1
PEDIATRIC ADVANCED LIFE SUPPORT (PALS)
EXAMS A & B COMPLETE EXAM WITH
QUESTIONS AND ANSWERS 2026 VERSION
PALS A
1. A 4-year-old child is pulseless and apneic. What is the first
step in PALS?
A. Begin CPR immediately
B. Assess airway
C. Administer epinephrine
D. Check glucose
Answer: A
Rationale: Immediate high-quality CPR is critical in pediatric
cardiac arrest.
2. Which rhythm is shockable in pediatric patients?
A. Asystole
B. Pulseless VT
,2
C. Bradycardia
D. PEA
Answer: B
Rationale: Pulseless VT and VF are shockable; asystole and PEA
are not.
3. A 6-year-old presents with bradycardia and poor perfusion.
What is the first medication?
A. Atropine
B. Epinephrine
C. Adenosine
D. Amiodarone
Answer: B
Rationale: Epinephrine is indicated if bradycardia is causing
poor perfusion.
4. What is the recommended compression depth for a child
during CPR?
A. 1 inch (2.5 cm)
B. 1.5 inches (4 cm)
C. 2 inches (5 cm)
D. 2.5 inches (6 cm)
Answer: C
Rationale: Pediatric compressions should be ~1/3 of chest
diameter (~2 inches).
, 3
5. Which is the first step in managing a choking infant with
complete airway obstruction?
A. Abdominal thrusts
B. Back slaps
C. Mouth-to-mouth ventilation
D. CPR
Answer: B
Rationale: Back slaps followed by chest thrusts relieve
obstruction in infants <1 year.
6. What is the recommended energy for defibrillation of
pediatric VF?
A. 1 J/kg
B. 2 J/kg
C. 4 J/kg
D. 5 J/kg
Answer: B
Rationale: First shock is 2 J/kg, subsequent shock 4 J/kg.
7. A child presents with shock, tachycardia, weak pulses, and
cool extremities. What type of shock is most likely?
A. Hypovolemic
B. Cardiogenic
C. Distributive
D. Obstructive
Answer: A
PEDIATRIC ADVANCED LIFE SUPPORT (PALS)
EXAMS A & B COMPLETE EXAM WITH
QUESTIONS AND ANSWERS 2026 VERSION
PALS A
1. A 4-year-old child is pulseless and apneic. What is the first
step in PALS?
A. Begin CPR immediately
B. Assess airway
C. Administer epinephrine
D. Check glucose
Answer: A
Rationale: Immediate high-quality CPR is critical in pediatric
cardiac arrest.
2. Which rhythm is shockable in pediatric patients?
A. Asystole
B. Pulseless VT
,2
C. Bradycardia
D. PEA
Answer: B
Rationale: Pulseless VT and VF are shockable; asystole and PEA
are not.
3. A 6-year-old presents with bradycardia and poor perfusion.
What is the first medication?
A. Atropine
B. Epinephrine
C. Adenosine
D. Amiodarone
Answer: B
Rationale: Epinephrine is indicated if bradycardia is causing
poor perfusion.
4. What is the recommended compression depth for a child
during CPR?
A. 1 inch (2.5 cm)
B. 1.5 inches (4 cm)
C. 2 inches (5 cm)
D. 2.5 inches (6 cm)
Answer: C
Rationale: Pediatric compressions should be ~1/3 of chest
diameter (~2 inches).
, 3
5. Which is the first step in managing a choking infant with
complete airway obstruction?
A. Abdominal thrusts
B. Back slaps
C. Mouth-to-mouth ventilation
D. CPR
Answer: B
Rationale: Back slaps followed by chest thrusts relieve
obstruction in infants <1 year.
6. What is the recommended energy for defibrillation of
pediatric VF?
A. 1 J/kg
B. 2 J/kg
C. 4 J/kg
D. 5 J/kg
Answer: B
Rationale: First shock is 2 J/kg, subsequent shock 4 J/kg.
7. A child presents with shock, tachycardia, weak pulses, and
cool extremities. What type of shock is most likely?
A. Hypovolemic
B. Cardiogenic
C. Distributive
D. Obstructive
Answer: A
