AHA PALS PEDIATRIC EMERGENCY CARE EXAM
2025/2026 WITH 100% ACCURATE ANSWERS
1. Stridor is most likely caused by:
Pulmonary edema
Upper airway obstruction
Broncho-constriction
Collapsed Alveoli
2. Why is it important to check blood glucose levels in a pediatric patient
presenting with lethargy after vomiting and diarrhea?
Checking blood glucose levels helps identify hypoglycemia,
which can be a critical condition in dehydrated children.
Blood glucose levels are irrelevant in cases of vomiting and
diarrhea.
It helps determine the need for immediate surgery.
It is important to assess kidney function in all pediatric patients with
diarrhea.
3. Which assessment is most important for the patient with leukemia?
Bowel sounds
Skin integrity
Temperature
Heart rate
,4. Why is the blood pressure reading significant in assessing the severity of
the patient's condition?
The blood pressure reading is only important for adults.
The blood pressure reading only reflects the child's heart rate.
The blood pressure reading indicates potential shock and helps
assess the child's hemodynamic stability.
The blood pressure reading is irrelevant in this scenario.
5. You are caring for a 5-year-old boy with a 4-day history of high fever and
cough. He is having increasing lethargy, grunting, and sleepiness. Now he is
difficult to arouse and is unresponsive to voice commands. His O2 sat is 72%
on room air and 89% when on an NRB O2 mask. He has shallow
respirations, with a respiratory rate of 38/min. Auscultation of the lungs
reveals bilateral crackles. Which medication would be most appropriate?
A corticosteroid
An antibiotic
A bronchodilator
A vasopressor
6. Which abnormality helps identify children with acute respiratory distress
caused by lung tissue disease?
Stridor
Normal respiratory rate
Decreased oxygen saturation
Decreased respiratory effort or crackles
,7. What abnormality is most likely to be present in children with acute
respiratory distress caused by lung tissue disease?
Stridor
Decreased respiratory effort
Normal respiratory rate
Decreased oxygen saturation
8. A 4-month-old arrives with a 24-hour history of vomiting and diarrhea. The
patient is lethargic, pale, cool, and clammy. Weak peripheral pulses can be
palpated, and her capillary refill time is >4 seconds. This child is in:
cardiogenic shock
hypovolemic shock
anaphylactic shock
septic shock
9. In a scenario where a 5-year-old child presents with severe croup and
stridor at rest, what would be the most appropriate first step in
management?
Initiate chest compressions
Administer oxygen via nasal cannula
Provide oral steroids
Administer nebulized epinephrine
10. A six-year-old boy is evaluating her difficulty breathing. What findings
would suggest the child has respiratory distress?
Decreased respiratory effort
, Respiratory rate of 8/minute
Oxygen saturation of 95%
Audible inspiratory stridor
11. What is the recommended initial defibrillation dose for a 20 kg child in
cardiac arrest?
60 J
80 J
40 J
20 J
12. Which of the following most likely indicates upper airway obstruction?
Audible breath sounds in the lungs
Decreased inspiratory effort
Retractions during inspiration
Even rhythmic breathing
13. What is the primary early intervention indicated for a pediatric patient with
suspected infection and fever?
Antipyretic administration
Steroid administration
Antibiotic administration
Fluid resuscitation
2025/2026 WITH 100% ACCURATE ANSWERS
1. Stridor is most likely caused by:
Pulmonary edema
Upper airway obstruction
Broncho-constriction
Collapsed Alveoli
2. Why is it important to check blood glucose levels in a pediatric patient
presenting with lethargy after vomiting and diarrhea?
Checking blood glucose levels helps identify hypoglycemia,
which can be a critical condition in dehydrated children.
Blood glucose levels are irrelevant in cases of vomiting and
diarrhea.
It helps determine the need for immediate surgery.
It is important to assess kidney function in all pediatric patients with
diarrhea.
3. Which assessment is most important for the patient with leukemia?
Bowel sounds
Skin integrity
Temperature
Heart rate
,4. Why is the blood pressure reading significant in assessing the severity of
the patient's condition?
The blood pressure reading is only important for adults.
The blood pressure reading only reflects the child's heart rate.
The blood pressure reading indicates potential shock and helps
assess the child's hemodynamic stability.
The blood pressure reading is irrelevant in this scenario.
5. You are caring for a 5-year-old boy with a 4-day history of high fever and
cough. He is having increasing lethargy, grunting, and sleepiness. Now he is
difficult to arouse and is unresponsive to voice commands. His O2 sat is 72%
on room air and 89% when on an NRB O2 mask. He has shallow
respirations, with a respiratory rate of 38/min. Auscultation of the lungs
reveals bilateral crackles. Which medication would be most appropriate?
A corticosteroid
An antibiotic
A bronchodilator
A vasopressor
6. Which abnormality helps identify children with acute respiratory distress
caused by lung tissue disease?
Stridor
Normal respiratory rate
Decreased oxygen saturation
Decreased respiratory effort or crackles
,7. What abnormality is most likely to be present in children with acute
respiratory distress caused by lung tissue disease?
Stridor
Decreased respiratory effort
Normal respiratory rate
Decreased oxygen saturation
8. A 4-month-old arrives with a 24-hour history of vomiting and diarrhea. The
patient is lethargic, pale, cool, and clammy. Weak peripheral pulses can be
palpated, and her capillary refill time is >4 seconds. This child is in:
cardiogenic shock
hypovolemic shock
anaphylactic shock
septic shock
9. In a scenario where a 5-year-old child presents with severe croup and
stridor at rest, what would be the most appropriate first step in
management?
Initiate chest compressions
Administer oxygen via nasal cannula
Provide oral steroids
Administer nebulized epinephrine
10. A six-year-old boy is evaluating her difficulty breathing. What findings
would suggest the child has respiratory distress?
Decreased respiratory effort
, Respiratory rate of 8/minute
Oxygen saturation of 95%
Audible inspiratory stridor
11. What is the recommended initial defibrillation dose for a 20 kg child in
cardiac arrest?
60 J
80 J
40 J
20 J
12. Which of the following most likely indicates upper airway obstruction?
Audible breath sounds in the lungs
Decreased inspiratory effort
Retractions during inspiration
Even rhythmic breathing
13. What is the primary early intervention indicated for a pediatric patient with
suspected infection and fever?
Antipyretic administration
Steroid administration
Antibiotic administration
Fluid resuscitation
