AHA PALS EXAM NEWEST 2025 ACTUAL EXAM TEST BANK 68
QUESTIONS 2025/2026 || PEDIATRIC ADVANCED LIFE SUPPORT
REVIEW || RESUSCITATION & EMERGENCY INTERVENTIONS ||
VERIFIED QUESTIONS & ACCURATE ANSWERS || HIGH-YIELD
STUDY GUIDE || COMPLETE PRACTICE SET || GRADED A+
1. A 13-year-old patient with asthma just received oxygen and albuterol via a
nebulizer. What is
the next most appropriate intervention - CORRECT ANSWER -C. Reassess
breath sounds and clinical status
2. The respiratory rate of a 1-year-old child with respiratory distress has
decreased from 65/min to
30/min. The child is more lethargic and continues to have subcostal retractions.
What does this
change likely indicate - CORRECT ANSWER -B. Progression toward
respiratory failure
3. What is the most likely cause of head bobbing in infants - CORRECT
ANSWER -A. Increased respiratory effort
4. Several healthcare providers are participating in an attempted resuscitation.
Which of the
following is most consistent with the responsibilities of the team leader of the
resuscitation - CORRECT ANSWER -B. Assigns roles to team members
5. Which of the following conditions is appropriate for use of an oropharyngeal
airway - CORRECT ANSWER -C. Unconscious with no gag reflex
6. A 10-year-old child had a sudden witnessed cardiac arrest and received
immediate bystander
,CPR and defibrillation within 3 minutes. He had a return of spontaneous
circulation. The child
remains unresponsive and has an advanced airway in place. There is no history
of trauma or
signs of shock. What is the target range for oxygen saturation for this child -
CORRECT ANSWER -C. 94% to 99%
22. 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 albuterolB. Epinephrine IMC.
Isotonic crystalloid IVD. Methylprednisolone - CORRECT ANSWER -B.
Epinephrine IM
8. A mother brings her 7-year-old child to the emergency department. The
mother states that the
child has had a fever for the past 4 days and has had little to eat or drink during
the past 24 hours.
Your initial impression reveals a lethargic child with increased respiratory rate
and pale color.
Heart rate is 160/min, respiratory rate is 38/min, and blood pressure is 86/48
mm Hg. Capillary refill
is 4 seconds. Which of the following is the most appropriate intervention for
this child - CORRECT ANSWER -B. Fluid bolus of 20 mL/kg of isotonic
crystalloid
9. An intubated 5-year-old child who was in a motor vehicle collision becomes
increasingly more
difficult to ventilate. The child has diminished breath sounds and chest
expansion on the right
side of the chest, with audible breath sounds and visible chest expansion on the
left. The
, endotracheal tube insertion depth has not changed. What is the most appropriate
intervention - CORRECT ANSWER -B. Perform needle decompression on
the right chest
10. A 2-year-old child with a 2-day history of a barking cough presents with
audible stridor on
inspiration, intercostal retractions, and agitation. What is the most appropriate
intervention for
this child - CORRECT ANSWER -C. Administer nebulized epinephrine
11. Which of the following oxygen saturations indicates the need for additional
intervention - CORRECT ANSWER -C. 93% on 4 L of oxygen
12. A 3-year-old child presents with a 2-day history of nausea and vomiting.
She is alert, with no
increase in respiratory effort, and is pale in color. The child's heart rate is
160/min, respiratory rate
is 40/min, and blood pressure is 100/70 mm Hg. Her extremities are cool, with
sluggish capillary
refill. Which term best describes this child's physiologic state - CORRECT
ANSWER -A. Compensated shock
13. A 3-year-old child presents with dehydration after a 2-day history of
vomiting and diarrhea.
