EPALS UPDATED ACTUAL EXAM QUESTIONS
AND CORRECT ANSWERS
Comprehensive Mock EPALS Examination
Time: 180 minutes
Questions: 50 Multiple Choice Questions
Passing Score: 80%
Question 1
A 4-year-old child suddenly develops severe respiratory distress
while eating peanuts. He is conscious but unable to speak and has
ineffective coughing.
What is the immediate management?
A. Deliver five rescue breaths
B. Begin chest compressions
C. Give five back blows followed by five chest thrusts if
obstruction persists
D. Encourage the child to drink water
Answer: C
Explanation
,A conscious child with severe foreign body airway obstruction
should receive five back blows. If unsuccessful, administer five
chest thrusts, alternating until the object is expelled or the child
becomes unconscious.
Question 2
Which component is NOT included in the Pediatric Assessment
Triangle?
A. Appearance
B. Work of breathing
C. Circulation to skin
D. Blood pressure
Answer: D
Explanation
The Pediatric Assessment Triangle rapidly evaluates:
• Appearance
• Work of breathing
• Circulation to skin
Blood pressure belongs to the secondary ABCDE assessment.
Question 3
Normal heart rate for a healthy 2-year-old is approximately:
,A. 40–70 bpm
B. 80–140 bpm
C. 160–200 bpm
D. 200–240 bpm
Answer: B
Explanation
Toddlers normally have heart rates between 80 and 140 bpm.
Values should always be interpreted alongside clinical condition.
Question 4
A child has inspiratory stridor at rest, barking cough, and
moderate respiratory distress.
Most likely diagnosis?
A. Asthma
B. Bronchiolitis
C. Croup
D. Pneumonia
Answer: C
Explanation
Classic features of viral croup include:
• Barking cough
, • Inspiratory stridor
• Hoarse voice
• Variable respiratory distress
Treatment includes corticosteroids and nebulized adrenaline for
severe cases.
Question 5
During CPR, compression-to-ventilation ratio with two
healthcare providers is:
A. 30:2
B. 15:2
C. 10:2
D. Continuous compressions with no ventilation
Answer: B
Explanation
For pediatric CPR:
• Single rescuer: 30:2
• Two rescuers: 15:2
Higher ventilation frequency reflects the importance of hypoxia
in pediatric arrests.
Question 6
AND CORRECT ANSWERS
Comprehensive Mock EPALS Examination
Time: 180 minutes
Questions: 50 Multiple Choice Questions
Passing Score: 80%
Question 1
A 4-year-old child suddenly develops severe respiratory distress
while eating peanuts. He is conscious but unable to speak and has
ineffective coughing.
What is the immediate management?
A. Deliver five rescue breaths
B. Begin chest compressions
C. Give five back blows followed by five chest thrusts if
obstruction persists
D. Encourage the child to drink water
Answer: C
Explanation
,A conscious child with severe foreign body airway obstruction
should receive five back blows. If unsuccessful, administer five
chest thrusts, alternating until the object is expelled or the child
becomes unconscious.
Question 2
Which component is NOT included in the Pediatric Assessment
Triangle?
A. Appearance
B. Work of breathing
C. Circulation to skin
D. Blood pressure
Answer: D
Explanation
The Pediatric Assessment Triangle rapidly evaluates:
• Appearance
• Work of breathing
• Circulation to skin
Blood pressure belongs to the secondary ABCDE assessment.
Question 3
Normal heart rate for a healthy 2-year-old is approximately:
,A. 40–70 bpm
B. 80–140 bpm
C. 160–200 bpm
D. 200–240 bpm
Answer: B
Explanation
Toddlers normally have heart rates between 80 and 140 bpm.
Values should always be interpreted alongside clinical condition.
Question 4
A child has inspiratory stridor at rest, barking cough, and
moderate respiratory distress.
Most likely diagnosis?
A. Asthma
B. Bronchiolitis
C. Croup
D. Pneumonia
Answer: C
Explanation
Classic features of viral croup include:
• Barking cough
, • Inspiratory stridor
• Hoarse voice
• Variable respiratory distress
Treatment includes corticosteroids and nebulized adrenaline for
severe cases.
Question 5
During CPR, compression-to-ventilation ratio with two
healthcare providers is:
A. 30:2
B. 15:2
C. 10:2
D. Continuous compressions with no ventilation
Answer: B
Explanation
For pediatric CPR:
• Single rescuer: 30:2
• Two rescuers: 15:2
Higher ventilation frequency reflects the importance of hypoxia
in pediatric arrests.
Question 6
