AHA PALS PEDIATRIC EMERGENCY CARE UPDATED
ACTUAL EXAM 2025| ACTUAL EXAM TEST BANK|| 130
QUESTIONS AND CORRECT DETAILED ANSWERS WITH
RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED
A+||NEWEST VERSION
1. What is the recommended duration for administering CPR to
an unresponsive infant before activating the emergency
response system?
1 minute
2 minutes
3 minutes
5 minutes
2. A patient is in cardiac arrest. Ventricular fibrillation has been
refractory to a second shock. Of the following, which drug
and dose should be administered first by the IV/IO route?
epi 1mg
amioderone 300mg
3. A 5-year-old child is found unresponsive with a heart rate of
30/min and no palpable pulse. After initiating high-quality
CPR and establishing vascular access, you administer
epinephrine. What should be your next step in managing this
, child’s condition?
Continue CPR and reassess the rhythm after 2 minutes.
Administer a second dose of epinephrine immediately.
Intubate the child to secure the airway before
continuing CPR. Check for signs of circulation
before continuing with CPR.
4. What is the primary role of epinephrine in pediatric
resuscitation during cardiac arrest?
To increase blood pressure and improve coronary
perfusion
To decrease heart rate and promote
relaxation To induce sedation and calm
the patient
, To enhance oxygen delivery to tissues
5. A 7-year-old girl presents with severe wheezing and difficulty
breathing after exposure to a known allergen. She is unable to
speak in full sentences and has a peak flow reading of 50% of
her personal best. After administering oxygen, what is the next
appropriate step in her management?
Administer albuterol via nebulizer.
Provide oral corticosteroids.
Intubate the patient immediately.
Give antihistamines for allergic reaction.
6. What is the recommended method for providing ventilation to
a pediatric patient in respiratory distress?
Use a nasal cannula with supplemental
oxygen Perform chest compressions at a
rate of 100/min
Open the airway and provide positive-pressure ventilation
using a bag-mask device
Administer oral medications to relieve symptoms
7. If one person is performing bag-mask ventilation, the best way
to provide effective ventilation is to use the:
, A-C clamp
technique E-C
clamp technique B-C
clamp technique
D-C clamp technique
8. In a scenario where a pediatric patient is in cardiac arrest, how
would you modify your CPR technique if you notice
inadequate chest recoil during compressions?
, Increase the compression rate
Ensure the patient is on a flat surface
Adjust your hand position to allow for better recoil
Administer epinephrine immediately
9. Explain why endotracheal drug administration is
considered the least desirable method during resuscitation
in pediatric patients.
It is less effective than intravenous administration.
It requires specialized equipment that is not always
available. It can lead to complications such as
airway obstruction.
All of the above.
10. Epinephrine, when given at resuscitative doses, provides
which of the following benefits?
Increased myocardial and cerebral blood flow
Increased systemic vascular resistance and arterial blood
pressure Increased heart rate and myocardial
contractility
All of the above
ACTUAL EXAM 2025| ACTUAL EXAM TEST BANK|| 130
QUESTIONS AND CORRECT DETAILED ANSWERS WITH
RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED
A+||NEWEST VERSION
1. What is the recommended duration for administering CPR to
an unresponsive infant before activating the emergency
response system?
1 minute
2 minutes
3 minutes
5 minutes
2. A patient is in cardiac arrest. Ventricular fibrillation has been
refractory to a second shock. Of the following, which drug
and dose should be administered first by the IV/IO route?
epi 1mg
amioderone 300mg
3. A 5-year-old child is found unresponsive with a heart rate of
30/min and no palpable pulse. After initiating high-quality
CPR and establishing vascular access, you administer
epinephrine. What should be your next step in managing this
, child’s condition?
Continue CPR and reassess the rhythm after 2 minutes.
Administer a second dose of epinephrine immediately.
Intubate the child to secure the airway before
continuing CPR. Check for signs of circulation
before continuing with CPR.
4. What is the primary role of epinephrine in pediatric
resuscitation during cardiac arrest?
To increase blood pressure and improve coronary
perfusion
To decrease heart rate and promote
relaxation To induce sedation and calm
the patient
, To enhance oxygen delivery to tissues
5. A 7-year-old girl presents with severe wheezing and difficulty
breathing after exposure to a known allergen. She is unable to
speak in full sentences and has a peak flow reading of 50% of
her personal best. After administering oxygen, what is the next
appropriate step in her management?
Administer albuterol via nebulizer.
Provide oral corticosteroids.
Intubate the patient immediately.
Give antihistamines for allergic reaction.
6. What is the recommended method for providing ventilation to
a pediatric patient in respiratory distress?
Use a nasal cannula with supplemental
oxygen Perform chest compressions at a
rate of 100/min
Open the airway and provide positive-pressure ventilation
using a bag-mask device
Administer oral medications to relieve symptoms
7. If one person is performing bag-mask ventilation, the best way
to provide effective ventilation is to use the:
, A-C clamp
technique E-C
clamp technique B-C
clamp technique
D-C clamp technique
8. In a scenario where a pediatric patient is in cardiac arrest, how
would you modify your CPR technique if you notice
inadequate chest recoil during compressions?
, Increase the compression rate
Ensure the patient is on a flat surface
Adjust your hand position to allow for better recoil
Administer epinephrine immediately
9. Explain why endotracheal drug administration is
considered the least desirable method during resuscitation
in pediatric patients.
It is less effective than intravenous administration.
It requires specialized equipment that is not always
available. It can lead to complications such as
airway obstruction.
All of the above.
10. Epinephrine, when given at resuscitative doses, provides
which of the following benefits?
Increased myocardial and cerebral blood flow
Increased systemic vascular resistance and arterial blood
pressure Increased heart rate and myocardial
contractility
All of the above
