1|Page
PALS Pediatric Advanced Life Support
Examination||Verified Exam!!||, 2026/2027 -Question
AHA-Aligned Pediatric Resuscitation Examination
with Rationales
The initial impression of the PALS systematic approach
algorithm includes which of the following characteristics?
(Choose all correct answers.)
1. Appearance
2. Breathing
3. Restlessness
4. Color
5. Pain - Answer-1, 2, 4
The second box of the PALS systematic approach
algorithm contains a question. (Fill in the blank to
complete the question.)
Is the child ____________ or is immediate intervention
needed? - Answer-unresponsive
In the PALS systematic approach algorithm, if the child is
determined to be unresponsive or immediate intervention
is needed what will be your next step?
,2|Page
1. Start CPR
2. Apply breathing with a bag valve mask
3. Activate emergency response
4. Check for a pulse - Answer-3.
After the emergency response is activated, the next
intervention is to ____________.
1. Lightly shake the child's shoulders.
2. Look, listen, and feel.
3. Open the airway.
4. Check for breathing and a pulse - Answer-4.
After it is determined that the child has no pulse, what
should be done?
1. Call for help
2. Begin CPR
3. Provide 2 rescue breaths
4. Start an IV - Answer-2.
A child is unresponsive and is not breathing. You have
activated the emergency response system and your pulse
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check reveals that the child has a pulse. What should you
do now?
1. Perform a brief head to toe assessment.
2. Place the child in the recovery position.
3. Give epinephrine 1mg IV push
4. Open the airway and provide ventilations and oxygen. -
Answer-4.
A child is unresponsive and is not breathing. Emergency
response was activated and now a pulse check shows that
the child does have a pulse. You then open the airway,
provide age-appropriate ventilations, and 100% oxygen
with a bag valve mask. The child's pulse is < 60/min, and
the child has signs of poor perfusion. What is your next
intervention?
1. Begin CPR
2. Provide a 500ml NS bolus
3. Perform an ABG.
4. Intubate the patient. - Answer-1.
The right branch of the PALS systematic approach
algorithm is a sequence of three actions. In the proper
sequence, the three actions are: (Fill in the blanks)
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__________, __________, __________ - Answer-
evaluate, identify, intervene
The evaluate portion of the evaluate-identify-intervene
sequence consists of what clinical assessment tools?
(Choose all correct answers)
1. Diagnostic tests
2. Pain assessment
3. Secondary assessment
4. Primary assessment - Answer-1, 3, 4
(True or False) The sequence of evaluate-identify-
intervene should be used before and after each
intervention and should continue until the child is stable.
1. True
2. False - Answer-1.
A consistent respiratory rate less than 10 or more than
_____ breaths per minute in a child of any age is
abnormal and suggests the presence of a potentially
serious problem.
1. 40
PALS Pediatric Advanced Life Support
Examination||Verified Exam!!||, 2026/2027 -Question
AHA-Aligned Pediatric Resuscitation Examination
with Rationales
The initial impression of the PALS systematic approach
algorithm includes which of the following characteristics?
(Choose all correct answers.)
1. Appearance
2. Breathing
3. Restlessness
4. Color
5. Pain - Answer-1, 2, 4
The second box of the PALS systematic approach
algorithm contains a question. (Fill in the blank to
complete the question.)
Is the child ____________ or is immediate intervention
needed? - Answer-unresponsive
In the PALS systematic approach algorithm, if the child is
determined to be unresponsive or immediate intervention
is needed what will be your next step?
,2|Page
1. Start CPR
2. Apply breathing with a bag valve mask
3. Activate emergency response
4. Check for a pulse - Answer-3.
After the emergency response is activated, the next
intervention is to ____________.
1. Lightly shake the child's shoulders.
2. Look, listen, and feel.
3. Open the airway.
4. Check for breathing and a pulse - Answer-4.
After it is determined that the child has no pulse, what
should be done?
1. Call for help
2. Begin CPR
3. Provide 2 rescue breaths
4. Start an IV - Answer-2.
A child is unresponsive and is not breathing. You have
activated the emergency response system and your pulse
,3|Page
check reveals that the child has a pulse. What should you
do now?
1. Perform a brief head to toe assessment.
2. Place the child in the recovery position.
3. Give epinephrine 1mg IV push
4. Open the airway and provide ventilations and oxygen. -
Answer-4.
A child is unresponsive and is not breathing. Emergency
response was activated and now a pulse check shows that
the child does have a pulse. You then open the airway,
provide age-appropriate ventilations, and 100% oxygen
with a bag valve mask. The child's pulse is < 60/min, and
the child has signs of poor perfusion. What is your next
intervention?
1. Begin CPR
2. Provide a 500ml NS bolus
3. Perform an ABG.
4. Intubate the patient. - Answer-1.
The right branch of the PALS systematic approach
algorithm is a sequence of three actions. In the proper
sequence, the three actions are: (Fill in the blanks)
, 4|Page
__________, __________, __________ - Answer-
evaluate, identify, intervene
The evaluate portion of the evaluate-identify-intervene
sequence consists of what clinical assessment tools?
(Choose all correct answers)
1. Diagnostic tests
2. Pain assessment
3. Secondary assessment
4. Primary assessment - Answer-1, 3, 4
(True or False) The sequence of evaluate-identify-
intervene should be used before and after each
intervention and should continue until the child is stable.
1. True
2. False - Answer-1.
A consistent respiratory rate less than 10 or more than
_____ breaths per minute in a child of any age is
abnormal and suggests the presence of a potentially
serious problem.
1. 40
