1|Page
PALS Post-Test 2025/2026 | REAL AHA CERTIFICATION QUESTIONS WITH
100% VERIFIED ANSWERS & RATIONALES || PEDIATRIC ADVANCED LIFE
SUPPORT || UPDATED TO LATEST AHA GUIDELINES || BRAND NEW •
GRADED A+
A 6 month old infant is unresponsive. You begin checking for breathing at the same time you
check for the infants pulse. Which is the maximum time you should spend when trying to
simultaneously check for breathing and palpate the infants pulse before starting CPR?
10 seconds
A 4 year old child is brought to the emergency department for seizures. The seizures stopped a
few minutes ago, but the child continues to have slow and irregular respirations. Which condition
is most consistent with your assessment?
Disordered Control of Breathing
An 8 year old child is brought to the emergency department with a 2 day history of lethargy and
polyuria. The child has new onset rapid, deep, and labored breathing. Which diagnostic test
should you order first?
blood glucose
After rectal administration of diazepam, an 8 year old boy with a history of seizures is no
unresponsive to painful stimuli. His respirations are shallow, at a rate of 10/min. His Oxygen
saturation is 94% on 2L of NC oxygen. On examination, the child is snoring with poor chest rise
and poor air entry bilaterally. What action should you take next?
Reposition the patient, and insert an oral airway
After rectal administration of diazepam, an 8 year old boy with a history of seizures is no
unresponsive to painful stimuli. His respirations are shallow, at a rate of 10/min. His Oxygen
saturation is 94% on 2L of NC oxygen. On examination, the child is snoring with poor chest rise
and poor air entry bilaterally. After repositioning the patient and you insert an Oral airway, the
patient continues to deteriorate. What next step is the most appropriate?
Provide bag mask ventilation
A 6 year old child is found unresponsive, not breathing, and without a pulse. one health care
worker leaves to activate the emergency response system and get the resuscitation equipment.
You and another healthcare provider immediatly begin CPR. Which compression to ventilation
ratio do you use?
15:2
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In post resuscitation management after cardiac arrest, extra care should be taken to avoid
repercussion injury. what should the ideal oxygen saturation range most likely be?
94%-99%
A 3 year old child is in cardiac arrest, and high quality CPR is in progress. You are the team
leader. The first rhythm check reveals the rhythm shown here. Defibrillation is attempted with a
shock dose of 2 J/kg. after administration of the shock, what should you say to you team
members?
"resume compressions"
A 4 year old child in cardiac arrest is brought to the emergency department by ambulance. High
quality CPR is being performed. The cardiac monitor displays the rhythm strip shown here. The
estimated weight of the child is 20 kg. What dose range should you use for the initial
defibrillation?
2-4 J/kg
A 4 year old child in cardiac arrest is brought to the emergency department by ambulance. High
quality CPR is being performed. The cardiac monitor displays the rhythm strip shown here. The
estimated weight of the child is 20 kg. As the team leader, how many joules do you tell your
team member to use to perform initial Defib?
40 Joules
You are the team leader during a pediatric resuscitation attempt. which action is an element of
high quality CPR?
Allowing complete chest wall recoil after each compression
You are caring for a 3 month old boy with a 2 day history of fever, vomiting and diarrhea. His
parents state that he has been sleeping much more. His HR is 190/min, temp is 38.3 degrees C
(101 F) blood pressure is 59/29 mmHg, Resp rate is 70/min and shallow, and oxygen sat is 94%
on 100% oxygen. His capillary refills time is 4-5 seconds, and he has mottled, cool extremities.
The infant weighs 6 Kg. Which assessment finding indicates that the infant is in hypotensive
shock?
blood pressure
You are caring for a 3 month old boy with a 2 day history of fever, vomiting and diarrhea. His
parents state that he has been sleeping much more. His HR is 190/min, temp is 38.3 degrees C
(101 F) blood pressure is 59/29 mmHg, Resp rate is 70/min and shallow, and oxygen sat is 94%
on 100% oxygen. His capillary refills time is 4-5 seconds, and he has mottled, cool extremities.
The infant weighs 6 Kg. On the basis of this infants presentation, which type of shock does this
infant have?
