AHA PALS Practice exam (2025/2026)
UPDATE|EXAM
QUESTIONS WITH MULTIPLE
CHOICES |VERIFIED & REVISED
ANSWERS (NEW)!!!
1.mAm5-year-
oldmchildmpresentsmwithmlethargy,mincreasedmworkmofmbreathing,mandmpalemcolor.mThemprimarymas
sessmentmrevealsmthatmthemairwaymismopenmandmthemrespiratorymratemism30/min,mwithmcracklesmhe
ardmonmauscultation.mThemcardiacmmonitormshowsmsinusmtachycardiamatmamratemofm165/min.mThem
pulsemoximetermdisplaysmanmoxygenmsaturationmofm95%mandmampulsemratemofm93/min.mOnmthembasi
smofmthisminformation,mwhichmofmthemfollowingmprovidesmthembestminterpretationmofmthemoxygenms
aturationmofm95%mbympulsemoximetry?m
A.mReliable;mnomsupplementarymoxygenmismindicatedmB.mReliable;msupplementarymoxygenmshouldm
bemadministeredm
C.mUnreliable;mnomsupplementarymoxygenmismindicatedm
D.mUnreliable;msupplementarymoxygenmshouldmbemadministeredm-
mCORRECTmANSWERUnreliable;msupplementarymoxygenmshouldmbemadministered
2.mAm3-year-
oldmchildmwasmrecentlymdiagnosedmwithmleukemiamandmhasmbeenmtreatedmwithmchemotherapy.mTh
emchildmpresentsmwithmlethargymandmamhighmfever.mHeartmratemism195/min,mrespiratorymratemism36/
min,mbloodmpressuremism85/40mmmmHg,mandmcapillarymrefillmtimemismlessmthanm2mseconds.mWhatmis
mthemchild'smmostmlikelymcondition?m
A.mSepticmshockm
B.mHypovolemicmshockm
C.mSignificantmbradycardiam
D.mCardiogenicmshockm-mCORRECTmANSWERSepticmshock
,3.mAm2-week-
oldminfantmpresentsmwithmirritabilitymandmamhistorymofmpoormfeeding.mBloodmpressuremism55/40mm
mmHg.mWhatmtermmdescribesmthisminfant'smbloodmpressure?m
A.mHypotensivem
B.mNormalm
C.mHypertensivem
D.mCompensatedm-mCORRECTmANSWERHypotensive
4.mDuringmamresuscitationmattempt,mthemteammleadermordersmanminitialmdosemofmepinephrinematm0.
1mmg/kgmtombemgivenm10.mWhatmshouldmthemteammmembermdo?m
A.mAdministermthemdrugmasmorderedm
B.mAdministerm0.01mmg/kgmofmepinephrinem
C.mRespectfullymaskmthemteammleadermtomclarifymthemdosem
D.mRefusemtomadministermthemdrugm-
mCORRECTmANSWERRespectfullymaskmthemteammleadermtomclarifymthemdose
5.mWhichmofmthemfollowingmismamcharacteristicmofmrespiratorymfailure?m
A.mInadequatemoxygenationmand/ormventilationm
B.mHypotensionm
C.mAnmincreaseminmserummpHm(alkalosis)m
D.mAbnormalmrespiratorymsoundsm-
mCORRECTmANSWERInadequatemoxygenationmand/ormventilation
6.mWhichmofmthemfollowingmismmostmlikelymtomproducemamprolongedmexpiratorymphasemandmwheezi
ng?m
A.mDisorderedmcontrolmofmbreathingm
B.mHypovolemicmshockm
C.mLowermairwaymobstructionm
, D.mUppermairwaymobstructionm-mCORRECTmANSWERLowermairwaymobstruction
7.mAm4-year-
oldmchildmpresentsmwithmseizuresmandmirregularmrespirations.mThemseizuresmstoppedmamfewmminut
esmago.mWhichmofmthemfollowingmmostmlikelymtombemabnormal?m
A.mVascularmresistancem
B.mPulsemratem
C.mLungmcompliancem
D.mControlmofmbreathingm-mCORRECTmANSWERControlmofmbreathing
8.mWhatmabnormalitymismmostmlikelymtombempresentminmchildrenmwithmacutemrespiratorymdistressmc
ausedmbymlungmtissuemdisease?m
A.mDecreasedmoxygenmsaturationm
B.mStridorm
C.mNormalmrespiratorymratem
D.mDecreasedmrespiratorymeffortm-mCORRECTmANSWERDecreasedmoxygenmsaturation
9.mAnmalertm2-year-
oldmchildmwithmanmincreasedmworkmofmbreathingmandmpinkmcolormismbeingmevaluated.mHeartmratemis
m110/min,mandmrespiratorymratemism30/min.mWhatmwouldmbestmdescribemthismpatient'smcondition?m
A.mRespiratorymdistressm
B.mRespiratorymarrest
C.mRespiratorymfailurem
D.mDisorderedmcontrolmofmbreathingm-mCORRECTmANSWERRespiratorymdistress
10.mThemparentsmofmam7-year-
oldmchildmwhomismundergoingmchemotherapymreportmthatmthemchildmhasmbeenmfebrilemandmhasmno
tmbeenmfeelingmwell,mwithmrecentmonsetmofmlethargy.mAssessmentmrevealsmthemfollowing:mThemchil
dmismdifficultmtomarouse,mwithmpalemcolor.mThemchild'smheartmratemism160/min,mrespiratorymratemism3
UPDATE|EXAM
QUESTIONS WITH MULTIPLE
CHOICES |VERIFIED & REVISED
ANSWERS (NEW)!!!
1.mAm5-year-
oldmchildmpresentsmwithmlethargy,mincreasedmworkmofmbreathing,mandmpalemcolor.mThemprimarymas
sessmentmrevealsmthatmthemairwaymismopenmandmthemrespiratorymratemism30/min,mwithmcracklesmhe
ardmonmauscultation.mThemcardiacmmonitormshowsmsinusmtachycardiamatmamratemofm165/min.mThem
pulsemoximetermdisplaysmanmoxygenmsaturationmofm95%mandmampulsemratemofm93/min.mOnmthembasi
smofmthisminformation,mwhichmofmthemfollowingmprovidesmthembestminterpretationmofmthemoxygenms
aturationmofm95%mbympulsemoximetry?m
A.mReliable;mnomsupplementarymoxygenmismindicatedmB.mReliable;msupplementarymoxygenmshouldm
bemadministeredm
C.mUnreliable;mnomsupplementarymoxygenmismindicatedm
D.mUnreliable;msupplementarymoxygenmshouldmbemadministeredm-
mCORRECTmANSWERUnreliable;msupplementarymoxygenmshouldmbemadministered
2.mAm3-year-
oldmchildmwasmrecentlymdiagnosedmwithmleukemiamandmhasmbeenmtreatedmwithmchemotherapy.mTh
emchildmpresentsmwithmlethargymandmamhighmfever.mHeartmratemism195/min,mrespiratorymratemism36/
min,mbloodmpressuremism85/40mmmmHg,mandmcapillarymrefillmtimemismlessmthanm2mseconds.mWhatmis
mthemchild'smmostmlikelymcondition?m
A.mSepticmshockm
B.mHypovolemicmshockm
C.mSignificantmbradycardiam
D.mCardiogenicmshockm-mCORRECTmANSWERSepticmshock
,3.mAm2-week-
oldminfantmpresentsmwithmirritabilitymandmamhistorymofmpoormfeeding.mBloodmpressuremism55/40mm
mmHg.mWhatmtermmdescribesmthisminfant'smbloodmpressure?m
A.mHypotensivem
B.mNormalm
C.mHypertensivem
D.mCompensatedm-mCORRECTmANSWERHypotensive
4.mDuringmamresuscitationmattempt,mthemteammleadermordersmanminitialmdosemofmepinephrinematm0.
1mmg/kgmtombemgivenm10.mWhatmshouldmthemteammmembermdo?m
A.mAdministermthemdrugmasmorderedm
B.mAdministerm0.01mmg/kgmofmepinephrinem
C.mRespectfullymaskmthemteammleadermtomclarifymthemdosem
D.mRefusemtomadministermthemdrugm-
mCORRECTmANSWERRespectfullymaskmthemteammleadermtomclarifymthemdose
5.mWhichmofmthemfollowingmismamcharacteristicmofmrespiratorymfailure?m
A.mInadequatemoxygenationmand/ormventilationm
B.mHypotensionm
C.mAnmincreaseminmserummpHm(alkalosis)m
D.mAbnormalmrespiratorymsoundsm-
mCORRECTmANSWERInadequatemoxygenationmand/ormventilation
6.mWhichmofmthemfollowingmismmostmlikelymtomproducemamprolongedmexpiratorymphasemandmwheezi
ng?m
A.mDisorderedmcontrolmofmbreathingm
B.mHypovolemicmshockm
C.mLowermairwaymobstructionm
, D.mUppermairwaymobstructionm-mCORRECTmANSWERLowermairwaymobstruction
7.mAm4-year-
oldmchildmpresentsmwithmseizuresmandmirregularmrespirations.mThemseizuresmstoppedmamfewmminut
esmago.mWhichmofmthemfollowingmmostmlikelymtombemabnormal?m
A.mVascularmresistancem
B.mPulsemratem
C.mLungmcompliancem
D.mControlmofmbreathingm-mCORRECTmANSWERControlmofmbreathing
8.mWhatmabnormalitymismmostmlikelymtombempresentminmchildrenmwithmacutemrespiratorymdistressmc
ausedmbymlungmtissuemdisease?m
A.mDecreasedmoxygenmsaturationm
B.mStridorm
C.mNormalmrespiratorymratem
D.mDecreasedmrespiratorymeffortm-mCORRECTmANSWERDecreasedmoxygenmsaturation
9.mAnmalertm2-year-
oldmchildmwithmanmincreasedmworkmofmbreathingmandmpinkmcolormismbeingmevaluated.mHeartmratemis
m110/min,mandmrespiratorymratemism30/min.mWhatmwouldmbestmdescribemthismpatient'smcondition?m
A.mRespiratorymdistressm
B.mRespiratorymarrest
C.mRespiratorymfailurem
D.mDisorderedmcontrolmofmbreathingm-mCORRECTmANSWERRespiratorymdistress
10.mThemparentsmofmam7-year-
oldmchildmwhomismundergoingmchemotherapymreportmthatmthemchildmhasmbeenmfebrilemandmhasmno
tmbeenmfeelingmwell,mwithmrecentmonsetmofmlethargy.mAssessmentmrevealsmthemfollowing:mThemchil
dmismdifficultmtomarouse,mwithmpalemcolor.mThemchild'smheartmratemism160/min,mrespiratorymratemism3