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AHA PALS (Pediatric Advanced Life Support)
2025/2026 Exam Questions with 1A00% correct
answers
5. Which of the following is a characteristic of respiratory
failure?
A. Inadequate oxygenation and/or ventilation
B. Hypotension
C. An increase in serum pH (alkalosis)
D. Abnormal respiratory sounds - ANSWER-Inadequate
oxygenation and/or ventilation
6. Which of the following is most likely to produce a
prolonged expiratory phase and wheezing?
A. Disordered control of breathing
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B. Hypovolemic shock
C. Lower airway obstruction
D. Upper airway obstruction - ANSWER-Lower airway
obstruction
7. 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 - ANSWER-Control of breathing
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8. 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 - ANSWER-Decreased
oxygen saturation
9. 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
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C. Respiratory failure
D. Disordered control of breathing - ANSWER-Respiratory
distress
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
AHA PALS (Pediatric Advanced Life Support)
2025/2026 Exam Questions with 1A00% correct
answers
5. Which of the following is a characteristic of respiratory
failure?
A. Inadequate oxygenation and/or ventilation
B. Hypotension
C. An increase in serum pH (alkalosis)
D. Abnormal respiratory sounds - ANSWER-Inadequate
oxygenation and/or ventilation
6. Which of the following is most likely to produce a
prolonged expiratory phase and wheezing?
A. Disordered control of breathing
,2|Page
B. Hypovolemic shock
C. Lower airway obstruction
D. Upper airway obstruction - ANSWER-Lower airway
obstruction
7. 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 - ANSWER-Control of breathing
,3|Page
8. 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 - ANSWER-Decreased
oxygen saturation
9. 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
, 4|Page
C. Respiratory failure
D. Disordered control of breathing - ANSWER-Respiratory
distress
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
