AHA PALS RENEWAL
COMPREHENSIVE STUDY GUIDE 2026
FULL QUESTIONS AND SOLUTIONS
GRADED A+
◍ Croup treatment (upper airway).
Answer: Nebulized epiCorticosteroids
◍ In which of the following situations may IO access be used?.
Answer: An extremity with slow a capillary refill time
◍ A 2-week-old infant is being evaluated for irritability and poor feeding. His
blood pressure is 55/40 mm Hg, and capillary refill time is 5 seconds. Which
statement best describes your assessment of this infant's blood pressure?.
Answer: It is hypotensive.
◍ Anaphylaxis treatment (upper airway).
Answer: IM epi (auto injector)AlbuterolAntihistaminesCorticosteroids
◍ Bronchiolitis treatment (lower airway).
Answer: Nasal suctioningBronchodilator trial
◍ You are caring for patients in the emergency department. Which 2-year-old
child requires immediate intervention?.
Answer: A child who is grunting
◍ Asthma treatment (lower airway).
Answer: Albuterol +/- ipratropiumCorticosteroidsSC epiMg
SulfateTerbutaline
◍ HR for SVT in:.
Answer: - Infant: 220 bpm+- Kids: 180+
, ◍ A 3-year-old child is having difficulty breathing. What finding would most
likely lead you to suspect an upper airway obstruction in this child?.
Answer: Increased inspiratory effort with retractions
◍ Situations that may cause pedi pts go into VTach?.
Answer: - Near drowning- TCA OD- Underlying heart disease- Prolonged
QT
◍ Normal HR for newborn to 3 mo:.
Answer: 85-205 bpm
◍ Normal HR for 3 mo to 2 years:.
Answer: 100-190 bpm
◍ Normal HR for 2-10 yo:.
Answer: 60-140 bpm
◍ A team member is unable to perform an assigned task because it is beyond
the team member's scope of practice. What action should the team member
take?.
Answer: Ask for a new task or role
◍ Normal HR for > 10 yo:.
Answer: 60-100 bpm
◍ You are the Team Leader during a pediatric resuscitation attempt. What
action is an element of high-quality CPR?.
Answer: Allowing complete chest wall recoil after each compression
◍ An 8-year-old child is brought to the emergency department by his mother
for difficulty breathing. He has a history of asthma and nut allergies. His
mother tells you that he recently ate a cookie at a family picnic. What
condition is most likely to be present in this child?.
Answer: Upper airway obstruction
◍ An 8-year-old child is brought to the emergency department by ambulance
after being involved in a motor vehicle collision. What finding would
suggest that immediate intervention is needed?.
COMPREHENSIVE STUDY GUIDE 2026
FULL QUESTIONS AND SOLUTIONS
GRADED A+
◍ Croup treatment (upper airway).
Answer: Nebulized epiCorticosteroids
◍ In which of the following situations may IO access be used?.
Answer: An extremity with slow a capillary refill time
◍ A 2-week-old infant is being evaluated for irritability and poor feeding. His
blood pressure is 55/40 mm Hg, and capillary refill time is 5 seconds. Which
statement best describes your assessment of this infant's blood pressure?.
Answer: It is hypotensive.
◍ Anaphylaxis treatment (upper airway).
Answer: IM epi (auto injector)AlbuterolAntihistaminesCorticosteroids
◍ Bronchiolitis treatment (lower airway).
Answer: Nasal suctioningBronchodilator trial
◍ You are caring for patients in the emergency department. Which 2-year-old
child requires immediate intervention?.
Answer: A child who is grunting
◍ Asthma treatment (lower airway).
Answer: Albuterol +/- ipratropiumCorticosteroidsSC epiMg
SulfateTerbutaline
◍ HR for SVT in:.
Answer: - Infant: 220 bpm+- Kids: 180+
, ◍ A 3-year-old child is having difficulty breathing. What finding would most
likely lead you to suspect an upper airway obstruction in this child?.
Answer: Increased inspiratory effort with retractions
◍ Situations that may cause pedi pts go into VTach?.
Answer: - Near drowning- TCA OD- Underlying heart disease- Prolonged
QT
◍ Normal HR for newborn to 3 mo:.
Answer: 85-205 bpm
◍ Normal HR for 3 mo to 2 years:.
Answer: 100-190 bpm
◍ Normal HR for 2-10 yo:.
Answer: 60-140 bpm
◍ A team member is unable to perform an assigned task because it is beyond
the team member's scope of practice. What action should the team member
take?.
Answer: Ask for a new task or role
◍ Normal HR for > 10 yo:.
Answer: 60-100 bpm
◍ You are the Team Leader during a pediatric resuscitation attempt. What
action is an element of high-quality CPR?.
Answer: Allowing complete chest wall recoil after each compression
◍ An 8-year-old child is brought to the emergency department by his mother
for difficulty breathing. He has a history of asthma and nut allergies. His
mother tells you that he recently ate a cookie at a family picnic. What
condition is most likely to be present in this child?.
Answer: Upper airway obstruction
◍ An 8-year-old child is brought to the emergency department by ambulance
after being involved in a motor vehicle collision. What finding would
suggest that immediate intervention is needed?.
