AHA PALS PRACTICE EXAM 60
ACTUAL QUESTIONS AND
CORRECT VERIFIED ANSWERS
2024-2025 ALREADY GRADED A+.
NEWEST VERSION
1. 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: Unreliable;
supplementary oxygen should be administered
2. 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: Septic shock
3. 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: Hypotensive
4. 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: Respectfully ask the team leader to clarify
the dose
5. 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: 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: Lower airway obstruction
7. 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: Control of breathing
8. 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: Decreased oxygen saturation
9. 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
C. Respiratory failure
D. Disordered control of breathing: Respiratory distress
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