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AHA PALS (PEDIATRIC ADVANCED LIFE SUPPORT) 2025 EXAM
WITH 100 ACCURATE AND VERIFIED QUESTIONS COVERING
PEDIATRIC ASSESSMENT, EMERGENCY INTERVENTIONS,
RESUSCITATION ALGORITHMS, AND MEDICATION
ADMINISTRATION.
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 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.
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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)
__________, __________, __________ - 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
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2. 50
3. 60
4. 70 - ANSWER-3.
The primary objective of the Airway assessment in the ABCDE model is to assess airway
_________.
1. effort of breathing
2. rate of breathing
3. disease
4. patency - ANSWER-4.
Simple measures for maintaining airway patency include all of the following EXCEPT which
intervention?
1. Continuous positive airway pressure
2. Head tilt chin lift
3. Jaw thrust
4. Nasopharyngeal airway - ANSWER-1.
Assessment of Breathing includes evaluation of:
1. Respiratory rate and effort
2. Chest expansion in air movement
3. Lung and airway sounds
4. O2 saturation
5. All of the above - ANSWER-5.
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Tachypnea can have both respiratory and non-respiratory causes. Select all of the non-
respiratory cause of tachypnea.
1. Croup
2. Pneumonia
3. Bronchiolitis
4. High Fever
5. Asthma
6. Severe pain
7. Anemia - ANSWER-4, 6, 7
(True or False) Stridor is a sign of lower airway problem.
1. True
2. False - ANSWER-2.
(True or False) Grunting is often a sign of lung tissue disease resulting from small airway
collapse, alveolar collapse or both.
1. True
2. False - ANSWER-1.
Match each lung and airway sound with the appropriate definition. (drag and drop)
A. Coarse, usually higher pitched breathing sound typically heard on inspiration
B. High-pitched or low-pitched whistling or sighing sound heard most often during expiration
C. Bubbling sound heard during inspiration or expiration
D. Short, low pitched breathing sound heard during expiration
E. Also known as rales and typically associated with pneumonia - ANSWER-A. Stridor
B. Wheezing
C. Gurgling
AHA PALS (PEDIATRIC ADVANCED LIFE SUPPORT) 2025 EXAM
WITH 100 ACCURATE AND VERIFIED QUESTIONS COVERING
PEDIATRIC ASSESSMENT, EMERGENCY INTERVENTIONS,
RESUSCITATION ALGORITHMS, AND MEDICATION
ADMINISTRATION.
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 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.
,2|Page
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)
__________, __________, __________ - 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
,3|Page
2. 50
3. 60
4. 70 - ANSWER-3.
The primary objective of the Airway assessment in the ABCDE model is to assess airway
_________.
1. effort of breathing
2. rate of breathing
3. disease
4. patency - ANSWER-4.
Simple measures for maintaining airway patency include all of the following EXCEPT which
intervention?
1. Continuous positive airway pressure
2. Head tilt chin lift
3. Jaw thrust
4. Nasopharyngeal airway - ANSWER-1.
Assessment of Breathing includes evaluation of:
1. Respiratory rate and effort
2. Chest expansion in air movement
3. Lung and airway sounds
4. O2 saturation
5. All of the above - ANSWER-5.
, 4|Page
Tachypnea can have both respiratory and non-respiratory causes. Select all of the non-
respiratory cause of tachypnea.
1. Croup
2. Pneumonia
3. Bronchiolitis
4. High Fever
5. Asthma
6. Severe pain
7. Anemia - ANSWER-4, 6, 7
(True or False) Stridor is a sign of lower airway problem.
1. True
2. False - ANSWER-2.
(True or False) Grunting is often a sign of lung tissue disease resulting from small airway
collapse, alveolar collapse or both.
1. True
2. False - ANSWER-1.
Match each lung and airway sound with the appropriate definition. (drag and drop)
A. Coarse, usually higher pitched breathing sound typically heard on inspiration
B. High-pitched or low-pitched whistling or sighing sound heard most often during expiration
C. Bubbling sound heard during inspiration or expiration
D. Short, low pitched breathing sound heard during expiration
E. Also known as rales and typically associated with pneumonia - ANSWER-A. Stridor
B. Wheezing
C. Gurgling
