1|Page
AHA PALS FINAL EXAM NEWEST 2025 ACTUAL EXAM
TEST BANK| COMPLETE 300 REAL EXAM QUESTIONS
AND CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) ALREADY GRADED A+| AHA PALS FINAL
TEST BANK (BRAND NEW!!)
You attempted synchronized cardioversion for an infant with
supraventricular tachycardia (SVT) and poor perfusion. The SVT
persists after the initial 1 J/kg shock. Which of the following should you
attempt now?
A. Synchronized cardioversion at a dose of 2 J/kg
B. Synchronized cardioversion at a dose of 4 J/kg
C. Unsynchronized cardioversion at a dose of 2 J/kg
D. Unsynchronized cardioversion at a dose of 4 J/kg - Correct Answer -
Synchronized cardioversion at a dose of 2 J/kg
You are treating a 5-month-old with a 2-day history of vomiting and
diarrhea. The patient is listless. The respiratory rate is 52/min and
unlabored. The heart rate is 170/min and pulses are present but weak.
Capillary refill is delayed. You are administering high-flow oxygen, and
intravenous access is in place. At this point the most important therapy is
to:
A. Administer an epinephrine bolus
B. Begin bag-mask ventilation
C. Provide a rapid 20 ml/kg isotonic crystalloid fluid bolus
D. Administer a bolus of 0.5 g/kg of dextrose - Correct Answer -
Provide a rapid 20 ml/kg isotonic crystalloid fluid bolus
pg. 1
,2|Page
What is the appropriate fluid bolus to administer for a child with
hypovolemic shock with adequate myocardial function?
A. 10 mL/kg normal saline
B. 20 mL/kg of 5% dextrose and 0.2% sodium chloride
C. 20 mL/kg normal saline
D. 10 mL/kg lactated Ringer's - Correct Answer - 20 mL/kg normal
saline
An alert toddler presents with a barking cough, moderate stridor, and
moderate retractions. The child's color is pink. What is the most
appropriate initial intervention?
A. Obtain a chest radiograph
B. Administer nebulized epinephrine
C. Prepare for a surgical airway
D. Use an epinephrine autoinjector - Correct Answer - Administer
nebulized epinephrine
An 8-year-old child presents with a history of vomiting and diarrhea.
The child has the following vital signs: heart rate 168/min, respiratory
rate 15/min, blood pressure 9060 mm Hg, and temperature 98.6°F
(37°C). The child's capillary refill time is 4 seconds. After 2 IV boluses
of normal saline (20 mL/kg each), the child's vital signs are now as
follows: heart rate 130/min, respiratory rate 16/min, blood pressure
94/62 mm Hg, capillary refill 2 seconds, and temperature 98.6°F (37°C).
The child's urine output is 1 to 2 mL/kg in the past hour. The child is still
lethargic. What diagnostic tests or information should be obtained first?
A. Arterial blood gas
pg. 2
,3|Page
B. Serum potassium concentration
C. Glucose
D. A 12-lead ECG - Correct Answer - Glucose
A 15-year-old boy presents with acute onset of severe respiratory
distress, with retractions and an oxygen saturation of 85%. His trachea is
deviated to the right, and there are no breath sounds on the left. His heart
rate is 140/min, his blood pressure is 84/60 mm Hg, and his capillary
refill time is 3 seconds. What is the most appropriate intervention?
A. Obtain a chest x-ray
B. Perform needle decompression on the left chest
C. Insert a chest tube on the left side
D. Insert an IV and administer 20 mL/kg of normal saline - Correct
Answer - Perform needle decompression on the left chest
A 4-year-old is being treated for hypovolemic shock and has received a
single fluid bolus of 20 mL/kg of normal saline. On reevaluation the
child remains anxious, with a heart rate of 140/min, a blood pressure of
84/54 mm Hg, and a capillary refill time of 4 seconds. What describes
this patient's condition?
A. Hypotensive shock
B. Compensated shock
C. No longer in shock
D. Cardiogenic shock - Correct Answer - Compensated shock
pg. 3
, 4|Page
An 8-year-old child had a sudden onset of palpitations and light-
headedness. At the time of evaluation the child is alert. His respiratory
rate is 26/ min, and his blood pressure is 104/70 mm Hg. A cardiac
monitor is applied, and the rhythm below is noted. What is the most
appropriate initial intervention?
A. Provide synchronized cardioversion at 0.5 to 1 J/kg
B. Attempt vagal maneuvers
C. Administer adenosine 0.1 mg/kg over 5 minutes
D. Administer amiodarone 5 mg/kg over 20 minutes - Correct Answer -
Attempt vagal maneuvers
A 10-year-old child had a sudden witnessed cardiac arrest and received
immediate bystander CPR and defibrillation within 3 minutes. He had a
return of spontaneous circulation. The child remains unresponsive and
has an advanced airway in place. There is no history of trauma or signs
of shock. What is the target range for oxygen saturation for this child?
A. 92% to 100%
B. 92% to 99%
C. 94% to 99%
D. 94% to 100% - Correct Answer - 94% to 99%
A 3-month-old infant with bronchiolitis is suctioned to remove upper
airway secretions. The infant's heart rate decreases from 155/min to
65/min as shown below. The infant remains alert, with easily palpable
pulses. Capillary refill time is 1 second. What is the most appropriate
initial intervention?
pg. 4
AHA PALS FINAL EXAM NEWEST 2025 ACTUAL EXAM
TEST BANK| COMPLETE 300 REAL EXAM QUESTIONS
AND CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) ALREADY GRADED A+| AHA PALS FINAL
TEST BANK (BRAND NEW!!)
