AHA PEDIATRIC ADVANCED LIFE SUPPORT |2025-2026 LATEST UPDATED | ACTUAL
EXAM QUESTIONS WITH SOLUTIONS | 100% RATED CORRECT | 100% VERFIED
SOLTIONS | ALREADY GRADED A+
1. Recognize *supraventricular tachycardia*:
2. Recognize *wide-complex tachycardia*:
3. Recognize *SVT converting to sinus rhythm after adenosine administration*:
4. What oxygen delivery system most reliably delivers a high (90% of greater) concentration of inspired
oxygen to a 7-year-old child?: Nonrebreathing face mask
5. You are called to help treat an infant with severe symptomatic bradycardia (heart rate 66/min)
associated with respiratory distress. Bradycardia persists despite establishment of an effective airway,
oxygenation, and ventilation. There is no heart block present. What first drug should you administer?
*Epinephrine*
,6. You are part of a team attempting to resuscitate a child with ventricular fibrillation cardiac arrest. You
deliver 2 unsynchronized shocks. A team member established IO access, so you give a dose of
epinephrine, 0.01 mg/kg IO. At next rhythm check, persistent ventricular fibrillation is present. You
administer a 4-J/kg shock and resume CPR. What drug and dose should be administered next?:
*Amiodarone 5 mg/kg IO*
- can be used for shock-refractory VF or pVT
7. Initial impression of a 2-year-old girl shows her to be alert with mild breathing difficulty during
inspiration and pale skin color. On primary assessment, she makes high-pitched inspiratory sounds (mild
stridor) when agitated; otherwise, her breathing is quiet. Her SpO2 is 92% on room air, and she has mild
inspiratory intercostal retractions. Lung auscultation reveals transmitted upper airway sounds with
adequate distal breath sounds bilaterally. Most appropriate initial intervention for this child?: *Humidified
oxygen as tolerated* 8. 7-year-old boy found unresponsive, apneic, and pulseless. CPR is ongoing. Child
is intubated, and vascular access is established. ECG monitor shows organized rhythm with heart rate of
45/min, but a pulse check reveals no palpable pulses. High-quality CPR is resumed, and an initial IV dose
of epinephrine is administered. What intervention should you perform next?: *Identify and trea
reversible causes*
9. You are caring for a 6-year-old patient who is receiving positive-pressure mechanical ventilation
via an endotracheal tube. Child begins to move his head and suddenly becomes cyanotic, and his heart
rate decreases. His SpO2 is 65%. You remove child from mechanical ventilator and begin to provide
manual ventilation with a bag via endotracheal tube. During manual ventilation with 100% oxygen,
child's color and heart rate improve slightly and his BP remains adequate. Breath sounds and chest
,expansion are present and adequate on right side and are present but consistently diminished on left side.
Trachea not deviated, and neck veins are not distended. Suction catheter passes easily beyond tip of the
endotracheal tube. Most likely cause of this child's acute deterioration?: *Tracheal tube displacement into
right main bronchus*
10. You are giving chest compressions for a child in cardiac arrest. What is the proper depth of
compressions for a child?: *Compress the chest at least one third the depth of the chest, about 2 inches
(5 cm)*
11. During PALS, you and another rescuers begin CPR. Your colleague begins compressions, and you
noticed that the compression rate is too slow. What should you say to offer constructive feedback?: *You
need to compress at a rate of 100 to 120 per minute*
12. You are preparing to use a manual defibrillator in the pediatric setting. What best describes when
it is appropriate to use the smaller pediatric-sized paddles?: *If the child weighs less than 10 kg or is less
than 1 year old*
13. You need to provide rescue breaths to a child victim with a pulse. What is the appropriate rate for
delivering breaths?: *1 breath every 3 to 5 seconds* 14. You find an infant who is unresponsive, is not
breathing, and does not have a pulse. You shout for nearby help, but no one arrives. What action should
you take next?: *Provide CPR for about 2 minutes before leaving to activate the emergency response
system*
15. 3 yo boy presents with multiple-system trauma. Child was an unrestrained passenger in a high-speed
MVC. On primary assessment, he is unresponsive to voice or painful stimulation. His RR is 5/min, HR
and pulses are 170/min, systolic BC is 60 mmHg, capillary refill is 5 seconds, and SpO2 is 75% on room
, air. What action should you take first?: *While a colleague provides spinal motion restriction, open the
airway with a jaw thrust and provide bag-mask ventilation* 16. You are assisting in the elective intubation
of an average-sized 4 yo child with respiratory failure. Colleague is retrieving the color-coded length-
based tape from the resuscitation chart. What is likely to be the estimated size of the uncuffed
endotracheal tube for this child?: *5-mm tube*
17. You find a 10 yo boy to be unresponsive. You shout for help, and after finding that he is not
breathing and has no pulse, you and a colleague begin CPR. Another colleague activates the
emergency response system, brings the emergency equipment, and places the child on a cardiac
monitor/defibrillator, which reveals ventricular tachycardia. You attempt defib at 2 J/kg and give 2
minutes of CPR. The rhythm persists at the second rhythm check, at which point you attempt
defibrillation with 4 J/kg. A fourth colleague arrives, starts an IV, and administers 1 dose of
epinephrine 0.01 mg/kg. If v fib or pulseless ventricular tachycardia persists after 2 minutes of
CPR, you will administer another shock. What drug and dose should be administered?: *Lidocaine
1 mg/kg IV*
18. During bag-mask ventilation, how should you hold the mask to make an effective seal between the
child's face and the mask?: *Position your fingers using the E-C clamp technique*
19. Age of infants: <1 yo (excluding the newly born)
20. Age of children: from 1 year of age to puberty
21. To perform a pulse check in an infant, palpate a: brachial pulse
EXAM QUESTIONS WITH SOLUTIONS | 100% RATED CORRECT | 100% VERFIED
SOLTIONS | ALREADY GRADED A+
1. Recognize *supraventricular tachycardia*:
2. Recognize *wide-complex tachycardia*:
3. Recognize *SVT converting to sinus rhythm after adenosine administration*:
4. What oxygen delivery system most reliably delivers a high (90% of greater) concentration of inspired
oxygen to a 7-year-old child?: Nonrebreathing face mask
5. You are called to help treat an infant with severe symptomatic bradycardia (heart rate 66/min)
associated with respiratory distress. Bradycardia persists despite establishment of an effective airway,
oxygenation, and ventilation. There is no heart block present. What first drug should you administer?
