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AHA PALS EXAM 2025 ACTUAL EXAM QUESTIONS AND CORRECT ANSWERS WITH RATIONALES ALREADY GRADE, Exams of Nursing

AHA PALS EXAM 2025 ACTUAL EXAM QUESTIONS AND CORRECT ANSWERS WITH RATIONALES ALREADY GRADEDA+ AHA PALS EXAM 2025 ACTUAL EXAM QUESTIONS AND CORRECT ANSWERS WITH RATIONALES ALREADY GRADEDA+ AHA PALS EXAM 2025 ACTUAL EXAM QUESTIONS AND CORRECT ANSWERS WITH RATIONALES ALREADY GRADEDA+

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2024/2025

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AHA PALS EXAM 2025 ACTUAL EXAM
QUESTIONS AND CORRECT ANSWERS
WITH RATIONALES ALREADY GRADEDA+.
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 -
CORRECT ANSWERS -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
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AHA PALS EXAM 2025 ACTUAL EXAM

QUESTIONS AND CORRECT ANSWERS

WITH RATIONALES ALREADY GRADEDA+.

  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 - CORRECT ANSWERS - 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 - CORRECT ANSWERS - Septic shock

  1. 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 - CORRECT ANSWERS - Lower airway obstruction

  1. 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 - CORRECT ANSWERS - Control of breathing
  2. 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 - CORRECT ANSWERS - Decreased oxygen saturation
  3. 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

D. Disordered control of breathing - CORRECT ANSWERS - Respiratory distress

  1. 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 B. Obtain vascular access and administer 20 mL/kg of isotonic crystalloid over 5 to 10 minutes C. Obtain immediate blood cultures and chest x-ray D. Obtain expert consultation with an oncologist to determine the chemotherapeutic regimen - CORRECT ANSWERS - Obtain vascular access and administer 20 mL/kg of isotonic crystalloid over 5 to 10 minutes
  2. 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 B. Three providers may attempt peripheral vascular access once each

C. Place a central venous line D. Place an intraosseous line - CORRECT ANSWERS - Place an intraosseous line

lethargic. What diagnostic tests or information should be obtained first? A. Arterial blood gas B. Serum potassium concentration C. Glucose

D. A 12-lead ECG - CORRECT ANSWERS - Glucose

  1. A 15-year-old boy presents with acute onset of severe respiratory distress, with retractions and an oxygen saturation of 85%. His trachea is deviated to the right, and there are no breath sounds on the left. His heart rate is 140/min, his blood pressure is 84/60 mm Hg, and his capillary refill time is 3 seconds. What is the most appropriate intervention? A. Obtain a chest x-ray B. Perform needle decompression on the left chest C. Insert a chest tube on the left side D. Insert an IV and administer 20 mL/kg of normal saline - CORRECT ANSWERS - Perform needle decompression on the left chest
  2. A 4-year-old is being treated for hypovolemic shock and has received a single fluid bolus of 20 mL/kg of normal saline. On reevaluation the child remains anxious, with a heart rate of 140/min, a blood pressure of 84/54 mm Hg, and a capillary refill time of 4 seconds. What describes this patient's condition? A. Hypotensive shock B. Compensated shock C. No longer in shock D. Cardiogenic shock - CORRECT ANSWERS - Compensated shock 17.An 8-year-old child had a sudden onset of palpitations and light- headedness. At the time of evaluation the child is alert. His

B. Attempt vagal maneuvers C. Administer adenosine 0.1 mg/kg over 5 minutes D. Administer amiodarone 5 mg/kg over 20 minutes - CORRECT ANSWERS - Attempt vagal maneuvers

  1. A 10-year-old child had a sudden witnessed cardiac arrest and received immediate bystander CPR and defibrillation within 3 minutes. He had a return of spontaneous circulation. The child remains unresponsive and has an advanced airway in place. There is no history of trauma or signs of shock. What is the target range for oxygen saturation for this child? A. 92% to 100% B. 92% to 99% C. 94% to 99% D. 94% to 100% - CORRECT ANSWERS - 94% to 99%
  2. A 3-month-old infant with bronchiolitis is suctioned to remove upper airway secretions. The infant's heart rate decreases from 155/min to 65/min as shown below. The infant remains alert, with easily palpable pulses. Capillary refill time is 1 second. What is the most appropriate initial intervention? A. Administer oxygen and ensure adequate ventilation; be prepared to intervene further if heart rate does not increase B. Establish IV/IO access and administer epinephrine 0.01 mg/kg IV C. Establish IV/IO access and administer atropine 0.02 mg/kg IV D. Call for help and prepare to provide transthoracic

pacing/transvenous pacing - CORRECT ANSWERS - Administer oxygen and ensure adequate ventilation; be prepared to intervene further if heart rate

C. Isotonic crystalloid IV D. Methylprednisolone - CORRECT ANSWERS - Epinephrine IM

  1. A 2-year-old child was found submerged in a swimming pool. She is unresponsive, not breathing, and pulseless. In addition to performing high- quality CPR and establishing vascular access, which of the following is the most appropriate intervention? A. Give atropine 0.02 mg/kg lIO/IV B. Apply cricoid pressure C. Give epinephrine 0.01 mg/kg IO/IV D. Provide transthoracic pacing - CORRECT ANSWERS - Give epinephrine 0.01 mg/kg IO/IV
  2. A 3-year-old child is unresponsive, not breathing, and pulseless. High- quality CPR is in progress. A cardiac monitor is applied, and the rhythm below is noted. What is the next appropriate intervention? A. Attempt defibrillation with a 2 J/kg shock B. Administer epinephrine 0.01 mg/kg C. Consider placement of an advanced airway D. Administer amiodarone 5 mg/kg - CORRECT ANSWERS - Attempt defibrillation with a 2 J/kg shock
  3. A pulseless 6-week-old infant arrives in the emergency department, and high-quality CPR is in progress. The initial rhythm strip is shown below. CPR continues, and vascular access has been established. What is the next appropriate intervention? A. Administer atropine 0.02 mg/kg IO/IV
  1. A 6-month-old infant is unresponsive and not breathing. What is the maximum time that should be spent trying to palpate the pulse before starting CPR? A. 10 seconds B. 15 seconds C. 30 seconds D. 60 seconds - CORRECT ANSWERS - 10 seconds
  2. What is the recommended location to check for a pulse in a 3- month- old infant? A. Carotid B. Radial C. Brachial D. Cardiac apex - CORRECT ANSWERS - C. Brachial
  3. A 7-year-old child presents in pulseless arrest. The child's ECG shows the rhythm below. Which of the following describes the patient's condition? A. Ventricular escape rhythm B. Ventricular tachycardia C. Pulseless electrical activity D. Sinus bradycardia - CORRECT ANSWERS - Pulseless electrical activity
  4. A 12-year-old child suddenly collapses while playing sports.

He is unresponsive and not breathing. Emergency response is activated. The child has no pulse, and CPR is initiated. An AED arrives. What is the most appropriate next intervention?