PALS 2025 Exam Questions With Correct
Answers A+ Grade Pass 100% Marking
Scheme
What is the most appropriate precautionary action to minimize gastric inflation during
bag-mask ventilation? - Answers - ✔✔deliver each breathe over about 1 sec
What happens to the arterial oxygen level in a child with severe anemia? - Answers -
✔✔may increase when dissolved oxygen is increased
The evaluate-identify-intervene sequence should be continued until - Answers - ✔✔the
child is stable
How can the CPR coach improve CPR quality in a resuscitation event? - Answers -
✔✔Coach to midrange targets
Which is true of increased carbon dioxide tension in arterial blood? - Answers - ✔✔may
be caused by disordered control of breathing
Which of the following statements about respiratory failure is true? - Answers - ✔✔may
occur without signs of respiratory distress
Which is most likely to present in a child who has respiratory distress (not respiratory
failure)? - Answers - ✔✔ability to maintain patent airway
Which of the following is required to appropriately ventilate a child with a flow-inflating
bag? - Answers - ✔✔tidal volume needs to be delivered at the correct rate
What should be checked to ensure proper function of a bag-mask system? - Answers -
✔✔the pop-off valve can be closed
Oxygen tubing is connected to the device and the oxygen source
What element of team dynamics describes when a team member needs to correct
actions? - Answers - ✔✔constructive intervention
When may pulse oximetry be inaccurate? - Answers - ✔✔the displayed heart rate does
not correlate with the child's heart rate
A chest compression fraction of at least 60% is recommended, and a goal of 80% is
often achievable with good teamwork - Answers - ✔✔60%, 80%
, What is the first step for an intubated child whose condition deteriorates? - Answers -
✔✔support oxygenation and ventilation
What are the common cause of upper airway obstruction? - Answers - ✔✔airway
swelling
thick secretions
tonsillar hypertrophy (airway swelling)
which anatomical features may contribute to upper airway obstruction in infants? -
Answers - ✔✔large tongue
large occiput
what are the signs of upper airway obstruction? - Answers - ✔✔stridor
use of accessory muscles
which diagnosis may present with upper airway obstruction? - Answers - ✔✔foreign
body obstruction
epiglottitis
croup
in a less severe case of upper airway obstruction in a child, what intervention can
relieve obstruction caused by the tongue? - Answers - ✔✔insert an oral airway
a child presents with a barking cough, good air entry during auscultation, a pulse
oximetry reading of 93% on room air, and retractions at rest.
what is the severity of the child's presentation? - Answers - ✔✔moderate croup
an 8 month old boy is brought to the hospital by his parents. He has a hoarse cry and
barking cough. His mother says that during the night, her son had difficulty breathing,
which has progressively worsened throughout the day.
the infant most likely has what type of respiratory emergency? - Answers - ✔✔Upper
airway obstruction
according to the systematic approach algorithm, what are the correct assessments to
perform during the evaluation phase? - Answers - ✔✔initial, primary, secondary
the infant is responsive and is breathing.
what is an initial measure that you can perform to maintain his airway? - Answers -
✔✔sit him up
what are the components of breathing assessment? - Answers - ✔✔lung and airway
sounds
chest expansion and air movement
oxygen saturation
respiratory rate
Answers A+ Grade Pass 100% Marking
Scheme
What is the most appropriate precautionary action to minimize gastric inflation during
bag-mask ventilation? - Answers - ✔✔deliver each breathe over about 1 sec
What happens to the arterial oxygen level in a child with severe anemia? - Answers -
✔✔may increase when dissolved oxygen is increased
The evaluate-identify-intervene sequence should be continued until - Answers - ✔✔the
child is stable
How can the CPR coach improve CPR quality in a resuscitation event? - Answers -
✔✔Coach to midrange targets
Which is true of increased carbon dioxide tension in arterial blood? - Answers - ✔✔may
be caused by disordered control of breathing
Which of the following statements about respiratory failure is true? - Answers - ✔✔may
occur without signs of respiratory distress
Which is most likely to present in a child who has respiratory distress (not respiratory
failure)? - Answers - ✔✔ability to maintain patent airway
Which of the following is required to appropriately ventilate a child with a flow-inflating
bag? - Answers - ✔✔tidal volume needs to be delivered at the correct rate
What should be checked to ensure proper function of a bag-mask system? - Answers -
✔✔the pop-off valve can be closed
Oxygen tubing is connected to the device and the oxygen source
What element of team dynamics describes when a team member needs to correct
actions? - Answers - ✔✔constructive intervention
When may pulse oximetry be inaccurate? - Answers - ✔✔the displayed heart rate does
not correlate with the child's heart rate
A chest compression fraction of at least 60% is recommended, and a goal of 80% is
often achievable with good teamwork - Answers - ✔✔60%, 80%
, What is the first step for an intubated child whose condition deteriorates? - Answers -
✔✔support oxygenation and ventilation
What are the common cause of upper airway obstruction? - Answers - ✔✔airway
swelling
thick secretions
tonsillar hypertrophy (airway swelling)
which anatomical features may contribute to upper airway obstruction in infants? -
Answers - ✔✔large tongue
large occiput
what are the signs of upper airway obstruction? - Answers - ✔✔stridor
use of accessory muscles
which diagnosis may present with upper airway obstruction? - Answers - ✔✔foreign
body obstruction
epiglottitis
croup
in a less severe case of upper airway obstruction in a child, what intervention can
relieve obstruction caused by the tongue? - Answers - ✔✔insert an oral airway
a child presents with a barking cough, good air entry during auscultation, a pulse
oximetry reading of 93% on room air, and retractions at rest.
what is the severity of the child's presentation? - Answers - ✔✔moderate croup
an 8 month old boy is brought to the hospital by his parents. He has a hoarse cry and
barking cough. His mother says that during the night, her son had difficulty breathing,
which has progressively worsened throughout the day.
the infant most likely has what type of respiratory emergency? - Answers - ✔✔Upper
airway obstruction
according to the systematic approach algorithm, what are the correct assessments to
perform during the evaluation phase? - Answers - ✔✔initial, primary, secondary
the infant is responsive and is breathing.
what is an initial measure that you can perform to maintain his airway? - Answers -
✔✔sit him up
what are the components of breathing assessment? - Answers - ✔✔lung and airway
sounds
chest expansion and air movement
oxygen saturation
respiratory rate
