PALS Certification Course Exam 2025
Questions and Answers
Which topics are included in the PALS course ? - Correct Answer✔️✔️-PALS includes the
following:
(1) Overview of assessment
(2) Recognition and management of respiratory distress and failure
(3) Recognition and management of shock
(4) Recognition and management of cardiac arrhythmias
(5) Recognition and management of cardiac arrest
(6) Postresuscitation management of patients with pulmonary and cardiac arrest
(7) Review of pharmacology
What should be the primary focus of the clinician on prevention of cardiopulmonary failure -
Correct Answer✔️✔️-The clinician should primarily focus on prevention of cardiopulmonary
failure through early recognition and management of respiratory distress, respiratory failure, and
shock that can lead to cardiac arrest from hypoxia, acidosis, and ischemia.
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,What is the main cause of cardiac arrests in children? - Correct Answer✔️✔️-In infants and
children, most cardiac arrests result from progressive respiratory failure and/or shock, thus one of
the aims of PALS rapid assessment model is to prevent progression to cardiac arrest.
What is the pediatric assessment triangle? - Correct Answer✔️✔️-Brief visual and auditory
observation of child's overall (1) appearance, (2) work of breathing, (3) circulation
What are the components of the primary assessment? What signs should the clinician look for? -
Correct Answer✔️✔️-The clinician should in rapid sequence assess:
(1) Airway (patent, patent with maneuvers/adjuncts, partially or completely obstructed)
(2) Breathing (respiratory rate, effort, tidal volume, lung sounds, pulse oximetry)
(3) Circulation (skin color and temperature, heart rate and rhythm, blood pressure, peripheral and
central pulses, capillary refill time)
(4) Disability: (a)AVPU pediatric response scale: Alert, Voice, Pain, Unresponsive; (b) Pupillary
response to light
(c) Presence of hypoglycemia (rapid bedside glucose or response to empiric administration of
dextrose) (d) Glasgow Coma Scale
What are the components of the secondary assessment? For what should the clinician look for
during the secondary assessment? - Correct Answer✔️✔️-This portion of the evaluation includes a
thorough head to toe physical examination, as well as a focused medical history that consists of the
"SAMPLE" history:
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, (S) Signs and Symptoms
(A) Allergies
(M) Medications
(P) Past medical history
(L) Last meal
(E) Events leading to current illness
What are the components of the tertiary assessment? - Correct Answer✔️✔️-Injury and infection
are common causes of life-threatening illness in children. Thus, for this stage, ancillary studies are
frequently directed towards identifying the extent of trauma or an infectious focus.
There are many causes of acute respiratory compromise in children. The clinician should strive to
categorize respiratory distress or failure into one or more of the following: - Correct Answer✔️✔️-
(1) Upper airway obstruction (eg, croup, epiglottitis)
(2) Lower airway obstruction (eg, bronchiolitis, status asthmaticus)
(3) Lung tissue (parenchymal) disease (eg, bronchopneumonia)
(4) Disordered control of breathing (eg, seizure, coma, muscle weakness)
What is the focus of initial management - Correct Answer✔️✔️-The main focus of initial
management is to support airway, breathing, and circulation
How can the clinician support the airway? - Correct Answer✔️✔️-(1) Provide 100 percent inspired
oxygen
FOR STUDY PURPOSES ONLY COPYRIGHT © 2025 ALL RIGHTS RESERVED 3
Questions and Answers
Which topics are included in the PALS course ? - Correct Answer✔️✔️-PALS includes the
following:
(1) Overview of assessment
(2) Recognition and management of respiratory distress and failure
(3) Recognition and management of shock
(4) Recognition and management of cardiac arrhythmias
(5) Recognition and management of cardiac arrest
(6) Postresuscitation management of patients with pulmonary and cardiac arrest
(7) Review of pharmacology
What should be the primary focus of the clinician on prevention of cardiopulmonary failure -
Correct Answer✔️✔️-The clinician should primarily focus on prevention of cardiopulmonary
failure through early recognition and management of respiratory distress, respiratory failure, and
shock that can lead to cardiac arrest from hypoxia, acidosis, and ischemia.
FOR STUDY PURPOSES ONLY COPYRIGHT © 2025 ALL RIGHTS RESERVED 1
,What is the main cause of cardiac arrests in children? - Correct Answer✔️✔️-In infants and
children, most cardiac arrests result from progressive respiratory failure and/or shock, thus one of
the aims of PALS rapid assessment model is to prevent progression to cardiac arrest.
What is the pediatric assessment triangle? - Correct Answer✔️✔️-Brief visual and auditory
observation of child's overall (1) appearance, (2) work of breathing, (3) circulation
What are the components of the primary assessment? What signs should the clinician look for? -
Correct Answer✔️✔️-The clinician should in rapid sequence assess:
(1) Airway (patent, patent with maneuvers/adjuncts, partially or completely obstructed)
(2) Breathing (respiratory rate, effort, tidal volume, lung sounds, pulse oximetry)
(3) Circulation (skin color and temperature, heart rate and rhythm, blood pressure, peripheral and
central pulses, capillary refill time)
(4) Disability: (a)AVPU pediatric response scale: Alert, Voice, Pain, Unresponsive; (b) Pupillary
response to light
(c) Presence of hypoglycemia (rapid bedside glucose or response to empiric administration of
dextrose) (d) Glasgow Coma Scale
What are the components of the secondary assessment? For what should the clinician look for
during the secondary assessment? - Correct Answer✔️✔️-This portion of the evaluation includes a
thorough head to toe physical examination, as well as a focused medical history that consists of the
"SAMPLE" history:
FOR STUDY PURPOSES ONLY COPYRIGHT © 2025 ALL RIGHTS RESERVED 2
, (S) Signs and Symptoms
(A) Allergies
(M) Medications
(P) Past medical history
(L) Last meal
(E) Events leading to current illness
What are the components of the tertiary assessment? - Correct Answer✔️✔️-Injury and infection
are common causes of life-threatening illness in children. Thus, for this stage, ancillary studies are
frequently directed towards identifying the extent of trauma or an infectious focus.
There are many causes of acute respiratory compromise in children. The clinician should strive to
categorize respiratory distress or failure into one or more of the following: - Correct Answer✔️✔️-
(1) Upper airway obstruction (eg, croup, epiglottitis)
(2) Lower airway obstruction (eg, bronchiolitis, status asthmaticus)
(3) Lung tissue (parenchymal) disease (eg, bronchopneumonia)
(4) Disordered control of breathing (eg, seizure, coma, muscle weakness)
What is the focus of initial management - Correct Answer✔️✔️-The main focus of initial
management is to support airway, breathing, and circulation
How can the clinician support the airway? - Correct Answer✔️✔️-(1) Provide 100 percent inspired
oxygen
FOR STUDY PURPOSES ONLY COPYRIGHT © 2025 ALL RIGHTS RESERVED 3
