AHA PALS EXAM ACTUAL EXAM TEST BANK
QUESTIONS AND CORRECT DETAILED ANSWERS
WITH RATIONALES (VERIFIED ANSWERS)
|ALREADY GRADED A+||NEWEST VERSION 2025-
2026
1. 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 - Answer-Unreliable;
supplementary oxygen should be administered
2. A 3-year-old child was recently diagnosed with leukemia and has been treated
with chemotherapy. The child presents with lethargy and a high fever. Heart rate is
195/min, respiratory rate is 36/min, blood pressure is 85/40 mm Hg, and capillary
refill time is less than 2 seconds. What is the child's most likely condition?
A. Septic shock
B. Hypovolemic shock
,C. Significant bradycardia
D. Cardiogenic shock - Answer-Septic shock
3. A 2-week-old infant presents with irritability and a history of poor feeding.
Blood pressure is 55/40 mm Hg. What term describes this infant's blood pressure?
A. Hypotensive
B. Normal
C. Hypertensive
D. Compensated - Answer-Hypotensive
4. During a resuscitation attempt, the team leader orders an initial dose of
epinephrine at 0.1 mg/kg to be given 10. What should the team member do?
A. Administer the drug as ordered
B. Administer 0.01 mg/kg of epinephrine
C. Respectfully ask the team leader to clarify the dose
D. Refuse to administer the drug - Answer-Respectfully ask the team leader to
clarify the dose
2. The respiratory rate of a 1-year-old child with respiratory distress has decreased
from 65/min to 30/min. The child is more lethargic and continues to have
subcostal retractions. What does this change likely indicate?
A. Respiratory distress is unchanged
B. Progression toward respiratory failure
C. Improved respiratory status
D. Neurologic impairment - Answer-Progression toward respiratory failure
, 3. What is the most likely cause of head bobbing in infants?
A. Increased respiratory effort
B. Improving respiratory status
C. Decompensated shock
D. Brain injury - Answer-Increased respiratory effort
4. Several healthcare providers are participating in an attempted resuscitation.
Which of the following is most consistent with the responsibilities of the team
leader of the resuscitation?
A. Records medications and interventions
B. Assigns roles to team members
C. Administers defibrillation shocks
D. Provides compressions - Answer-Assigns roles to team members
5. Which of the following conditions is appropriate for use of an oropharyngeal
airway?
A. Conscious with no gag reflex
B. Unconscious with a gag reflex
C. Unconscious with no gag reflex
D. Conscious with a gag reflex - Answer-Unconscious with no gag reflex
7. A child presents with severe respiratory distress, urticaria, stridor, and
tachycardia about 10 minutes after eating peanuts. What is the most appropriate
initial medication for this child?
A. Nebulized albuterol
QUESTIONS AND CORRECT DETAILED ANSWERS
WITH RATIONALES (VERIFIED ANSWERS)
|ALREADY GRADED A+||NEWEST VERSION 2025-
2026
1. 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 - Answer-Unreliable;
supplementary oxygen should be administered
2. A 3-year-old child was recently diagnosed with leukemia and has been treated
with chemotherapy. The child presents with lethargy and a high fever. Heart rate is
195/min, respiratory rate is 36/min, blood pressure is 85/40 mm Hg, and capillary
refill time is less than 2 seconds. What is the child's most likely condition?
A. Septic shock
B. Hypovolemic shock
,C. Significant bradycardia
D. Cardiogenic shock - Answer-Septic shock
3. A 2-week-old infant presents with irritability and a history of poor feeding.
Blood pressure is 55/40 mm Hg. What term describes this infant's blood pressure?
A. Hypotensive
B. Normal
C. Hypertensive
D. Compensated - Answer-Hypotensive
4. During a resuscitation attempt, the team leader orders an initial dose of
epinephrine at 0.1 mg/kg to be given 10. What should the team member do?
A. Administer the drug as ordered
B. Administer 0.01 mg/kg of epinephrine
C. Respectfully ask the team leader to clarify the dose
D. Refuse to administer the drug - Answer-Respectfully ask the team leader to
clarify the dose
2. The respiratory rate of a 1-year-old child with respiratory distress has decreased
from 65/min to 30/min. The child is more lethargic and continues to have
subcostal retractions. What does this change likely indicate?
A. Respiratory distress is unchanged
B. Progression toward respiratory failure
C. Improved respiratory status
D. Neurologic impairment - Answer-Progression toward respiratory failure
, 3. What is the most likely cause of head bobbing in infants?
A. Increased respiratory effort
B. Improving respiratory status
C. Decompensated shock
D. Brain injury - Answer-Increased respiratory effort
4. Several healthcare providers are participating in an attempted resuscitation.
Which of the following is most consistent with the responsibilities of the team
leader of the resuscitation?
A. Records medications and interventions
B. Assigns roles to team members
C. Administers defibrillation shocks
D. Provides compressions - Answer-Assigns roles to team members
5. Which of the following conditions is appropriate for use of an oropharyngeal
airway?
A. Conscious with no gag reflex
B. Unconscious with a gag reflex
C. Unconscious with no gag reflex
D. Conscious with a gag reflex - Answer-Unconscious with no gag reflex
7. A child presents with severe respiratory distress, urticaria, stridor, and
tachycardia about 10 minutes after eating peanuts. What is the most appropriate
initial medication for this child?
A. Nebulized albuterol
