Pals Heartcode 2025 QUESTIONS WITH COMPLETE SOLUTIONS 2025 LATEST
Course
PALS RED CROSS
1. A 3-year-old child is unresponsive and not breathing after being found at the
bottom of a pool. What is the first step in the resuscitation process?
A) Check for a pulse
B) Begin chest compressions
C) Call for help
D) Open the airway and provide rescue breaths
Answer: C) Call for help
Solution: The first step in pediatric resuscitation is to activate the emergency response system by
calling for help. This ensures that assistance and equipment like an AED will be on the way.
2. What is the correct depth for chest compressions in a 6-year-old child?
A) At least 1 inch
B) At least 1.5 inches
C) At least 2 inches
D) At least 3 inches
Answer: C) At least 2 inches
Solution: For children over 1 year of age, the depth of chest compressions should be at least one-
third the depth of the chest, which is approximately 2 inches.
3. Which of the following is the correct compression-to-ventilation ratio for 2-
rescuer CPR in an infant?
A) 15:2
B) 30:2
C) 5:1
D) 15:1
Answer: A) 15:2
Solution: The correct compression-to-ventilation ratio for 2-rescuer CPR in an infant is 15 chest
compressions to 2 rescue breaths.
,4. What is the primary purpose of using an automated external defibrillator
(AED) in pediatric resuscitation?
A) To monitor the child’s vital signs
B) To shock the heart into a normal rhythm
C) To provide continuous chest compressions
D) To deliver oxygen to the lungs
Answer: B) To shock the heart into a normal rhythm
Solution: The purpose of using an AED is to deliver a shock to the heart to restore a normal
rhythm in cases of life-threatening arrhythmias like ventricular fibrillation or pulseless
ventricular tachycardia.
5. A 7-year-old child presents with bradycardia (heart rate 50 bpm) and poor
perfusion. What is the initial treatment?
A) Administer atropine
B) Start chest compressions
C) Provide high-flow oxygen
D) Observe and wait for the heart rate to improve
Answer: A) Administer atropine
Solution: In cases of bradycardia with poor perfusion, the first step is to administer atropine,
which can increase the heart rate. If atropine is not effective, further interventions like chest
compressions may be necessary.
6. What is the correct action when a child experiences an obstructed airway and
is conscious?
A) Perform abdominal thrusts (Heimlich maneuver)
B) Perform back blows and chest compressions
C) Open the airway and provide rescue breaths
D) Perform finger sweeps
Answer: A) Perform abdominal thrusts (Heimlich maneuver)
Solution: For a conscious child with a complete airway obstruction, the Heimlich maneuver
(abdominal thrusts) is used to attempt to expel the object blocking the airway.
7. In a case of pediatric shock, which of the following is the first-line treatment?
, A) Epinephrine
B) Fluid resuscitation
C) Intubation
D) Antibiotics
Answer: B) Fluid resuscitation
Solution: The first-line treatment for pediatric shock is fluid resuscitation with isotonic fluids
(e.g., normal saline or lactated Ringer's) to improve perfusion and raise blood pressure.
8. During resuscitation, what is the correct method of confirming endotracheal
tube (ETT) placement?
A) Observing the rise and fall of the chest
B) Auscultating for breath sounds over the stomach
C) Checking for gastric distention
D) Auscultating for breath sounds over the lungs
Answer: D) Auscultating for breath sounds over the lungs
Solution: To confirm ETT placement, you should listen for breath sounds over the lungs, as the
tube should be in the trachea. No breath sounds should be heard over the stomach.
9. Which of the following medications is recommended for the treatment of
ventricular fibrillation (VF) or pulseless ventricular tachycardia (VT) in
pediatric patients?
A) Epinephrine
B) Lidocaine
C) Atropine
D) Amiodarone
Answer: D) Amiodarone
Solution: Amiodarone is one of the medications recommended for treating VF or pulseless VT
in pediatric patients after defibrillation.
10. A 4-year-old child is being treated for anaphylaxis. Which medication should
be administered first?
