1|Page
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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. 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
,2|Page
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
B. Respiratory arrest
C. Respiratory failure
D. Disordered control of breathing - Answer-Respiratory
distress
10. The parents of a 7-year-old child who is undergoing
chemotherapy report that the child has been febrile 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 administer 20 mL/kg of
isotonic crystalloid over 30 minutes
B. Obtain vascular access and administer 20 mL/kg of
isotonic crystalloid over 5 to 10 minutes
C. Obtain immediate blood cultures and chest x-ray D.
Obtain expert consultation with an oncologist to determine
,3|Page
the chemotherapeutic regimen - Answer-Obtain vascular
access and administer 20 mL/kg of isotonic crystalloid
over 5 to 10 minutes
11. A 2-year-old child presents with a 4-day history of
vomiting. The initial impression reveals an unresponsive
child with intermittent apnea and mottled color. Heart rate
is 166/min, respiratory rate is now being supported with
bag-mask ventilation, capillary refill time is 5 to 6 seconds,
and temperature is 102°F (38.9°C). What is the best
method of establishing immediate vascular access? A.
Two providers may attempt peripheral vascular access
twice each
B. Three providers may attempt peripheral vascular
access once each
C. Place a central venous line
D. Place an intraosseous line - Answer-Place an
intraosseous line
12. What is the appropriate fluid bolus to administer for a
child with hypovolemic shock with adequate myocardial
function?
A. 10 mL/kg normal saline
B. 20 mL/kg of 5% dextrose and 0.2% sodium chloride
, 4|Page
C. 20 mL/kg normal saline
D. 10 mL/kg lactated Ringer's - Answer-20 mL/kg normal
saline
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. 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
AHA PALS Practice Exam ||Verified Exam!!|| Most
Recent Exam Actual Complete Real Exam Questions
And Correct Answers (Verified Answer) Already
Graded A+ | Success Guaranteed!! Newest Exam!!!
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. 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
,2|Page
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
B. Respiratory arrest
C. Respiratory failure
D. Disordered control of breathing - Answer-Respiratory
distress
10. The parents of a 7-year-old child who is undergoing
chemotherapy report that the child has been febrile 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 administer 20 mL/kg of
isotonic crystalloid over 30 minutes
B. Obtain vascular access and administer 20 mL/kg of
isotonic crystalloid over 5 to 10 minutes
C. Obtain immediate blood cultures and chest x-ray D.
Obtain expert consultation with an oncologist to determine
,3|Page
the chemotherapeutic regimen - Answer-Obtain vascular
access and administer 20 mL/kg of isotonic crystalloid
over 5 to 10 minutes
11. A 2-year-old child presents with a 4-day history of
vomiting. The initial impression reveals an unresponsive
child with intermittent apnea and mottled color. Heart rate
is 166/min, respiratory rate is now being supported with
bag-mask ventilation, capillary refill time is 5 to 6 seconds,
and temperature is 102°F (38.9°C). What is the best
method of establishing immediate vascular access? A.
Two providers may attempt peripheral vascular access
twice each
B. Three providers may attempt peripheral vascular
access once each
C. Place a central venous line
D. Place an intraosseous line - Answer-Place an
intraosseous line
12. What is the appropriate fluid bolus to administer for a
child with hypovolemic shock with adequate myocardial
function?
A. 10 mL/kg normal saline
B. 20 mL/kg of 5% dextrose and 0.2% sodium chloride
, 4|Page
C. 20 mL/kg normal saline
D. 10 mL/kg lactated Ringer's - Answer-20 mL/kg normal
saline
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. 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
