PALS Exam 2025 Questions and
Answers
What should the first rescuer arriving on the scene of an unresponsive infant or child do? (Put the
steps in order.) - Correct Answer✔️✔️-2,1,4,3
How long should assessing for breathing and a pulse take? - Correct Answer✔️✔️-No longer than
10 seconds
What should you do to check for breathing? - Correct Answer✔️✔️-Look for chest rise and fall
Where can you check a pulse on an infant and a child? - Correct Answer✔️✔️-Brachial
If the child does not have normal breathing and a pulse of 64/min is present, you will need to -
Correct Answer✔️✔️-provide rescue breathing
For an unwitnessed cardiac arrest, what should you do after determining unresponsiveness and there
is no breathing and no pulse? - Correct Answer✔️✔️-Perform high-quality CPR for 2 minutes
The appropriate rate for compressions for children is 100 to 120/min. What is the correct depth for
children? - Correct Answer✔️✔️-Approximately 2 inches (one third AP diameter)
What is the compression-to-ventilation ratio for 1- and
FOR STUDY PURPOSES ONLY COPYRIGHT © 2025 ALL RIGHTS RESERVED 1
,2-rescuer CPR for children and infants? - Correct Answer✔️✔️-• Single rescuer: 30:2
• 2 rescuers: 15:2
How should 1-rescuer infant compressions be delivered? - Correct Answer✔️✔️-With 2 fingers or
2 thumbs
What are the 4 universal steps for operation of an AED? - Correct Answer✔️✔️-1 Turn on the
AED
2 Attach pads to the patient
3 Analyze the heart rhythm
4 Deliver indicated shock
If the AED indicates no shock advised, what should be the next action? - Correct Answer✔️✔️-
Start chest compressions
What does A-B-C in the Pediatric Assessment Triangle
(PAT) stand for? - Correct Answer✔️✔️-Appearance
B Work of breathing
c Circulation
When is the Pediatric Assessment Triangle (PAT)
performed to make an initial assessment? - Correct Answer✔️✔️-During the "from the doorway"
observation
FOR STUDY PURPOSES ONLY COPYRIGHT © 2025 ALL RIGHTS RESERVED 2
,What sequence is used when caring for a seriously ill or injured child to help determine the best
treatment or intervention? The__________sequence. - Correct Answer✔️✔️-Evaluate
Identify
Intervene
The evaluate-identify-intervene sequence should be continued until - Correct Answer✔️✔️-The
child is stable
The primary assessment includes the ABCDE approach.
What does it assess? - Correct Answer✔️✔️-Airway, breathing, circulation, disability, and exposure
How is the airway assessed? - Correct Answer✔️✔️-Determining if the airway is open/patent
In the primary assessment, how should you open the airway of a child who is not suspected of
having a cervical spine injury? - Correct Answer✔️✔️-With a head tilt-chin lift
In infants, the abdomen may move______the chest - Correct Answer✔️✔️-more than
What is a characteristic of normal chest rise? - Correct Answer✔️✔️-Symmetrical during
inspiration
Where can you check a pulse on an infant and a child? - Correct Answer✔️✔️-Infant Brachial
Child Femoral
_______is usually high-pitched breathing during inspiration, whereas________is usually during
expiration. - Correct Answer✔️✔️-Stridor
FOR STUDY PURPOSES ONLY COPYRIGHT © 2025 ALL RIGHTS RESERVED 3
, wheezing
Snoring and gurgling are a result of_____airway obstruction. - Correct Answer✔️✔️-upper
Oxygen saturation less than_____indicates low
oxygen saturation, which is known as hypoxemia. - Correct Answer✔️✔️-94%
Pulse oximetry indicates oxygen______but not oxygen delivery. - Correct Answer✔️✔️-saturation
Determine the respiratory rate by counting the number of times the chest rises in______seconds
and multiplying
by - Correct Answer✔️✔️-30
2
Tachypnea is often the first sign of respiratory_______in infants - Correct Answer✔️✔️-distress
Conditions that______air resistance lead to increased
respiratory______ - Correct Answer✔️✔️-increase
effort
What are signs of increased respiratory effort that can lead to fatigue and respiratory failure? -
Correct Answer✔️✔️-Head bobbing
Seesaw respirations
Retractions
Nasal flaring
FOR STUDY PURPOSES ONLY COPYRIGHT © 2025 ALL RIGHTS RESERVED 4
