AHA PALS ACTUAL EXAM Questions and
Answers GRADED A+ Latest Update
2025
A 7-year-old child presents with a narrow-complex supraventricular
tachycardia, lethargy, and poor perfusion. Pulses are weak and thready.
Vascular access cannot be established. What is the most appropriate
intervention?
A. Unsynchronized shock with 0.5 to 1 J/kg
B. Synchronized shock with 0.5 to 1 J/kg
C. Unsynchronized shock with 2 J/kg
D. Synchronized shock with 2 J/kg - ✔✔✔ Correct Answer >
Synchronized shock with 0.5 to 1 J/kg
A 13-year-old patient with asthma just received oxygen and albuterol
via a nebulizer. What is the next most appropriate intervention?
A. Administer 0.1 mg/kg of adenosine
B. Obtain a blood sample to evaluate arterial or venous blood gases
C. Reassess breath sounds and clinical status
D. Repeat the albuterol treatment - ✔✔✔ Correct Answer >
Reassess breath sounds and clinical status
The respiratory rate of a 1-year-old child with respiratory distress has
decreased from 65/min to 30/min. The child is more lethargic and
continues to have subcostal retractions. What does this change likely
,indicate?
A. Respiratory distress is unchanged
B. Progression toward respiratory failure
C. Improved respiratory status
D. Neurologic impairment - ✔✔✔ Correct Answer > Progression
toward respiratory failure
What is the most likely cause of head bobbing in infants?
A. Increased respiratory effort
B. Improving respiratory status
C. Decompensated shock
D. Brain injury - ✔✔✔ Correct Answer > Increased respiratory effort
Several healthcare providers are participating in an attempted
resuscitation. Which of the following is most consistent with the
responsibilities of the team leader of the resuscitation?
A. Records medications and interventions
B. Assigns roles to team members
C. Administers defibrillation shocks
D. Provides compressions - ✔✔✔ Correct Answer > Assigns roles to
team members
Which of the following conditions is appropriate for use of an
oropharyngeal airway?
A. Conscious with no gag reflex
B. Unconscious with a gag reflex
, C. Unconscious with no gag reflex
D. Conscious with a gag reflex - ✔✔✔ Correct Answer > Unconscious
with no gag reflex
A child presents with severe respiratory distress, urticaria, stridor, and
tachycardia about 10 minutes after eating peanuts. What is the most
appropriate initial medication for this child?
A. Nebulized albuterol
B. Epinephrine IM
C. Isotonic crystalloid IV
D. Methylprednisolone IV - ✔✔✔ Correct Answer > Epinephrine IM
A mother brings her 7-year-old child to the emergency department. The
mother states that the child has had a fever for the past 4 days and has
had little to eat or drink during the past 24 hours. Your initial
impression reveals a lethargic child with increased respiratory rate and
pale color. Heart rate is 160/min, respiratory rate is 38/min, and blood
pressure is 86/48 mm Hg. Capillary refill is 4 seconds. Which of the
following is the most appropriate intervention for this child?
A. Fluid bolus of 10 mL/kg of isotonic crystalloid
B. Fluid bolus of 20 mL/kg of isotonic crystalloid
C. Maintenance fluid infusion of isotonic crystalloid at 10 mL/h
D. Maintenance fluid infusion of 5% dextrose and water at 20 mL/h -
✔✔✔ Correct Answer > Fluid bolus of 20 mL/kg of isotonic crystalloid
An intubated 5-year-old child who was in a motor vehicle collision
becomes increasingly more difficult to ventilate. The child has
diminished breath sounds and chest expansion on the right side of the
chest, with audible breath sounds and visible chest expansion on the
Answers GRADED A+ Latest Update
2025
A 7-year-old child presents with a narrow-complex supraventricular
tachycardia, lethargy, and poor perfusion. Pulses are weak and thready.
Vascular access cannot be established. What is the most appropriate
intervention?
A. Unsynchronized shock with 0.5 to 1 J/kg
B. Synchronized shock with 0.5 to 1 J/kg
C. Unsynchronized shock with 2 J/kg
D. Synchronized shock with 2 J/kg - ✔✔✔ Correct Answer >
Synchronized shock with 0.5 to 1 J/kg
A 13-year-old patient with asthma just received oxygen and albuterol
via a nebulizer. What is the next most appropriate intervention?
A. Administer 0.1 mg/kg of adenosine
B. Obtain a blood sample to evaluate arterial or venous blood gases
C. Reassess breath sounds and clinical status
D. Repeat the albuterol treatment - ✔✔✔ Correct Answer >
Reassess breath sounds and clinical status
The respiratory rate of a 1-year-old child with respiratory distress has
decreased from 65/min to 30/min. The child is more lethargic and
continues to have subcostal retractions. What does this change likely
,indicate?
A. Respiratory distress is unchanged
B. Progression toward respiratory failure
C. Improved respiratory status
D. Neurologic impairment - ✔✔✔ Correct Answer > Progression
toward respiratory failure
What is the most likely cause of head bobbing in infants?
A. Increased respiratory effort
B. Improving respiratory status
C. Decompensated shock
D. Brain injury - ✔✔✔ Correct Answer > Increased respiratory effort
Several healthcare providers are participating in an attempted
resuscitation. Which of the following is most consistent with the
responsibilities of the team leader of the resuscitation?
A. Records medications and interventions
B. Assigns roles to team members
C. Administers defibrillation shocks
D. Provides compressions - ✔✔✔ Correct Answer > Assigns roles to
team members
Which of the following conditions is appropriate for use of an
oropharyngeal airway?
A. Conscious with no gag reflex
B. Unconscious with a gag reflex
, C. Unconscious with no gag reflex
D. Conscious with a gag reflex - ✔✔✔ Correct Answer > Unconscious
with no gag reflex
A child presents with severe respiratory distress, urticaria, stridor, and
tachycardia about 10 minutes after eating peanuts. What is the most
appropriate initial medication for this child?
A. Nebulized albuterol
B. Epinephrine IM
C. Isotonic crystalloid IV
D. Methylprednisolone IV - ✔✔✔ Correct Answer > Epinephrine IM
A mother brings her 7-year-old child to the emergency department. The
mother states that the child has had a fever for the past 4 days and has
had little to eat or drink during the past 24 hours. Your initial
impression reveals a lethargic child with increased respiratory rate and
pale color. Heart rate is 160/min, respiratory rate is 38/min, and blood
pressure is 86/48 mm Hg. Capillary refill is 4 seconds. Which of the
following is the most appropriate intervention for this child?
A. Fluid bolus of 10 mL/kg of isotonic crystalloid
B. Fluid bolus of 20 mL/kg of isotonic crystalloid
C. Maintenance fluid infusion of isotonic crystalloid at 10 mL/h
D. Maintenance fluid infusion of 5% dextrose and water at 20 mL/h -
✔✔✔ Correct Answer > Fluid bolus of 20 mL/kg of isotonic crystalloid
An intubated 5-year-old child who was in a motor vehicle collision
becomes increasingly more difficult to ventilate. The child has
diminished breath sounds and chest expansion on the right side of the
chest, with audible breath sounds and visible chest expansion on the
