2025 AHA PALS (Pediatric Advanced Life Support) EXAM
NEWEST 2026 (GRADED A+ 100% VERIFIED ANSWERS)
You are evaluating a 48-year-old man with crushing substernal chest pain. The patient is
pale, diaphoretic, cool to the touch, and slow to respond to your questions. The blood
pressure is 58/32 mm Hg, the heart rate is 190/min, the respiratory rate is 18
breaths/min, and the pulse oximeter is unable to obtain a reading because there is no radial
pulse. The lead II ECG displays a regular wide-complex tachycardia. What
intervention should you perform next?
A. Procedural sedation
B. 12-lead ECG
C. Amiodarone administration
D. Synchronized cardioversion - ANSWER-D. Synchronized cardioversion
Which condition is a contraindication to therapeutic hypothermia during the postcardiac
arrest period for patients who achieve return of spontaneous circulation ROSC?
A. Initial rhythm of asystole
B. Responding to verbal commands
C. Patient age greater than 60 years
D. Desire to provide coronary reperfusion (eg, PCI) - ANSWER-B. Responding to verbal
commands
,What is the potential danger of using ties that pass circumferentially around the patient's
neck when securing an advanced airway?
A. May interfere with effective ventilation
B. Places the patient's cervical spine at risk
C. Obstruction of venous return from the brain
D. Does not adequately secure the airway device - ANSWER-C. Obstruction of venous return
from the brain
What is the most reliable method of confirming and monitoring correct placement of an
endotracheal tube?
A. 5-point auscultation
B. Colorimetric capnography
C. Continuous waveform capnography
D. Use of esophageal detection devices - ANSWER-C. Continuous waveform capnography
What is the initial priority for an unconscious patient with any tachycardia on the monitor?
A. Review the patient's home medications.
B. Evaluate the breath sounds.
C. Determine whether pulses are present.
D. Administer sedative drugs. - ANSWER-C. Determine whether pulses are present.
Which rhythm requires synchronized cardioversion?
A. Unstable supraventricular tachycardia
,B. Atrial fibrillation
C. Sinus tachycardia
D. NSR on monitor but no pulse - ANSWER-A. Unstable supraventricular tachycardia
What is the recommended second dose of adenosine for patients in refractory but
stable narrow-complex tachycardia?
A. 3mg
B. 6mg
C. 9mg
D. 12mg - ANSWER-D. 12mg
What is the usual post-cardiac arrest target range for PETCO2 when ventilating a patient
who achieves return of spontaneous circulation (ROSC)?
A. 30to35mmHg
B. 35to40mmHg
C. 40to45mmHg
D. 45to50mmHg - ANSWER-B. 35to40mmHg
What is the recommended IV fluid (normal saline or Ringer's lactate) bolus dose for a patient
who achieves ROSC but is hypotensive during the post-cardiac arrest period?
A. 250 to 500 mL
B. 500 to 1000 mL
, C. 1 to 2 L
D. 2 to 3 L - ANSWER-C. 1 to 2 L
What is the minimum systolic blood pressure one should attempt to achieve with fluid,
inotropic, or vasopressor administration in a hypotensive post-cardiac arrest patient who
achieves ROSC?
A. 90 mm Hg
B. 85 mm Hg
C. 80mmHg
D. 75mmHg - ANSWER-A. 90 mm Hg
What is the first treatment priority for a patient who achieves ROSC?
A. Coronary reperfusion
B. Therapeutic hypothermia
C. Maintaining blood glucose <185 mg/dL
D. Optimizing ventilation and oxygenation - ANSWER-D. Optimizing ventilation and oxygenation
What should be done to minimize interruptions in chest compressions during CPR?
A. Perform pulse checks only after defibrillation.
B. Safety threat to providers
C. Administer IV medications only when breaths are given.
D. Continue to use AED even after the arrival of a manual defibrillator. - ANSWER-B. Safety
threat to providers
NEWEST 2026 (GRADED A+ 100% VERIFIED ANSWERS)
You are evaluating a 48-year-old man with crushing substernal chest pain. The patient is
pale, diaphoretic, cool to the touch, and slow to respond to your questions. The blood
pressure is 58/32 mm Hg, the heart rate is 190/min, the respiratory rate is 18
breaths/min, and the pulse oximeter is unable to obtain a reading because there is no radial
pulse. The lead II ECG displays a regular wide-complex tachycardia. What
intervention should you perform next?
A. Procedural sedation
B. 12-lead ECG
C. Amiodarone administration
D. Synchronized cardioversion - ANSWER-D. Synchronized cardioversion
Which condition is a contraindication to therapeutic hypothermia during the postcardiac
arrest period for patients who achieve return of spontaneous circulation ROSC?
A. Initial rhythm of asystole
B. Responding to verbal commands
C. Patient age greater than 60 years
D. Desire to provide coronary reperfusion (eg, PCI) - ANSWER-B. Responding to verbal
commands
,What is the potential danger of using ties that pass circumferentially around the patient's
neck when securing an advanced airway?
A. May interfere with effective ventilation
B. Places the patient's cervical spine at risk
C. Obstruction of venous return from the brain
D. Does not adequately secure the airway device - ANSWER-C. Obstruction of venous return
from the brain
What is the most reliable method of confirming and monitoring correct placement of an
endotracheal tube?
A. 5-point auscultation
B. Colorimetric capnography
C. Continuous waveform capnography
D. Use of esophageal detection devices - ANSWER-C. Continuous waveform capnography
What is the initial priority for an unconscious patient with any tachycardia on the monitor?
A. Review the patient's home medications.
B. Evaluate the breath sounds.
C. Determine whether pulses are present.
D. Administer sedative drugs. - ANSWER-C. Determine whether pulses are present.
Which rhythm requires synchronized cardioversion?
A. Unstable supraventricular tachycardia
,B. Atrial fibrillation
C. Sinus tachycardia
D. NSR on monitor but no pulse - ANSWER-A. Unstable supraventricular tachycardia
What is the recommended second dose of adenosine for patients in refractory but
stable narrow-complex tachycardia?
A. 3mg
B. 6mg
C. 9mg
D. 12mg - ANSWER-D. 12mg
What is the usual post-cardiac arrest target range for PETCO2 when ventilating a patient
who achieves return of spontaneous circulation (ROSC)?
A. 30to35mmHg
B. 35to40mmHg
C. 40to45mmHg
D. 45to50mmHg - ANSWER-B. 35to40mmHg
What is the recommended IV fluid (normal saline or Ringer's lactate) bolus dose for a patient
who achieves ROSC but is hypotensive during the post-cardiac arrest period?
A. 250 to 500 mL
B. 500 to 1000 mL
, C. 1 to 2 L
D. 2 to 3 L - ANSWER-C. 1 to 2 L
What is the minimum systolic blood pressure one should attempt to achieve with fluid,
inotropic, or vasopressor administration in a hypotensive post-cardiac arrest patient who
achieves ROSC?
A. 90 mm Hg
B. 85 mm Hg
C. 80mmHg
D. 75mmHg - ANSWER-A. 90 mm Hg
What is the first treatment priority for a patient who achieves ROSC?
A. Coronary reperfusion
B. Therapeutic hypothermia
C. Maintaining blood glucose <185 mg/dL
D. Optimizing ventilation and oxygenation - ANSWER-D. Optimizing ventilation and oxygenation
What should be done to minimize interruptions in chest compressions during CPR?
A. Perform pulse checks only after defibrillation.
B. Safety threat to providers
C. Administer IV medications only when breaths are given.
D. Continue to use AED even after the arrival of a manual defibrillator. - ANSWER-B. Safety
threat to providers
