1|Page
AHA PALS EXAM 2025 QUESTIONS AND CORRECT
ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |
PROFESSOR VERIFIED | LATEST VERSION REAL EXAM
2025
1. A 5-year-
v v
old child presents with lethargy, increased work of breathing, and pale color. T
v v v v v v v v v v v v
he primary assessment reveals that the airway is open and the respiratory rate i
v v v v v v v v v v v v v
s 30/min, with crackles heard on auscultation. The cardiac monitor shows sinu
v v v v v v v v v v v
s tachycardia at a rate of 165/min. The pulse oximeter displays an oxygen satura
v v v v v v v v v v v v v
tion of 95% and a pulse rate of 93/min. On the basis of this information, which
v v v v v v v v v v v v v v v v
of the following provides the best interpretation of the oxygen saturation of 95
v v v v v v v v v v v v
% by pulse oximetry?
v v v v
A. Reliable; no supplementary oxygen is indicated B. Reliable; supplementary o
v v v v v v v v v v
xygen should be administered
v v v v
C. Unreliable; no supplementary oxygen is indicated
v v v v v v v
,2|Page
D. Unreliable; supplementary oxygen should be administered answerU
v v v v v v vv
nreliable; supplementary oxygen should be administered
v v v v v
2. A 3-year-
v v
old child was recently diagnosed with leukemia and has been treated with che
v v v v v v v v v v v v
motherapy. The child presents with lethargy and a high fever. Heart rate is 195/
v v v v v v v v v v v v v
min, respiratory rate is 36/min, blood pressure is 85/40 mm Hg, and capillary r
v v v v v v v v v v v v v
efill time is less than 2 seconds. What is the child's most likely condition?
v v v v v v v v v v v v v v
A. Septic shock
v v v
B. Hypovolemic shock
v v v
C. Significant bradycardia
v v v
D. Cardiogenic shock - answerSeptic shock
v v v v v
3. A 2-week-
v v
old infant presents with irritability and a history of poor feeding. Blood pressur
v v v v v v v v v v v v
e is 55/40 mm Hg. What term describes this infant's blood pressure?
v v v v v v v v v v v v
A. Hypotensive
v v
B. Normal
v v
C. Hypertensive
v v
D. Compensated - answerHypotensive
v v v
,3|Page
4. During a resuscitation attempt, the team leader orders an initial dose of epin
v v v v v v v v v v v v v
ephrine at 0.1 mg/kg to be given 10. What should the team member do?
v v v v v v v v v v v v v v
A. Administer the drug as ordered
v v v v v v
B. Administer 0.01 mg/kg of epinephrine
v v v v v v
C. Respectfully ask the team leader to clarify the dose
v v v v v v v v v v
D. Refuse to administer the drug -
v v v v v v
answerRespectfully ask the team leader to clarify the dose
v v v v v v v v v
5. Which of the following is a characteristic of respiratory failure?
v v v v v v v v v v v
A. Inadequate oxygenation and/or ventilation
v v v v v
B. Hypotension
v v
C. An increase in serum pH (alkalosis)
v v v v v v v
D. Abnormal respiratory sounds -
v v v v
answerInadequate oxygenation and/or ventilation
v v v v
6. Which of the following is most likely to produce a prolonged expiratory phas
v v v v v v v v v v v v v
e and wheezing?
v v v
A. Disordered control of breathing
v v v v v
, 4|Page
B. Hypovolemic shock
v v v
C. Lower airway obstruction
v v v v
D. Upper airway obstruction - answerLower airway obstruction
v v v v v v v
7. A 4-year-
v v
old child presents with seizures and irregular respirations. The seizures stoppe
v v v v v v v v v v
d a few minutes ago. Which of the following most likely to be abnormal?
v v v v v v v v v v v v v v
A. Vascular resistance
v v v
B. Pulse rate
v v v
C. Lung compliance
v v v
D. Control of breathing - answerControl of breathing
v v v v v v v
8. What abnormality is most likely to be present in children with acute respirat
v v v v v v v v v v v v v
ory distress caused by lung tissue disease?
