AHA PALS Practice exam / AHA
PALS
Exam Questions & Answers 2024 /
2025 (Verified 100% Correct)
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
,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 - ✔✔✔ANSWERUnreliable; supplementary
oxygen should be administered
10. A 2-year-old child with a 2-day history of a barking
cough presents with audible stridor on inspiration,
intercostal retractions, and agitation. What is the most
appropriate intervention for this child?
A. Lay the child flat on a stretcher
B. Suction the mouth and nose
,C. Administer nebulized epinephrine
D. Administer inhaled albuterol - ✔✔✔ANSWER-Administer
nebulized epinephrine
10. The parents of a 7-year-old child who is undergoing
chemotherapy report that the child has been febrile and
has not been feeling well, with recent onset of lethargy.
Assessment reveals the following: The child is difficult to
arouse, with pale color. The child's heart rate is 160/min,
respiratory rate is 30/min, blood pressure is 76/45 mm Hg,
capillary refill time is 5 to 6 seconds, and temperature is
103°F (39.4°C). What is the most appropriate intervention?
A. Obtain vascular access and administer 20 mL/kg of
isotonic crystalloid over 30 minutes
B. Obtain vascular access and administer 20 mL/kg of
isotonic crystalloid over 5 to 10 minutes
C. Obtain immediate blood cultures and chest x-ray D.
Obtain expert consultation with an oncologist to
determine the chemotherapeutic regimen -
✔✔✔ANSWERObtain vascular access and administer 20
mL/kg of isotonic crystalloid over 5 to 10 minutes
, 11. A 2-year-old child presents with a 4-day history of
vomiting. The initial impression reveals an unresponsive
child with intermittent apnea and mottled color. Heart rate
is 166/min, respiratory rate is now being supported with
bag-mask ventilation, capillary refill time is 5 to 6 seconds,
and temperature is 102°F (38.9°C). What is the best
method of establishing immediate vascular access? A.
Two providers may attempt peripheral vascular access
twice each
B. Threeproviders may attempt peripheral vascular access
once each
C. Place a central venous line
D. Place an intraosseous line - ✔✔✔ANSWER-Place an
intraosseous line
11. Which of the following oxygen saturations
indicates the need for additional intervention? A. 96%
on room air
B. 95% on room air
C. 93% on 4 L of oxygen
PALS
Exam Questions & Answers 2024 /
2025 (Verified 100% Correct)
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
,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 - ✔✔✔ANSWERUnreliable; supplementary
oxygen should be administered
10. A 2-year-old child with a 2-day history of a barking
cough presents with audible stridor on inspiration,
intercostal retractions, and agitation. What is the most
appropriate intervention for this child?
A. Lay the child flat on a stretcher
B. Suction the mouth and nose
,C. Administer nebulized epinephrine
D. Administer inhaled albuterol - ✔✔✔ANSWER-Administer
nebulized epinephrine
10. The parents of a 7-year-old child who is undergoing
chemotherapy report that the child has been febrile and
has not been feeling well, with recent onset of lethargy.
Assessment reveals the following: The child is difficult to
arouse, with pale color. The child's heart rate is 160/min,
respiratory rate is 30/min, blood pressure is 76/45 mm Hg,
capillary refill time is 5 to 6 seconds, and temperature is
103°F (39.4°C). What is the most appropriate intervention?
A. Obtain vascular access and administer 20 mL/kg of
isotonic crystalloid over 30 minutes
B. Obtain vascular access and administer 20 mL/kg of
isotonic crystalloid over 5 to 10 minutes
C. Obtain immediate blood cultures and chest x-ray D.
Obtain expert consultation with an oncologist to
determine the chemotherapeutic regimen -
✔✔✔ANSWERObtain vascular access and administer 20
mL/kg of isotonic crystalloid over 5 to 10 minutes
, 11. A 2-year-old child presents with a 4-day history of
vomiting. The initial impression reveals an unresponsive
child with intermittent apnea and mottled color. Heart rate
is 166/min, respiratory rate is now being supported with
bag-mask ventilation, capillary refill time is 5 to 6 seconds,
and temperature is 102°F (38.9°C). What is the best
method of establishing immediate vascular access? A.
Two providers may attempt peripheral vascular access
twice each
B. Threeproviders may attempt peripheral vascular access
once each
C. Place a central venous line
D. Place an intraosseous line - ✔✔✔ANSWER-Place an
intraosseous line
11. Which of the following oxygen saturations
indicates the need for additional intervention? A. 96%
on room air
B. 95% on room air
C. 93% on 4 L of oxygen
