1|Page
PALS 2025 EXAM 2025| BRAND NEW ACTUAL EXAM
WITH 100% VERIFIED QUESTIONS AND CORRECT
SOLUTIONS| GUARANTEED VALUE PACK| ACE YOUR
GRADES.
Which pulses should be assessed to monitor systemic perfusion in a child? -
(answers)peripheral and central
What should the first rescuer arriving on the scene of an unresponsive infant or
child do? (in order) - (answers)1. verify scene safety
2. check for responsiveness
3. shout for help
4. activate the emergency response system
Why may excessive ventilation during CPR be harmful? - (answers)- it increases
intrathoracic pressure
- it impedes venous return
If you cannot achieve effective ventilation (ie, the chest does not rise), do the
following: - (answers)- reposition/reopen the airway (sniffing position)
- verify mask size and ensure a tight face-mask seal
- suction the airway if needed
- check the O2 source
- check the ventilation bag and mask
- treat gastric inflation (NG/OG)
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- consider 2-person bag-mask ventilation and inserting an OPA
Ventilation rate - (answers)1 breath every 2-3 seconds delivered over 1 second
(20-30 breaths per minute)
Early signs of tissue hypoxia - (answers)- tachypnea
- increased respiratory effort (nasal flaring, retractions)
- tachycardia
- pallor, mottling, cyanosis
- agitation, anxiety, irritability
Late signs of tissue hypoxia - (answers)- bradypnea, inadequate respiratory effort,
apnea
- increased respiratory effort (head bobbing, seesaw respirations, grunting)
- bradycardia
- pallor, mottling, cyanosis
- decreased level of consciousness
What is the role of the diaphragm during normal breathing in infants? -
(answers)pulls the ribs slightly inward
S/S mild respiratory distress - (answers)- mild tachypnea
- mild increase in respiratory effort (nasal flaring, retractions)
PALS 2025 EXAM 2025| BRAND NEW ACTUAL EXAM
WITH 100% VERIFIED QUESTIONS AND CORRECT
SOLUTIONS| GUARANTEED VALUE PACK| ACE YOUR
GRADES.
Which pulses should be assessed to monitor systemic perfusion in a child? -
(answers)peripheral and central
What should the first rescuer arriving on the scene of an unresponsive infant or
child do? (in order) - (answers)1. verify scene safety
2. check for responsiveness
3. shout for help
4. activate the emergency response system
Why may excessive ventilation during CPR be harmful? - (answers)- it increases
intrathoracic pressure
- it impedes venous return
If you cannot achieve effective ventilation (ie, the chest does not rise), do the
following: - (answers)- reposition/reopen the airway (sniffing position)
- verify mask size and ensure a tight face-mask seal
- suction the airway if needed
- check the O2 source
- check the ventilation bag and mask
- treat gastric inflation (NG/OG)
, 2|Page
- consider 2-person bag-mask ventilation and inserting an OPA
Ventilation rate - (answers)1 breath every 2-3 seconds delivered over 1 second
(20-30 breaths per minute)
Early signs of tissue hypoxia - (answers)- tachypnea
- increased respiratory effort (nasal flaring, retractions)
- tachycardia
- pallor, mottling, cyanosis
- agitation, anxiety, irritability
Late signs of tissue hypoxia - (answers)- bradypnea, inadequate respiratory effort,
apnea
- increased respiratory effort (head bobbing, seesaw respirations, grunting)
- bradycardia
- pallor, mottling, cyanosis
- decreased level of consciousness
What is the role of the diaphragm during normal breathing in infants? -
(answers)pulls the ribs slightly inward
S/S mild respiratory distress - (answers)- mild tachypnea
- mild increase in respiratory effort (nasal flaring, retractions)
