AHA PALS Final Exam 2025 - 100% Verified
Questions + In-Depth Explanations
Questions and Mark scheme
Version: Final 1.1
, 1. 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
2. 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
3. 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
4. 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
5. 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