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AHA PALS EXAM 2025 ACTUAL EXAM TEST
BANK 230 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES
(VERIFIED ANSWERS) |ALREADY GRADED
A+||NEWEST VERSION
1. A 5-year-old child presents with lethargy, increased work of breathing, and
palecolor.The primaryassessmentrevealsthattheairwayis openand 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
oximeterdisplaysan oxygensaturationof 95% and a pulserateof 93/min. On the
basis of this information, which of the following providesbest
theinterpretation
of the oxygen saturation of 95% by pulse oximetry?
A. Reliable;no supplementaryoxygenis indicatedB. Reliable;
supplementary oxygen should be administered
C. Unreliable;no supplementaryoxygenis indicated
D. Unreliable;supplementaryoxygenshouldbeadministered- CORRECT
ANSWER✔✔ Unreliable;supplementaryoxygenshouldbeadministered
2. A 3-year-old child wasrecentlydiagnosedwithleukemiaand hasbeen
treated with chemotherapy. The child presents with lethargy and a high fever.
Heartrateis 195/min,respiratoryrateis 36/min,bloodpressureis 85/40mm
Hg, and capillaryrefill timeis lessthan2 seconds.Whatis the child's most
likely condition?
A. Septicshock
B. Hypovolemicshock
C. Significantbradycardia
D. Cardiogenicshock- CORRECT ANSWER✔✔ Septicshock
3. A 2-week-old infant presents with irritability and a history of poor feeding.
Bloodpressureis 55/40mm Hg. Whattermdescribesthis infant's blood
pressure?
,A. Hypotensive
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B. Normal
C. Hypertensive
D. Compensated- CORRECT ANSWER✔✔ Hypotensive
4. During a resuscitationattempt,theteamleaderordersan initial doseof
epinephrine at 0.1 mg/kg to be given 10. What should the team member
do?
A. Administerthedrug as ordered
B. Administer0.01mg/kgof epinephrine
C. Respectfullyask theteamleaderto clarify thedose
D. Refuseto administerthedrug - CORRECT ANSWER✔✔ Respectfullyask the
team leader to clarify the dose
5. Which of thefollowingis a characteristicof respiratoryfailure?
A. Inadequateoxygenationand/orventilation
B. Hypotension
C. An increasein serumpH (alkalosis)
D. Abnormalrespiratorysounds- CORRECT ANSWER✔✔ Inadequate
oxygenation and/or ventilation
6. Which of thefollowingis mostlikely to producea prolongedexpiratory phase
and wheezing?
A. Disorderedcontrolof breathing
B. Hypovolemicshock
C. Lowerairwayobstruction
D. Upperairwayobstruction- CORRECT ANSWER✔✔ Lowerairway
obstruction
7. A 4-year-old child presents with seizures and irregular respirations.The
seizuresstoppeda few minutes ago. Which of the following most likely to be
abnormal?
A. Vascularresistance
B. Pulserate
C. Lung compliance
D. Control of breathing- CORRECT ANSWER✔✔ Control of breathing
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8. Whatabnormalityis mostlikely to bepresentin childrenwithacute
respiratory distress caused by lung tissue disease?
A. Decreasedoxygensaturation
B. Stridor
C. Normalrespiratoryrate
D. Decreasedrespiratoryeffort- CORRECT ANSWER✔✔ Decreasedoxygen
saturation
9. An alert2-year-old child withan increasedworkof breathingand pink color
is being evaluated. Heart rate is 110/min, and respiratory rate is
30/min.Whatwouldbestdescribethis patient'scondition?A. Respiratorydistress
B. Respiratoryarrest
C. Respiratoryfailure
D. Disorderedcontrolof breathing- CORRECT ANSWER✔✔ Respiratorydistress
10. The parents of a-year
7 -old child who is undergoing chemotherapy report
thatthechild hasbeenfebrileand hasnot beenfeelingwell,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 refillis time
5
to 6 seconds,and temperatureis 103°F(39.4°C).Whatis themost appropriate
intervention?
A. Obtainvascularaccessand administer20 mL/kgof isotoniccrystalloid over
30 minutes
B. Obtainvascularaccessand administer20 mL/kgof isotoniccrystalloid over
5 to 10 minutes
C. Obtainimmediatebloodculturesand chestx-ray D. Obtainexpert
consultationwithan oncologistto determinethechemotherapeutic
regimen- CORRECT ANSWER✔✔ Obtainvascularaccessand administer20 mL/kg of
isotonic crystalloid over 5 to 10 minutes
11. A 2-year-old child presentswitha 4-dayhistoryof vomiting.The initial
impression reveals an unresponsive child with intermittent apnea and
AHA PALS EXAM 2025 ACTUAL EXAM TEST
BANK 230 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES
(VERIFIED ANSWERS) |ALREADY GRADED
A+||NEWEST VERSION
1. A 5-year-old child presents with lethargy, increased work of breathing, and
palecolor.The primaryassessmentrevealsthattheairwayis openand 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
oximeterdisplaysan oxygensaturationof 95% and a pulserateof 93/min. On the
basis of this information, which of the following providesbest
theinterpretation
of the oxygen saturation of 95% by pulse oximetry?
