AHA PALS Practice Exam 2026 With
Verified Answers(Graded A+)
Unreliable; supplementary oxygen should be administered - correct answers ✔️✔️1. A 5-
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year-old child presents with lethargy, increased work of breathing, and pale color. The primary
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assessment reveals that the airway is open and the respiratory rate is 30/min, with crackles
f f f f f f f f f f f f f f f
heard on auscultation. The cardiac monitor shows sinus tachycardia at a rate of 165/min. The
f f f f f f f f f f f f f f f
pulse oximeter displays an oxygen saturation of 95% and a pulse rate of 93/min. On the basis of
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this information, which of the following provides the best interpretation of the oxygen
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saturation of 95% by pulse oximetry? f f f f f f
A. Reliable; no supplementary oxygen is indicated B. Reliable; supplementary oxygen should
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be administered
f f
C. Unreliable; no supplementary oxygen is indicated
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D. Unreliable; supplementary oxygen should be administered
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Septic shock - correct answers ✔️ f ✔️ 2. A 3-year-old child was recently diagnosed with
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leukemia and has been treated with chemotherapy. The child presents with lethargy and a
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high fever. Heart rate is 195/min, respiratory rate is 36/min, blood pressure is 85/40 mm Hg,
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and capillary refill time is less than 2 seconds. What is the child's most likely condition?
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A. Septic shock
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B. Hypovolemic shock
f f f
C. Significant bradycardia
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D. Cardiogenic shock
f f
, Hypotensive - correct answers ✔️ ✔️3. A 2-week-old infant presents with irritability and a f f f f f f f f f f f f f
history of poor feeding. Blood pressure is 55/40 mm Hg. What term describes this infant's
f f f f f f f f f f f f f f f
blood pressure? f f
A. Hypotensive
f f
B. Normal
f f
C. Hypertensive
f f
D. Compensated
f
Respectfully ask the team leader to clarify the dose - correct answers ✔️ ✔️ 4. During a f f f f f f f f f f f f f f f
resuscitation attempt, the team leader orders an initial dose of epinephrine at 0.1 mg/kg to be f f f f f f f f f f f f f f f f
given 10. What should the team member do?
f f f f f f f f
A. Administer the drug as ordered
f f f f f f
B. Administer 0.01 mg/kg of epinephrine
f f f f f f
C. Respectfully ask the team leader to clarify the dose
f f f f f f f f f f
D. Refuse to administer the drug
f f f f f
Inadequate oxygenation and/or ventilation - correct answers ✔️
✔️5. Which of the following is f f f f f f f f f f f f f
a characteristic of respiratory failure?
f f f f f
A. Inadequate oxygenation and/or ventilation
f f f f f
B. Hypotension
f f
C. An increase in serum pH (alkalosis)
f f f f f f f
D. Abnormal respiratory sounds
f f f
Lower airway obstruction - correct answers ✔️
f ✔️6. Which of the following is most likely to f f f f f f f f f f f f f f
produce a prolonged expiratory phase and wheezing? f f f f f f f
A. Disordered control of breathing
f f f f f
B. Hypovolemic shock
f f f
C. Lower airway obstruction
f f f f
D. Upper airway obstruction
f f f
Control of breathing - correct answers ✔️✔️
f 7. A 4-year-old child presents with seizures and
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irregular respirations. The seizures stopped a few minutes ago. Which of the following most
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likely to be abnormal?
f f f f
A. Vascular resistance
f f f
B. Pulse rate
f f f
C. Lung compliance
f f f
D. Control of breathing
f f f
Decreased oxygen saturation - correct answers ✔️ ✔️ 8. What abnormality is most likely to be
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present in children with acute respiratory distress caused by lung tissue disease?
