AHA PEDIATRIC ADVANCED LIFE SUPPORT (PALS) HANDS-ON SKILLS
TEST |QUESTIONS WITH EXPERT SOLUTIONS|2026 LATEST UPDATED |GET A+
1. AHA Child (1 y.o.-puberty) 1-Rescuer CPR: 1. Check responsiveness
2. Assess breathing (gasping/agonal/absent) & carotid/femoral pulse
simultaneously
7Abnormal breathing WITH pulse: Breaths only q2-3sec with pulse check
q2min; stop steps
7HR < 60/min with poor perfusion despite oxygenation and
ventilation: CPR indicated; continue steps 7No definite pulse within
10 sec: CPR indicated; continue steps
3(a). WITNESSED COLLAPSE: Activate emergency response system & retrieve
AED
,3(b). NOT WITNESSED: Begin CPR (Steps 5-8) immediately after 2 mins (5
cycles), leave to activate emergency ’ response system & retrieve AED
4. Apply AED pads to bare skin turn on prompts ’ hands-off the child
when rhythm check prompted (~q2min) ’ after ’ shock delivery or no shock
advised, begin/resume CPR (Steps 5-8)
5. Chest Compressions X 30 (100-120/min; ~2 in)
- Place child on a hard, flat surface place heel of one hand on lower sternum
and heel of other hand on top of first ’ hand compress 1/3 AP diameter’
6. Open Airway
- Head Tilt-Chin Lift: Place one palm on child's forehead and fingers of
other hand under bony part of lower jaw, near chin (avoiding soft tissue)
push palm to tilt the head back while lifting chin forward’
,- Jaw Thrust: Position yourself at head place one hand on each side of
head with fingers under the angle of lower ’ jaw lift jaw forward ’ use your
thumbs to push lower lip down’
*Jaw must be tried FIRST if you suspect a head or spinal injury to reduce spine
movement
7. Breaths X 2
- Place your mouth over child's mouth to create an airtight seal blow breath
for ~1 sec ’ watch for chest rise ’ second ’ breath
- If no chest rise, repeat head tilt-chin lift to reopen airway & try again
8. Continue alternating 30 compressions-2 breaths with AED rhythm
checks/shocks until professionals arrive
2. AHA Child (1 y.o.-puberty) Bag Mask Device: 1. Select a transparent mask
that covers the mouth and nose completely without covering the eyes or
overlapping the chin
, 2. Select a self-inflating bag with enough volume to achieve chest rise
- Infants/Young Children: at least 450-500 mL
- Older Children/Adolescents: 1000+ mL
3. Check the bag for leaks by occluding the patient outlet valve with your
hand and squeezing the bag
4. Connect supplemental oxygen when available
5. Perform a head tilt-chin lift to open the airway. Press the mask to the
face as you lift the jaw, making a seal between the child's face and the mask
by using the E-C clamp technique (pictured)
6(a). ALONE: With the other hand, squeeze the ventilation bag until the chest
rises, delivering each breath over 1 sec 6(b). 2 PROVIDERS:
- 1 will do step 5 with both hands
- 1 will squeeze the ventilation bag until the chest rises, delivering each breath
over 1 sec
TEST |QUESTIONS WITH EXPERT SOLUTIONS|2026 LATEST UPDATED |GET A+
1. AHA Child (1 y.o.-puberty) 1-Rescuer CPR: 1. Check responsiveness
2. Assess breathing (gasping/agonal/absent) & carotid/femoral pulse
simultaneously
7Abnormal breathing WITH pulse: Breaths only q2-3sec with pulse check
q2min; stop steps
7HR < 60/min with poor perfusion despite oxygenation and
ventilation: CPR indicated; continue steps 7No definite pulse within
10 sec: CPR indicated; continue steps
3(a). WITNESSED COLLAPSE: Activate emergency response system & retrieve
AED
,3(b). NOT WITNESSED: Begin CPR (Steps 5-8) immediately after 2 mins (5
cycles), leave to activate emergency ’ response system & retrieve AED
4. Apply AED pads to bare skin turn on prompts ’ hands-off the child
when rhythm check prompted (~q2min) ’ after ’ shock delivery or no shock
advised, begin/resume CPR (Steps 5-8)
5. Chest Compressions X 30 (100-120/min; ~2 in)
- Place child on a hard, flat surface place heel of one hand on lower sternum
and heel of other hand on top of first ’ hand compress 1/3 AP diameter’
6. Open Airway
- Head Tilt-Chin Lift: Place one palm on child's forehead and fingers of
other hand under bony part of lower jaw, near chin (avoiding soft tissue)
push palm to tilt the head back while lifting chin forward’
,- Jaw Thrust: Position yourself at head place one hand on each side of
head with fingers under the angle of lower ’ jaw lift jaw forward ’ use your
thumbs to push lower lip down’
*Jaw must be tried FIRST if you suspect a head or spinal injury to reduce spine
movement
7. Breaths X 2
- Place your mouth over child's mouth to create an airtight seal blow breath
for ~1 sec ’ watch for chest rise ’ second ’ breath
- If no chest rise, repeat head tilt-chin lift to reopen airway & try again
8. Continue alternating 30 compressions-2 breaths with AED rhythm
checks/shocks until professionals arrive
2. AHA Child (1 y.o.-puberty) Bag Mask Device: 1. Select a transparent mask
that covers the mouth and nose completely without covering the eyes or
overlapping the chin
, 2. Select a self-inflating bag with enough volume to achieve chest rise
- Infants/Young Children: at least 450-500 mL
- Older Children/Adolescents: 1000+ mL
3. Check the bag for leaks by occluding the patient outlet valve with your
hand and squeezing the bag
4. Connect supplemental oxygen when available
5. Perform a head tilt-chin lift to open the airway. Press the mask to the
face as you lift the jaw, making a seal between the child's face and the mask
by using the E-C clamp technique (pictured)
6(a). ALONE: With the other hand, squeeze the ventilation bag until the chest
rises, delivering each breath over 1 sec 6(b). 2 PROVIDERS:
- 1 will do step 5 with both hands
- 1 will squeeze the ventilation bag until the chest rises, delivering each breath
over 1 sec
