age 1 of 31
PALS Pediatric Emergency Resuscitation EXAM STUDY
GUIDE 2025/2026 ACCURATE QUESTIONS AND
VERIFIED CORRECT SOLUTIONS WITH RATIONALES ||
100% GUARANTEED PASS <RECENT VERSION>
Goals of Initial Assessment in PALS ......ANSWER........Stable
Impending respiratory failure/shock
Definite respiratory failure or shock, compensated /
uncompensated
Cardiopulmonary Failure
Cardiopulmonary Arrest
How long should the initial assessment take? ......ANSWER........<
60 seconds
,age 2 of 31
MCC cardiopulmonary arrest ......ANSWER........respiratory
failure
What should the always be the first thing you think of in an
unresponsive child ......ANSWER........Airway
How long should supportive ABCs be given prior to EMS
activation if alone? ......ANSWER........1 minute
What type of breathers are infants? ......ANSWER........NASAL
(do not occlude)
Where should padding be placed to maintain sniffing position?
......ANSWER........under the shoulders
How to estimate an ET tube size? ......ANSWER........childs little
finger
,age 3 of 31
How to calculate uncuffed ET tube size? ......ANSWER........age/4
+4
How to calculate cuffed ET tube size? ......ANSWER........age/4 +
3
What aspects of breathing should you assess?
......ANSWER........rate
mechanics
air entry (sound/motion)
What is the most sensitive marker of circulation in pediatrics?
......ANSWER........Pulse (HR)
When should chest compressions be initiated in an infant?
......ANSWER........< 60 (CO not sustainable w/ life)
, age 4 of 31
refractory to oxygen
What is the MCC bradycardia? ......ANSWER........hypoxia
What is the 1st tx for bradycardia? ......ANSWER........100% O2
What medication is used first in bradycardia?
......ANSWER........EPI
What is the issue with Atropine in pediatrics for bradycardia?
......ANSWER........potential of harming developing
parasympathetic system
Defibrillation energies for pediatrics ......ANSWER........2J/kg
4J/kg
max 10 J/kg
HOTN in < 1 month ......ANSWER........SBP < 60
PALS Pediatric Emergency Resuscitation EXAM STUDY
GUIDE 2025/2026 ACCURATE QUESTIONS AND
VERIFIED CORRECT SOLUTIONS WITH RATIONALES ||
100% GUARANTEED PASS <RECENT VERSION>
Goals of Initial Assessment in PALS ......ANSWER........Stable
Impending respiratory failure/shock
Definite respiratory failure or shock, compensated /
uncompensated
Cardiopulmonary Failure
Cardiopulmonary Arrest
How long should the initial assessment take? ......ANSWER........<
60 seconds
,age 2 of 31
MCC cardiopulmonary arrest ......ANSWER........respiratory
failure
What should the always be the first thing you think of in an
unresponsive child ......ANSWER........Airway
How long should supportive ABCs be given prior to EMS
activation if alone? ......ANSWER........1 minute
What type of breathers are infants? ......ANSWER........NASAL
(do not occlude)
Where should padding be placed to maintain sniffing position?
......ANSWER........under the shoulders
How to estimate an ET tube size? ......ANSWER........childs little
finger
,age 3 of 31
How to calculate uncuffed ET tube size? ......ANSWER........age/4
+4
How to calculate cuffed ET tube size? ......ANSWER........age/4 +
3
What aspects of breathing should you assess?
......ANSWER........rate
mechanics
air entry (sound/motion)
What is the most sensitive marker of circulation in pediatrics?
......ANSWER........Pulse (HR)
When should chest compressions be initiated in an infant?
......ANSWER........< 60 (CO not sustainable w/ life)
, age 4 of 31
refractory to oxygen
What is the MCC bradycardia? ......ANSWER........hypoxia
What is the 1st tx for bradycardia? ......ANSWER........100% O2
What medication is used first in bradycardia?
......ANSWER........EPI
What is the issue with Atropine in pediatrics for bradycardia?
......ANSWER........potential of harming developing
parasympathetic system
Defibrillation energies for pediatrics ......ANSWER........2J/kg
4J/kg
max 10 J/kg
HOTN in < 1 month ......ANSWER........SBP < 60
