AHA Pals Exam A Latest 2026 100% Correct
Questions with Correct Answers GRADED A+
1. Which of the following is the MOST appropriate step after defibrillating a
patient in cardiac arrest?
Administer 1mg of epinephrine
Administer chest compressions
Check pulse
Check rhythm
2. Which of the following is most likely to produce a prolonged expiratory
phase and wheezing?
Lower airway obstruction
Disordered control of breathing
Hypovolemic shock
Upper airway obstruction
3. Why is it critical to check blood glucose levels in a lethargic child before
other tests?
Other tests are more important than blood glucose in assessing
lethargy.
Checking blood glucose levels is essential because hypoglycemia
can cause lethargy and is a reversible condition.
Blood glucose testing is only necessary after other tests.
Blood glucose levels are not related to lethargy in children.
,4. What is the correct initial dose of Epinephrine to administer during a
pediatric resuscitation attempt?
0.01 mg/kg
0.1 mg/kg
0.5 mg/kg
1 mg/kg
5. A pediatric patient is brought into the ER at 1:00 am with coughing. Mom
states that 'my baby sounds like a little seal barking and is having some
trouble breathing.' You can hear moderate stridor as the child is breathing in
and out. What is your FIRST treatment modality?
Inhaled Corticosteroid
Racemic Epinephrine
Intubate immediately
Albuterol
6. A 3-year-old boy is brought to the ED by his mother. He is lethargic, with
retractions and nasal flaring. He has a respiratory rate of 70/min, with warm
extremities and brisk cap refill. To which immediate life-threatening condition
could this child's condition most likely progress if left untreated?
Respiratory failure
Respiratory distress
Cardiogenic shock
Hypovolemic shock
7. The pediatric patient in ventricular tachycardia has a systolic blood pressure
of 40 mm Hg and is beginning to show signs of shock. The child has a pulse
, but poor perfusion. The correct next intervention for this child is:
Administer amiodarone
Synchronized cardioversion
Defibrillation (unsynchronized)
Perform vagal maneuvers
8. Describe why an antibiotic is the most appropriate choice for the child in the
scenario presented.
An antibiotic is chosen to reduce inflammation in the lungs.
An antibiotic is necessary to prevent shock in the child.
An antibiotic is appropriate because the child shows signs of a
bacterial infection, indicated by high fever, cough, and respiratory
distress.
An antibiotic is used to provide immediate relief from respiratory
distress.
9. What is the oxygen saturation level that typically indicates the need for
immediate intervention in a pediatric patient?
Between 90% and 95%
Above 98%
Below 92%
Above 95%
10. What is the term used to describe the condition where a child has irregular
respirations following seizures?
Lower airway obstruction
, Upper airway obstruction
Disordered Control of Breathing
Lung tissue disease
11. 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 a recent
onset of lethargy. Assessment reveals that the child is difficult to arouse and
her skin color is pale. The child's heart rate is 160/min, respiratory rate is
38/min, blood pressure is 76/45 mmHg, capillary refill time is 5 to 6 seconds,
and temperature is 39.4 degrees C (103 F). Intravenous access has been
established, and blood cultures have been obtained. Which action should
you perform next?
Obtain immediate blood cultures and chest x-ray
Obtain expert consultation with an oncologist to determine the
chemotherapeutic regimen
Obtain vascular access and administer 20 mL/kg of isotonic
crystalloid over 30 minutes
Obtain vascular access and administer 20 mL/kg of isotonic
crystalloid over 5 to 10 minutes
12. In a scenario where a pediatric patient shows decreased level of
consciousness after an MVC, what would be the first step in management?
Assess the airway and ensure it is clear.
Check the patient's temperature.
Perform a full neurological examination.
Administer intravenous fluids immediately.
Questions with Correct Answers GRADED A+
1. Which of the following is the MOST appropriate step after defibrillating a
patient in cardiac arrest?
Administer 1mg of epinephrine
Administer chest compressions
Check pulse
Check rhythm
2. Which of the following is most likely to produce a prolonged expiratory
phase and wheezing?
Lower airway obstruction
Disordered control of breathing
Hypovolemic shock
Upper airway obstruction
3. Why is it critical to check blood glucose levels in a lethargic child before
other tests?
Other tests are more important than blood glucose in assessing
lethargy.
Checking blood glucose levels is essential because hypoglycemia
can cause lethargy and is a reversible condition.
Blood glucose testing is only necessary after other tests.
Blood glucose levels are not related to lethargy in children.
,4. What is the correct initial dose of Epinephrine to administer during a
pediatric resuscitation attempt?
0.01 mg/kg
0.1 mg/kg
0.5 mg/kg
1 mg/kg
5. A pediatric patient is brought into the ER at 1:00 am with coughing. Mom
states that 'my baby sounds like a little seal barking and is having some
trouble breathing.' You can hear moderate stridor as the child is breathing in
and out. What is your FIRST treatment modality?
Inhaled Corticosteroid
Racemic Epinephrine
Intubate immediately
Albuterol
6. A 3-year-old boy is brought to the ED by his mother. He is lethargic, with
retractions and nasal flaring. He has a respiratory rate of 70/min, with warm
extremities and brisk cap refill. To which immediate life-threatening condition
could this child's condition most likely progress if left untreated?
Respiratory failure
Respiratory distress
Cardiogenic shock
Hypovolemic shock
7. The pediatric patient in ventricular tachycardia has a systolic blood pressure
of 40 mm Hg and is beginning to show signs of shock. The child has a pulse
, but poor perfusion. The correct next intervention for this child is:
Administer amiodarone
Synchronized cardioversion
Defibrillation (unsynchronized)
Perform vagal maneuvers
8. Describe why an antibiotic is the most appropriate choice for the child in the
scenario presented.
An antibiotic is chosen to reduce inflammation in the lungs.
An antibiotic is necessary to prevent shock in the child.
An antibiotic is appropriate because the child shows signs of a
bacterial infection, indicated by high fever, cough, and respiratory
distress.
An antibiotic is used to provide immediate relief from respiratory
distress.
9. What is the oxygen saturation level that typically indicates the need for
immediate intervention in a pediatric patient?
Between 90% and 95%
Above 98%
Below 92%
Above 95%
10. What is the term used to describe the condition where a child has irregular
respirations following seizures?
Lower airway obstruction
, Upper airway obstruction
Disordered Control of Breathing
Lung tissue disease
11. 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 a recent
onset of lethargy. Assessment reveals that the child is difficult to arouse and
her skin color is pale. The child's heart rate is 160/min, respiratory rate is
38/min, blood pressure is 76/45 mmHg, capillary refill time is 5 to 6 seconds,
and temperature is 39.4 degrees C (103 F). Intravenous access has been
established, and blood cultures have been obtained. Which action should
you perform next?
Obtain immediate blood cultures and chest x-ray
Obtain expert consultation with an oncologist to determine the
chemotherapeutic regimen
Obtain vascular access and administer 20 mL/kg of isotonic
crystalloid over 30 minutes
Obtain vascular access and administer 20 mL/kg of isotonic
crystalloid over 5 to 10 minutes
12. In a scenario where a pediatric patient shows decreased level of
consciousness after an MVC, what would be the first step in management?
Assess the airway and ensure it is clear.
Check the patient's temperature.
Perform a full neurological examination.
Administer intravenous fluids immediately.
