Pediatric Advanced Life Support (PALS)
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1. What is the correct chest compression rate for pediatric CPR?
A. 60–80/min
B. 80–100/min
C. 100–120/min
D. 120–140/min
Correct Answer: C. 100–120/min
Rationale: High-quality pediatric CPR requires a compression
rate of 100–120 per minute to maintain adequate coronary and
cerebral perfusion.
2. What is the recommended compression depth for a child?
A. 1 inch
B. 1.5 inches
C. At least one-third AP chest diameter
D. Half chest depth only
Correct Answer: C. At least one-third AP chest diameter
Rationale: Pediatric compressions should be approximately one-
third of the anterior-posterior chest depth to ensure effective
circulation.
3. First-line medication for cardiac arrest in PALS?
A. Atropine
B. Epinephrine
, C. Amiodarone
D. Lidocaine
Correct Answer: B. Epinephrine
Rationale: Epinephrine is the first-line medication for all
pediatric cardiac arrest rhythms except specific exceptions.
4. Initial shockable rhythms in children include:
A. Asystole
B. PEA
C. VF and pulseless VT
D. Sinus bradycardia
Correct Answer: C. VF and pulseless VT
Rationale: Ventricular fibrillation and pulseless ventricular
tachycardia are shockable rhythms in PALS.
5. Recommended initial fluid bolus for pediatric shock:
A. 5 mL/kg
B. 10 mL/kg
C. 20 mL/kg
D. 30 mL/kg
Correct Answer: C. 20 mL/kg
Rationale: Isotonic fluid bolus of 20 mL/kg is recommended for
pediatric shock.
6. Preferred route for emergency medication when IV access fails:
A. Subcutaneous
B. Oral
C. Intraosseous
D. Intradermal
Correct Answer: C. Intraosseous
Rationale: IO access provides rapid vascular access when IV is
unavailable.
, 7. Most common cause of pediatric cardiac arrest:
A. Primary cardiac disease
B. Respiratory failure
C. Trauma
D. Stroke
Correct Answer: B. Respiratory failure
Rationale: In children, cardiac arrest is most often secondary to
respiratory failure or shock.
8. Recommended oxygen delivery for respiratory distress:
A. Room air only
B. High-flow oxygen
C. Restrict oxygen use
D. Heliox only
Correct Answer: B. High-flow oxygen
Rationale: Supplemental oxygen improves oxygenation in
respiratory distress.
9. First action in an unresponsive child:
A. Start IV
B. Check pulse and breathing
C. Give epinephrine
D. Intubate immediately
Correct Answer: B. Check pulse and breathing
Rationale: Initial assessment includes checking responsiveness,
pulse, and breathing.
10. Maximum pause during chest compressions:
A. 5 seconds
B. 10 seconds
C. 20 seconds
D. 30 seconds
Exam With Actual Questions & Verified
Answers, Plus Explained Rationales/Expert
Verified For Guaranteed 100% Pass
2026/Latest Update/Instant Download Pdf
1. What is the correct chest compression rate for pediatric CPR?
A. 60–80/min
B. 80–100/min
C. 100–120/min
D. 120–140/min
Correct Answer: C. 100–120/min
Rationale: High-quality pediatric CPR requires a compression
rate of 100–120 per minute to maintain adequate coronary and
cerebral perfusion.
2. What is the recommended compression depth for a child?
A. 1 inch
B. 1.5 inches
C. At least one-third AP chest diameter
D. Half chest depth only
Correct Answer: C. At least one-third AP chest diameter
Rationale: Pediatric compressions should be approximately one-
third of the anterior-posterior chest depth to ensure effective
circulation.
3. First-line medication for cardiac arrest in PALS?
A. Atropine
B. Epinephrine
, C. Amiodarone
D. Lidocaine
Correct Answer: B. Epinephrine
Rationale: Epinephrine is the first-line medication for all
pediatric cardiac arrest rhythms except specific exceptions.
4. Initial shockable rhythms in children include:
A. Asystole
B. PEA
C. VF and pulseless VT
D. Sinus bradycardia
Correct Answer: C. VF and pulseless VT
Rationale: Ventricular fibrillation and pulseless ventricular
tachycardia are shockable rhythms in PALS.
5. Recommended initial fluid bolus for pediatric shock:
A. 5 mL/kg
B. 10 mL/kg
C. 20 mL/kg
D. 30 mL/kg
Correct Answer: C. 20 mL/kg
Rationale: Isotonic fluid bolus of 20 mL/kg is recommended for
pediatric shock.
6. Preferred route for emergency medication when IV access fails:
A. Subcutaneous
B. Oral
C. Intraosseous
D. Intradermal
Correct Answer: C. Intraosseous
Rationale: IO access provides rapid vascular access when IV is
unavailable.
, 7. Most common cause of pediatric cardiac arrest:
A. Primary cardiac disease
B. Respiratory failure
C. Trauma
D. Stroke
Correct Answer: B. Respiratory failure
Rationale: In children, cardiac arrest is most often secondary to
respiratory failure or shock.
8. Recommended oxygen delivery for respiratory distress:
A. Room air only
B. High-flow oxygen
C. Restrict oxygen use
D. Heliox only
Correct Answer: B. High-flow oxygen
Rationale: Supplemental oxygen improves oxygenation in
respiratory distress.
9. First action in an unresponsive child:
A. Start IV
B. Check pulse and breathing
C. Give epinephrine
D. Intubate immediately
Correct Answer: B. Check pulse and breathing
Rationale: Initial assessment includes checking responsiveness,
pulse, and breathing.
10. Maximum pause during chest compressions:
A. 5 seconds
B. 10 seconds
C. 20 seconds
D. 30 seconds
