Page 1 of 88
AHA PALS (Pediatric Advanced Life Support) 2025 Exam
Includes Accurate And Verified Questions Covering
Pediatric Assessment, Recognition And Management Of
Respiratory Distress And Failure, Shock, Cardiac Arrest,
Post-Resuscitation Care, Medication Dosages, And Team
Dynamics.
1. 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 - ANSWER- Reassess breath
sounds and clinical status
2. 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
, Page 2 of 88
B. Progression toward respiratory failure
C. Improved respiratory status
D. Neurologic impairment - ANSWER- Progression toward
respiratory failure
3. 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 - ANSWER- Increased respiratory effort
4. 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 - ANSWER- Assigns roles to team
members
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5. 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 - ANSWER- Unconscious with
no gag reflex
7. 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 - ANSWER- Epinephrine IM
, Page 4 of 88
8. 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 - ANSWER- Fluid bolus of 20 mL/kg of isotonic
crystalloid
9. 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 left. The endotracheal tube insertion
depth has not changed. What is the most appropriate
intervention?
A. Deflate the cuff and pull the tube back
AHA PALS (Pediatric Advanced Life Support) 2025 Exam
Includes Accurate And Verified Questions Covering
Pediatric Assessment, Recognition And Management Of
Respiratory Distress And Failure, Shock, Cardiac Arrest,
Post-Resuscitation Care, Medication Dosages, And Team
Dynamics.
1. 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 - ANSWER- Reassess breath
sounds and clinical status
2. 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
, Page 2 of 88
B. Progression toward respiratory failure
C. Improved respiratory status
D. Neurologic impairment - ANSWER- Progression toward
respiratory failure
3. 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 - ANSWER- Increased respiratory effort
4. 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 - ANSWER- Assigns roles to team
members
, Page 3 of 88
5. 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 - ANSWER- Unconscious with
no gag reflex
7. 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 - ANSWER- Epinephrine IM
, Page 4 of 88
8. 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 - ANSWER- Fluid bolus of 20 mL/kg of isotonic
crystalloid
9. 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 left. The endotracheal tube insertion
depth has not changed. What is the most appropriate
intervention?
A. Deflate the cuff and pull the tube back
