2024-2025 AHA PALS EXAM ACTUAL TEST
BANK QUESTIONS AND CORRECT 100%
DETAILED ANSWERS WITH RATIONALES
ALREADY GRADED A+
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 - answer-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 - answer-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 - answer-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 - answer-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 - answer-lower airway
obstruction
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
- answer-unreliable; supplementary oxygen should be
administered
, 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 - answer-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 - answer-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 - answer-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?
BANK QUESTIONS AND CORRECT 100%
DETAILED ANSWERS WITH RATIONALES
ALREADY GRADED A+
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 - answer-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 - answer-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 - answer-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 - answer-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 - answer-lower airway
obstruction
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
- answer-unreliable; supplementary oxygen should be
administered
, 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 - answer-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 - answer-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 - answer-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?
