AHA PALS Exam 2026 Practice Test | 100+ Questions with Detailed Explanations & Verified Answers

AHA PALS EXAM 2026-2027 ACTUAL
EXAM TEST BANK QUESTIONS AND
CORRECT DETAILED ANSWERS WITH
RATIONALES (VERIFIED ANSWERS)
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1. A 5-year-
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old child presents with lethargy, increased work of breathing, and pal
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e color. The primary assessment reveals that the airway is open and th
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e respiratory rate is 30/min, with crackles heard on auscultation. The
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cardiac monitor shows sinus tachycardia at a rate of 165/min. The pul
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se oximeter displays an oxygen saturation of 95% and a pulse rate of 9
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3/min. On the basis of this information, which of the following provid
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es the best interpretation of the oxygen saturation of 95% by pulse oxi
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metry? g




A. Reliable; no supplementary oxygen is indicated B. Reliable; supple
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mentary oxygen should be administered
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C. Unreliable; no supplementary oxygen is indicated
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D. Unreliable; supplementary oxygen should be administered ......AN
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SWER.....Unreliable; supplementary oxygen should be administered g g g g g

,2. A 3-year-
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old child was recently diagnosed with leukemia and has been treated
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with chemotherapy. The child presents with lethargy and a high fever
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. Heart rate is 195/min, respiratory rate is 36/min, blood pressure is 85
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/40 mm Hg, and capillary refill time is less than 2 seconds. What is th
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e child's most likely condition?
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A. Septic shock
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B. Hypovolemic shock
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C. Significant bradycardia
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D. Cardiogenic shock ......ANSWER.....Septic shock
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3. A 2-week-
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old infant presents with irritability and a history of poor feeding. Bloo
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d pressure is 55/40 mm Hg. What term describes this infant's blood p
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ressure? g




A. Hypotensive
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B. Normal
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C. Hypertensive
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,D. Compensated ......ANSWER.....Hypotensive
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4. During a resuscitation attempt, the team leader orders an initial do
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se of epinephrine at 0.1 mg/kg to be given 10. What should the team m
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ember do? g g




A. Administer the drug as ordered
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B. Administer 0.01 mg/kg of epinephrine
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C. Respectfully ask the team leader to clarify the dose
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D. Refuse to administer the drug ......ANSWER.....Respectfully ask th
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e team leader to clarify the dose
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5. Which of the following is a characteristic of respiratory failure?
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A. Inadequate oxygenation and/or ventilation
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B. Hypotension
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C. An increase in serum pH (alkalosis)
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D. Abnormal respiratory sounds ......ANSWER.....Inadequate oxygen
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ation and/or ventilation
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, 6. Which of the following is most likely to produce a prolonged expira
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tory phase and wheezing?
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A. Disordered control of breathing
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B. Hypovolemic shock
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C. Lower airway obstruction
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D. Upper airway obstruction ......ANSWER.....Lower airway obstructi
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on



7. A 4-year-
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old child presents with seizures and irregular respirations. The seizur
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es stopped a few minutes ago. Which of the following most likely to b
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e abnormal?
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A. Vascular resistance
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B. Pulse rate
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C. Lung compliance
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D. Control of breathing ......ANSWER.....Control of breathing
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8. What abnormality is most likely to be present in children with acut
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e respiratory distress caused by lung tissue disease?
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