AHA PALS Pediatric Advanced Life Support 2025 Exam

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AHA PALS (Pediatric Advanced Life Support) 2025 Exam Includes Accurate And Verified Questions Covering Pediatric Assessment, Recognition And Management Of Respiratory Distress And Failure, Shock, Cardiac Arrest, Post-Resuscitation Care, Medication Dosages, And Team Dynamics.

• 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
• Repeat the albuterol treatment - ANSWER- Reassess breath

sounds and clinical status

• The respiratory rate of a 1-year-old child with respiratory

distress has decreased from 65/min to 30/min. The child is more lethargic and continues to have subcostal retractions. What does this change likely indicate?

• Respiratory distress is unchanged 1 / 4

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• Progression toward respiratory failure
• Improved respiratory status
• Neurologic impairment - ANSWER- Progression toward

respiratory failure

• What is the most likely cause of head bobbing in infants?
• Increased respiratory effort
• Improving respiratory status
• Decompensated shock
• Brain injury - ANSWER- Increased respiratory effort

• Several healthcare providers are participating in an

attempted resuscitation. Which of the following is most consistent with the responsibilities of the team leader of the resuscitation?

• Records medications and interventions
• Assigns roles to team members
• Administers defibrillation shocks
• Provides compressions - ANSWER- Assigns roles to team

members 2 / 4

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• Which of the following conditions is appropriate for use of

an oropharyngeal airway?

• Conscious with no gag reflex
• Unconscious with a gag reflex
• Unconscious with no gag reflex
• Conscious with a gag reflex - ANSWER- Unconscious with

no gag reflex

• 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?

• Nebulized albuterol
• Epinephrine IM
• Isotonic crystalloid IV
• Methylprednisolone IV - ANSWER- Epinephrine IM

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• A mother brings her 7-year-old child to the emergency

department. The mother states that the child has had a fever for the past 4 days and has had little to eat or drink during the past 24 hours. Your initial impression reveals a lethargic child with increased respiratory rate and pale color. Heart rate is 160/min, respiratory rate is 38/min, and blood pressure is 86/48 mm Hg.Capillary refill is 4 seconds. Which of the following is the most appropriate intervention for this child?

• Fluid bolus of 10 mL/kg of isotonic crystalloid
• Fluid bolus of 20 mL/kg of isotonic crystalloid
• Maintenance fluid infusion of isotonic crystalloid at 10

mL/h

• Maintenance fluid infusion of 5% dextrose and water at 20

mL/h - ANSWER- Fluid bolus of 20 mL/kg of isotonic crystalloid

• An intubated 5-year-old child who was in a motor vehicle

collision becomes increasingly more difficult to ventilate. The child has diminished breath sounds and chest expansion on the right side of the chest, with audible breath sounds and visible chest expansion on the left. The endotracheal tube insertion depth has not changed. What is the most appropriate intervention?

• Deflate the cuff and pull the tube back
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