7/1/25, 8:03
PM
Pediatric Advanced Life Support (PALS) Exam questions
and answers with complete solutions verified latest update
graded a++ 2025/2026
-cardiac arrest prevention
-emergency response activation
-early high quality CPR
Pediatric Chain of -advanced life support
Survival
-post cardiac arrest care
-recovery
-lone rescuer who is unable to continue
-rescuers relieved by other rescuers (pause <10 sec)
-valid DNR order
Reasons to Stop/Pause -rescuer(s) are in danger from scene or bystander
CPR complications
-AED available to analyze cardiac rhythm (pause <10 sec)
-ROSC
-hypoxia (resp failure)
-sepsis
1/39
,7/1/25, 8:03
PM
Common Causes of
-hypotension
Pediatric Arrests
-acidosis
-pre existing cardiac conditions
-poisoning
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,7/1/25, 8:03
PM
H's
-hypovolemia
-hypoxia
-hydrogen ion excess (acidosis)
-hypoglycemia
-hypo/hyperkalemia
-hypothermia
General causes of Cardiac
T's
Arrest (H's & T's)
-tension pneumothorax
-tamponade, cardiac
-toxins
-thrombi/emboli, coronary
-thrombi/emboli, pulmonary
-bradycardia
Most Common Pediatric -PEA
Dysrhythmias -asystole
Infant post-neonate up to 12 months of age
1 year old to puberty
3/39
, 7/1/25, 8:03
PM
Child -female puberty = breast development
-male puberty = underarm hair development
AED Pad Selection -use child pads for less than 8 years of age and weighs
less than 55 lbs
-use adult pads for 8 years of age or older or weighs
more than 55 lbs
a 3 part initial impression of a child's or infant's status
-identifies immediate life-threatening problems
ABC's
Pediatric Assessment
-appearance: level of consciousness, tone, position, and
Triangle (PAT)
speech/cry
-breathing: work of breathing, audible sounds, nasal
flaring, and retrations
-circulation: skin colors of distress (ex. cyanosis, pallor, or
mottling)
follow local/state laws over recommendations if there
are discrepancies
children up to 17 years old:
Consent for Treatment
-parent or legal guardian present = obtain their consent
4/39
PM
Pediatric Advanced Life Support (PALS) Exam questions
and answers with complete solutions verified latest update
graded a++ 2025/2026
-cardiac arrest prevention
-emergency response activation
-early high quality CPR
Pediatric Chain of -advanced life support
Survival
-post cardiac arrest care
-recovery
-lone rescuer who is unable to continue
-rescuers relieved by other rescuers (pause <10 sec)
-valid DNR order
Reasons to Stop/Pause -rescuer(s) are in danger from scene or bystander
CPR complications
-AED available to analyze cardiac rhythm (pause <10 sec)
-ROSC
-hypoxia (resp failure)
-sepsis
1/39
,7/1/25, 8:03
PM
Common Causes of
-hypotension
Pediatric Arrests
-acidosis
-pre existing cardiac conditions
-poisoning
2/39
,7/1/25, 8:03
PM
H's
-hypovolemia
-hypoxia
-hydrogen ion excess (acidosis)
-hypoglycemia
-hypo/hyperkalemia
-hypothermia
General causes of Cardiac
T's
Arrest (H's & T's)
-tension pneumothorax
-tamponade, cardiac
-toxins
-thrombi/emboli, coronary
-thrombi/emboli, pulmonary
-bradycardia
Most Common Pediatric -PEA
Dysrhythmias -asystole
Infant post-neonate up to 12 months of age
1 year old to puberty
3/39
, 7/1/25, 8:03
PM
Child -female puberty = breast development
-male puberty = underarm hair development
AED Pad Selection -use child pads for less than 8 years of age and weighs
less than 55 lbs
-use adult pads for 8 years of age or older or weighs
more than 55 lbs
a 3 part initial impression of a child's or infant's status
-identifies immediate life-threatening problems
ABC's
Pediatric Assessment
-appearance: level of consciousness, tone, position, and
Triangle (PAT)
speech/cry
-breathing: work of breathing, audible sounds, nasal
flaring, and retrations
-circulation: skin colors of distress (ex. cyanosis, pallor, or
mottling)
follow local/state laws over recommendations if there
are discrepancies
children up to 17 years old:
Consent for Treatment
-parent or legal guardian present = obtain their consent
4/39
