AHA PALS EXAM ACTUAL EXAM TEST BANK
QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES (VERIFIED
ANSWERS) GRADED A+ NEWEST VERSION
1. 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
C. Unreliable; no supplementary oxygen is indicated
D. Unreliable; supplementary oxygen should be administered
Answer Unreliable; supplementary oxygen should be administered
2. 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. 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 pres- sure?
A. Hypotensive
B. Normal
C. Hypertensive
D. Compensated
Answer Hypotensive
4. 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. 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. 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. 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. 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. 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
QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES (VERIFIED
ANSWERS) GRADED A+ NEWEST VERSION
1. 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
C. Unreliable; no supplementary oxygen is indicated
D. Unreliable; supplementary oxygen should be administered
Answer Unreliable; supplementary oxygen should be administered
2. 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. 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 pres- sure?
A. Hypotensive
B. Normal
C. Hypertensive
D. Compensated
Answer Hypotensive
4. 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. 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. 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. 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. 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. 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
