AHA PALS EXAM NEWEST 2025 ACTUAL EXAM TEST BANK 230
QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES
(VERIFIED ANSWERS) |ALREADY GRADED A+||NEWEST VERSION
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 - ANSWER-Reassess breath sounds and clinical status
2. The respiratory rate of a 1-year-old child with respiratory distress has decreased from 65/min
to 30/min. The child is more lethargic and continues to have subcostal retractions. What does
this change likely indicate?
A. Respiratory distress is unchanged
B. Progression toward respiratory failure
C. Improved respiratory status
D. Neurologic impairment - ANSWER-Progression toward respiratory failure
3. What is the most likely cause of head bobbing in infants?
A. Increased respiratory effort
B. Improving respiratory status
C. Decompensated shock
D. Brain injury - ANSWER-Increased respiratory effort
4. Several healthcare providers are participating in an attempted resuscitation. Which of the
following is most consistent with the responsibilities of the team leader of the resuscitation?
A. Records medications and interventions
B. Assigns roles to team members
C. Administers defibrillation shocks
,D. Provides compressions - ANSWER-Assigns roles to team members
5. Which of the following conditions is appropriate for use of an oropharyngeal airway?
A. Conscious with no gag reflex
B. Unconscious with a gag reflex
C. Unconscious with no gag reflex
D. Conscious with a gag reflex - ANSWER-Unconscious with no gag reflex
7. A child presents with severe respiratory distress, urticaria, stridor, and tachycardia about 10
minutes after eating peanuts. What is the most appropriate initial medication for this child?
A. Nebulized albuterol
B. Epinephrine IM
C. Isotonic crystalloid IV
D. Methylprednisolone IV - ANSWER-Epinephrine IM
8. A mother brings her 7-year-old child to the emergency department. The mother states that
the child has had a fever for the past 4 days and has had little to eat or drink during the past 24
hours. Your initial impression reveals a lethargic child with increased respiratory rate and pale
color. Heart rate is 160/min, respiratory rate is 38/min, and blood pressure is 86/48 mm Hg.
Capillary refill is 4 seconds. Which of the following is the most appropriate intervention for this
child?
A. Fluid bolus of 10 mL/kg of isotonic crystalloid
B. Fluid bolus of 20 mL/kg of isotonic crystalloid
C. Maintenance fluid infusion of isotonic crystalloid at 10 mL/h
D. Maintenance fluid infusion of 5% dextrose and water at 20 mL/h - ANSWER-Fluid bolus of 20
mL/kg of isotonic crystalloid
9. An intubated 5-year-old child who was in a motor vehicle collision becomes increasingly more
difficult to ventilate. The child has diminished breath sounds and chest expansion on the right
side of the chest, with audible breath sounds and visible chest expansion on the left. The
endotracheal tube insertion depth has not changed. What is the most appropriate intervention?
A. Deflate the cuff and pull the tube back
B. Perform needle decompression on the right chest
, C. Perform needle decompression on the left chest D. Insert a gastric tube - ANSWER-Perform
needle decompression on the right chest
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 - ANSWER-Administer nebulized epinephrine
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 - 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 - ANSWER-Compensated shock
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, and oxygen saturation
is 98%. What is the most appropriate next intervention for this child?
A. Administer another 20 mL/kg normal saline fluid bolus
B. Administer 10 mL/kg of packed red cells
QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES
(VERIFIED ANSWERS) |ALREADY GRADED A+||NEWEST VERSION
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 - ANSWER-Reassess breath sounds and clinical status
2. The respiratory rate of a 1-year-old child with respiratory distress has decreased from 65/min
to 30/min. The child is more lethargic and continues to have subcostal retractions. What does
this change likely indicate?
A. Respiratory distress is unchanged
B. Progression toward respiratory failure
C. Improved respiratory status
D. Neurologic impairment - ANSWER-Progression toward respiratory failure
3. What is the most likely cause of head bobbing in infants?
A. Increased respiratory effort
B. Improving respiratory status
C. Decompensated shock
D. Brain injury - ANSWER-Increased respiratory effort
4. Several healthcare providers are participating in an attempted resuscitation. Which of the
following is most consistent with the responsibilities of the team leader of the resuscitation?
A. Records medications and interventions
B. Assigns roles to team members
C. Administers defibrillation shocks
,D. Provides compressions - ANSWER-Assigns roles to team members
5. Which of the following conditions is appropriate for use of an oropharyngeal airway?
A. Conscious with no gag reflex
B. Unconscious with a gag reflex
C. Unconscious with no gag reflex
D. Conscious with a gag reflex - ANSWER-Unconscious with no gag reflex
7. A child presents with severe respiratory distress, urticaria, stridor, and tachycardia about 10
minutes after eating peanuts. What is the most appropriate initial medication for this child?
A. Nebulized albuterol
B. Epinephrine IM
C. Isotonic crystalloid IV
D. Methylprednisolone IV - ANSWER-Epinephrine IM
8. A mother brings her 7-year-old child to the emergency department. The mother states that
the child has had a fever for the past 4 days and has had little to eat or drink during the past 24
hours. Your initial impression reveals a lethargic child with increased respiratory rate and pale
color. Heart rate is 160/min, respiratory rate is 38/min, and blood pressure is 86/48 mm Hg.
Capillary refill is 4 seconds. Which of the following is the most appropriate intervention for this
child?
A. Fluid bolus of 10 mL/kg of isotonic crystalloid
B. Fluid bolus of 20 mL/kg of isotonic crystalloid
C. Maintenance fluid infusion of isotonic crystalloid at 10 mL/h
D. Maintenance fluid infusion of 5% dextrose and water at 20 mL/h - ANSWER-Fluid bolus of 20
mL/kg of isotonic crystalloid
9. An intubated 5-year-old child who was in a motor vehicle collision becomes increasingly more
difficult to ventilate. The child has diminished breath sounds and chest expansion on the right
side of the chest, with audible breath sounds and visible chest expansion on the left. The
endotracheal tube insertion depth has not changed. What is the most appropriate intervention?
A. Deflate the cuff and pull the tube back
B. Perform needle decompression on the right chest
, C. Perform needle decompression on the left chest D. Insert a gastric tube - ANSWER-Perform
needle decompression on the right chest
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 - ANSWER-Administer nebulized epinephrine
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 - 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 - ANSWER-Compensated shock
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, and oxygen saturation
is 98%. What is the most appropriate next intervention for this child?
A. Administer another 20 mL/kg normal saline fluid bolus
B. Administer 10 mL/kg of packed red cells
