AHA PALS Practice Test (Latest 2026/2027 Update) Questions with Verified Answers | 100% Correct | Already Graded A+

AHA PALS Practice Test (Latest 2026/2027
Update) Questions with Verified Answers |
100% Correct | Already Graded A+
Question:

1. A 2-year-old child presents with a 4-day history of vomiting. The initial
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impression reveals an unresponsive child with intermittent apnea and
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mottled color. Heart rate is 166/min, respiratory rate is now being
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supported with bag-mask ventilation, capillary refill time is 5 to 6 seconds,
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and temperature is 102°F (38.9°C). What is the best method of
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establishing immediate vascular access? A. Two providers may attempt
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peripheral vascular access twice each
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B. Three providers may attempt peripheral vascular access once each
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C. Place a central venous line
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D. Place an intraosseous line?
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Answer:
Place an intraosseous line
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Question:

2. What is the appropriate fluid bolus to administer for a child with
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hypovolemic shock with adequate myocardial function?
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A. 10 mL/kg normal saline
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B. 20 mL/kg of 5% dextrose and 0.2% sodium chloride
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,C. 20 mL/kg normal saline
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D. 10 mL/kg lactated Ringer's?
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Answer:

20 mL/kg normal saline
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Question:
3. An alert toddler presents with a barking cough, moderate stridor, and
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moderate retractions. The child's color is pink. What is the most
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appropriate initial intervention? i,- i,- i,-




A. Obtain a chest radiograph
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B. Administer nebulized epinephrine
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C. Prepare for a surgical airway
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D. Use an epinephrine autoinjector?
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Answer:

Administer nebulized epinephrine i,- i,-




Question:

4. An 8-year-old child presents with a history of vomiting and diarrhea.
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The child has the following vital signs: heart rate 168/min, respiratory rate
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15/min, blood pressure 9060 mm Hg, and temperature 98.6°F (37°C). The
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child's capillary refill time is 4 seconds. After 2 IV boluses of normal saline
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(20 mL/kg each), the child's vital signs are now as follows: heart rate
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130/min, respiratory rate 16/min, blood pressure 94/62 mm Hg, capillary
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,refill 2 seconds, and temperature 98.6°F (37°C). The child's urine output is
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1 to 2 mL/kg in the past hour. The child is still lethargic. What diagnostic
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tests or information should be obtained first?
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A. Arterial blood gas
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B. Serum potassium concentration
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C. Glucose
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D. A 12-lead ECG?
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Answer:

Glucose




Question:
5. A 15-year-old boy presents with acute onset of severe respiratory
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distress, with retractions and an oxygen saturation of 85%. His trachea is
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deviated to the right, and there are no breath sounds on the left. His
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heart rate is 140/min, his blood pressure is 84/60 mm Hg, and his capillary
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refill time is 3 seconds. What is the most appropriate intervention?
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A. Obtain a chest x-ray
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B. Perform needle decompression on the left chest C. Insert a chest tube
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on the left side
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D. Insert an IV and administer 20 mL/kg of normal saline?
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Answer:
Perform needle decompression on the left chest
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, Question:
6. A 4-year-old is being treated for hypovolemic shock and has received a
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single fluid bolus of 20 mL/kg of normal saline. On reevaluation the child
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remains anxious, with a heart rate of 140/min, a blood pressure of 84/54
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mm Hg, and a capillary refill time of 4 seconds. What describes this
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patient's condition? i,- i,-




A. Hypotensive shock
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B. Compensated shock
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C. No longer in shock
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D. Cardiogenic shock?
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Answer:
Compensated shock i,-




Question:
7. An 8-year-old child had a sudden onset of palpitations and light-
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headedness. At the time of evaluation the child is alert. His respiratory
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rate is 26/ min, and his blood pressure is 104/70 mm Hg. A cardiac
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monitor is applied, and the rhythm below is noted. What is the most
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appropriate initial intervention? i,- i,- i,-




A. Provide synchronized cardioversion at 0.5 to 1 J/kg
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B. Attempt vagal maneuvers
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C. Administer adenosine 0.1 mg/kg over 5 minutes D. Administer
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amiodarone 5 mg/kg over 20 minutes? i,- i,- i,- i,- i,-




Answer: