AHA PALS EXAM 2025 ACTUAL EXAM TEST
BANK QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES
{ALREADY GRADED A+ } NEWEST VERSION
1. A 13-year-old patient with asthma just received oxygen and albuterol
via a nebulizer. What is the next most appropriate intervention?
A. Administer 0.1 mg/kg of adenosine
B. Obtain a blood sample to evaluate arterial or venous blood gases
C. Reassess breath sounds and clinical status
D. Repeat the albuterol treatment
2. A 5-year-old child presents with lethargy, increased work of breathing,
and pale color. The primary assessment reveals that the airway is open
and the respiratory rate is 30/min, with crackles heard on auscultation.
The cardiac monitor shows sinus tachycardia at a rate of 165/min. The
pulse oximeter displays an oxygen saturation of 95% and a pulse rate of
93/min. On the basis of this information, which of the following provides
the best interpretation of the oxygen saturation of 95% by pulse
oximetry?
A. Reliable; no supplementary oxygen is indicated B. Reliable;
supplementary oxygen should be administered
C. Unreliable; no supplementary oxygen is indicated
D. Unreliable; supplementary oxygen should be administered
,3. A 2-year-old child with a 2-day history of a barking cough presents
with audible stridor on inspiration, intercostal retractions, and agitation.
What is the most appropriate intervention for this child?
A. Lay the child flat on a stretcher
B. Suction the mouth and nose
C. Administer nebulized epinephrine
D. Administer inhaled albuterol
4. The parents of a 7-year-old child who is undergoing chemotherapy
report that the child has been febrile and has not been feeling well, with
recent onset of lethargy. Assessment reveals the following: The child is
difficult to arouse, with pale color. The child's heart rate is 160/min,
respiratory rate is 30/min, blood pressure is 76/45 mm Hg, capillary refill
time is 5 to 6 seconds, and temperature is 103°F (39.4°C). What is the
most appropriate intervention?
A. Obtain vascular access and administer 20 mL/kg of isotonic
crystalloid over 30 minutes
B. Obtain vascular access and administer 20 mL/kg of isotonic
crystalloid over 5 to 10 minutes
C. Obtain immediate blood cultures and chest x-ray
D. Obtain expert consultation with an oncologist to determine the
chemotherapeutic regimen
5. A 2-year-old child presents with a 4-day history of vomiting. The initial
impression reveals an unresponsive child with intermittent apnea and
mottled color. Heart rate is 166/min, respiratory rate is now being
supported with bag-mask ventilation, capillary refill time is 5 to 6
seconds, and temperature is 102°F (38.9°C). What is the best method of
establishing immediate vascular access? A. Two providers may attempt
peripheral vascular access twice each
B. Three providers may attempt peripheral vascular access once each
, C. Place a central venous line
D. Place an intraosseous line
6. Which of the following oxygen saturations indicates the need for
additional intervention?
A. 96% on room air
B. 95% on room air
C. 93% on 4 L of oxygen
D. 97% on 50% oxygen
7. A 3-year-old child presents with a 2-day history of nausea and vomiting.
She is alert, with no increase in respiratory effort, and is pale in color.
The child's heart rate is 160/min, respiratory rate is 40/min, and blood
pressure is 100/70 mm Hg. Her extremities are cool, with sluggish
capillary refill. Which term best describes this child's physiologic state?
A. Compensated shock
B. Cardiogenic shock
C. Hypotensive shock
D. Obstructive shock
8. What is the appropriate fluid bolus to administer for a child with
hypovolemic shock with adequate myocardial function?
A. 10 mL/kg normal saline
B. 20 mL/kg of 5% dextrose and 0.2% sodium chloride
C. 20 mL/kg normal saline
BANK QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES
{ALREADY GRADED A+ } NEWEST VERSION
1. A 13-year-old patient with asthma just received oxygen and albuterol
via a nebulizer. What is the next most appropriate intervention?
A. Administer 0.1 mg/kg of adenosine
B. Obtain a blood sample to evaluate arterial or venous blood gases
C. Reassess breath sounds and clinical status
D. Repeat the albuterol treatment
2. A 5-year-old child presents with lethargy, increased work of breathing,
and pale color. The primary assessment reveals that the airway is open
and the respiratory rate is 30/min, with crackles heard on auscultation.
The cardiac monitor shows sinus tachycardia at a rate of 165/min. The
pulse oximeter displays an oxygen saturation of 95% and a pulse rate of
93/min. On the basis of this information, which of the following provides
the best interpretation of the oxygen saturation of 95% by pulse
oximetry?
A. Reliable; no supplementary oxygen is indicated B. Reliable;
supplementary oxygen should be administered
C. Unreliable; no supplementary oxygen is indicated
D. Unreliable; supplementary oxygen should be administered
,3. A 2-year-old child with a 2-day history of a barking cough presents
with audible stridor on inspiration, intercostal retractions, and agitation.
What is the most appropriate intervention for this child?
A. Lay the child flat on a stretcher
B. Suction the mouth and nose
C. Administer nebulized epinephrine
D. Administer inhaled albuterol
4. The parents of a 7-year-old child who is undergoing chemotherapy
report that the child has been febrile and has not been feeling well, with
recent onset of lethargy. Assessment reveals the following: The child is
difficult to arouse, with pale color. The child's heart rate is 160/min,
respiratory rate is 30/min, blood pressure is 76/45 mm Hg, capillary refill
time is 5 to 6 seconds, and temperature is 103°F (39.4°C). What is the
most appropriate intervention?
A. Obtain vascular access and administer 20 mL/kg of isotonic
crystalloid over 30 minutes
B. Obtain vascular access and administer 20 mL/kg of isotonic
crystalloid over 5 to 10 minutes
C. Obtain immediate blood cultures and chest x-ray
D. Obtain expert consultation with an oncologist to determine the
chemotherapeutic regimen
5. A 2-year-old child presents with a 4-day history of vomiting. The initial
impression reveals an unresponsive child with intermittent apnea and
mottled color. Heart rate is 166/min, respiratory rate is now being
supported with bag-mask ventilation, capillary refill time is 5 to 6
seconds, and temperature is 102°F (38.9°C). What is the best method of
establishing immediate vascular access? A. Two providers may attempt
peripheral vascular access twice each
B. Three providers may attempt peripheral vascular access once each
, C. Place a central venous line
D. Place an intraosseous line
6. Which of the following oxygen saturations indicates the need for
additional intervention?
A. 96% on room air
B. 95% on room air
C. 93% on 4 L of oxygen
D. 97% on 50% oxygen
7. A 3-year-old child presents with a 2-day history of nausea and vomiting.
She is alert, with no increase in respiratory effort, and is pale in color.
The child's heart rate is 160/min, respiratory rate is 40/min, and blood
pressure is 100/70 mm Hg. Her extremities are cool, with sluggish
capillary refill. Which term best describes this child's physiologic state?
A. Compensated shock
B. Cardiogenic shock
C. Hypotensive shock
D. Obstructive shock
8. What is the appropriate fluid bolus to administer for a child with
hypovolemic shock with adequate myocardial function?
A. 10 mL/kg normal saline
B. 20 mL/kg of 5% dextrose and 0.2% sodium chloride
C. 20 mL/kg normal saline
