AHA PALS EXAM ACTUAL EXAM 2025 QUESTIONS AND CORRECT
DETAILED ANSWERS |WELL STRUCTURED|A+ GRADED|
1. A 5-year-old child presents with lethar-
gy, increased work of breathing, and pale
color. The primary assessment reveals
that the airway is open and the respirato-
ry 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, Unreliable; supplementary oxygen
which of the following provides the best should be administered
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
2. A 3-year-old child was recently diag-
nosed with leukemia and has been treat-
ed with chemotherapy. The child pre-
sents 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 Septic shock
2 seconds. What is the child's most likely
condition?
A. Septic shock
B. Hypovolemic shock
C. Significant bradycardia
D. Cardiogenic shock
3. A 2-week-old infant presents with ir-
ritability and a history of poor feeding.
Blood pressure is 55/40 mm Hg. What
, AHA PALS EXAM ACTUAL EXAM 2025 QUESTIONS AND CORRECT
DETAILED ANSWERS |WELL STRUCTURED|A+ GRADED|
term describes this infant's blood pres-
sure?
A. Hypotensive
Hypotensive
B. Normal
C. Hypertensive
D. Compensated
4. During a resuscitation attempt, the
team leader orders an initial dose of ep-
inephrine at 0.1 mg/kg to be given 10.
What should the team member do?
Respectfully ask the team leader to clar-
A. Administer the drug as ordered
ify the dose
B. Administer 0.01 mg/kg of epinephrine
C. Respectfully ask the team leader to
clarify the dose
D. Refuse to administer the drug
5. Which of the following is a character-
istic of respiratory failure?
A. Inadequate oxygenation and/or venti-
Inadequate oxygenation and/or ventila-
lation
tion
B. Hypotension
C. An increase in serum pH (alkalosis)
D. Abnormal respiratory sounds
6. Which of the following is most likely
to produce a prolonged expiratory phase
and wheezing?
A. Disordered control of breathing Lower airway obstruction
B. Hypovolemic shock
C. Lower airway obstruction
D. Upper airway obstruction
7. A 4-year-old child presents with
seizures and irregular respirations. The
seizures stopped a few minutes ago.
Control of breathing
Which of the following most likely to be
abnormal?
A. Vascular resistance
, AHA PALS EXAM ACTUAL EXAM 2025 QUESTIONS AND CORRECT
DETAILED ANSWERS |WELL STRUCTURED|A+ GRADED|
B. Pulse rate
C. Lung compliance
D. 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 Decreased oxygen saturation
B. Stridor
C. Normal respiratory rate
D. Decreased respiratory effort
9. An alert 2-year-old child with an in-
creased 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 condi- Respiratory distress
tion? A. Respiratory distress
B. Respiratory arrest
C. Respiratory failure
D. Disordered control of breathing
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 fol-
lowing: The child is difficult to arouse,
with pale color. The child's heart rate is
160/min, respiratory rate is 30/min, blood Obtain vascular access and administer
pressure is 76/45 mm Hg, capillary refill 20 mL/kg of isotonic crystalloid over 5 to
time is 5 to 6 seconds, and temperature 10 minutes
is 103°F (39.4°C). What is the most ap-
propriate intervention?
A. Obtain vascular access and adminis-
ter 20 mL/kg of isotonic crystalloid over
30 minutes
B. Obtain vascular access and adminis-
ter 20 mL/kg of isotonic crystalloid over
DETAILED ANSWERS |WELL STRUCTURED|A+ GRADED|
1. A 5-year-old child presents with lethar-
gy, increased work of breathing, and pale
color. The primary assessment reveals
that the airway is open and the respirato-
ry 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, Unreliable; supplementary oxygen
which of the following provides the best should be administered
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
2. A 3-year-old child was recently diag-
nosed with leukemia and has been treat-
ed with chemotherapy. The child pre-
sents 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 Septic shock
2 seconds. What is the child's most likely
condition?
A. Septic shock
B. Hypovolemic shock
C. Significant bradycardia
D. Cardiogenic shock
3. A 2-week-old infant presents with ir-
ritability and a history of poor feeding.
Blood pressure is 55/40 mm Hg. What
, AHA PALS EXAM ACTUAL EXAM 2025 QUESTIONS AND CORRECT
DETAILED ANSWERS |WELL STRUCTURED|A+ GRADED|
term describes this infant's blood pres-
sure?
A. Hypotensive
Hypotensive
B. Normal
C. Hypertensive
D. Compensated
4. During a resuscitation attempt, the
team leader orders an initial dose of ep-
inephrine at 0.1 mg/kg to be given 10.
What should the team member do?
Respectfully ask the team leader to clar-
A. Administer the drug as ordered
ify the dose
B. Administer 0.01 mg/kg of epinephrine
C. Respectfully ask the team leader to
clarify the dose
D. Refuse to administer the drug
5. Which of the following is a character-
istic of respiratory failure?
A. Inadequate oxygenation and/or venti-
Inadequate oxygenation and/or ventila-
lation
tion
B. Hypotension
C. An increase in serum pH (alkalosis)
D. Abnormal respiratory sounds
6. Which of the following is most likely
to produce a prolonged expiratory phase
and wheezing?
A. Disordered control of breathing Lower airway obstruction
B. Hypovolemic shock
C. Lower airway obstruction
D. Upper airway obstruction
7. A 4-year-old child presents with
seizures and irregular respirations. The
seizures stopped a few minutes ago.
Control of breathing
Which of the following most likely to be
abnormal?
A. Vascular resistance
, AHA PALS EXAM ACTUAL EXAM 2025 QUESTIONS AND CORRECT
DETAILED ANSWERS |WELL STRUCTURED|A+ GRADED|
B. Pulse rate
C. Lung compliance
D. 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 Decreased oxygen saturation
B. Stridor
C. Normal respiratory rate
D. Decreased respiratory effort
9. An alert 2-year-old child with an in-
creased 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 condi- Respiratory distress
tion? A. Respiratory distress
B. Respiratory arrest
C. Respiratory failure
D. Disordered control of breathing
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 fol-
lowing: The child is difficult to arouse,
with pale color. The child's heart rate is
160/min, respiratory rate is 30/min, blood Obtain vascular access and administer
pressure is 76/45 mm Hg, capillary refill 20 mL/kg of isotonic crystalloid over 5 to
time is 5 to 6 seconds, and temperature 10 minutes
is 103°F (39.4°C). What is the most ap-
propriate intervention?
A. Obtain vascular access and adminis-
ter 20 mL/kg of isotonic crystalloid over
30 minutes
B. Obtain vascular access and adminis-
ter 20 mL/kg of isotonic crystalloid over
