PALS 2025 Exam Questions and Answers
A 6 month old infant is unresponsive. You begin checking for breathing at the same time you check
for the infants pulse. Which is the maximum time you should spend when trying to simultaneously
check for breathing and palpate the infants pulse before starting CPR?
a. 10 seconds
b. 15 seconds
c. 20 seconds
d. 1 min - ANSWER✔✔-a. 10 seconds
A 4 year old child is brought to the emergency department for seizures. The seizures stopped a few
minutes ago, but the child continues to have slow and irregular respirations. Which condition is
most consistent with your assessment?
A. Vascular resistance
B. Pulse rate
C. Lung compliance
D. Disordered Control of breathing - ANSWER✔✔-D. Disordered Control of Breathing
FOR STUDY PURPOSES ONLY COPYRIGHT © 2025 ALL RIGHTS RESERVED 1
, An 8 year (or 18 months or toddler) old child is brought to the emergency department with a 2 day
history of (vomiting and diarrhea.) lethargy and polyuria. The child has new onset rapid, deep, and
labored breathing. Which diagnostic test should you order first?
A. Arterial blood gas
B. Serum potassium concentration
C. Glucose
D. A 12-lead ECG - ANSWER✔✔-C. blood glucose
After rectal administration of diazepam, an 8 year old boy with a history of seizures is no
unresponsive to painful stimuli. His respirations are shallow, at a rate of 10/min. His Oxygen
saturation is 94% on 2L of NC oxygen. On examination, the child is snoring with poor chest rise
and poor air entry bilaterally. What action should you take next? - ANSWER✔✔-Reposition the
patient, and insert an oral airway
After rectal administration of diazepam, an 8 year old boy with a history of seizures is no
unresponsive to painful stimuli. His respirations are shallow, at a rate of 10/min. His Oxygen
saturation is 94% on 2L of NC oxygen. On examination, the child is snoring with poor chest rise
and poor air entry bilaterally. After repositioning the patient and you insert an Oral airway, the
patient continues to deteriorate. What next step is the most appropriate? - ANSWER✔✔-Provide
bag mask ventilation
A 6 year old child is found unresponsive, not breathing, and without a pulse. one health care worker
leaves to activate the emergency response system and get the resuscitation equipment. You and
FOR STUDY PURPOSES ONLY COPYRIGHT © 2025 ALL RIGHTS RESERVED 2
A 6 month old infant is unresponsive. You begin checking for breathing at the same time you check
for the infants pulse. Which is the maximum time you should spend when trying to simultaneously
check for breathing and palpate the infants pulse before starting CPR?
a. 10 seconds
b. 15 seconds
c. 20 seconds
d. 1 min - ANSWER✔✔-a. 10 seconds
A 4 year old child is brought to the emergency department for seizures. The seizures stopped a few
minutes ago, but the child continues to have slow and irregular respirations. Which condition is
most consistent with your assessment?
A. Vascular resistance
B. Pulse rate
C. Lung compliance
D. Disordered Control of breathing - ANSWER✔✔-D. Disordered Control of Breathing
FOR STUDY PURPOSES ONLY COPYRIGHT © 2025 ALL RIGHTS RESERVED 1
, An 8 year (or 18 months or toddler) old child is brought to the emergency department with a 2 day
history of (vomiting and diarrhea.) lethargy and polyuria. The child has new onset rapid, deep, and
labored breathing. Which diagnostic test should you order first?
A. Arterial blood gas
B. Serum potassium concentration
C. Glucose
D. A 12-lead ECG - ANSWER✔✔-C. blood glucose
After rectal administration of diazepam, an 8 year old boy with a history of seizures is no
unresponsive to painful stimuli. His respirations are shallow, at a rate of 10/min. His Oxygen
saturation is 94% on 2L of NC oxygen. On examination, the child is snoring with poor chest rise
and poor air entry bilaterally. What action should you take next? - ANSWER✔✔-Reposition the
patient, and insert an oral airway
After rectal administration of diazepam, an 8 year old boy with a history of seizures is no
unresponsive to painful stimuli. His respirations are shallow, at a rate of 10/min. His Oxygen
saturation is 94% on 2L of NC oxygen. On examination, the child is snoring with poor chest rise
and poor air entry bilaterally. After repositioning the patient and you insert an Oral airway, the
patient continues to deteriorate. What next step is the most appropriate? - ANSWER✔✔-Provide
bag mask ventilation
A 6 year old child is found unresponsive, not breathing, and without a pulse. one health care worker
leaves to activate the emergency response system and get the resuscitation equipment. You and
FOR STUDY PURPOSES ONLY COPYRIGHT © 2025 ALL RIGHTS RESERVED 2
