AHA PALS PRACTICE EXAM
QUESTIONS AND 100% CORRECT
ANSWERS 2024
1.AAA5-year-
oldAchildApresentsAwithAlethargy,AincreasedAworkAofAbreathing,AandApaleAcolor.ATheAprimaryAassessmentAr
evealsAthatAtheAairwayAisAopenAandAtheArespiratoryArateAisA30/min,AwithAcracklesAheardAonAauscultation.AT
heAcardiacAmonitorAshowsAsinusAtachycardiaAatAaArateAofA165/min.ATheApulseAoximeterAdisplaysAanAoxygen
AsaturationAofA95%AandAaApulseArateAofA93/min.AOnAtheAbasisAofAthisAinformation,AwhichAofAtheAfollowingA
providesAtheAbestAinterpretationAofAtheAoxygenAsaturationAofA95%AbyApulseAoximetry?A
A.AReliable;AnoAsupplementaryAoxygenAisAindicatedAB.AReliable;AsupplementaryAoxygenAshouldAbeAadminis
teredA
C.AUnreliable;AnoAsupplementaryAoxygenAisAindicatedA
D.AUnreliable;AsupplementaryAoxygenAshouldAbeAadministeredA-
AANSWERAUnreliable;AsupplementaryAoxygenAshouldAbeAadministered
2.AAA3-year-
oldAchildAwasArecentlyAdiagnosedAwithAleukemiaAandAhasAbeenAtreatedAwithAchemotherapy.ATheAchildApre
sentsAwithAlethargyAandAaAhighAfever.AHeartArateAisA195/min,ArespiratoryArateAisA36/min,AbloodApressureAisA
85/40AmmAHg,AandAcapillaryArefillAtimeAisAlessAthanA2Aseconds.AWhatAisAtheAchild'sAmostAlikelyAcondition?A
A.ASepticAshockA
B.AHypovolemicAshockA
C.ASignificantAbradycardiaA
D.ACardiogenicAshockA-AANSWERASepticAshock
3.AAA2-week-
oldAinfantApresentsAwithAirritabilityAandAaAhistoryAofApoorAfeeding.ABloodApressureAisA55/40AmmAHg.AWhatA
termAdescribesAthisAinfant'sAbloodApressure?A
A.AHypotensiveA
B.ANormalA
C.AHypertensiveA
D.ACompensatedA-AANSWERAHypotensive
,4.ADuringAaAresuscitationAattempt,AtheAteamAleaderAordersAanAinitialAdoseAofAepinephrineAatA0.1Amg/kgAtoA
beAgivenA10.AWhatAshouldAtheAteamAmemberAdo?A
A.AAdministerAtheAdrugAasAorderedA
B.AAdministerA0.01Amg/kgAofAepinephrineA
C.ARespectfullyAaskAtheAteamAleaderAtoAclarifyAtheAdoseA
D.ARefuseAtoAadministerAtheAdrugA-AANSWERARespectfullyAaskAtheAteamAleaderAtoAclarifyAtheAdose
5.AWhichAofAtheAfollowingAisAaAcharacteristicAofArespiratoryAfailure?A
A.AInadequateAoxygenationAand/orAventilationA
B.AHypotensionA
C.AAnAincreaseAinAserumApHA(alkalosis)A
D.AAbnormalArespiratoryAsoundsA-AANSWERAInadequateAoxygenationAand/orAventilation
6.AWhichAofAtheAfollowingAisAmostAlikelyAtoAproduceAaAprolongedAexpiratoryAphaseAandAwheezing?A
A.ADisorderedAcontrolAofAbreathingA
B.AHypovolemicAshockA
C.ALowerAairwayAobstructionA
D.AUpperAairwayAobstructionA-AANSWERALowerAairwayAobstruction
7.AAA4-year-
oldAchildApresentsAwithAseizuresAandAirregularArespirations.ATheAseizuresAstoppedAaAfewAminutesAago.AWhi
chAofAtheAfollowingAmostAlikelyAtoAbeAabnormal?A
A.AVascularAresistanceA
B.APulseArateA
C.ALungAcomplianceA
D.AControlAofAbreathingA-AANSWERAControlAofAbreathing
8.AWhatAabnormalityAisAmostAlikelyAtoAbeApresentAinAchildrenAwithAacuteArespiratoryAdistressAcausedAbyAlu
ngAtissueAdisease?A
A.ADecreasedAoxygenAsaturationA
, B.AStridorA
C.ANormalArespiratoryArateA
D.ADecreasedArespiratoryAeffortA-AANSWERADecreasedAoxygenAsaturation
9.AAnAalertA2-year-
oldAchildAwithAanAincreasedAworkAofAbreathingAandApinkAcolorAisAbeingAevaluated.AHeartArateAisA110/min,A
andArespiratoryArateAisA30/min.AWhatAwouldAbestAdescribeAthisApatient'sAcondition?AA.ARespiratoryAdistres
sA
B.ARespiratoryAarrest
