AHA PALS PRACTICE ACTUAL EXAM
QUESTIONS AND ANSWERS 2022/2023
(VERIFIED 100%)
1. 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 - ANS ✔✔✔Unreliable; supplementary
oxygen should be administered
2. 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 - ANS ✔✔✔Septic shock
3. A 2-week-old infant presents with irritability and a
history of poor feeding. Blood pressure is 55/40 mm Hg.
What term describes this infant's blood pressure?
A. Hypotensive
B. Normal
C. Hypertensive
D. Compensated - ANS ✔✔✔Hypotensive
4. During a resuscitation attempt, the team leader orders
an initial dose of epinephrine at 0.1 mg/kg to be given 10.
What should the team member do?
A. Administer the drug as ordered
B. Administer 0.01 mg/kg of epinephrine
C. Respectfully ask the team leader to clarify the dose
D. Refuse to administer the drug - ANS
✔✔✔Respectfully ask the team leader to clarify the dose
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 - ANS ✔✔✔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
B. Hypovolemic shock
C. Lower airway obstruction
D. Upper airway obstruction - ANS ✔✔✔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 - ANS ✔✔✔Control of breathing
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 - ANS ✔✔✔Decreased
oxygen saturation
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