Pediatric Advanced Life Support
Instructor (PALS-I) – Practice WITH
CORRECT ACTUAL QUESTIONS AND
CORRECTLY WELL DEFINED ANSWERS
LATEST ALREADY GRADED A+
(2025/2026)
1. A 6-month-old infant is unresponsive and not breathing normally. After
calling for help, what is the next best action for a lone rescuer trained in
PALS?
A) Attach AED
B) Begin CPR with 30 compressions and 2 breaths
C) Deliver 5 rescue breaths then start compressions
D) Place the infant in recovery position
Correct ,,,,answer,,,,: B
Rationale: For an unresponsive infant who is not breathing normally, start high-
quality CPR immediately. For lone rescuers of infants/children, current guidance
recommends starting CPR (compressions and breaths) and activating emergency
response as soon as possible .
2. During pediatric chest compressions, what is the recommended
compression depth for an infant?
,A) At least 2.5 inches (6 cm)
B) 1.5 inches (4 cm)
C) About one third the anterior-posterior chest depth (~1.5 inches / 4 cm)
D) At least 3 inches (8 cm)
Correct ,,,,answer,,,,: C
Rationale: Recommended compression depth for infants is about one third of the
chest depth (~4 cm). Avoid excessively deep compressions .
3. Which compression-to-ventilation ratio is correct for a 2-rescuer pediatric
BLS scenario without an advanced airway?
A) 30:2 for all rescuers
B) 15:2
C) 3:1
D) 5:1
Correct ,,,,answer,,,,: B
Rationale: In 2-rescuer pediatric BLS (infant/child), the recommended
compression-to-ventilation ratio is 15:2 to provide more frequent ventilations given
likely respiratory causes of arrest .
4. What ratio of compressions to breaths should be used for 1-rescuer child
CPR?
A) 30 compressions to 2 breaths
B) 15 compressions to 2 breaths
,C) 100 to 120 compressions per minute with no breaths
D) 50 compressions to 1 breath
Correct ,,,,answer,,,,: A
Rationale: For single-rescuer CPR in children and infants, a 30:2 compression-to-
ventilation ratio is recommended .
5. You find an infant who is unresponsive, is not breathing, and does not have
a pulse. You shout for nearby help, but no one arrives. What action should
you take next?
A) Provide CPR for about 2 minutes before leaving to activate the emergency
response system
B) Provide CPR for 60 seconds before leaving to activate the emergency response
system
C) Activate the emergency response system after giving CPR for 10 minutes
D) Activate the emergency response system after giving CPR for 60 seconds
Correct ,,,,answer,,,,: A
Rationale: For a lone rescuer with an infant in cardiac arrest, perform CPR for
about 2 minutes (5 cycles) before leaving to activate the emergency response
system .
6. Why is allowing complete chest recoil important when performing high-
quality CPR?
A) There will be a reduction in rescuer fatigue
B) It will reduce the risk of rib fractures
, C) The heart will refill with blood between compressions
D) The rate of chest compressions will increase
Correct ,,,,answer,,,,: C
Rationale: Allowing complete chest recoil allows the heart to refill with blood
between compressions, which is essential for maintaining cardiac output .
7. How can rescuers ensure that they are providing effective breaths when
using a bag-mask device?
A) By observing the chest rise with each breath
B) By delivering breaths quickly and forcefully
C) By always having oxygen attached to the bag
D) By allowing air to release around the mask
Correct ,,,,answer,,,,: A
Rationale: Observing visible chest rise with each breath is the best indicator that
ventilations are effective .
8. During bag-mask ventilation, how should you hold the mask to make an
effective seal between the child's face and the mask?
A) Push the jaw forward by using a jaw-thrust maneuver
B) Use the 2 thumb-encircling hands technique
C) Position your fingers, using the bridge of the nose as a guide
D) Position your fingers using the E-C clamp technique
Instructor (PALS-I) – Practice WITH
CORRECT ACTUAL QUESTIONS AND
CORRECTLY WELL DEFINED ANSWERS
LATEST ALREADY GRADED A+
(2025/2026)
1. A 6-month-old infant is unresponsive and not breathing normally. After
calling for help, what is the next best action for a lone rescuer trained in
PALS?
A) Attach AED
B) Begin CPR with 30 compressions and 2 breaths
C) Deliver 5 rescue breaths then start compressions
D) Place the infant in recovery position
Correct ,,,,answer,,,,: B
Rationale: For an unresponsive infant who is not breathing normally, start high-
quality CPR immediately. For lone rescuers of infants/children, current guidance
recommends starting CPR (compressions and breaths) and activating emergency
response as soon as possible .
2. During pediatric chest compressions, what is the recommended
compression depth for an infant?
,A) At least 2.5 inches (6 cm)
B) 1.5 inches (4 cm)
C) About one third the anterior-posterior chest depth (~1.5 inches / 4 cm)
D) At least 3 inches (8 cm)
Correct ,,,,answer,,,,: C
Rationale: Recommended compression depth for infants is about one third of the
chest depth (~4 cm). Avoid excessively deep compressions .
3. Which compression-to-ventilation ratio is correct for a 2-rescuer pediatric
BLS scenario without an advanced airway?
A) 30:2 for all rescuers
B) 15:2
C) 3:1
D) 5:1
Correct ,,,,answer,,,,: B
Rationale: In 2-rescuer pediatric BLS (infant/child), the recommended
compression-to-ventilation ratio is 15:2 to provide more frequent ventilations given
likely respiratory causes of arrest .
4. What ratio of compressions to breaths should be used for 1-rescuer child
CPR?
A) 30 compressions to 2 breaths
B) 15 compressions to 2 breaths
,C) 100 to 120 compressions per minute with no breaths
D) 50 compressions to 1 breath
Correct ,,,,answer,,,,: A
Rationale: For single-rescuer CPR in children and infants, a 30:2 compression-to-
ventilation ratio is recommended .
5. You find an infant who is unresponsive, is not breathing, and does not have
a pulse. You shout for nearby help, but no one arrives. What action should
you take next?
A) Provide CPR for about 2 minutes before leaving to activate the emergency
response system
B) Provide CPR for 60 seconds before leaving to activate the emergency response
system
C) Activate the emergency response system after giving CPR for 10 minutes
D) Activate the emergency response system after giving CPR for 60 seconds
Correct ,,,,answer,,,,: A
Rationale: For a lone rescuer with an infant in cardiac arrest, perform CPR for
about 2 minutes (5 cycles) before leaving to activate the emergency response
system .
6. Why is allowing complete chest recoil important when performing high-
quality CPR?
A) There will be a reduction in rescuer fatigue
B) It will reduce the risk of rib fractures
, C) The heart will refill with blood between compressions
D) The rate of chest compressions will increase
Correct ,,,,answer,,,,: C
Rationale: Allowing complete chest recoil allows the heart to refill with blood
between compressions, which is essential for maintaining cardiac output .
7. How can rescuers ensure that they are providing effective breaths when
using a bag-mask device?
A) By observing the chest rise with each breath
B) By delivering breaths quickly and forcefully
C) By always having oxygen attached to the bag
D) By allowing air to release around the mask
Correct ,,,,answer,,,,: A
Rationale: Observing visible chest rise with each breath is the best indicator that
ventilations are effective .
8. During bag-mask ventilation, how should you hold the mask to make an
effective seal between the child's face and the mask?
A) Push the jaw forward by using a jaw-thrust maneuver
B) Use the 2 thumb-encircling hands technique
C) Position your fingers, using the bridge of the nose as a guide
D) Position your fingers using the E-C clamp technique