C.ARespiratoryAfailureA
D.ADisorderedAcontrolAofAbreathingA-AANSWERARespiratoryAdistress
10.ATheAparentsAofAaA7-year-
oldAchildAwhoAisAundergoingAchemotherapyAreportAthatAtheAchildAhasAbeenAfebrileAandAhasAnotAbeenAfeeli
ngAwell,AwithArecentAonsetAofAlethargy.AAssessmentArevealsAtheAfollowing:ATheAchildAisAdifficultAtoAarouse,A
withApaleAcolor.ATheAchild'sAheartArateAisA160/min,ArespiratoryArateAisA30/min,AbloodApressureAisA76/45Am
mAHg,AcapillaryArefillAtimeAisA5AtoA6Aseconds,AandAtemperatureAisA103°FA(39.4°C).AWhatAisAtheAmostAapprop
riateAintervention?A
A.AObtainAvascularAaccessAandAadministerA20AmL/kgAofAisotonicAcrystalloidAoverA30AminutesA
B.AObtainAvascularAaccessAandAadministerA20AmL/kgAofAisotonicAcrystalloidAoverA5AtoA10AminutesA
C.AObtainAimmediateAbloodAculturesAandAchestAx-
rayAD.AObtainAexpertAconsultationAwithAanAoncologistAtoAdetermineAtheAchemotherapeuticAregimenA-
AANSWERAObtainAvascularAaccessAandAadministerA20AmL/kgAofAisotonicAcrystalloidAoverA5AtoA10Aminutes
11.AAA2-year-oldAchildApresentsAwithAaA4-
dayAhistoryAofAvomiting.ATheAinitialAimpressionArevealsAanAunresponsiveAchildAwithAintermittentAapneaAan
dAmottledAcolor.AHeartArateAisA166/min,ArespiratoryArateAisAnowAbeingAsupportedAwithAbag-
maskAventilation,AcapillaryArefillAtimeAisA5AtoA6Aseconds,AandAtemperatureAisA102°FA(38.9°C).AWhatAisAtheAb
estAmethodAofAestablishingAimmediateAvascularAaccess?AA.ATwoAprovidersAmayAattemptAperipheralAvascul
arAaccessAtwiceAeachA
B.AThreeAprovidersAmayAattemptAperipheralAvascularAaccessAonceAeachA
C.APlaceAaAcentralAvenousAlineA
D.APlaceAanAintraosseousAlineA-AANSWERAPlaceAanAintraosseousAline
QUESTIONS AND 100% CORRECT
ANSWERS 2024
1.AAA5-year-
oldAchildApresentsAwithAlethargy,AincreasedAworkAofAbreathing,AandApaleAcolor.ATheAprimaryAassessmentAr
evealsAthatAtheAairwayAisAopenAandAtheArespiratoryArateAisA30/min,AwithAcracklesAheardAonAauscultation.AT
heAcardiacAmonitorAshowsAsinusAtachycardiaAatAaArateAofA165/min.ATheApulseAoximeterAdisplaysAanAoxygen
AsaturationAofA95%AandAaApulseArateAofA93/min.AOnAtheAbasisAofAthisAinformation,AwhichAofAtheAfollowingA
providesAtheAbestAinterpretationAofAtheAoxygenAsaturationAofA95%AbyApulseAoximetry?A
A.AReliable;AnoAsupplementaryAoxygenAisAindicatedAB.AReliable;AsupplementaryAoxygenAshouldAbeAadminis
teredA
C.AUnreliable;AnoAsupplementaryAoxygenAisAindicatedA
D.AUnreliable;AsupplementaryAoxygenAshouldAbeAadministeredA-
AANSWERAUnreliable;AsupplementaryAoxygenAshouldAbeAadministered
2.AAA3-year-
oldAchildAwasArecentlyAdiagnosedAwithAleukemiaAandAhasAbeenAtreatedAwithAchemotherapy.ATheAchildApre
sentsAwithAlethargyAandAaAhighAfever.AHeartArateAisA195/min,ArespiratoryArateAisA36/min,AbloodApressureAisA
85/40AmmAHg,AandAcapillaryArefillAtimeAisAlessAthanA2Aseconds.AWhatAisAtheAchild'sAmostAlikelyAcondition?A
A.ASepticAshockA
B.AHypovolemicAshockA
C.ASignificantAbradycardiaA
D.ACardiogenicAshockA-AANSWERASepticAshock
3.AAA2-week-
oldAinfantApresentsAwithAirritabilityAandAaAhistoryAofApoorAfeeding.ABloodApressureAisA55/40AmmAHg.AWhatA
termAdescribesAthisAinfant'sAbloodApressure?A
A.AHypotensiveA
B.ANormalA
C.AHypertensiveA
D.ACompensatedA-AANSWERAHypotensive
,4.ADuringAaAresuscitationAattempt,AtheAteamAleaderAordersAanAinitialAdoseAofAepinephrineAatA0.1Amg/kgAtoA