v v v v v v v
A. Decreased oxygen saturation
v v v v
B. Stridor
v v
C. Normal respiratory rate
v v v v
D. Decreased respiratory effort - answerDecreased oxygen saturation
v v v v v v v
AHA PALS EXAM 2025 QUESTIONS AND CORRECT
ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |
PROFESSOR VERIFIED | LATEST VERSION REAL EXAM
2025
1. A 5-year-
v v
old child presents with lethargy, increased work of breathing, and pale color. T
v v v v v v v v v v v v
he primary assessment reveals that the airway is open and the respiratory rate i
v v v v v v v v v v v v v
s 30/min, with crackles heard on auscultation. The cardiac monitor shows sinu
v v v v v v v v v v v
s tachycardia at a rate of 165/min. The pulse oximeter displays an oxygen satura
v v v v v v v v v v v v v
tion of 95% and a pulse rate of 93/min. On the basis of this information, which
v v v v v v v v v v v v v v v v
of the following provides the best interpretation of the oxygen saturation of 95
v v v v v v v v v v v v
% by pulse oximetry?
v v v v
A. Reliable; no supplementary oxygen is indicated B. Reliable; supplementary o
v v v v v v v v v v
xygen should be administered
v v v v
C. Unreliable; no supplementary oxygen is indicated
v v v v v v v
,2|Page
D. Unreliable; supplementary oxygen should be administered answerU
v v v v v v vv
nreliable; supplementary oxygen should be administered
v v v v v
2. A 3-year-
v v
old child was recently diagnosed with leukemia and has been treated with che
v v v v v v v v v v v v
motherapy. The child presents with lethargy and a high fever. Heart rate is 195/
v v v v v v v v v v v v v
min, respiratory rate is 36/min, blood pressure is 85/40 mm Hg, and capillary r
v v v v v v v v v v v v v
efill time is less than 2 seconds. What is the child's most likely condition?
v v v v v v v v v v v v v v
A. Septic shock
v v v
B. Hypovolemic shock
v v v
C. Significant bradycardia
v v v
D. Cardiogenic shock - answerSeptic shock
v v v v v
3. A 2-week-
v v
old infant presents with irritability and a history of poor feeding. Blood pressur
v v v v v v v v v v v v
e is 55/40 mm Hg. What term describes this infant's blood pressure?
v v v v v v v v v v v v
A. Hypotensive
v v
B. Normal
v v
C. Hypertensive
v v
D. Compensated - answerHypotensive
v v v
,3|Page
4. During a resuscitation attempt, the team leader orders an initial dose of epin
v v v v v v v v v v v v v
ephrine at 0.1 mg/kg to be given 10. What should the team member do?
v v v v v v v v v v v v v v
A. Administer the drug as ordered
v v v v v v
B. Administer 0.01 mg/kg of epinephrine
v v v v v v
C. Respectfully ask the team leader to clarify the dose
v v v v v v v v v v
D. Refuse to administer the drug -
v v v v v v
answerRespectfully ask the team leader to clarify the dose
v v v v v v v v v
5. Which of the following is a characteristic of respiratory failure?
v v v v v v v v v v v
A. Inadequate oxygenation and/or ventilation
v v v v v
B. Hypotension
v v
C. An increase in serum pH (alkalosis)
v v v v v v v
D. Abnormal respiratory sounds -
v v v v
answerInadequate oxygenation and/or ventilation
v v v v
6. Which of the following is most likely to produce a prolonged expiratory phas
v v v v v v v v v v v v v
e and wheezing?
v v v
A. Disordered control of breathing
v v v v v
, 4|Page
B. Hypovolemic shock
v v v
C. Lower airway obstruction
v v v v
D. Upper airway obstruction - answerLower airway obstruction
v v v v v v v
7. A 4-year-
v v
old child presents with seizures and irregular respirations. The seizures stoppe
v v v v v v v v v v
d a few minutes ago. Which of the following most likely to be abnormal?
v v v v v v v v v v v v v v
A. Vascular resistance
v v v
B. Pulse rate
v v v
C. Lung compliance
v v v
D. Control of breathing - answerControl of breathing
v v v v v v v
8. What abnormality is most likely to be present in children with acute respirat
v v v v v v v v v v v v v
ory distress caused by lung tissue disease?
v v v v v v v
A. Decreased oxygen saturation
v v v v
B. Stridor
v v
C. Normal respiratory rate
v v v v
D. Decreased respiratory effort - answerDecreased oxygen saturation
v v v v v v v