PALS Post-Test 2025/2026 | REAL AHA CERTIFICATION QUESTIONS WITH
100% VERIFIED ANSWERS & RATIONALES || PEDIATRIC ADVANCED LIFE
SUPPORT || UPDATED TO LATEST AHA GUIDELINES || BRAND NEW •
GRADED A+
A 6 month old infant is unresponsive. You begin checking for breathing at the same time you
check for the infants pulse. Which is the maximum time you should spend when trying to
simultaneously check for breathing and palpate the infants pulse before starting CPR?
10 seconds
A 4 year old child is brought to the emergency department for seizures. The seizures stopped a
few minutes ago, but the child continues to have slow and irregular respirations. Which condition
is most consistent with your assessment?
Disordered Control of Breathing
An 8 year old child is brought to the emergency department with a 2 day history of lethargy and
polyuria. The child has new onset rapid, deep, and labored breathing. Which diagnostic test
should you order first?
blood glucose
After rectal administration of diazepam, an 8 year old boy with a history of seizures is no
unresponsive to painful stimuli. His respirations are shallow, at a rate of 10/min. His Oxygen
saturation is 94% on 2L of NC oxygen. On examination, the child is snoring with poor chest rise
and poor air entry bilaterally. What action should you take next?
Reposition the patient, and insert an oral airway
After rectal administration of diazepam, an 8 year old boy with a history of seizures is no
unresponsive to painful stimuli. His respirations are shallow, at a rate of 10/min. His Oxygen
saturation is 94% on 2L of NC oxygen. On examination, the child is snoring with poor chest rise
and poor air entry bilaterally. After repositioning the patient and you insert an Oral airway, the
patient continues to deteriorate. What next step is the most appropriate?
Provide bag mask ventilation
A 6 year old child is found unresponsive, not breathing, and without a pulse. one health care
worker leaves to activate the emergency response system and get the resuscitation equipment.
You and another healthcare provider immediatly begin CPR. Which compression to ventilation
ratio do you use?
15:2
, 2|Page
In post resuscitation management after cardiac arrest, extra care should be taken to avoid
repercussion injury. what should the ideal oxygen saturation range most likely be?
94%-99%
A 3 year old child is in cardiac arrest, and high quality CPR is in progress. You are the team
leader. The first rhythm check reveals the rhythm shown here. Defibrillation is attempted with a
shock dose of 2 J/kg. after administration of the shock, what should you say to you team
members?
"resume compressions"
A 4 year old child in cardiac arrest is brought to the emergency department by ambulance. High
quality CPR is being performed. The cardiac monitor displays the rhythm strip shown here. The
estimated weight of the child is 20 kg. What dose range should you use for the initial
defibrillation?
2-4 J/kg
A 4 year old child in cardiac arrest is brought to the emergency department by ambulance. High
quality CPR is being performed. The cardiac monitor displays the rhythm strip shown here. The
estimated weight of the child is 20 kg. As the team leader, how many joules do you tell your
team member to use to perform initial Defib?
40 Joules
You are the team leader during a pediatric resuscitation attempt. which action is an element of
high quality CPR?
Allowing complete chest wall recoil after each compression
You are caring for a 3 month old boy with a 2 day history of fever, vomiting and diarrhea. His
parents state that he has been sleeping much more. His HR is 190/min, temp is 38.3 degrees C
(101 F) blood pressure is 59/29 mmHg, Resp rate is 70/min and shallow, and oxygen sat is 94%
on 100% oxygen. His capillary refills time is 4-5 seconds, and he has mottled, cool extremities.
The infant weighs 6 Kg. Which assessment finding indicates that the infant is in hypotensive
shock?
blood pressure
You are caring for a 3 month old boy with a 2 day history of fever, vomiting and diarrhea. His
parents state that he has been sleeping much more. His HR is 190/min, temp is 38.3 degrees C
(101 F) blood pressure is 59/29 mmHg, Resp rate is 70/min and shallow, and oxygen sat is 94%
on 100% oxygen. His capillary refills time is 4-5 seconds, and he has mottled, cool extremities.
The infant weighs 6 Kg. On the basis of this infants presentation, which type of shock does this
infant have?
