AHA PALS EXAM 2025-2026 ACTUAL EXAM

AHA PALS EXAM 2025-2026 ACTUAL EXAM

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A+||NEWEST VERSION Latest Update 2025-2026 Actual Exam Questions with 100% Verified Correct Answers Guaranteed A+ Verified by Professor

• A 13-year-old patient with asthma just received oxygen and albuterol via a nebulizer.

What is the next most appropriate intervention?

• Administer 0.1 mg/kg of adenosine
• Obtain a blood sample to evaluate arterial or venous blood gases
• Reassess breath sounds and clinical status

D. Repeat the albuterol treatment - CORRECT ANSWER: Reassess breath sounds and

clinical status

• 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?

• Reliable; no supplementary oxygen is indicated B. Reliable; supplementary oxygen

should be administered

• Unreliable; no supplementary oxygen is indicated

D. Unreliable; supplementary oxygen should be administered - CORRECT ANSWER:

Unreliable; supplementary oxygen should be administered 1 / 3

• 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?

• Lay the child flat on a stretcher
• Suction the mouth and nose
• Administer nebulized epinephrine

D. Administer inhaled albuterol - CORRECT ANSWER: Administer nebulized

epinephrine

• 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?

• Obtain vascular access and administer 20 mL/kg of isotonic crystalloid over 30

minutes

• Obtain vascular access and administer 20 mL/kg of isotonic crystalloid over 5 to 10

minutes

• Obtain immediate blood cultures and chest x-ray D. Obtain expert consultation with

an oncologist to determine the chemotherapeutic regimen - CORRECT ANSWER:

Obtain vascular access and administer 20 mL/kg of isotonic crystalloid over 5 to 10 minutes

• A 2-year-old child presents with a 4-day history of vomiting. The initial impression

reveals an unresponsive child with intermittent apnea and mottled color. Heart rate is 166/min, respiratory rate is now being supported with bag-mask ventilation, capillary refill time is 5 to 6 seconds, and temperature is 102°F (38.9°C). What is the best method of establishing immediate vascular access? A. Two providers may attempt peripheral vascular access twice each

• Three providers may attempt peripheral vascular access once each
• Place a central venous line 2 / 3

D. Place an intraosseous line - CORRECT ANSWER: Place an intraosseous line

• Which of the following oxygen saturations indicates the need for additional

intervention?

• 96% on room air
• 95% on room air
• 93% on 4 L of oxygen

D. 97% on 50% oxygen - CORRECT ANSWER: 93% on 4 L of oxygen

• 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?

• Compensated shock
• Cardiogenic shock
• Hypotensive shock

D. Obstructive shock - CORRECT ANSWER: Compensated shock

• What is the appropriate fluid bolus to administer for a child with hypovolemic shock

with adequate myocardial function?

• 10 mL/kg normal saline
• 20 mL/kg of 5% dextrose and 0.2% sodium chloride
• 20 mL/kg normal saline

D. 10 mL/kg lactated Ringer's - CORRECT ANSWER: 20 mL/kg normal saline

• 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,

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