AHA PALS EXAM 2025-2026 ACTUAL EXAM
TEST BANK QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES
(VERIFIED ANSWERS) |ALREADY GRADED
A+||NEWEST VERSION Latest Update 2025-2026
Actual Exam Questions with 100% Verified
Correct Answers Guaranteed A+ Verified by
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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 - CORRECT ANSWER: Reassess breath sounds and
clinical status
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 - CORRECT ANSWER:
Unreliable; supplementary oxygen should be administered
,10. A 2-year-old child with a 2-day history of a barking cough presents with audible
stridor on inspiration, intercostal retractions, and agitation. What is the most appropriate
intervention for this child?
A. Lay the child flat on a stretcher
B. Suction the mouth and nose
C. Administer nebulized epinephrine
D. Administer inhaled albuterol - CORRECT ANSWER: Administer nebulized
epinephrine
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 the chemotherapeutic regimen - CORRECT 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 - CORRECT ANSWER: Place an intraosseous line
11. Which of the following oxygen saturations indicates the need for additional
intervention?
A. 96% on room air
B. 95% on room air
C. 93% on 4 L of oxygen
D. 97% on 50% oxygen - CORRECT ANSWER: 93% on 4 L of oxygen
12. A 3-year-old child presents with a 2-day history of nausea and vomiting. She is alert,
with no increase in respiratory effort, and is pale in color. The child's heart rate is
160/min, respiratory rate is 40/min, and blood pressure is 100/70 mm Hg. Her
extremities are cool, with sluggish capillary refill. Which term best describes this child's
physiologic state?
A. Compensated shock
B. Cardiogenic shock
C. Hypotensive shock
D. Obstructive shock - CORRECT ANSWER: Compensated shock
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
C. 20 mL/kg normal saline
D. 10 mL/kg lactated Ringer's - CORRECT ANSWER: 20 mL/kg normal saline
13. A 3-year-old child presents with dehydration after a 2-day history of vomiting and
diarrhea. The child after has received 2 fluid boluses of 20 mL/ kg of normal saline. After
the second bolus, the child is alert and interacting. Her heart rate is 110/ min, respiratory
rate is 30/min, and blood pressure is 92/64 mm Hg. Her capillary refill time is 2 seconds,
TEST BANK QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES
(VERIFIED ANSWERS) |ALREADY GRADED
A+||NEWEST VERSION Latest Update 2025-2026
Actual Exam Questions with 100% Verified
Correct Answers Guaranteed A+ Verified by
Professor
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 - CORRECT ANSWER: Reassess breath sounds and
clinical status
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 - CORRECT ANSWER:
Unreliable; supplementary oxygen should be administered
,10. A 2-year-old child with a 2-day history of a barking cough presents with audible
stridor on inspiration, intercostal retractions, and agitation. What is the most appropriate
intervention for this child?
A. Lay the child flat on a stretcher
B. Suction the mouth and nose
C. Administer nebulized epinephrine
D. Administer inhaled albuterol - CORRECT ANSWER: Administer nebulized
epinephrine
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 the chemotherapeutic regimen - CORRECT 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 - CORRECT ANSWER: Place an intraosseous line
11. Which of the following oxygen saturations indicates the need for additional
intervention?
A. 96% on room air
B. 95% on room air
C. 93% on 4 L of oxygen
D. 97% on 50% oxygen - CORRECT ANSWER: 93% on 4 L of oxygen
12. A 3-year-old child presents with a 2-day history of nausea and vomiting. She is alert,
with no increase in respiratory effort, and is pale in color. The child's heart rate is
160/min, respiratory rate is 40/min, and blood pressure is 100/70 mm Hg. Her
extremities are cool, with sluggish capillary refill. Which term best describes this child's
physiologic state?
A. Compensated shock
B. Cardiogenic shock
C. Hypotensive shock
D. Obstructive shock - CORRECT ANSWER: Compensated shock
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
C. 20 mL/kg normal saline
D. 10 mL/kg lactated Ringer's - CORRECT ANSWER: 20 mL/kg normal saline
13. A 3-year-old child presents with dehydration after a 2-day history of vomiting and
diarrhea. The child after has received 2 fluid boluses of 20 mL/ kg of normal saline. After
the second bolus, the child is alert and interacting. Her heart rate is 110/ min, respiratory
rate is 30/min, and blood pressure is 92/64 mm Hg. Her capillary refill time is 2 seconds,