A. Reliable;no supplementaryoxygenis indicatedB. Reliable;
supplementary oxygen should be administered
C. Unreliable;no supplementaryoxygenis indicated
D. Unreliable;supplementaryoxygenshouldbeadministered- CORRECT
ANSWER✔✔ Unreliable;supplementaryoxygenshouldbeadministered
2. A 3-year-old child wasrecentlydiagnosedwithleukemiaand hasbeen
treated with chemotherapy. The child presents with lethargy and a high fever.
Heartrateis 195/min,respiratoryrateis 36/min,bloodpressureis 85/40mm
Hg, and capillaryrefill timeis lessthan2 seconds.Whatis the child's most
likely condition?
A. Septicshock
B. Hypovolemicshock
C. Significantbradycardia
D. Cardiogenicshock- CORRECT ANSWER✔✔ Septicshock
3. A 2-week-old infant presents with irritability and a history of poor feeding.
Bloodpressureis 55/40mm Hg. Whattermdescribesthis infant's blood
pressure?
,A. Hypotensive
,2 |P a g e
B. Normal
C. Hypertensive
D. Compensated- CORRECT ANSWER✔✔ Hypotensive
4. During a resuscitationattempt,theteamleaderordersan initial doseof
epinephrine at 0.1 mg/kg to be given 10. What should the team member
do?
A. Administerthedrug as ordered
B. Administer0.01mg/kgof epinephrine
C. Respectfullyask theteamleaderto clarify thedose
D. Refuseto administerthedrug - CORRECT ANSWER✔✔ Respectfullyask the
team leader to clarify the dose
5. Which of thefollowingis a characteristicof respiratoryfailure?
A. Inadequateoxygenationand/orventilation
B. Hypotension
C. An increasein serumpH (alkalosis)
D. Abnormalrespiratorysounds- CORRECT ANSWER✔✔ Inadequate
oxygenation and/or ventilation
6. Which of thefollowingis mostlikely to producea prolongedexpiratory phase
and wheezing?
A. Disorderedcontrolof breathing
B. Hypovolemicshock
C. Lowerairwayobstruction
D. Upperairwayobstruction- CORRECT ANSWER✔✔ Lowerairway
obstruction
7. A 4-year-old child presents with seizures and irregular respirations.The
seizuresstoppeda few minutes ago. Which of the following most likely to be
abnormal?
A. Vascularresistance
B. Pulserate
C. Lung compliance
D. Control of breathing- CORRECT ANSWER✔✔ Control of breathing
, 3 |P a g e
8. Whatabnormalityis mostlikely to bepresentin childrenwithacute
respiratory distress caused by lung tissue disease?
A. Decreasedoxygensaturation
B. Stridor
C. Normalrespiratoryrate
D. Decreasedrespiratoryeffort- CORRECT ANSWER✔✔ Decreasedoxygen
saturation
9. An alert2-year-old child withan increasedworkof breathingand pink color
is being evaluated. Heart rate is 110/min, and respiratory rate is
30/min.Whatwouldbestdescribethis patient'scondition?A. Respiratorydistress
B. Respiratoryarrest
C. Respiratoryfailure
D. Disorderedcontrolof breathing- CORRECT ANSWER✔✔ Respiratorydistress
10. The parents of a-year
7 -old child who is undergoing chemotherapy report
thatthechild hasbeenfebrileand hasnot beenfeelingwell,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 refillis time
5
to 6 seconds,and temperatureis 103°F(39.4°C).Whatis themost appropriate
intervention?
A. Obtainvascularaccessand administer20 mL/kgof isotoniccrystalloid over
30 minutes
B. Obtainvascularaccessand administer20 mL/kgof isotoniccrystalloid over
5 to 10 minutes
C. Obtainimmediatebloodculturesand chestx-ray D. Obtainexpert
consultationwithan oncologistto determinethechemotherapeutic
regimen- CORRECT ANSWER✔✔ Obtainvascularaccessand administer20 mL/kg of
isotonic crystalloid over 5 to 10 minutes
11. A 2-year-old child presentswitha 4-dayhistoryof vomiting.The initial
impression reveals an unresponsive child with intermittent apnea and