You attempted synchronized cardioversion for an infant with
supraventricular tachycardia (SVT) and poor perfusion. The SVT
persists after the initial 1 J/kg shock. Which of the following should you
attempt now?
A. Synchronized cardioversion at a dose of 2 J/kg
B. Synchronized cardioversion at a dose of 4 J/kg
C. Unsynchronized cardioversion at a dose of 2 J/kg
D. Unsynchronized cardioversion at a dose of 4 J/kg - Correct Answer -
Synchronized cardioversion at a dose of 2 J/kg
You are treating a 5-month-old with a 2-day history of vomiting and
diarrhea. The patient is listless. The respiratory rate is 52/min and
unlabored. The heart rate is 170/min and pulses are present but weak.
Capillary refill is delayed. You are administering high-flow oxygen, and
intravenous access is in place. At this point the most important therapy is
to:
A. Administer an epinephrine bolus
B. Begin bag-mask ventilation
C. Provide a rapid 20 ml/kg isotonic crystalloid fluid bolus
D. Administer a bolus of 0.5 g/kg of dextrose - Correct Answer -
Provide a rapid 20 ml/kg isotonic crystalloid fluid bolus
pg. 1
,2|Page
What is the appropriate fluid bolus to administer for a child with
hypovolemic shock with adequate myocardial function?
A. 10 mL/kg normal saline
B. 20 mL/kg of 5% dextrose and 0.2% sodium chloride
C. 20 mL/kg normal saline
D. 10 mL/kg lactated Ringer's - Correct Answer - 20 mL/kg normal
saline
An alert toddler presents with a barking cough, moderate stridor, and
moderate retractions. The child's color is pink. What is the most
appropriate initial intervention?
A. Obtain a chest radiograph
B. Administer nebulized epinephrine
C. Prepare for a surgical airway
D. Use an epinephrine autoinjector - Correct Answer - Administer
nebulized epinephrine
An 8-year-old child presents with a history of vomiting and diarrhea.
The child has the following vital signs: heart rate 168/min, respiratory
rate 15/min, blood pressure 9060 mm Hg, and temperature 98.6°F
(37°C). The child's capillary refill time is 4 seconds. After 2 IV boluses
of normal saline (20 mL/kg each), the child's vital signs are now as
follows: heart rate 130/min, respiratory rate 16/min, blood pressure
94/62 mm Hg, capillary refill 2 seconds, and temperature 98.6°F (37°C).
The child's urine output is 1 to 2 mL/kg in the past hour. The child is still
lethargic. What diagnostic tests or information should be obtained first?
A. Arterial blood gas
pg. 2
,3|Page
B. Serum potassium concentration
C. Glucose
D. A 12-lead ECG - Correct Answer - Glucose
A 15-year-old boy presents with acute onset of severe respiratory
distress, with retractions and an oxygen saturation of 85%. His trachea is
deviated to the right, and there are no breath sounds on the left. His heart
rate is 140/min, his blood pressure is 84/60 mm Hg, and his capillary
refill time is 3 seconds. What is the most appropriate intervention?
A. Obtain a chest x-ray
B. Perform needle decompression on the left chest
C. Insert a chest tube on the left side
D. Insert an IV and administer 20 mL/kg of normal saline - Correct
Answer - Perform needle decompression on the left chest
A 4-year-old is being treated for hypovolemic shock and has received a
single fluid bolus of 20 mL/kg of normal saline. On reevaluation the
child remains anxious, with a heart rate of 140/min, a blood pressure of
84/54 mm Hg, and a capillary refill time of 4 seconds. What describes
this patient's condition?
A. Hypotensive shock
B. Compensated shock
C. No longer in shock
D. Cardiogenic shock - Correct Answer - Compensated shock
pg. 3
, 4|Page
An 8-year-old child had a sudden onset of palpitations and light-
headedness. At the time of evaluation the child is alert. His respiratory
rate is 26/ min, and his blood pressure is 104/70 mm Hg. A cardiac
monitor is applied, and the rhythm below is noted. What is the most
appropriate initial intervention?
A. Provide synchronized cardioversion at 0.5 to 1 J/kg
B. Attempt vagal maneuvers
C. Administer adenosine 0.1 mg/kg over 5 minutes
D. Administer amiodarone 5 mg/kg over 20 minutes - Correct Answer -
Attempt vagal maneuvers
A 10-year-old child had a sudden witnessed cardiac arrest and received
immediate bystander CPR and defibrillation within 3 minutes. He had a
return of spontaneous circulation. The child remains unresponsive and
has an advanced airway in place. There is no history of trauma or signs
of shock. What is the target range for oxygen saturation for this child?
A. 92% to 100%
B. 92% to 99%
C. 94% to 99%
D. 94% to 100% - Correct Answer - 94% to 99%
A 3-month-old infant with bronchiolitis is suctioned to remove upper
airway secretions. The infant's heart rate decreases from 155/min to
65/min as shown below. The infant remains alert, with easily palpable
pulses. Capillary refill time is 1 second. What is the most appropriate
initial intervention?
pg. 4
