PALS 2025

PALS 2025 QUESTIONS WITH
CORRECT ANSWERS
Whichkpulseskshouldkbe kassessedktokmonitorksystemickperfusionkinkakchild?k-kCORRECTkANSWER-
peripheral kandkcentral



Whatkshouldkthe kfirstkrescuerkarrivingkonkthe kscenekofkankunresponsive kinfantkorkchildkdo?k(inkorder)k-
kCORRECTkANSWER-1. kverify ksceneksafety



2.kcheckkforkresponsiveness

3.kshoutkforkhelp

4.kactivate kthe kemergencykresponseksystem



Whykmaykexcessive kventilationkduringkCPRkbekharmful?k-kCORRECTkANSWER--
kitkincreases kintrathoracickpressure



-kitkimpedeskvenouskreturn



Ifkyoukcannotkachievekeffectivekventilationk(ie,kthekchestkdoesknotkrise),kdokthekfollowing:k-
kCORRECTkANSWER-- kreposition/reopen kthe kairwayk(sniffingkposition)



-kverifykmaskksizekandkensure kaktightkface-maskkseal

-ksuctionkthe kairwaykifkneeded

-kcheckkthe kO2ksource

-kcheckkthe kventilationkbagkandkmask

-ktreatkgastrickinflationk(NG/OG)

-kconsiderk2-personkbag-maskkventilationkandkinsertingkankOPA



Ventilationkratek-kCORRECTkANSWER-1kbreathkeveryk2-3ksecondskdeliveredkoverk1ksecondk(20-
30kbreathskperkminute)



Earlyksignskof ktissuekhypoxiak-kCORRECTkANSWER-- ktachypnea

-kincreasedkrespiratorykeffortk(nasalkflaring,kretractions)

, -ktachycardia

-kpallor,kmottling,kcyanosis

-kagitation,kanxiety,kirritability



Late ksignskofktissuekhypoxiak-kCORRECTkANSWER--kbradypnea,kinadequatekrespiratorykeffort,kapnea

-kincreasedkrespiratorykeffortk(headkbobbing,kseesawkrespirations,kgrunting)

-kbradycardia

-kpallor,kmottling,kcyanosis

-kdecreasedklevelkofkconsciousness



Whatkiskthe krolekof kthe kdiaphragmkduringknormalkbreathingkinkinfants?k-kCORRECTkANSWER-
pullskthe kribskslightlykinward



S/Skmildkrespiratorykdistressk-kCORRECTkANSWER-- kmildktachypnea

-kmildkincreasekinkrespiratorykeffortk(nasal kflaring,kretractions)

-kabnormal kairwayksoundsk(stridor,kwheezing,kgrunting)



S/SkSevere krespiratorykdistressk-kCORRECTkANSWER--kmarkedktachypnea

-kmarkedkincreasekinkrespiratorykeffort

-kparadoxical kthroacoabdominalkbreathingk(seesawkbreathing)

-kaccessorykmusclekusek(headkbobbing)

-kabnormal kairwayksoundsk(grunting)

-kdecreasedklevelkofkconsciousness



S/SkImpendingkrespiratorykarrestk-kCORRECTkANSWER--kbradypnea,kapnea,krespiratorykpauses

-klowkoxygenksaturationk(hypoxemia) kdespite khigh-flowksupplemental koxygen

-kinadequatekrespiratorykeffortk(shallowkrespirations)

-kdecreasedklevelkofkconsciousnessk(unresponsive)

-kbradycardia