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A. Decreased oxygen saturation
f f f f
B. Stridor
f f
C. Normal respiratory rate
f f f f
D. Decreased respiratory effort
f f f
Verified Answers(Graded A+)
Unreliable; supplementary oxygen should be administered - correct answers ✔️✔️1. A 5-
f f f f f f f f f f f
year-old child presents with lethargy, increased work of breathing, and pale color. The primary
f f f f f f f f f f f f f f
assessment reveals that the airway is open and the respiratory rate is 30/min, with crackles
f f f f f f f f f f f f f f f
heard on auscultation. The cardiac monitor shows sinus tachycardia at a rate of 165/min. The
f f f f f f f f f f f f f f f
pulse oximeter displays an oxygen saturation of 95% and a pulse rate of 93/min. On the basis of
f f f f f f f f f f f f f f f f f
this information, which of the following provides the best interpretation of the oxygen
f f f f f f f f f f f f f f
saturation of 95% by pulse oximetry? f f f f f f
A. Reliable; no supplementary oxygen is indicated B. Reliable; supplementary oxygen should
f f f f f f f f f f f f
be administered
f f
C. Unreliable; no supplementary oxygen is indicated
f f f f f f f
D. Unreliable; supplementary oxygen should be administered
f f f f f f
Septic shock - correct answers ✔️ f ✔️ 2. A 3-year-old child was recently diagnosed with
f f f f f f f f f f f f
leukemia and has been treated with chemotherapy. The child presents with lethargy and a
f f f f f f f f f f f f f f
high fever. Heart rate is 195/min, respiratory rate is 36/min, blood pressure is 85/40 mm Hg,
f f f f f f f f f f f f f f f f
and capillary refill time is less than 2 seconds. What is the child's most likely condition?
f f f f f f f f f f f f f f f f
A. Septic shock
f f f
B. Hypovolemic shock
f f f
C. Significant bradycardia
f f f
D. Cardiogenic shock
f f
, Hypotensive - correct answers ✔️ ✔️3. A 2-week-old infant presents with irritability and a f f f f f f f f f f f f f
history of poor feeding. Blood pressure is 55/40 mm Hg. What term describes this infant's
f f f f f f f f f f f f f f f
blood pressure? f f
A. Hypotensive
f f
B. Normal
f f
C. Hypertensive
f f
D. Compensated
f
Respectfully ask the team leader to clarify the dose - correct answers ✔️ ✔️ 4. During a f f f f f f f f f f f f f f f
resuscitation attempt, the team leader orders an initial dose of epinephrine at 0.1 mg/kg to be f f f f f f f f f f f f f f f f
given 10. What should the team member do?
f f f f f f f f
A. Administer the drug as ordered
f f f f f f
B. Administer 0.01 mg/kg of epinephrine
f f f f f f
C. Respectfully ask the team leader to clarify the dose
f f f f f f f f f f
D. Refuse to administer the drug
f f f f f
Inadequate oxygenation and/or ventilation - correct answers ✔️
✔️5. Which of the following is f f f f f f f f f f f f f
a characteristic of respiratory failure?
f f f f f
A. Inadequate oxygenation and/or ventilation
f f f f f
B. Hypotension
f f
C. An increase in serum pH (alkalosis)
f f f f f f f
D. Abnormal respiratory sounds
f f f
Lower airway obstruction - correct answers ✔️
f ✔️6. Which of the following is most likely to f f f f f f f f f f f f f f
produce a prolonged expiratory phase and wheezing? f f f f f f f
A. Disordered control of breathing
f f f f f
B. Hypovolemic shock
f f f
C. Lower airway obstruction
f f f f
D. Upper airway obstruction
f f f
Control of breathing - correct answers ✔️✔️
f 7. A 4-year-old child presents with seizures and
f f f f f f f f f f f f f
irregular respirations. The seizures stopped a few minutes ago. Which of the following most
f f f f f f f f f f f f f f
likely to be abnormal?
f f f f
A. Vascular resistance
f f f
B. Pulse rate
f f f
C. Lung compliance
f f f
D. Control of breathing
f f f
Decreased oxygen saturation - correct answers ✔️ ✔️ 8. What abnormality is most likely to be
f f f f f f f f f f f f f f
present in children with acute respiratory distress caused by lung tissue disease?
f f f f f f f f f f f f
A. Decreased oxygen saturation
f f f f
B. Stridor
f f
C. Normal respiratory rate
f f f f
D. Decreased respiratory effort
f f f
