PALS post test questions and answers
2025\2026 A+ Grade
10 seconds
- correct answer A 6 month old infant is unresponsive. You begin checking for breathing at the same
time you check for the infants pulse. Which is the maximum time you should spend when trying to
simultaneously check for breathing and palpate the infants pulse before starting CPR?
Disordered Control of Breathing
- correct answer A 4 year old child is brought to the emergency department for seizures. The seizures
stopped a few minutes ago, but the child continues to have slow and irregular respirations. Which
condition is most consistent with your assessment?
blood glucose
- correct answer An 8 year old child is brought to the emergency department with a 2 day history of
lethargy and polyuria. The child has new onset rapid, deep, and labored breathing. Which diagnostic test
should you order first?
Reposition the patient, and insert an oral airway
- correct answer After rectal administration of diazepam, an 8 year old boy with a history of seizures is
no unresponsive to painful stimuli. His respirations are shallow, at a rate of 10/min. His Oxygen
saturation is 94% on 2L of NC oxygen. On examination, the child is snoring with poor chest rise and poor
air entry bilaterally. What action should you take next?
Provide bag mask ventilation
- correct answer After rectal administration of diazepam, an 8 year old boy with a history of seizures is
no unresponsive to painful stimuli. His respirations are shallow, at a rate of 10/min. His Oxygen
saturation is 94% on 2L of NC oxygen. On examination, the child is snoring with poor chest rise and poor
air entry bilaterally. After repositioning the patient and you insert an Oral airway, the patient continues
to deteriorate. What next step is the most appropriate?
15:2
- correct answer A 6 year old child is found unresponsive, not breathing, and without a pulse. one health
care worker leaves to activate the emergency response system and get the resuscitation equipment.
, You and another healthcare provider immediatly begin CPR. Which compression to ventilation ratio do
you use?
94%-99%
- correct answer In post resuscitation management after cardiac arrest, extra care should be taken to
avoid repercussion injury. what should the ideal oxygen saturation range most likely be?
"resume compressions"
- correct answer A 3 year old child is in cardiac arrest, and high quality CPR is in progress. You are the
team leader. The first rhythm check reveals the rhythm shown here. Defibrillation is attempted with a
shock dose of 2 J/kg. after administration of the shock, what should you say to you team members?
2-4 J/kg
- correct answer A 4 year old child in cardiac arrest is brought to the emergency department by
ambulance. High quality CPR is being performed. The cardiac monitor displays the rhythm strip shown
here. The estimated weight of the child is 20 kg. What dose range should you use for the initial
defibrillation?
40 Joules
- correct answer A 4 year old child in cardiac arrest is brought to the emergency department by
ambulance. High quality CPR is being performed. The cardiac monitor displays the rhythm strip shown
here. The estimated weight of the child is 20 kg. As the team leader, how many joules do you tell your
team member to use to perform initial Defib?
Allowing complete chest wall recoil after each compression
- correct answer You are the team leader during a pediatric resuscitation attempt. which action is an
element of high quality CPR?
blood pressure
- correct answer You are caring for a 3 month old boy with a 2 day history of fever, vomiting and
diarrhea. His parents state that he has been sleeping much more. His HR is 190/min, temp is 38.3
degrees C (101 F) blood pressure is 59/29 mmHg, Resp rate is 70/min and shallow, and oxygen sat is 94%
on 100% oxygen. His capillary refills time is 4-5 seconds, and he has mottled, cool extremities. The infant
weighs 6 Kg. Which assessment finding indicates that the infant is in hypotensive shock?
hypovolemic shock
- correct answer You are caring for a 3 month old boy with a 2 day history of fever, vomiting and
2025\2026 A+ Grade
10 seconds
- correct answer A 6 month old infant is unresponsive. You begin checking for breathing at the same
time you check for the infants pulse. Which is the maximum time you should spend when trying to
simultaneously check for breathing and palpate the infants pulse before starting CPR?
Disordered Control of Breathing
- correct answer A 4 year old child is brought to the emergency department for seizures. The seizures
stopped a few minutes ago, but the child continues to have slow and irregular respirations. Which
condition is most consistent with your assessment?
blood glucose
- correct answer An 8 year old child is brought to the emergency department with a 2 day history of
lethargy and polyuria. The child has new onset rapid, deep, and labored breathing. Which diagnostic test
should you order first?
Reposition the patient, and insert an oral airway
- correct answer After rectal administration of diazepam, an 8 year old boy with a history of seizures is
no unresponsive to painful stimuli. His respirations are shallow, at a rate of 10/min. His Oxygen
saturation is 94% on 2L of NC oxygen. On examination, the child is snoring with poor chest rise and poor
air entry bilaterally. What action should you take next?
Provide bag mask ventilation
- correct answer After rectal administration of diazepam, an 8 year old boy with a history of seizures is
no unresponsive to painful stimuli. His respirations are shallow, at a rate of 10/min. His Oxygen
saturation is 94% on 2L of NC oxygen. On examination, the child is snoring with poor chest rise and poor
air entry bilaterally. After repositioning the patient and you insert an Oral airway, the patient continues
to deteriorate. What next step is the most appropriate?
15:2
- correct answer A 6 year old child is found unresponsive, not breathing, and without a pulse. one health
care worker leaves to activate the emergency response system and get the resuscitation equipment.
, You and another healthcare provider immediatly begin CPR. Which compression to ventilation ratio do
you use?
94%-99%
- correct answer In post resuscitation management after cardiac arrest, extra care should be taken to
avoid repercussion injury. what should the ideal oxygen saturation range most likely be?
"resume compressions"
- correct answer A 3 year old child is in cardiac arrest, and high quality CPR is in progress. You are the
team leader. The first rhythm check reveals the rhythm shown here. Defibrillation is attempted with a
shock dose of 2 J/kg. after administration of the shock, what should you say to you team members?
2-4 J/kg
- correct answer A 4 year old child in cardiac arrest is brought to the emergency department by
ambulance. High quality CPR is being performed. The cardiac monitor displays the rhythm strip shown
here. The estimated weight of the child is 20 kg. What dose range should you use for the initial
defibrillation?
40 Joules
- correct answer A 4 year old child in cardiac arrest is brought to the emergency department by
ambulance. High quality CPR is being performed. The cardiac monitor displays the rhythm strip shown
here. The estimated weight of the child is 20 kg. As the team leader, how many joules do you tell your
team member to use to perform initial Defib?
Allowing complete chest wall recoil after each compression
- correct answer You are the team leader during a pediatric resuscitation attempt. which action is an
element of high quality CPR?
blood pressure
- correct answer You are caring for a 3 month old boy with a 2 day history of fever, vomiting and
diarrhea. His parents state that he has been sleeping much more. His HR is 190/min, temp is 38.3
degrees C (101 F) blood pressure is 59/29 mmHg, Resp rate is 70/min and shallow, and oxygen sat is 94%
on 100% oxygen. His capillary refills time is 4-5 seconds, and he has mottled, cool extremities. The infant
weighs 6 Kg. Which assessment finding indicates that the infant is in hypotensive shock?
hypovolemic shock
- correct answer You are caring for a 3 month old boy with a 2 day history of fever, vomiting and
