1|Page
PALS Instructor Certification Exam ACTUAL VERIFIED
EXAM QUESTIONS AND VERIFIED ANSWERS WITH
RATIONALES||LATEST UPDATE.pdf
How are chest compressions performed for a child? -
Answer-For a child over 1 yr, chest compressions are
completed with either 1 or 2 hands. Compress the chest
1/3 the AP diameter (about 2 in, or 5 cm).
How are chest compressions performed for an infant? -
Answer-For 1 rescuer, use 2 fingers just below the nipple
line. Do not compress the tip of the breastbone. For 2
rescuers, use the 2-thumb-encircling-hands technique.
Compress at least 1/3 the AP diameter (1.5 in, or 4cm).
During CPR, minimize interruptions in compressions to -
Answer-Less than 10 seconds.
Why should you allow for complete chest recoil while
performing chest compressions? - Answer-Complete chest
recoil allows the heart to fill with blood between
compressions.
,2|Page
How are breaths given during CPR? - Answer-2 breaths
are given, each over 1 second. Use the head-tilt-chin-lift to
open the airway. If head or neck trauma is suspected, use
a jaw-thrust maneuver to open the airway.
How do you open the airway in a patient with suspected
head or neck trauma? - Answer-Use the jaw-thrust
maneuver. If this does not open the airway, use the head-
tilt-chin-lift.
How do you open an infants airway? - Answer-Tilt the
infants head to a sniffing position. Extending it more will
close the airway. The external ear canal should be level
with the infants shoulder.
How often should rescuers switch while giving
compressions? - Answer-Switch providers every 2 mins, or
after 5 cycles of CPR.
Why is the 2-thumbs-encircling-hands technique preferred
over the 2-finger technique for CPR with infants? -
Answer-It produces a better blood supply to the heart and
ensures constant force of chest compressions.
, 3|Page
How do you instruct an AED to deliver a pediatric shock
dose? - Answer-The pediatric pads may come with an
attenuator to lower the dose, or there may be a switch on
the AED. If there is no way to lower the shock dosage, use
adult dosage.
When do you use child sized pads? - Answer-Use child
size pads for infants and children under 8. Use adult pads
if child pads are. It available, making sure they don't touch.
Use AP placement if needed.
What is the initial impression? - Answer-An assessment
completed over a few seconds, from the doorway. Used to
identify what type of problem is going on, and if it is life
threatening.
What are the three elements of the initial impression? -
Answer-1. Appearance
2. Breathing
3. Circulation
During initial impression, what do you look for in a child's
appearance? - Answer-Level of consciousness,
PALS Instructor Certification Exam ACTUAL VERIFIED
EXAM QUESTIONS AND VERIFIED ANSWERS WITH
RATIONALES||LATEST UPDATE.pdf
How are chest compressions performed for a child? -
Answer-For a child over 1 yr, chest compressions are
completed with either 1 or 2 hands. Compress the chest
1/3 the AP diameter (about 2 in, or 5 cm).
How are chest compressions performed for an infant? -
Answer-For 1 rescuer, use 2 fingers just below the nipple
line. Do not compress the tip of the breastbone. For 2
rescuers, use the 2-thumb-encircling-hands technique.
Compress at least 1/3 the AP diameter (1.5 in, or 4cm).
During CPR, minimize interruptions in compressions to -
Answer-Less than 10 seconds.
Why should you allow for complete chest recoil while
performing chest compressions? - Answer-Complete chest
recoil allows the heart to fill with blood between
compressions.
,2|Page
How are breaths given during CPR? - Answer-2 breaths
are given, each over 1 second. Use the head-tilt-chin-lift to
open the airway. If head or neck trauma is suspected, use
a jaw-thrust maneuver to open the airway.
How do you open the airway in a patient with suspected
head or neck trauma? - Answer-Use the jaw-thrust
maneuver. If this does not open the airway, use the head-
tilt-chin-lift.
How do you open an infants airway? - Answer-Tilt the
infants head to a sniffing position. Extending it more will
close the airway. The external ear canal should be level
with the infants shoulder.
How often should rescuers switch while giving
compressions? - Answer-Switch providers every 2 mins, or
after 5 cycles of CPR.
Why is the 2-thumbs-encircling-hands technique preferred
over the 2-finger technique for CPR with infants? -
Answer-It produces a better blood supply to the heart and
ensures constant force of chest compressions.
, 3|Page
How do you instruct an AED to deliver a pediatric shock
dose? - Answer-The pediatric pads may come with an
attenuator to lower the dose, or there may be a switch on
the AED. If there is no way to lower the shock dosage, use
adult dosage.
When do you use child sized pads? - Answer-Use child
size pads for infants and children under 8. Use adult pads
if child pads are. It available, making sure they don't touch.
Use AP placement if needed.
What is the initial impression? - Answer-An assessment
completed over a few seconds, from the doorway. Used to
identify what type of problem is going on, and if it is life
threatening.
What are the three elements of the initial impression? -
Answer-1. Appearance
2. Breathing
3. Circulation
During initial impression, what do you look for in a child's
appearance? - Answer-Level of consciousness,
