PALS- Pediatric Advanced Life Support Exam 2025/2026 Questions With Completed & Verified Solutions.

PALS- Pediatric Advanced Life Support

(True or False) A low hemoglobin (anemia) may make it harder to detect in cyanosis in a
critically ill child.
1. True
2. False - ANS 1.
\(True or False) Grunting is often a sign of lung tissue disease resulting from small
airway collapse, alveolar collapse or both.
1. True
2. False - ANS 1.
\(True or False) Hemoglobin concentration determines the oxygen-carrying capacity of
the blood.
1. True
2. False - ANS 1.
\(True or False) Outcomes for cardiac arrest in children is generally good.
1. True
2. False - ANS 2.
\(True or False) Pediatric cardiac arrest typically has a primary cause that is related to
respiratory failure or shock.
1. True
2. False - ANS 1.
\(True or False) Stridor is a sign of lower airway problem.
1. True
2. False - ANS 2.
\(True or False) Tachycardia is a normal physiologic response in the critically ill child?
1. True
2. False - ANS 1.
\(True or False) The sequence of evaluate-identify-intervene should be used before and
after each intervention and should continue until the child is stable.
1. True
2. False - ANS 1.
\(True or False) To ensure proper treatment of cardiac arrest, the rhythm must be
identified before initiating CPR.
1. True
2. False - ANS 2.
\(True or False) When assessing circulation, it is only necessary to assess the central
pulses.
1. True
2. False - ANS 2.
\A child is unresponsive and is not breathing. Emergency response was activated and
now a pulse check shows that the child does have a pulse. You then open the airway,
provide age-appropriate ventilations, and 100% oxygen with a bag valve mask. The

, child's pulse is < 60/min, and the child has signs of poor perfusion. What is your next
intervention?
1. Begin CPR
2. Provide a 500ml NS bolus
3. Perform an ABG.
4. Intubate the patient. - ANS 1.
\A child is unresponsive and is not breathing. You have activated the emergency
response system and your pulse check reveals that the child has a pulse. What should
you do now?
1. Perform a brief head to toe assessment.
2. Place the child in the recovery position.
3. Give epinephrine 1mg IV push
4. Open the airway and provide ventilations and oxygen. - ANS 4.
\A consistent respiratory rate less than 10 or more than _____ breaths per minute in a
child of any age is abnormal and suggests the presence of a potentially serious problem.
1. 40
2. 50
3. 60
4. 70 - ANS 3.
\A majority of sudden cardiac arrest in children occurs during athletic activity.
1. True
2. False - ANS 1.
\After completion of the primary assessment, if the child does not have a life-threatening
condition, the secondary assessment should be completed. The secondary assessment
consists of which of the following components? (Choose all correct answers)
1. General physical exam
2. Family medical history
3. Focused history
4. Focused physical exam - ANS 3, 4
\After it is determined that the child has no pulse, what should be done?
1. Call for help
2. Begin CPR
3. Provide 2 rescue breaths
4. Start an IV - ANS 2.
\After the emergency response is activated, the next intervention is to ____________.
1. Lightly shake the child's shoulders.
2. Look, listen, and feel.
3. Open the airway.
4. Check for breathing and a pulse - ANS 4.
\An arterial blood gas is a diagnostic test that measures amounts of certain gasses and
other constituents in the arterial blood. Match each result with the proper definition.
A. This value tells us about the acid-base balance.
B. This value tells us whether oxygenation is adequate.
C. This value tells us whether ventilation is adequate.