AHA PALS EXAM 2025 QUESTIONS AND CORRECT ANSWERS
WITH RATIONALES (VERIFIED ANSWERS) PROFESSOR VERIFIED
LATEST VERSION (JUST RELEASED)
1.vA 5-year
oldvchildvpresentsvwithvlethargy,vincreasedvworkvofvbreathing,vandvpalevcolor
.vThevprimaryvassessmentvrevealsvthatvthevairwayvisvopenvandvthevrespiratory
vratevisv30/min,vwithvcracklesvheardvonvauscultation.vThevcardiacvmonitorvsh
owsvsinu
svtachycardiavatvavratevofv165/min.vThevpulsevoximetervdisplaysvanvoxygenvs
atura
tionvofv95%vandvavpulsevratevofv93/min.vOnvthevbasisvofvthisvinformation,v
whichv
ofvthevfollowingvprovidesvthevbestvinterpretationvofvthevoxygenvsaturationvofv
95
%vbyvpulsevoximetry?v
A.vReliable;vnovsupplementaryvoxygenvisvindicatedvB.vReliable;vsupplementar
yvo xygenvshouldvbevadministeredv
C.vUnreliable;vnovsupplementaryvoxygenvisvindicatedv
D.vUnreliable;vsupplementaryvoxygenvshouldvbevadministeredvvCorrect
Answer ✅ :Unreliable;vsupplementaryvoxygenvshouldvbevadministered
2.vAv3-year-
oldvchildvwasvrecentlyvdiagnosedvwithvleukemiavandvhasvbeenvtreatedvwithvc
he
motherapy.vThevchildvpresentsvwithvlethargyvandvavhighvfever.vHeartvratevisv
195/
min,vrespiratoryvratevisv36/min,vbloodvpressurevisv85/40vmmvHg,vandvcapillar
pg. 1
,yvr
efillvtimevisvlessvthanv2vseconds.vWhatvisvthevchild'svmostvlikelyvcondition?v
A.vSepticvshockv
B.vHypovolemicvshockv
C.vSignificantvbradycardiav
D.vCardiogenicvshockv-vCorrect Answer ✅ :Septicvshock
3.vAv2-week-
oldvinfantvpresentsvwithvirritabilityvandvavhistoryvofvpoorvfeeding.vBloodvpres
sur evisv55/40vmmvHg.vWhatvtermvdescribesvthisvinfant'svbloodvpressure?v
A.vHypotensivev
B.vNormalv
C.vHypertensivev
D.vCompensatedv-vCorrect Answer ✅ :Hypotensive
4.vDuringvavresuscitationvattempt,vthevteamvleadervordersvanvinitialvdosevofve
pin
ephrinevatv0.1vmg/kgvtovbevgivenv10.vWhatvshouldvthevteamvmembervdo?v
A.vAdministervthevdrugvasvorderedv
B.vAdministerv0.01vmg/kgvofvepinephrinev
C.vRespectfullyvaskvthevteamvleadervtovclarifyvthevdosev
D.vRefusevtovadministervthevdrugv-
vCorrect Answer ✅ :Respectfullyvaskvthevteamvleadervtovclarifyvthevdose
5.vWhichvofvthevfollowingvisvavcharacteristicvofvrespiratoryvfailure?v
A.vInadequatevoxygenationvand/orvventilationv
B.vHypotensionv
C.vAnvincreasevinvserumvpHv(alkalosis)v
D.vAbnormalvrespiratoryvsoundsv-
vCorrect Answer ✅ :Inadequatevoxygenationvand/orvventilation
6.vWhichvofvthevfollowingvisvmostvlikelyvtovproducevavprolongedvexpiratoryv
phas evandvwheezing?v
pg. 2
, A.vDisorderedvcontrolvofvbreathingv
B.vHypovolemicvshockv
C.vLowervairwayvobstructionv
D.vUppervairwayvobstructionv-vCorrect Answer ✅ :Lowervairwayvobstruction
7.vAv4-year-
oldvchildvpresentsvwithvseizuresvandvirregularvrespirations.vThevseizuresvstopp
e
dvavfewvminutesvago.vWhichvofvthevfollowingvmostvlikelyvtovbevabnormal?v
A.vVascularvresistancev
B.vPulsevratev
C.vLungvcompliancev
D.vControlvofvbreathingv-vCorrect Answer ✅ :Controlvofvbreathing
8.vWhatvabnormalityvisvmostvlikelyvtovbevpresentvinvchildrenvwithvacutevresp
irat oryvdistressvcausedvbyvlungvtissuevdisease?v
A.vDecreasedvoxygenvsaturationv
B.vStridorv
C.vNormalvrespiratoryvratev
D.vDecreasedvrespiratoryveffortv-vCorrect Answer ✅
:Decreasedvoxygenvsaturation
9.vAnvalertv2-year-
oldvchildvwithvanvincreasedvworkvofvbreathingvandvpinkvcolorvisvbeingvevalu
ated
.vHeartvratevisv110/min,vandvrespiratoryvratevisv30/min.vWhatvwouldvbestvdes
crib evthisvpatient'svcondition?vA.vRespiratoryvdistressv
B.vRespiratoryvarrest
C.vRespiratoryvfailurev
D.vDisorderedvcontrolvofvbreathingv-vCorrect Answer ✅ :Respiratoryvdistress
