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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 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
Epinephrine IM
2. A 2-year-old child was found submerged in a swimming pool. She is unresponsive, not breathing, and
pulseless. In addition to performing high-quality CPR and establishing vascular access, which of the
following is the most appropriate intervention?
A. Give atropine 0.02 mg/kg lIO/IV
B. Apply cricoid pressure
C. Give epinephrine 0.01 mg/kg IO/IV
D. Provide transthoracic pacing
Give epinephrine 0.01 mg/kg IO/IV
3. A 3-year-old child is unresponsive, not breathing, and pulseless. High-quality CPR is in progress. A
cardiac monitor is applied, and the rhythm below is noted. What is the next appropriate intervention?
A. Attempt defibrillation with a 2 J/kg shock
B. Administer epinephrine 0.01 mg/kg
C. Consider placement of an advanced airway
D. Administer amiodarone 5 mg/kg
Attempt defibrillation with a 2 J/kg shock
4. A pulseless 6-week-old infant arrives in the emergency department, and high-quality CPR is in
progress. The initial rhythm strip is shown below. CPR continues, and vascular access has been
established. What is the next appropriate intervention?
A. Administer atropine 0.02 mg/kg IO/IV
B. Attempt defibrillation with a 2 J/kg shock
C. Administer epinephrine 0.01 mg/kg IO/IV
D. Consider insertion of an advanced airway
Administer epinephrine 0.01 mg/kg IO/IV
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5. A 6-month-old infant is unresponsive and not breathing. What is the maximum time that should be
spent trying to palpate the pulse before starting CPR?
A. 10 seconds
B. 15 seconds
C. 30 seconds
D. 60 seconds
10 seconds
6. What is the recommended location to check for a pulse in a 3- month-old infant?
A. Carotid
B. Radial
C. Brachial
D. Cardiac apex
C. Brachial
7. A 7-year-old child presents in pulseless arrest. The child's ECG shows the rhythm below. Which of the
following describes the patient's condition?
A. Ventricular escape rhythm
B. Ventricular tachycardia
C. Pulseless electrical activity
D. Sinus bradycardia
Pulseless electrical activity
8. 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 administered
9. 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
C. Significant bradycardia
D. Cardiogenic shock
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 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
Epinephrine IM
2. A 2-year-old child was found submerged in a swimming pool. She is unresponsive, not breathing, and
pulseless. In addition to performing high-quality CPR and establishing vascular access, which of the
following is the most appropriate intervention?
A. Give atropine 0.02 mg/kg lIO/IV
B. Apply cricoid pressure
C. Give epinephrine 0.01 mg/kg IO/IV
D. Provide transthoracic pacing
Give epinephrine 0.01 mg/kg IO/IV
3. A 3-year-old child is unresponsive, not breathing, and pulseless. High-quality CPR is in progress. A
cardiac monitor is applied, and the rhythm below is noted. What is the next appropriate intervention?
A. Attempt defibrillation with a 2 J/kg shock
B. Administer epinephrine 0.01 mg/kg
C. Consider placement of an advanced airway
D. Administer amiodarone 5 mg/kg
Attempt defibrillation with a 2 J/kg shock
4. A pulseless 6-week-old infant arrives in the emergency department, and high-quality CPR is in
progress. The initial rhythm strip is shown below. CPR continues, and vascular access has been
established. What is the next appropriate intervention?
A. Administer atropine 0.02 mg/kg IO/IV
B. Attempt defibrillation with a 2 J/kg shock
C. Administer epinephrine 0.01 mg/kg IO/IV
D. Consider insertion of an advanced airway
Administer epinephrine 0.01 mg/kg IO/IV
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5. A 6-month-old infant is unresponsive and not breathing. What is the maximum time that should be
spent trying to palpate the pulse before starting CPR?
A. 10 seconds
B. 15 seconds
C. 30 seconds
D. 60 seconds
10 seconds
6. What is the recommended location to check for a pulse in a 3- month-old infant?
A. Carotid
B. Radial
C. Brachial
D. Cardiac apex
C. Brachial
7. A 7-year-old child presents in pulseless arrest. The child's ECG shows the rhythm below. Which of the
following describes the patient's condition?
A. Ventricular escape rhythm
B. Ventricular tachycardia
C. Pulseless electrical activity
D. Sinus bradycardia
Pulseless electrical activity
8. 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 administered
9. 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
C. Significant bradycardia
D. Cardiogenic shock
