AHA PALS precourse assessment /
AHA PALS Exam Questions &
Answers 2026/2027 (Verified 100
% Correct)
Rapid bolus of 20ml/kg of isotonic crystalloid -
✔✔✔ANSWER-Paramedics are called to the home of a 1yo
child. Their initial assessment reveals a child who responds
only to painful stimuli and has irregular breathing, faint
central pulses, bruises over the abdomen, abdominal
distention, and cyanosis. Bag-mask ventilation with 100%
oxygen is initiated. The child's heart rate is 36/min.
Peripheral pulses cannot be palpated, and central pulses
are barely palpable. The cardiac monitor shows sinus
bradycardia. Two-rescuer CPR is started. Upon arrival to
the emergency department, the child is intubated and
ventilated with 100% oxygen, and IV access is established.
,The heart rate is now 150/min with weak central pulses but
no distal pulses. Systolic blood pressure is 74 mmHg.
Which intervention should be provided next?
Epinephrine - ✔✔✔ANSWER-You are called to help treat
an infant with severe symptomatic bradycardia (heart rate
66/min) associated with respiratory distress.
The bradycardia persists despite establishment of an
effective airway, oxygenation, and ventilation. There is no
heart block present. Which is the first drug you should
administer?
Routine administration is not indicated during cardiac
arrest - ✔✔✔ANSWERWhich statement is correct about
the use of calcium chloride in pediatric patients?
It is the least desirable route of administration -
✔✔✔ANSWER-Which statement is correct about
endotracheal drug administration during resuscitative
efforts for pediatric patients?
, Humidified oxygen as tolerated - ✔✔✔ANSWER-Initial
impression of a 2yo 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. Which is the
most appropriate initial intervention for this child?
Amiodarone 5 mg/kg IO - ✔✔✔ANSWER-You are part of a
team attempting to resuscitate a child with ventricular
fibrillation cardiac arrest. You delivered 2 unsynchronized
shocks. A team member established IO access, so you give
a dose of epinephrine, 0.01 mg/kg IO. At the next rhythm
check, persistent ventricular fibrillation is present. You
administer a 4 J/kg shock and resume CPR. Which drug
and dose should be administered next?
Nonrebreathing face mask - ✔✔✔ANSWER-Which oxygen
delivery system most reliably delivers a high (90% or
greater) concentration of inspired oxygen to a 7yo child?
AHA PALS Exam Questions &
Answers 2026/2027 (Verified 100
% Correct)
Rapid bolus of 20ml/kg of isotonic crystalloid -
✔✔✔ANSWER-Paramedics are called to the home of a 1yo
child. Their initial assessment reveals a child who responds
only to painful stimuli and has irregular breathing, faint
central pulses, bruises over the abdomen, abdominal
distention, and cyanosis. Bag-mask ventilation with 100%
oxygen is initiated. The child's heart rate is 36/min.
Peripheral pulses cannot be palpated, and central pulses
are barely palpable. The cardiac monitor shows sinus
bradycardia. Two-rescuer CPR is started. Upon arrival to
the emergency department, the child is intubated and
ventilated with 100% oxygen, and IV access is established.
,The heart rate is now 150/min with weak central pulses but
no distal pulses. Systolic blood pressure is 74 mmHg.
Which intervention should be provided next?
Epinephrine - ✔✔✔ANSWER-You are called to help treat
an infant with severe symptomatic bradycardia (heart rate
66/min) associated with respiratory distress.
The bradycardia persists despite establishment of an
effective airway, oxygenation, and ventilation. There is no
heart block present. Which is the first drug you should
administer?
Routine administration is not indicated during cardiac
arrest - ✔✔✔ANSWERWhich statement is correct about
the use of calcium chloride in pediatric patients?
It is the least desirable route of administration -
✔✔✔ANSWER-Which statement is correct about
endotracheal drug administration during resuscitative
efforts for pediatric patients?
, Humidified oxygen as tolerated - ✔✔✔ANSWER-Initial
impression of a 2yo 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. Which is the
most appropriate initial intervention for this child?
Amiodarone 5 mg/kg IO - ✔✔✔ANSWER-You are part of a
team attempting to resuscitate a child with ventricular
fibrillation cardiac arrest. You delivered 2 unsynchronized
shocks. A team member established IO access, so you give
a dose of epinephrine, 0.01 mg/kg IO. At the next rhythm
check, persistent ventricular fibrillation is present. You
administer a 4 J/kg shock and resume CPR. Which drug
and dose should be administered next?
Nonrebreathing face mask - ✔✔✔ANSWER-Which oxygen
delivery system most reliably delivers a high (90% or
greater) concentration of inspired oxygen to a 7yo child?