The child after has received 2 fluid boluses of 20 mL/kg of normal saline. After
the second bolus,
the child is alert and interacting. Her heart rate is 110/min, respiratory rate is
30/min, and blood
pressure is 92/64 mm Hg. Her capillary refill time is 2 seconds, and oxygen
saturation is 98%
What is the most appropriate next intervention for this child - CORRECT
ANSWER -C. Continue to monitor and reevaluate the child
QUESTIONS 2025/2026 || PEDIATRIC ADVANCED LIFE SUPPORT
REVIEW || RESUSCITATION & EMERGENCY INTERVENTIONS ||
VERIFIED QUESTIONS & ACCURATE ANSWERS || HIGH-YIELD
STUDY GUIDE || COMPLETE PRACTICE SET || GRADED A+
1. A 13-year-old patient with asthma just received oxygen and albuterol via a
nebulizer. What is
the next most appropriate intervention - CORRECT ANSWER -C. Reassess
breath sounds and clinical status
2. The respiratory rate of a 1-year-old child with respiratory distress has
decreased from 65/min to
30/min. The child is more lethargic and continues to have subcostal retractions.
What does this
change likely indicate - CORRECT ANSWER -B. Progression toward
respiratory failure
3. What is the most likely cause of head bobbing in infants - CORRECT
ANSWER -A. Increased respiratory effort
4. Several healthcare providers are participating in an attempted resuscitation.
Which of the
following is most consistent with the responsibilities of the team leader of the
resuscitation - CORRECT ANSWER -B. Assigns roles to team members
5. Which of the following conditions is appropriate for use of an oropharyngeal
airway - CORRECT ANSWER -C. Unconscious with no gag reflex
6. A 10-year-old child had a sudden witnessed cardiac arrest and received
immediate bystander
,CPR and defibrillation within 3 minutes. He had a return of spontaneous
circulation. The child
remains unresponsive and has an advanced airway in place. There is no history
of trauma or
signs of shock. What is the target range for oxygen saturation for this child -
CORRECT ANSWER -C. 94% to 99%
22. 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 albuterolB. Epinephrine IMC.
Isotonic crystalloid IVD. Methylprednisolone - CORRECT ANSWER -B.
Epinephrine IM
8. A mother brings her 7-year-old child to the emergency department. The
mother states that the
child has had a fever for the past 4 days and has had little to eat or drink during
the past 24 hours.
Your initial impression reveals a lethargic child with increased respiratory rate
and pale color.
Heart rate is 160/min, respiratory rate is 38/min, and blood pressure is 86/48
mm Hg. Capillary refill
is 4 seconds. Which of the following is the most appropriate intervention for
this child - CORRECT ANSWER -B. Fluid bolus of 20 mL/kg of isotonic
crystalloid
9. An intubated 5-year-old child who was in a motor vehicle collision becomes
increasingly more
difficult to ventilate. The child has diminished breath sounds and chest
expansion on the right
side of the chest, with audible breath sounds and visible chest expansion on the
left. The
, endotracheal tube insertion depth has not changed. What is the most appropriate
intervention - CORRECT ANSWER -B. Perform needle decompression on
the right chest
10. A 2-year-old child with a 2-day history of a barking cough presents with
audible stridor on
inspiration, intercostal retractions, and agitation. What is the most appropriate
intervention for
this child - CORRECT ANSWER -C. Administer nebulized epinephrine
11. Which of the following oxygen saturations indicates the need for additional
intervention - CORRECT ANSWER -C. 93% on 4 L of oxygen
12. A 3-year-old child presents with a 2-day history of nausea and vomiting.
She is alert, with no
increase in respiratory effort, and is pale in color. The child's heart rate is
160/min, respiratory rate
is 40/min, and blood pressure is 100/70 mm Hg. Her extremities are cool, with
sluggish capillary
refill. Which term best describes this child's physiologic state - CORRECT
ANSWER -A. Compensated shock
13. A 3-year-old child presents with dehydration after a 2-day history of
vomiting and diarrhea.
The child after has received 2 fluid boluses of 20 mL/kg of normal saline. After
the second bolus,
the child is alert and interacting. Her heart rate is 110/min, respiratory rate is
30/min, and blood
pressure is 92/64 mm Hg. Her capillary refill time is 2 seconds, and oxygen
saturation is 98%
What is the most appropriate next intervention for this child - CORRECT
ANSWER -C. Continue to monitor and reevaluate the child
