AHA PALS EXAM 2024-2025 ACTUAL EXAM TEST
BANK QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES (VERIFIED ANSWERS)
|ALREADY GRADED A+||NEWEST VERSION
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
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
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
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
Respectfully ask the team leader to clarify the dose
5. Which of the following is a characteristic of respiratory failure?
A. Inadequate oxygenation and/or ventilation
B. Hypotension
C. An increase in serum pH (alkalosis)
D. Abnormal respiratory sounds
Inadequate oxygenation and/or ventilation
6. Which of the following is most likely to produce a prolonged expiratory
phase and wheezing?
A. Disordered control of breathing
B. Hypovolemic shock
C. Lower airway obstruction
D. Upper airway obstruction
Lower airway obstruction
7. A 4-year-old child presents with seizures and irregular respirations. The
seizures stopped a few minutes ago. Which of the following most likely to
be abnormal?
A. Vascular resistance
B. Pulse rate
, C. Lung compliance
D. Control of breathing
Control of breathing
8. What abnormality is most likely to be present in children with acute
respiratory distress caused by lung tissue disease?
A. Decreased oxygen saturation
B. Stridor
C. Normal respiratory rate
D. Decreased respiratory effort
Decreased oxygen saturation
9. An alert 2-year-old child with an increased work of breathing and pink
color is being evaluated. Heart rate is 110/min, and respiratory rate is
30/min. What would best describe this patient's condition? A. Respiratory
distress
B. Respiratory arrest
C. Respiratory failure
D. Disordered control of breathing
Respiratory distress
10. 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
BANK QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES (VERIFIED ANSWERS)
|ALREADY GRADED A+||NEWEST VERSION
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
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
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
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
Respectfully ask the team leader to clarify the dose
5. Which of the following is a characteristic of respiratory failure?
A. Inadequate oxygenation and/or ventilation
B. Hypotension
C. An increase in serum pH (alkalosis)
D. Abnormal respiratory sounds
Inadequate oxygenation and/or ventilation
6. Which of the following is most likely to produce a prolonged expiratory
phase and wheezing?
A. Disordered control of breathing
B. Hypovolemic shock
C. Lower airway obstruction
D. Upper airway obstruction
Lower airway obstruction
7. A 4-year-old child presents with seizures and irregular respirations. The
seizures stopped a few minutes ago. Which of the following most likely to
be abnormal?
A. Vascular resistance
B. Pulse rate
, C. Lung compliance
D. Control of breathing
Control of breathing
8. What abnormality is most likely to be present in children with acute
respiratory distress caused by lung tissue disease?
A. Decreased oxygen saturation
B. Stridor
C. Normal respiratory rate
D. Decreased respiratory effort
Decreased oxygen saturation
9. An alert 2-year-old child with an increased work of breathing and pink
color is being evaluated. Heart rate is 110/min, and respiratory rate is
30/min. What would best describe this patient's condition? A. Respiratory
distress
B. Respiratory arrest
C. Respiratory failure
D. Disordered control of breathing
Respiratory distress
10. 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
