AHA PALS Practice Exam Final Review 2026 | Verified
Q&A | Success Guide | Instant PDF Download
1. What is the recommended dosage of epinephrine for a pulseless infant
during resuscitation?
0.02 mg/kg IO/IV
0.01 mg/kg IO/IV
0.1 mg/kg IO/IV
0.5 mg/kg IO/IV
2. What condition is indicated by a prolonged expiratory phase and wheezing
in pediatric patients?
Disordered control of breathing
Hypovolemic shock
Upper airway obstruction
Lower airway obstruction
3. Why is it critical to administer isotonic crystalloid quickly to a febrile child
with signs of shock?
To ensure the child receives chemotherapy on time.
To rapidly restore intravascular volume and improve perfusion.
To diagnose the underlying cause of the fever.
To prevent the child from developing a fever.
4. One category of pediatric emergency is shock, which results from
inadequate blood flow and oxygen delivery to meet tissue metabolic
demands. Fluid bolus is a priority intervention during shock. The provider
, determines isotonic normal saline will be best, how much should the nurse
prepare to administer to the pediatric patient?
500 mL
20 mL/kg
1000 mL
50 mL/kg
5. What is the first diagnostic test to obtain after administering IV boluses of
normal saline to a child in shock?
Arterial blood gas
Serum potassium concentration
A 12-lead ECG
Glucose
6. A pulseless 6-week-old infant arrives in the emergency department, and
high-quality CPR is in progress. The initial rhythm strip is shown below. CPR
continues, and vascular access has been established. What is the next
appropriate intervention?
Administer atropine 0.02 mg/kg IO/IV
Administer epinephrine 0.01 mg/kg IO/IV
Consider insertion of an advanced airway
Attempt defibrillation with a 2 J/kg shock
,7. A 6-month-old infant is unresponsive. You begin checking for breathing at the
same time you check for the infant's pulse. What is the maximum time you
should spend when trying to simultaneously check for breathing and palpate
the infant's pulse before starting CPR?
10 seconds
20 seconds
15 seconds
1 min
8. What is the most likely abnormality in a child's respiratory function after a
seizure has ceased?
Pulse rate
Control of breathing
Lung compliance
Vascular resistance
9. Describe the significance of monitoring and reevaluating a child after
administering fluid boluses in a dehydration scenario.
It helps in deciding whether to administer medications.
It allows the healthcare provider to determine the exact cause of
dehydration.
Monitoring and reevaluating ensures that the child's response to
treatment is assessed and any further interventions can be made if
necessary.
It is only necessary if the child shows signs of distress.
, 10. A 3-month-old infant weighing 11 lbs (5 kg) arrives at the emergency
department in full cardiopulmonary arrest. The monitor shows VF. Good-
quality CPR is being performed, and the infant has been defibrillated once.
Which medication should be administered next?
sodium bicarbonate 5 mEq IV
atropine 0.1 mg IV/IO
Amiodarone 25 mg IV/IO
epi 0.05 mg IV/IO
11. What is the initial medication indicated for a child experiencing severe
respiratory distress after exposure to peanuts?
Methylprednisolone IV
Isotonic crystalloid IV
Epinephrine IM
Nebulized albuterol
12. A 10 year old child is brought to the ED for fever and cough. You obtain an
O2 sat on the child. Which oxygen saturation would indicate that immediate
intervention is needed?
97% on 50% oxygen
96% on room air
95% on room air
88% on 4L of Nasal oxygen
13. In a scenario where a 3-month-old infant is unresponsive and you cannot
find a pulse at the brachial site, what should be your next step?
Q&A | Success Guide | Instant PDF Download
1. What is the recommended dosage of epinephrine for a pulseless infant
during resuscitation?
0.02 mg/kg IO/IV
0.01 mg/kg IO/IV
0.1 mg/kg IO/IV
0.5 mg/kg IO/IV
2. What condition is indicated by a prolonged expiratory phase and wheezing
in pediatric patients?
Disordered control of breathing
Hypovolemic shock
Upper airway obstruction
Lower airway obstruction
3. Why is it critical to administer isotonic crystalloid quickly to a febrile child
with signs of shock?
To ensure the child receives chemotherapy on time.
To rapidly restore intravascular volume and improve perfusion.
To diagnose the underlying cause of the fever.
To prevent the child from developing a fever.
4. One category of pediatric emergency is shock, which results from
inadequate blood flow and oxygen delivery to meet tissue metabolic
demands. Fluid bolus is a priority intervention during shock. The provider
, determines isotonic normal saline will be best, how much should the nurse
prepare to administer to the pediatric patient?
500 mL
20 mL/kg
1000 mL
50 mL/kg
5. What is the first diagnostic test to obtain after administering IV boluses of
normal saline to a child in shock?
Arterial blood gas
Serum potassium concentration
A 12-lead ECG
Glucose
6. A pulseless 6-week-old infant arrives in the emergency department, and
high-quality CPR is in progress. The initial rhythm strip is shown below. CPR
continues, and vascular access has been established. What is the next
appropriate intervention?
Administer atropine 0.02 mg/kg IO/IV
Administer epinephrine 0.01 mg/kg IO/IV
Consider insertion of an advanced airway
Attempt defibrillation with a 2 J/kg shock
,7. A 6-month-old infant is unresponsive. You begin checking for breathing at the
same time you check for the infant's pulse. What is the maximum time you
should spend when trying to simultaneously check for breathing and palpate
the infant's pulse before starting CPR?
10 seconds
20 seconds
15 seconds
1 min
8. What is the most likely abnormality in a child's respiratory function after a
seizure has ceased?
Pulse rate
Control of breathing
Lung compliance
Vascular resistance
9. Describe the significance of monitoring and reevaluating a child after
administering fluid boluses in a dehydration scenario.
It helps in deciding whether to administer medications.
It allows the healthcare provider to determine the exact cause of
dehydration.
Monitoring and reevaluating ensures that the child's response to
treatment is assessed and any further interventions can be made if
necessary.
It is only necessary if the child shows signs of distress.
, 10. A 3-month-old infant weighing 11 lbs (5 kg) arrives at the emergency
department in full cardiopulmonary arrest. The monitor shows VF. Good-
quality CPR is being performed, and the infant has been defibrillated once.
Which medication should be administered next?
sodium bicarbonate 5 mEq IV
atropine 0.1 mg IV/IO
Amiodarone 25 mg IV/IO
epi 0.05 mg IV/IO
11. What is the initial medication indicated for a child experiencing severe
respiratory distress after exposure to peanuts?
Methylprednisolone IV
Isotonic crystalloid IV
Epinephrine IM
Nebulized albuterol
12. A 10 year old child is brought to the ED for fever and cough. You obtain an
O2 sat on the child. Which oxygen saturation would indicate that immediate
intervention is needed?
97% on 50% oxygen
96% on room air
95% on room air
88% on 4L of Nasal oxygen
13. In a scenario where a 3-month-old infant is unresponsive and you cannot
find a pulse at the brachial site, what should be your next step?
