AHA PALS EXAM NEWEST 2026 ACTUAL
EXAM TEST BANK 230 QUESTIONS AND
CORRECT DETAILED ANSWERS WITH
RATIONALES VERIFIED EXAMINATION
TEST PAPER QUESTIONS AND SOLUTIONS
⩥ 2. A 3-year-old child was recently diagnosed with leukemia and has
been treated with chemotherapy. The child presents with lethargy and a
high fever. Heart rate is 195/min, respiratory rate is 36/min, blood
pressure is 85/40 mm Hg, and capillary refill time is less than 2 seconds.
What is the child's most likely condition?
A. Septic shock
B. Hypovolemic shock
C. Significant bradycardia
D. Cardiogenic shock. Answer: Septic shock
⩥ 3. A 2-week-old infant presents with irritability and a history of poor
feeding. Blood pressure is 55/40 mm Hg. What term describes this
infant's blood pressure?
A. Hypotensive
B. Normal
C. Hypertensive
D. Compensated. Answer: Hypotensive
,⩥ 4. During a resuscitation attempt, the team leader orders an initial
dose of epinephrine at 0.1 mg/kg to be given 10. What should the team
member do?
A. Administer the drug as ordered
B. Administer 0.01 mg/kg of epinephrine
C. Respectfully ask the team leader to clarify the dose
D. Refuse to administer the drug. Answer: Respectfully ask the team
leader to clarify the dose
⩥ 5. Which of the following is a characteristic of respiratory failure?
A. Inadequate oxygenation and/or ventilation
B. Hypotension
C. An increase in serum pH (alkalosis)
D. Abnormal respiratory sounds. Answer: Inadequate oxygenation
and/or ventilation
⩥ 6. Which of the following is most likely to produce a prolonged
expiratory phase and wheezing?
A. Disordered control of breathing
B. Hypovolemic shock
C. Lower airway obstruction
D. Upper airway obstruction. Answer: Lower airway obstruction
, ⩥ 7. A 4-year-old child presents with seizures and irregular respirations.
The seizures stopped a few minutes ago. Which of the following most
likely to be abnormal?
A. Vascular resistance
B. Pulse rate
C. Lung compliance
D. Control of breathing. Answer: Control of breathing
⩥ 8. What abnormality is most likely to be present in children with acute
respiratory distress caused by lung tissue disease?
A. Decreased oxygen saturation
B. Stridor
C. Normal respiratory rate
D. Decreased respiratory effort. Answer: Decreased oxygen saturation
⩥ 9. An alert 2-year-old child with an increased work of breathing and
pink color is being evaluated. Heart rate is 110/min, and respiratory rate
is 30/min. What would best describe this patient's condition? A.
Respiratory distress
B. Respiratory arrest
C. Respiratory failure
D. Disordered control of breathing. Answer: Respiratory distress
EXAM TEST BANK 230 QUESTIONS AND
CORRECT DETAILED ANSWERS WITH
RATIONALES VERIFIED EXAMINATION
TEST PAPER QUESTIONS AND SOLUTIONS
⩥ 2. A 3-year-old child was recently diagnosed with leukemia and has
been treated with chemotherapy. The child presents with lethargy and a
high fever. Heart rate is 195/min, respiratory rate is 36/min, blood
pressure is 85/40 mm Hg, and capillary refill time is less than 2 seconds.
What is the child's most likely condition?
A. Septic shock
B. Hypovolemic shock
C. Significant bradycardia
D. Cardiogenic shock. Answer: Septic shock
⩥ 3. A 2-week-old infant presents with irritability and a history of poor
feeding. Blood pressure is 55/40 mm Hg. What term describes this
infant's blood pressure?
A. Hypotensive
B. Normal
C. Hypertensive
D. Compensated. Answer: Hypotensive
,⩥ 4. During a resuscitation attempt, the team leader orders an initial
dose of epinephrine at 0.1 mg/kg to be given 10. What should the team
member do?
A. Administer the drug as ordered
B. Administer 0.01 mg/kg of epinephrine
C. Respectfully ask the team leader to clarify the dose
D. Refuse to administer the drug. Answer: Respectfully ask the team
leader to clarify the dose
⩥ 5. Which of the following is a characteristic of respiratory failure?
A. Inadequate oxygenation and/or ventilation
B. Hypotension
C. An increase in serum pH (alkalosis)
D. Abnormal respiratory sounds. Answer: Inadequate oxygenation
and/or ventilation
⩥ 6. Which of the following is most likely to produce a prolonged
expiratory phase and wheezing?
A. Disordered control of breathing
B. Hypovolemic shock
C. Lower airway obstruction
D. Upper airway obstruction. Answer: Lower airway obstruction
, ⩥ 7. A 4-year-old child presents with seizures and irregular respirations.
The seizures stopped a few minutes ago. Which of the following most
likely to be abnormal?
A. Vascular resistance
B. Pulse rate
C. Lung compliance
D. Control of breathing. Answer: Control of breathing
⩥ 8. What abnormality is most likely to be present in children with acute
respiratory distress caused by lung tissue disease?
A. Decreased oxygen saturation
B. Stridor
C. Normal respiratory rate
D. Decreased respiratory effort. Answer: Decreased oxygen saturation
⩥ 9. An alert 2-year-old child with an increased work of breathing and
pink color is being evaluated. Heart rate is 110/min, and respiratory rate
is 30/min. What would best describe this patient's condition? A.
Respiratory distress
B. Respiratory arrest
C. Respiratory failure
D. Disordered control of breathing. Answer: Respiratory distress
