1|Page
AHA PALS EXAM 2024 ACTUAL EXAM TEST BANK
QUESTIONS AND CORRECT DETAILED ANSWERS WITH
RATIONALES (VERIFIED ANSWERS) | GRADED A+||LATEST
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
- Correct Answer-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
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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
- Correct 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
- Correct Answer-Hypotensive
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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
- Correct 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
- Correct Answer-Inadequate oxygenation and/or ventilation
6. Which of the following is most likely to produce a prolonged expiratory
phase and wheezing?
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A. Disordered control of breathing
B. Hypovolemic shock
C. Lower airway obstruction
D. Upper airway obstruction
- Correct Answer-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
- Correct 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
AHA PALS EXAM 2024 ACTUAL EXAM TEST BANK
QUESTIONS AND CORRECT DETAILED ANSWERS WITH
RATIONALES (VERIFIED ANSWERS) | GRADED A+||LATEST
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
- Correct Answer-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
,2|Page
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
- Correct 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
- Correct Answer-Hypotensive
,3|Page
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
- Correct 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
- Correct Answer-Inadequate oxygenation and/or ventilation
6. Which of the following is most likely to produce a prolonged expiratory
phase and wheezing?
, 4|Page
A. Disordered control of breathing
B. Hypovolemic shock
C. Lower airway obstruction
D. Upper airway obstruction
- Correct Answer-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
- Correct 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