beAgivenA10.AWhatAshouldAtheAteamAmemberAdo?A
A.AAdministerAtheAdrugAasAorderedA
B.AAdministerA0.01Amg/kgAofAepinephrineA
C.ARespectfullyAaskAtheAteamAleaderAtoAclarifyAtheAdoseA
D.ARefuseAtoAadministerAtheAdrugA-AANSWERARespectfullyAaskAtheAteamAleaderAtoAclarifyAtheAdose
5.AWhichAofAtheAfollowingAisAaAcharacteristicAofArespiratoryAfailure?A
A.AInadequateAoxygenationAand/orAventilationA
B.AHypotensionA
C.AAnAincreaseAinAserumApHA(alkalosis)A
D.AAbnormalArespiratoryAsoundsA-AANSWERAInadequateAoxygenationAand/orAventilation
6.AWhichAofAtheAfollowingAisAmostAlikelyAtoAproduceAaAprolongedAexpiratoryAphaseAandAwheezing?A
A.ADisorderedAcontrolAofAbreathingA
B.AHypovolemicAshockA
C.ALowerAairwayAobstructionA
D.AUpperAairwayAobstructionA-AANSWERALowerAairwayAobstruction
7.AAA4-year-
oldAchildApresentsAwithAseizuresAandAirregularArespirations.ATheAseizuresAstoppedAaAfewAminutesAago.AWhi
chAofAtheAfollowingAmostAlikelyAtoAbeAabnormal?A
A.AVascularAresistanceA
B.APulseArateA
C.ALungAcomplianceA
D.AControlAofAbreathingA-AANSWERAControlAofAbreathing
8.AWhatAabnormalityAisAmostAlikelyAtoAbeApresentAinAchildrenAwithAacuteArespiratoryAdistressAcausedAbyAlu
ngAtissueAdisease?A
A.ADecreasedAoxygenAsaturationA
, B.AStridorA
C.ANormalArespiratoryArateA
D.ADecreasedArespiratoryAeffortA-AANSWERADecreasedAoxygenAsaturation
9.AAnAalertA2-year-
oldAchildAwithAanAincreasedAworkAofAbreathingAandApinkAcolorAisAbeingAevaluated.AHeartArateAisA110/min,A
andArespiratoryArateAisA30/min.AWhatAwouldAbestAdescribeAthisApatient'sAcondition?AA.ARespiratoryAdistres
sA
B.ARespiratoryAarrest
C.ARespiratoryAfailureA
D.ADisorderedAcontrolAofAbreathingA-AANSWERARespiratoryAdistress
10.ATheAparentsAofAaA7-year-
oldAchildAwhoAisAundergoingAchemotherapyAreportAthatAtheAchildAhasAbeenAfebrileAandAhasAnotAbeenAfeeli
ngAwell,AwithArecentAonsetAofAlethargy.AAssessmentArevealsAtheAfollowing:ATheAchildAisAdifficultAtoAarouse,A
withApaleAcolor.ATheAchild'sAheartArateAisA160/min,ArespiratoryArateAisA30/min,AbloodApressureAisA76/45Am
mAHg,AcapillaryArefillAtimeAisA5AtoA6Aseconds,AandAtemperatureAisA103°FA(39.4°C).AWhatAisAtheAmostAapprop
riateAintervention?A
A.AObtainAvascularAaccessAandAadministerA20AmL/kgAofAisotonicAcrystalloidAoverA30AminutesA
B.AObtainAvascularAaccessAandAadministerA20AmL/kgAofAisotonicAcrystalloidAoverA5AtoA10AminutesA
C.AObtainAimmediateAbloodAculturesAandAchestAx-
rayAD.AObtainAexpertAconsultationAwithAanAoncologistAtoAdetermineAtheAchemotherapeuticAregimenA-
AANSWERAObtainAvascularAaccessAandAadministerA20AmL/kgAofAisotonicAcrystalloidAoverA5AtoA10Aminutes
11.AAA2-year-oldAchildApresentsAwithAaA4-
dayAhistoryAofAvomiting.ATheAinitialAimpressionArevealsAanAunresponsiveAchildAwithAintermittentAapneaAan
dAmottledAcolor.AHeartArateAisA166/min,ArespiratoryArateAisAnowAbeingAsupportedAwithAbag-
maskAventilation,AcapillaryArefillAtimeAisA5AtoA6Aseconds,AandAtemperatureAisA102°FA(38.9°C).AWhatAisAtheAb
estAmethodAofAestablishingAimmediateAvascularAaccess?AA.ATwoAprovidersAmayAattemptAperipheralAvascul
arAaccessAtwiceAeachA
B.AThreeAprovidersAmayAattemptAperipheralAvascularAaccessAonceAeachA
C.APlaceAaAcentralAvenousAlineA
D.APlaceAanAintraosseousAlineA-AANSWERAPlaceAanAintraosseousAline
