AHA PALS EXAM NEWEST 2025
AHA PALS EXAM NEWEST 2025 ACTUAL EXAM TEST BANK
230 QUESTIONS AND CORRECT DETAILED ANSWERS WITH
RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED
A+||NEWEST VERSION
A child in the pediatric step-down unit is exhibiting signs of respiratory distress. When
assessing this child, which circulation finding might be present?
Pallor is a circulation finding that may be seen in patients with respiratory distress.
A healthcare provider is performing a primary assessment of a child in respiratory distress.
The provider documents increased work of breathing when which findings are observed?
Nasal flaring, use of accessory muscles to breathe and intercostal, substernal or suprasternal
retractions are all indicators of increased work or effort of breathing. Grunting and inspiratory
stridor are abnormal breath sounds.
An 11-year-old child develops unstable wide-complex tachycardia. Assessment reveals signs
of significant hemodynamic compromise, but the child has a pulse. The PALS team would
prepare the child for which intervention?
First-line treatment for unstable wide-complex tachycardias consists of synchronized electrical
cardioversion, particularly when signs of hemodynamic compromise are apparent.
1|Page
, AHA PALS EXAM NEWEST 2025
A 4-month old infant is brought to the emergency department in cardiac arrest. Which
condition would the team identify as the most common cause of cardiac arrest in an infant of
this age?
Sudden infant death syndrome
A 9-year-old child is brought to the emergency department because the child suddenly
collapsed at school. The child’s ECG reveals the following waveform, and primary assessment
findings indicate that the child is hemodynamically unstable. Which primary assessment
findings indicate this?
Difficulty breathing
Hypotension
Mottling
Decreased level of consciousness
2-year-old child is brought to the pediatric urgent care clinic by the parent who says that the
child has had a barking cough for two days. During the rapid assessment of the child, the
provider hears audible inspiratory stridor. Which common cause of partial upper airway
obstruction in children would the provider most likely suspect?
Croup
2|Page
, AHA PALS EXAM NEWEST 2025
A 6-year-old child is brought to the emergency department. The child has been experiencing
extremely watery stools over the past several days. After completing the assessment, the
healthcare provider suspects that the child may be experiencing shock. Which type of shock
would the provider most likely suspect?
Hypovolemic
While performing a rapid assessment and formulating an initial impression using the Pediatric
Assessment Triangle (PAT), the provider assesses the child’s circulation. Which information
would be important to consider?
When assessing the adequacy of circulation, consider skin color and visible mucous
membranes for pallor (or gray/dusky color), cyanosis, mottling or flushing and evidence of
any bleeding, including life-threatening bleeding.
Assessment of a 3-month-old infant admitted with respiratory distress reveals fever, grunting
and a wet, “junky” cough. The infant’s parents said the child had a recent respiratory infection
with a fever. A rapid respiratory syncytial virus (RSV) test is positive. Which condition would
the provider most likely suspect as the cause?
Bronchiolitis
3|Page
, AHA PALS EXAM NEWEST 2025
PALS resuscitation team notes the following ECG waveform and the child does not have a
pulse. The team prepares to intervene to address which arrhythmia?
Torsades
The emergency response team is providing care to a preschooler who is experiencing shock.
The primary goal, common to all types of shock, is to restore a favorable balance between
tissue perfusion and metabolic demand with a focus on what?
The primary goal in shock, regardless of cause, is to restore a favorable balance between
tissue perfusion and metabolic demand with a focus on oxygen delivery and oxygen demand.
A 12-year-old child being evaluated in the pediatric intensive care unit displays the following
ECG waveform. The team interprets this as which arrhythmia?
Second degree
Second Degree Heart Block (Mobitz II)
the picture shown is not the picture in the actual exam
4|Page
AHA PALS EXAM NEWEST 2025 ACTUAL EXAM TEST BANK
230 QUESTIONS AND CORRECT DETAILED ANSWERS WITH
RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED
A+||NEWEST VERSION
A child in the pediatric step-down unit is exhibiting signs of respiratory distress. When
assessing this child, which circulation finding might be present?
Pallor is a circulation finding that may be seen in patients with respiratory distress.
A healthcare provider is performing a primary assessment of a child in respiratory distress.
The provider documents increased work of breathing when which findings are observed?
Nasal flaring, use of accessory muscles to breathe and intercostal, substernal or suprasternal
retractions are all indicators of increased work or effort of breathing. Grunting and inspiratory
stridor are abnormal breath sounds.
An 11-year-old child develops unstable wide-complex tachycardia. Assessment reveals signs
of significant hemodynamic compromise, but the child has a pulse. The PALS team would
prepare the child for which intervention?
First-line treatment for unstable wide-complex tachycardias consists of synchronized electrical
cardioversion, particularly when signs of hemodynamic compromise are apparent.
1|Page
, AHA PALS EXAM NEWEST 2025
A 4-month old infant is brought to the emergency department in cardiac arrest. Which
condition would the team identify as the most common cause of cardiac arrest in an infant of
this age?
Sudden infant death syndrome
A 9-year-old child is brought to the emergency department because the child suddenly
collapsed at school. The child’s ECG reveals the following waveform, and primary assessment
findings indicate that the child is hemodynamically unstable. Which primary assessment
findings indicate this?
Difficulty breathing
Hypotension
Mottling
Decreased level of consciousness
2-year-old child is brought to the pediatric urgent care clinic by the parent who says that the
child has had a barking cough for two days. During the rapid assessment of the child, the
provider hears audible inspiratory stridor. Which common cause of partial upper airway
obstruction in children would the provider most likely suspect?
Croup
2|Page
, AHA PALS EXAM NEWEST 2025
A 6-year-old child is brought to the emergency department. The child has been experiencing
extremely watery stools over the past several days. After completing the assessment, the
healthcare provider suspects that the child may be experiencing shock. Which type of shock
would the provider most likely suspect?
Hypovolemic
While performing a rapid assessment and formulating an initial impression using the Pediatric
Assessment Triangle (PAT), the provider assesses the child’s circulation. Which information
would be important to consider?
When assessing the adequacy of circulation, consider skin color and visible mucous
membranes for pallor (or gray/dusky color), cyanosis, mottling or flushing and evidence of
any bleeding, including life-threatening bleeding.
Assessment of a 3-month-old infant admitted with respiratory distress reveals fever, grunting
and a wet, “junky” cough. The infant’s parents said the child had a recent respiratory infection
with a fever. A rapid respiratory syncytial virus (RSV) test is positive. Which condition would
the provider most likely suspect as the cause?
Bronchiolitis
3|Page
, AHA PALS EXAM NEWEST 2025
PALS resuscitation team notes the following ECG waveform and the child does not have a
pulse. The team prepares to intervene to address which arrhythmia?
Torsades
The emergency response team is providing care to a preschooler who is experiencing shock.
The primary goal, common to all types of shock, is to restore a favorable balance between
tissue perfusion and metabolic demand with a focus on what?
The primary goal in shock, regardless of cause, is to restore a favorable balance between
tissue perfusion and metabolic demand with a focus on oxygen delivery and oxygen demand.
A 12-year-old child being evaluated in the pediatric intensive care unit displays the following
ECG waveform. The team interprets this as which arrhythmia?
Second degree
Second Degree Heart Block (Mobitz II)
the picture shown is not the picture in the actual exam
4|Page
