AHA PEDIATRIC ADVANCED LIFE SUPPORT
EXAM II CERTIFICATION EVALUATION EXAMS
2026 QUESTIONS WITH SOLUTIONS
GUARANTEED PASS
◉ Age of children. Answer: from 1 year of age to puberty
◉ To perform a pulse check in an infant, palpate a. Answer: brachial
pulse
- if you don't definitely feel a pulse within 10 seconds, starts CPR,
beginning with chest compressions
◉ To perform a pulse check in a child, palpate a. Answer: carotid or
femoral pulse
- if you don't definitely feel a pulse within 10 seconds, starts CPR,
beginning with chest compressions
◉ Compression depth in infants. Answer: at least 1/3 the AP
diameter of the chest or about 1 1/2 inches (4 cm)
,◉ If a head or neck injury is suspected, use what to open the
airway?. Answer: jaw-thrust maneuver
- if jaw thrust does not open the airway, use the head tilt-chin lift
◉ The primary assessment (primary survey) uses a hands-on
ABCDE approach and includes assessment of the patient's vital signs
.. what does ABCDE stand for?. Answer: Airway
Breathing
Circulation
Disability
Exposure
◉ During PALS, determine the respiratory rate by .... Answer:
counting the number of times the chest rises in 30 seconds and
multiply by 2
◉ Rectractions accompanied by stridor or inspiratory snoring
suggest. Answer: upper airway obstruction
- seesaw respirations also usually indicated upper airway
obstruction + may also be observed in severe lower airway
obstruction
, ◉ Rectractions accompanied by expiratory wheezing suggest.
Answer: marked lower airway obstruction (asthma or bronchiolitis),
causing obstruction during both inspiration and expiration
◉ Cause of seesaw breathing in most kids with neuromuscular dz is.
Answer: weakness of abdominal and chest wall muscles
- caused by strong contraction of diaphragm that dominates weaker
abdominal and chest wall muscles
- result = retraction of chest and expansion of abdomen during
inspiration
◉ Normal tidal volume. Answer: appx 5-7 mL/kg of body weight
throughout life
- difficult to measure unless child is mechanically ventilated -->
clinical assessment is important
◉ Auscultation of air movement is critical. In a child, listen for the
intensity of breath sounds and quality of air movement in the
following areas:. Answer: Anterior:
mid-chest (just to the left and right of sternum)
Lateral:
EXAM II CERTIFICATION EVALUATION EXAMS
2026 QUESTIONS WITH SOLUTIONS
GUARANTEED PASS
◉ Age of children. Answer: from 1 year of age to puberty
◉ To perform a pulse check in an infant, palpate a. Answer: brachial
pulse
- if you don't definitely feel a pulse within 10 seconds, starts CPR,
beginning with chest compressions
◉ To perform a pulse check in a child, palpate a. Answer: carotid or
femoral pulse
- if you don't definitely feel a pulse within 10 seconds, starts CPR,
beginning with chest compressions
◉ Compression depth in infants. Answer: at least 1/3 the AP
diameter of the chest or about 1 1/2 inches (4 cm)
,◉ If a head or neck injury is suspected, use what to open the
airway?. Answer: jaw-thrust maneuver
- if jaw thrust does not open the airway, use the head tilt-chin lift
◉ The primary assessment (primary survey) uses a hands-on
ABCDE approach and includes assessment of the patient's vital signs
.. what does ABCDE stand for?. Answer: Airway
Breathing
Circulation
Disability
Exposure
◉ During PALS, determine the respiratory rate by .... Answer:
counting the number of times the chest rises in 30 seconds and
multiply by 2
◉ Rectractions accompanied by stridor or inspiratory snoring
suggest. Answer: upper airway obstruction
- seesaw respirations also usually indicated upper airway
obstruction + may also be observed in severe lower airway
obstruction
, ◉ Rectractions accompanied by expiratory wheezing suggest.
Answer: marked lower airway obstruction (asthma or bronchiolitis),
causing obstruction during both inspiration and expiration
◉ Cause of seesaw breathing in most kids with neuromuscular dz is.
Answer: weakness of abdominal and chest wall muscles
- caused by strong contraction of diaphragm that dominates weaker
abdominal and chest wall muscles
- result = retraction of chest and expansion of abdomen during
inspiration
◉ Normal tidal volume. Answer: appx 5-7 mL/kg of body weight
throughout life
- difficult to measure unless child is mechanically ventilated -->
clinical assessment is important
◉ Auscultation of air movement is critical. In a child, listen for the
intensity of breath sounds and quality of air movement in the
following areas:. Answer: Anterior:
mid-chest (just to the left and right of sternum)
Lateral:
