MINDPLUG SOLUTIONS, EMPOWERING MINDS, BUILDING FUTURES
AHA PALS PRACTICE EXAM – COMPLETE
CERTIFICATION PREP WITH VERIFIED QUESTIONS
AND ANSWERS (2025 EDITION) A+ GRADE
1. A 13-year-old patient with asthma just received oxygen and albuterol via a nebulizer.
What is the next most appropriate intervention?
A. Administer 0.1 mg/kg of adenosine
B. Obtain a blood sample to evaluate arterial or venous blood gases
C. Reassess breath sounds and clinical status
D. Repeat the albuterol treatment
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?
A. Respiratory distress is unchanged
B. Progression toward respiratory failure
C. Improved respiratory status
D. Neurologic impairment
Progression toward respiratory failure
3. What is the most likely cause of head bobbing in infants?
A. Increased respiratory effort
B. Improving respiratory status
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,MINDPLUG SOLUTIONS, EMPOWERING MINDS, BUILDING FUTURES
C. Decompensated shock
D. Brain injury
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?
A. Records medications and interventions
B. Assigns roles to team members
C. Administers defibrillation shocks
D. Provides compressions
Assigns roles to team members
5. Which of the following conditions is appropriate for use of an oropharyngeal airway?
A. Conscious with no gag reflex
B. Unconscious with a gag reflex
C. Unconscious with no gag reflex
D. Conscious with a gag reflex
Unconscious with no gag reflex
7. 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
EDUCATIONAL SUPPORT • ACADEMIC RESOURCES • PROFESSIONAL GUIDANCE
, MINDPLUG SOLUTIONS, EMPOWERING MINDS, BUILDING FUTURES
B. Epinephrine IM
C. Isotonic crystalloid IV
D. Methylprednisolone IV
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?
A. Fluid bolus of 10 mL/kg of isotonic crystalloid
B. Fluid bolus of 20 mL/kg of isotonic crystalloid
C. Maintenance fluid infusion of isotonic crystalloid at 10 mL/h
D. Maintenance fluid infusion of 5% dextrose and water at 20 mL/h
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?
A. Deflate the cuff and pull the tube back
B. Perform needle decompression on the right chest
C. Perform needle decompression on the left chest D. Insert a gastric tube
Perform needle decompression on the right chest
EDUCATIONAL SUPPORT • ACADEMIC RESOURCES • PROFESSIONAL GUIDANCE
AHA PALS PRACTICE EXAM – COMPLETE
CERTIFICATION PREP WITH VERIFIED QUESTIONS
AND ANSWERS (2025 EDITION) A+ GRADE
1. A 13-year-old patient with asthma just received oxygen and albuterol via a nebulizer.
What is the next most appropriate intervention?
A. Administer 0.1 mg/kg of adenosine
B. Obtain a blood sample to evaluate arterial or venous blood gases
C. Reassess breath sounds and clinical status
D. Repeat the albuterol treatment
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?
A. Respiratory distress is unchanged
B. Progression toward respiratory failure
C. Improved respiratory status
D. Neurologic impairment
Progression toward respiratory failure
3. What is the most likely cause of head bobbing in infants?
A. Increased respiratory effort
B. Improving respiratory status
EDUCATIONAL SUPPORT • ACADEMIC RESOURCES • PROFESSIONAL GUIDANCE
,MINDPLUG SOLUTIONS, EMPOWERING MINDS, BUILDING FUTURES
C. Decompensated shock
D. Brain injury
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?
A. Records medications and interventions
B. Assigns roles to team members
C. Administers defibrillation shocks
D. Provides compressions
Assigns roles to team members
5. Which of the following conditions is appropriate for use of an oropharyngeal airway?
A. Conscious with no gag reflex
B. Unconscious with a gag reflex
C. Unconscious with no gag reflex
D. Conscious with a gag reflex
Unconscious with no gag reflex
7. 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
EDUCATIONAL SUPPORT • ACADEMIC RESOURCES • PROFESSIONAL GUIDANCE
, MINDPLUG SOLUTIONS, EMPOWERING MINDS, BUILDING FUTURES
B. Epinephrine IM
C. Isotonic crystalloid IV
D. Methylprednisolone IV
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?
A. Fluid bolus of 10 mL/kg of isotonic crystalloid
B. Fluid bolus of 20 mL/kg of isotonic crystalloid
C. Maintenance fluid infusion of isotonic crystalloid at 10 mL/h
D. Maintenance fluid infusion of 5% dextrose and water at 20 mL/h
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?
A. Deflate the cuff and pull the tube back
B. Perform needle decompression on the right chest
C. Perform needle decompression on the left chest D. Insert a gastric tube
Perform needle decompression on the right chest
EDUCATIONAL SUPPORT • ACADEMIC RESOURCES • PROFESSIONAL GUIDANCE