*Epinephrine*
,6. You are part of a team attempting to resuscitate a child with ventricular fibrillation cardiac arrest. You
deliver 2 unsynchronized shocks. A team member established IO access, so you give a dose of
epinephrine, 0.01 mg/kg IO. At next rhythm check, persistent ventricular fibrillation is present. You
administer a 4-J/kg shock and resume CPR. What drug and dose should be administered next?:
*Amiodarone 5 mg/kg IO*
- can be used for shock-refractory VF or pVT
7. Initial impression of a 2-year-old girl shows her to be alert with mild breathing difficulty during
inspiration and pale skin color. On primary assessment, she makes high-pitched inspiratory sounds (mild
stridor) when agitated; otherwise, her breathing is quiet. Her SpO2 is 92% on room air, and she has mild
inspiratory intercostal retractions. Lung auscultation reveals transmitted upper airway sounds with
adequate distal breath sounds bilaterally. Most appropriate initial intervention for this child?: *Humidified
oxygen as tolerated* 8. 7-year-old boy found unresponsive, apneic, and pulseless. CPR is ongoing. Child
is intubated, and vascular access is established. ECG monitor shows organized rhythm with heart rate of
45/min, but a pulse check reveals no palpable pulses. High-quality CPR is resumed, and an initial IV dose
of epinephrine is administered. What intervention should you perform next?: *Identify and trea
reversible causes*
9. You are caring for a 6-year-old patient who is receiving positive-pressure mechanical ventilation
via an endotracheal tube. Child begins to move his head and suddenly becomes cyanotic, and his heart
rate decreases. His SpO2 is 65%. You remove child from mechanical ventilator and begin to provide
manual ventilation with a bag via endotracheal tube. During manual ventilation with 100% oxygen,
child's color and heart rate improve slightly and his BP remains adequate. Breath sounds and chest
,expansion are present and adequate on right side and are present but consistently diminished on left side.
Trachea not deviated, and neck veins are not distended. Suction catheter passes easily beyond tip of the
endotracheal tube. Most likely cause of this child's acute deterioration?: *Tracheal tube displacement into
right main bronchus*
10. You are giving chest compressions for a child in cardiac arrest. What is the proper depth of
compressions for a child?: *Compress the chest at least one third the depth of the chest, about 2 inches
(5 cm)*
11. During PALS, you and another rescuers begin CPR. Your colleague begins compressions, and you
noticed that the compression rate is too slow. What should you say to offer constructive feedback?: *You
need to compress at a rate of 100 to 120 per minute*
12. You are preparing to use a manual defibrillator in the pediatric setting. What best describes when
it is appropriate to use the smaller pediatric-sized paddles?: *If the child weighs less than 10 kg or is less
than 1 year old*
13. You need to provide rescue breaths to a child victim with a pulse. What is the appropriate rate for
delivering breaths?: *1 breath every 3 to 5 seconds* 14. You find an infant who is unresponsive, is not
breathing, and does not have a pulse. You shout for nearby help, but no one arrives. What action should
you take next?: *Provide CPR for about 2 minutes before leaving to activate the emergency response
system*
15. 3 yo boy presents with multiple-system trauma. Child was an unrestrained passenger in a high-speed
MVC. On primary assessment, he is unresponsive to voice or painful stimulation. His RR is 5/min, HR
and pulses are 170/min, systolic BC is 60 mmHg, capillary refill is 5 seconds, and SpO2 is 75% on room
, air. What action should you take first?: *While a colleague provides spinal motion restriction, open the
airway with a jaw thrust and provide bag-mask ventilation* 16. You are assisting in the elective intubation
of an average-sized 4 yo child with respiratory failure. Colleague is retrieving the color-coded length-
based tape from the resuscitation chart. What is likely to be the estimated size of the uncuffed
endotracheal tube for this child?: *5-mm tube*
17. You find a 10 yo boy to be unresponsive. You shout for help, and after finding that he is not
breathing and has no pulse, you and a colleague begin CPR. Another colleague activates the
emergency response system, brings the emergency equipment, and places the child on a cardiac
monitor/defibrillator, which reveals ventricular tachycardia. You attempt defib at 2 J/kg and give 2
minutes of CPR. The rhythm persists at the second rhythm check, at which point you attempt
defibrillation with 4 J/kg. A fourth colleague arrives, starts an IV, and administers 1 dose of
epinephrine 0.01 mg/kg. If v fib or pulseless ventricular tachycardia persists after 2 minutes of
CPR, you will administer another shock. What drug and dose should be administered?: *Lidocaine
1 mg/kg IV*
18. During bag-mask ventilation, how should you hold the mask to make an effective seal between the
child's face and the mask?: *Position your fingers using the E-C clamp technique*
19. Age of infants: <1 yo (excluding the newly born)
20. Age of children: from 1 year of age to puberty
21. To perform a pulse check in an infant, palpate a: brachial pulse
