AHA PALS EXAM 2025 ACTUAL
EXAM TEST BANK QUESTIONS
WITH CORRECT DETAILED
ANSWERS || ALREADY GRADED A+
< LATEST VERSION >
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
b. Unreliable; no supplementary oxygen is indicated
c. Unreliable; supplementary oxygen should be administered -
ANSWER 🗸 Unreliable; supplementary oxygen should be
administered
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 3-month-old infant with bronchiolitis is intubated for
management of respiratory failure. During transport, the infant
develops bradycardia with a heart rate of 60/min, and the infant's
oxygen saturation decreases to 75%. There are breath sounds on
the right side, but no air entry is heard on the left side. What is the
most appropriate initial intervention?
a. Administer epinephrine 0.01 mg/kg IV
b. Place a chest tube on the left
c. Verify the endotracheal tube position
d. Aggressively suction the endotracheal tube - ANSWER 🗸
Verify the endotracheal tube position
4. For a 6-month-old infant with supraventricular tachycardia and
adequate perfusion, which of the following is the preferred vagal
maneuver?
a. Ocular pressure
b. Carotid pressure
c. Valsalva maneuver
d. Ice to the face - ANSWER 🗸 Ice to the face
5. A child presents with severe respiratory distress, urticaria, stridor,
and tachycardia about 10 minutes after eating peanuts. What is the
most appropriate initial medication for this child?
, a. Nebulized albuterol
b. Epinephrine IM
c. Isotonic crystalloid IV
d. Methylprednisolone - ANSWER 🗸 Epinephrine IM
6. A 2-year-old child was found submerged in a swimming pool. She
is unresponsive, not breathing, and pulseless. In addition to
performing high-quality CPR and establishing vascular access,
which of the following is the most appropriate intervention?
a. Give atropine 0.02 mg/kg lIO/IV
b. Apply cricoid pressure
c. Give epinephrine 0.01 mg/kg IO/IV
d. Provide transthoracic pacing - ANSWER 🗸 Give epinephrine
0.01 mg/kg IO/IV
7. A 3-year-old child is unresponsive, not breathing, and pulseless.
High-quality CPR is in progress. A cardiac monitor is applied, and
the rhythm below is noted. What is the next appropriate
intervention?
a. Attempt defibrillation with a 2 J/kg shock
b. Administer epinephrine 0.01 mg/kg
c. Consider placement of an advanced airway
d. Administer amiodarone 5 mg/kg - ANSWER 🗸 Attempt
defibrillation with a 2 J/kg shock
8. A pulseless 6-week-old infant arrives in the emergency
department, and high-quality CPR is in progress. The initial
rhythm strip is shown below. CPR continues, and vascular access
has been established. What is the next appropriate intervention?
, a. Administer atropine 0.02 mg/kg IO/IV
b. Attempt defibrillation with a 2 J/kg shock
c. Administer epinephrine 0.01 mg/kg IO/IV
d. Consider insertion of an advanced airway - ANSWER 🗸
Administer epinephrine 0.01 mg/kg IO/IV
9. A 6-month-old infant is unresponsive and not breathing. What is
the maximum time that should be spent trying to palpate the pulse
before starting CPR?
a. 10 seconds
b. 15 seconds
c. 30 seconds
d. 60 seconds - ANSWER 🗸 10 seconds
10. What is the recommended location to check for a pulse in a
3- month-old infant?
a. Carotid
b. Radial
c. Brachial
d. Cardiac apex - ANSWER 🗸 C. Brachial
11. A 7-year-old child presents in pulseless arrest. The child's
ECG shows the rhythm below. Which of the following describes
the patient's condition?
a. Ventricular escape rhythm
b. Ventricular tachycardia
c. Pulseless electrical activity
d. Sinus bradycardia - ANSWER 🗸 Pulseless electrical activity
EXAM TEST BANK QUESTIONS
WITH CORRECT DETAILED
ANSWERS || ALREADY GRADED A+
< LATEST VERSION >
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
b. Unreliable; no supplementary oxygen is indicated
c. Unreliable; supplementary oxygen should be administered -
ANSWER 🗸 Unreliable; supplementary oxygen should be
administered
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 3-month-old infant with bronchiolitis is intubated for
management of respiratory failure. During transport, the infant
develops bradycardia with a heart rate of 60/min, and the infant's
oxygen saturation decreases to 75%. There are breath sounds on
the right side, but no air entry is heard on the left side. What is the
most appropriate initial intervention?
a. Administer epinephrine 0.01 mg/kg IV
b. Place a chest tube on the left
c. Verify the endotracheal tube position
d. Aggressively suction the endotracheal tube - ANSWER 🗸
Verify the endotracheal tube position
4. For a 6-month-old infant with supraventricular tachycardia and
adequate perfusion, which of the following is the preferred vagal
maneuver?
a. Ocular pressure
b. Carotid pressure
c. Valsalva maneuver
d. Ice to the face - ANSWER 🗸 Ice to the face
5. A child presents with severe respiratory distress, urticaria, stridor,
and tachycardia about 10 minutes after eating peanuts. What is the
most appropriate initial medication for this child?
, a. Nebulized albuterol
b. Epinephrine IM
c. Isotonic crystalloid IV
d. Methylprednisolone - ANSWER 🗸 Epinephrine IM
6. A 2-year-old child was found submerged in a swimming pool. She
is unresponsive, not breathing, and pulseless. In addition to
performing high-quality CPR and establishing vascular access,
which of the following is the most appropriate intervention?
a. Give atropine 0.02 mg/kg lIO/IV
b. Apply cricoid pressure
c. Give epinephrine 0.01 mg/kg IO/IV
d. Provide transthoracic pacing - ANSWER 🗸 Give epinephrine
0.01 mg/kg IO/IV
7. A 3-year-old child is unresponsive, not breathing, and pulseless.
High-quality CPR is in progress. A cardiac monitor is applied, and
the rhythm below is noted. What is the next appropriate
intervention?
a. Attempt defibrillation with a 2 J/kg shock
b. Administer epinephrine 0.01 mg/kg
c. Consider placement of an advanced airway
d. Administer amiodarone 5 mg/kg - ANSWER 🗸 Attempt
defibrillation with a 2 J/kg shock
8. A pulseless 6-week-old infant arrives in the emergency
department, and high-quality CPR is in progress. The initial
rhythm strip is shown below. CPR continues, and vascular access
has been established. What is the next appropriate intervention?
, a. Administer atropine 0.02 mg/kg IO/IV
b. Attempt defibrillation with a 2 J/kg shock
c. Administer epinephrine 0.01 mg/kg IO/IV
d. Consider insertion of an advanced airway - ANSWER 🗸
Administer epinephrine 0.01 mg/kg IO/IV
9. A 6-month-old infant is unresponsive and not breathing. What is
the maximum time that should be spent trying to palpate the pulse
before starting CPR?
a. 10 seconds
b. 15 seconds
c. 30 seconds
d. 60 seconds - ANSWER 🗸 10 seconds
10. What is the recommended location to check for a pulse in a
3- month-old infant?
a. Carotid
b. Radial
c. Brachial
d. Cardiac apex - ANSWER 🗸 C. Brachial
11. A 7-year-old child presents in pulseless arrest. The child's
ECG shows the rhythm below. Which of the following describes
the patient's condition?
a. Ventricular escape rhythm
b. Ventricular tachycardia
c. Pulseless electrical activity
d. Sinus bradycardia - ANSWER 🗸 Pulseless electrical activity