10.vThevparentsvofvav7-year-
pg. 3
WITH RATIONALES (VERIFIED ANSWERS) PROFESSOR VERIFIED
LATEST VERSION (JUST RELEASED)
1.vA 5-year
oldvchildvpresentsvwithvlethargy,vincreasedvworkvofvbreathing,vandvpalevcolor
.vThevprimaryvassessmentvrevealsvthatvthevairwayvisvopenvandvthevrespiratory
vratevisv30/min,vwithvcracklesvheardvonvauscultation.vThevcardiacvmonitorvsh
owsvsinu
svtachycardiavatvavratevofv165/min.vThevpulsevoximetervdisplaysvanvoxygenvs
atura
tionvofv95%vandvavpulsevratevofv93/min.vOnvthevbasisvofvthisvinformation,v
whichv
ofvthevfollowingvprovidesvthevbestvinterpretationvofvthevoxygenvsaturationvofv
95
%vbyvpulsevoximetry?v
A.vReliable;vnovsupplementaryvoxygenvisvindicatedvB.vReliable;vsupplementar
yvo xygenvshouldvbevadministeredv
C.vUnreliable;vnovsupplementaryvoxygenvisvindicatedv
D.vUnreliable;vsupplementaryvoxygenvshouldvbevadministeredvvCorrect
Answer ✅ :Unreliable;vsupplementaryvoxygenvshouldvbevadministered
2.vAv3-year-
oldvchildvwasvrecentlyvdiagnosedvwithvleukemiavandvhasvbeenvtreatedvwithvc
he
motherapy.vThevchildvpresentsvwithvlethargyvandvavhighvfever.vHeartvratevisv
195/
min,vrespiratoryvratevisv36/min,vbloodvpressurevisv85/40vmmvHg,vandvcapillar
pg. 1
,yvr
efillvtimevisvlessvthanv2vseconds.vWhatvisvthevchild'svmostvlikelyvcondition?v
A.vSepticvshockv
B.vHypovolemicvshockv
C.vSignificantvbradycardiav
D.vCardiogenicvshockv-vCorrect Answer ✅ :Septicvshock
3.vAv2-week-
oldvinfantvpresentsvwithvirritabilityvandvavhistoryvofvpoorvfeeding.vBloodvpres
sur evisv55/40vmmvHg.vWhatvtermvdescribesvthisvinfant'svbloodvpressure?v
A.vHypotensivev
B.vNormalv
C.vHypertensivev
D.vCompensatedv-vCorrect Answer ✅ :Hypotensive
4.vDuringvavresuscitationvattempt,vthevteamvleadervordersvanvinitialvdosevofve
pin
ephrinevatv0.1vmg/kgvtovbevgivenv10.vWhatvshouldvthevteamvmembervdo?v
A.vAdministervthevdrugvasvorderedv
B.vAdministerv0.01vmg/kgvofvepinephrinev
C.vRespectfullyvaskvthevteamvleadervtovclarifyvthevdosev
D.vRefusevtovadministervthevdrugv-
vCorrect Answer ✅ :Respectfullyvaskvthevteamvleadervtovclarifyvthevdose
5.vWhichvofvthevfollowingvisvavcharacteristicvofvrespiratoryvfailure?v
A.vInadequatevoxygenationvand/orvventilationv
B.vHypotensionv
C.vAnvincreasevinvserumvpHv(alkalosis)v
D.vAbnormalvrespiratoryvsoundsv-
vCorrect Answer ✅ :Inadequatevoxygenationvand/orvventilation
6.vWhichvofvthevfollowingvisvmostvlikelyvtovproducevavprolongedvexpiratoryv
phas evandvwheezing?v
pg. 2
, A.vDisorderedvcontrolvofvbreathingv
B.vHypovolemicvshockv
C.vLowervairwayvobstructionv
D.vUppervairwayvobstructionv-vCorrect Answer ✅ :Lowervairwayvobstruction
7.vAv4-year-
oldvchildvpresentsvwithvseizuresvandvirregularvrespirations.vThevseizuresvstopp
e
dvavfewvminutesvago.vWhichvofvthevfollowingvmostvlikelyvtovbevabnormal?v
A.vVascularvresistancev
B.vPulsevratev
C.vLungvcompliancev
D.vControlvofvbreathingv-vCorrect Answer ✅ :Controlvofvbreathing
8.vWhatvabnormalityvisvmostvlikelyvtovbevpresentvinvchildrenvwithvacutevresp
irat oryvdistressvcausedvbyvlungvtissuevdisease?v
A.vDecreasedvoxygenvsaturationv
B.vStridorv
C.vNormalvrespiratoryvratev
D.vDecreasedvrespiratoryveffortv-vCorrect Answer ✅
:Decreasedvoxygenvsaturation
9.vAnvalertv2-year-
oldvchildvwithvanvincreasedvworkvofvbreathingvandvpinkvcolorvisvbeingvevalu
ated
.vHeartvratevisv110/min,vandvrespiratoryvratevisv30/min.vWhatvwouldvbestvdes
crib evthisvpatient'svcondition?vA.vRespiratoryvdistressv
B.vRespiratoryvarrest
C.vRespiratoryvfailurev
D.vDisorderedvcontrolvofvbreathingv-vCorrect Answer ✅ :Respiratoryvdistress
10.vThevparentsvofvav7-year-
pg. 3