A) Benadryl
B) Epinephrine
Course
PALS RED CROSS
1. A 3-year-old child is unresponsive and not breathing after being found at the
bottom of a pool. What is the first step in the resuscitation process?
A) Check for a pulse
B) Begin chest compressions
C) Call for help
D) Open the airway and provide rescue breaths
Answer: C) Call for help
Solution: The first step in pediatric resuscitation is to activate the emergency response system by
calling for help. This ensures that assistance and equipment like an AED will be on the way.
2. What is the correct depth for chest compressions in a 6-year-old child?
A) At least 1 inch
B) At least 1.5 inches
C) At least 2 inches
D) At least 3 inches
Answer: C) At least 2 inches
Solution: For children over 1 year of age, the depth of chest compressions should be at least one-
third the depth of the chest, which is approximately 2 inches.
3. Which of the following is the correct compression-to-ventilation ratio for 2-
rescuer CPR in an infant?
A) 15:2
B) 30:2
C) 5:1
D) 15:1
Answer: A) 15:2
Solution: The correct compression-to-ventilation ratio for 2-rescuer CPR in an infant is 15 chest
compressions to 2 rescue breaths.
,4. What is the primary purpose of using an automated external defibrillator
(AED) in pediatric resuscitation?
A) To monitor the child’s vital signs
B) To shock the heart into a normal rhythm
C) To provide continuous chest compressions
D) To deliver oxygen to the lungs
Answer: B) To shock the heart into a normal rhythm
Solution: The purpose of using an AED is to deliver a shock to the heart to restore a normal
rhythm in cases of life-threatening arrhythmias like ventricular fibrillation or pulseless
ventricular tachycardia.
5. A 7-year-old child presents with bradycardia (heart rate 50 bpm) and poor
perfusion. What is the initial treatment?
A) Administer atropine
B) Start chest compressions
C) Provide high-flow oxygen
D) Observe and wait for the heart rate to improve
Answer: A) Administer atropine
Solution: In cases of bradycardia with poor perfusion, the first step is to administer atropine,
which can increase the heart rate. If atropine is not effective, further interventions like chest
compressions may be necessary.
6. What is the correct action when a child experiences an obstructed airway and
is conscious?
A) Perform abdominal thrusts (Heimlich maneuver)
B) Perform back blows and chest compressions
C) Open the airway and provide rescue breaths
D) Perform finger sweeps
Answer: A) Perform abdominal thrusts (Heimlich maneuver)
Solution: For a conscious child with a complete airway obstruction, the Heimlich maneuver
(abdominal thrusts) is used to attempt to expel the object blocking the airway.
7. In a case of pediatric shock, which of the following is the first-line treatment?
, A) Epinephrine
B) Fluid resuscitation
C) Intubation
D) Antibiotics
Answer: B) Fluid resuscitation
Solution: The first-line treatment for pediatric shock is fluid resuscitation with isotonic fluids
(e.g., normal saline or lactated Ringer's) to improve perfusion and raise blood pressure.
8. During resuscitation, what is the correct method of confirming endotracheal
tube (ETT) placement?
A) Observing the rise and fall of the chest
B) Auscultating for breath sounds over the stomach
C) Checking for gastric distention
D) Auscultating for breath sounds over the lungs
Answer: D) Auscultating for breath sounds over the lungs
Solution: To confirm ETT placement, you should listen for breath sounds over the lungs, as the
tube should be in the trachea. No breath sounds should be heard over the stomach.
9. Which of the following medications is recommended for the treatment of
ventricular fibrillation (VF) or pulseless ventricular tachycardia (VT) in
pediatric patients?
A) Epinephrine
B) Lidocaine
C) Atropine
D) Amiodarone
Answer: D) Amiodarone
Solution: Amiodarone is one of the medications recommended for treating VF or pulseless VT
in pediatric patients after defibrillation.
10. A 4-year-old child is being treated for anaphylaxis. Which medication should
be administered first?
A) Benadryl
B) Epinephrine