Answers
What should the first rescuer arriving on the scene of an unresponsive infant or child do? (Put the
steps in order.) - Correct Answer✔️✔️-2,1,4,3
How long should assessing for breathing and a pulse take? - Correct Answer✔️✔️-No longer than
10 seconds
What should you do to check for breathing? - Correct Answer✔️✔️-Look for chest rise and fall
Where can you check a pulse on an infant and a child? - Correct Answer✔️✔️-Brachial
If the child does not have normal breathing and a pulse of 64/min is present, you will need to -
Correct Answer✔️✔️-provide rescue breathing
For an unwitnessed cardiac arrest, what should you do after determining unresponsiveness and there
is no breathing and no pulse? - Correct Answer✔️✔️-Perform high-quality CPR for 2 minutes
The appropriate rate for compressions for children is 100 to 120/min. What is the correct depth for
children? - Correct Answer✔️✔️-Approximately 2 inches (one third AP diameter)
What is the compression-to-ventilation ratio for 1- and
FOR STUDY PURPOSES ONLY COPYRIGHT © 2025 ALL RIGHTS RESERVED 1
,2-rescuer CPR for children and infants? - Correct Answer✔️✔️-• Single rescuer: 30:2
• 2 rescuers: 15:2
How should 1-rescuer infant compressions be delivered? - Correct Answer✔️✔️-With 2 fingers or
2 thumbs
What are the 4 universal steps for operation of an AED? - Correct Answer✔️✔️-1 Turn on the
AED
2 Attach pads to the patient
3 Analyze the heart rhythm
4 Deliver indicated shock
If the AED indicates no shock advised, what should be the next action? - Correct Answer✔️✔️-
Start chest compressions
What does A-B-C in the Pediatric Assessment Triangle
(PAT) stand for? - Correct Answer✔️✔️-Appearance
B Work of breathing
c Circulation
When is the Pediatric Assessment Triangle (PAT)
performed to make an initial assessment? - Correct Answer✔️✔️-During the "from the doorway"
observation
FOR STUDY PURPOSES ONLY COPYRIGHT © 2025 ALL RIGHTS RESERVED 2
,What sequence is used when caring for a seriously ill or injured child to help determine the best
treatment or intervention? The__________sequence. - Correct Answer✔️✔️-Evaluate
Identify
Intervene
The evaluate-identify-intervene sequence should be continued until - Correct Answer✔️✔️-The
child is stable
The primary assessment includes the ABCDE approach.
What does it assess? - Correct Answer✔️✔️-Airway, breathing, circulation, disability, and exposure
How is the airway assessed? - Correct Answer✔️✔️-Determining if the airway is open/patent
In the primary assessment, how should you open the airway of a child who is not suspected of
having a cervical spine injury? - Correct Answer✔️✔️-With a head tilt-chin lift
In infants, the abdomen may move______the chest - Correct Answer✔️✔️-more than
What is a characteristic of normal chest rise? - Correct Answer✔️✔️-Symmetrical during
inspiration
Where can you check a pulse on an infant and a child? - Correct Answer✔️✔️-Infant Brachial
Child Femoral
_______is usually high-pitched breathing during inspiration, whereas________is usually during
expiration. - Correct Answer✔️✔️-Stridor
FOR STUDY PURPOSES ONLY COPYRIGHT © 2025 ALL RIGHTS RESERVED 3
, wheezing
Snoring and gurgling are a result of_____airway obstruction. - Correct Answer✔️✔️-upper
Oxygen saturation less than_____indicates low
oxygen saturation, which is known as hypoxemia. - Correct Answer✔️✔️-94%
Pulse oximetry indicates oxygen______but not oxygen delivery. - Correct Answer✔️✔️-saturation
Determine the respiratory rate by counting the number of times the chest rises in______seconds
and multiplying
by - Correct Answer✔️✔️-30
2
Tachypnea is often the first sign of respiratory_______in infants - Correct Answer✔️✔️-distress
Conditions that______air resistance lead to increased
respiratory______ - Correct Answer✔️✔️-increase
effort
What are signs of increased respiratory effort that can lead to fatigue and respiratory failure? -
Correct Answer✔️✔️-Head bobbing
Seesaw respirations
Retractions
Nasal flaring
FOR STUDY PURPOSES ONLY COPYRIGHT © 2025 ALL RIGHTS RESERVED 4
