3/10/26, 6:51
PM
AHA PALS EXAM 2026-2027 ACTUAL EXAM TEST BANK QUESTIONS
AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED
ANSWERS) |ALREADY GRADED A+||NEWEST VERSION
1. A 5-year-old child presents with lethargy, increased Unreliable;
supplementary oxygen should be administered 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
2. A 3-
year-old child was recently diagnosed with
Septic shock 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
3. A 2-week-old infant presents with irritability
https://quizlet.com/972205630/aha-pals-exam-2024-2025-actual-exam-test-bank-questions-and-correct-detailed-answers-with- 1/
rationales-verified… 23
,3/10/26, 6:51
PM
and a
Hypotensive history of poor feeding. Blood
pressure is 55/40 mm
Hg. What term describes this infant's blood pressure?
A. Hypotensive
B. Normal
C. Hypertensive
D. Compensated
4. During a resuscitation attempt, the team leader Respectfully ask the
team leader to clarify the dose 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
5. Which of the following is a characteristic of Inadequate
oxygenation and/or ventilation respiratory failure?
A. Inadequate oxygenation and/or ventilation
B. Hypotension
C. An increase in serum pH (alkalosis)
D.Abnormal respiratory sounds
6. Which of the following is most likely to produce aLower
airway obstruction prolonged expiratory phase and
wheezing?
A. Disordered control of breathing
B. Hypovolemic shock
C. Lower airway obstruction
D. Upper airway obstruction
7. A 4-year-old child presents with seizures and
Control of breathing irregular respirations. The
seizures stopped a few
minutes ago. Which of the following
most likely to be abnormal?
A. Vascular resistance
https://quizlet.com/972205630/aha-pals-exam-2024-2025-actual-exam-test-bank-questions-and-correct-detailed-answers-with- 2/
rationales-verified… 23
, 3/10/26, 6:51
PM
B. Pulse rate
C. Lung compliance
D. Control of breathing
8. What abnormality is most likely to be present in
Decreased oxygen saturation children with acute respiratory
distress caused by lung
tissue disease?
A. Decreased oxygen saturation
B. Stridor
C. Normal respiratory rate
D. Decreased respiratory effort
9. An alert 2-year-old child with an increased work of
Respiratory distress 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
B. Respiratory arrest
C. Respiratory failure
D. Disordered control of breathing
10. The parents of a 7-year-old child who is
undergoing Obtain vascular access and administer 20 mL/kg of
isotonic crystalloid over 5 chemotherapy report that the child has been febrile to 10
minutes
and has not been feeling well, with recent onset of
lethargy. Assessment reveals the
following: The child is difficult to arouse,
with pale color. The child's heart rate is
160/min, respiratory rate is 30/min,
blood pressure is 76/45 mm Hg,
capillary refill time is 5 to 6 seconds,
and temperature is 103°F (39.4°C).
What is the most
appropriate intervention?
A. Obtain vascular access and
https://quizlet.com/972205630/aha-pals-exam-2024-2025-actual-exam-test-bank-questions-and-correct-detailed-answers-with- 3/
rationales-verified… 23
PM
AHA PALS EXAM 2026-2027 ACTUAL EXAM TEST BANK QUESTIONS
AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED
ANSWERS) |ALREADY GRADED A+||NEWEST VERSION
1. A 5-year-old child presents with lethargy, increased Unreliable;
supplementary oxygen should be administered 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
2. A 3-
year-old child was recently diagnosed with
Septic shock 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
3. A 2-week-old infant presents with irritability
https://quizlet.com/972205630/aha-pals-exam-2024-2025-actual-exam-test-bank-questions-and-correct-detailed-answers-with- 1/
rationales-verified… 23
,3/10/26, 6:51
PM
and a
Hypotensive history of poor feeding. Blood
pressure is 55/40 mm
Hg. What term describes this infant's blood pressure?
A. Hypotensive
B. Normal
C. Hypertensive
D. Compensated
4. During a resuscitation attempt, the team leader Respectfully ask the
team leader to clarify the dose 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
5. Which of the following is a characteristic of Inadequate
oxygenation and/or ventilation respiratory failure?
A. Inadequate oxygenation and/or ventilation
B. Hypotension
C. An increase in serum pH (alkalosis)
D.Abnormal respiratory sounds
6. Which of the following is most likely to produce aLower
airway obstruction prolonged expiratory phase and
wheezing?
A. Disordered control of breathing
B. Hypovolemic shock
C. Lower airway obstruction
D. Upper airway obstruction
7. A 4-year-old child presents with seizures and
Control of breathing irregular respirations. The
seizures stopped a few
minutes ago. Which of the following
most likely to be abnormal?
A. Vascular resistance
https://quizlet.com/972205630/aha-pals-exam-2024-2025-actual-exam-test-bank-questions-and-correct-detailed-answers-with- 2/
rationales-verified… 23
, 3/10/26, 6:51
PM
B. Pulse rate
C. Lung compliance
D. Control of breathing
8. What abnormality is most likely to be present in
Decreased oxygen saturation children with acute respiratory
distress caused by lung
tissue disease?
A. Decreased oxygen saturation
B. Stridor
C. Normal respiratory rate
D. Decreased respiratory effort
9. An alert 2-year-old child with an increased work of
Respiratory distress 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
B. Respiratory arrest
C. Respiratory failure
D. Disordered control of breathing
10. The parents of a 7-year-old child who is
undergoing Obtain vascular access and administer 20 mL/kg of
isotonic crystalloid over 5 chemotherapy report that the child has been febrile to 10
minutes
and has not been feeling well, with recent onset of
lethargy. Assessment reveals the
following: The child is difficult to arouse,
with pale color. The child's heart rate is
160/min, respiratory rate is 30/min,
blood pressure is 76/45 mm Hg,
capillary refill time is 5 to 6 seconds,
and temperature is 103°F (39.4°C).
What is the most
appropriate intervention?
A. Obtain vascular access and
https://quizlet.com/972205630/aha-pals-exam-2024-2025-actual-exam-test-bank-questions-and-correct-detailed-answers-with- 3/
rationales-verified… 23
