AHA PALS ACTUAL EXAM Questions
and Answers with Rationales
ALREADY GRADED A+ Latest Version
2025
1. 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
2. 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
3. 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
4. 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
5. What abnormality is most
, likely to be present in year-old child who is undergoing
children with acute chemotherapy report that the child has
respiratory distress been febrile and has not been feeling
caused by lung tissue well, with recent onset of lethargy.
disease? Assessment reveals the following: The
child is difficult to arouse, with pale
A. Decreased oxygen saturation
color. The child's heart rate is 160/min,
B. Stridor
respiratory rate is 30/min, blood
C. Normal respiratory rate pressure is 76/45 mm Hg, capillary
refill time is 5 to 6 seconds, and
D. Decreased respiratory effort
temperature is 103°F (39.4°C). What is
✓ Decreased oxygen
saturation the most appropriate intervention?
A. Obtain vascular access and administer
6. An alert 2-year-old child 20 mL/kg of isotonic crystalloid over 30
minutes
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
7. The parents of a 7-
and Answers with Rationales
ALREADY GRADED A+ Latest Version
2025
1. 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
2. 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
3. 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
4. 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
5. What abnormality is most
, likely to be present in year-old child who is undergoing
children with acute chemotherapy report that the child has
respiratory distress been febrile and has not been feeling
caused by lung tissue well, with recent onset of lethargy.
disease? Assessment reveals the following: The
child is difficult to arouse, with pale
A. Decreased oxygen saturation
color. The child's heart rate is 160/min,
B. Stridor
respiratory rate is 30/min, blood
C. Normal respiratory rate pressure is 76/45 mm Hg, capillary
refill time is 5 to 6 seconds, and
D. Decreased respiratory effort
temperature is 103°F (39.4°C). What is
✓ Decreased oxygen
saturation the most appropriate intervention?
A. Obtain vascular access and administer
6. An alert 2-year-old child 20 mL/kg of isotonic crystalloid over 30
minutes
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
7. The parents of a 7-
