), Work of breathing, Circulation to skin - rapid assessment without
touching.
Q2. Normal HR infant?
A) 60-100
B) 100-180
C) 20-40
D) 200-300
Correct: B
Rationale: Infant HR 100-180 awake, child 80-140, adolescent 60-100. Tachycardia first sign shock.
Q3. First-line for symptomatic bradycardia with poor perfusion?
A) Epinephrine
B) Atropine not effective in infants, give epinephrine and CPR
C) Defibrillation
D) Amiodarone
Correct: B
Rationale: Pediatric bradycardia poor perfusion: CPR, epinephrine 0.01 mg/kg IV/IO. Atropine for vagal or AV block,
not first for primary bradycardia.
Q4. Shock with delayed cap refill, cool skin, weak pulses?
A) Compensated shock
B) Hypotensive shock
C) No shock
D) Respiratory failure
Correct: A
Rationale: Compensated shock: tachycardia, delayed cap refill, cool/pale, weak pulses, BP still normal. Hypotensive
is decompensated late.
Q5. Fluid bolus for child with shock (no cardiac disease)?
A) 20 mL/kg isotonic crystalloid NS/LR
B) 1 mL/kg
C) 100 mL/kg
D) No fluids
Correct: A
Rationale: Pediatric fluid bolus 20 mL/kg isotonic NS/LR rapid, reassess, may repeat. Cardiogenic use smaller 5-10
mL/kg.
Q6. SVT in child - stable first treatment?
A) Vagal maneuvers then adenosine 0.1 mg/kg max 6mg first dose
B) Defibrillation
C) Epinephrine
D) Atropine
Correct: A
Rationale: Stable SVT: vagal, adenosine 0.1 mg/kg (max 6mg) first dose, 0.2 mg/kg max 12mg second. Unstable:
synchronized cardioversion 0.5-1 J/kg.
Q7. Pulseless VT/VF treatment?
A) CPR + defibrillation 2 J/kg then 4 J/kg + epinephrine
B) Only atropine
AHA PALS Actual Verified Exam | 2026/2027 Practice Guide Page 3
