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
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
