AHA PALS EXAM 2026-2027 ACTUAL
EXAM TEST BANK QUESTIONS AND
CORRECT DETAILED ANSWERS WITH
RATIONALES (VERIFIED ANSWERS)
|ALREADY GRADED A+||NEWEST
VERSION
• A 2-week-old infant presents with irritability and a 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
Hypotensive
• During a resuscitation attempt, the team leader 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
Respectfully ask the team leader to clarify the dose
• Which of the following is a characteristic of respiratory failure?
A. Inadequate oxygenation and/or ventilation
B. Hypotension
C. An increase in serum pH (alkalosis)
D. Abnormal respiratory sounds
Inadequate oxygenation and/or ventilation
, • Which of the following is most likely to produce a prolonged expiratory
phase and wheezing?
A. Disordered control of breathing
B. Hypovolemic shock
C. Lower airway obstruction
D. Upper airway obstruction
Lower airway obstruction
• 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
Control of breathing
• 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
Decreased oxygen saturation
• 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
Respiratory distress
• 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 the chemotherapeutic
regimen
Obtain vascular access and administer 20 mL/kg of isotonic crystalloid over 5 to
10 minutes
• 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
• Unreliable; supplementary oxygen should be administere. 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 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
EXAM TEST BANK QUESTIONS AND
CORRECT DETAILED ANSWERS WITH
RATIONALES (VERIFIED ANSWERS)
|ALREADY GRADED A+||NEWEST
VERSION
• A 2-week-old infant presents with irritability and a 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
Hypotensive
• During a resuscitation attempt, the team leader 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
Respectfully ask the team leader to clarify the dose
• Which of the following is a characteristic of respiratory failure?
A. Inadequate oxygenation and/or ventilation
B. Hypotension
C. An increase in serum pH (alkalosis)
D. Abnormal respiratory sounds
Inadequate oxygenation and/or ventilation
, • Which of the following is most likely to produce a prolonged expiratory
phase and wheezing?
A. Disordered control of breathing
B. Hypovolemic shock
C. Lower airway obstruction
D. Upper airway obstruction
Lower airway obstruction
• 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
Control of breathing
• 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
Decreased oxygen saturation
• 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
Respiratory distress
• 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 the chemotherapeutic
regimen
Obtain vascular access and administer 20 mL/kg of isotonic crystalloid over 5 to
10 minutes
• 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
• Unreliable; supplementary oxygen should be administere. 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 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
