AHA PALS Exam A Questions and Answers
1. In which of the following situations may IO access be used?
A. An extremity with signs of infection
B. An extremity with a sign of a crush injury
C. An extremity with a previous unsuccessful IO attempt
D. An extremity with slow a capillary refill time
Answer D. An extremity with slow a capillary refill time
2. A 2 week old infant is being evaluated for irritability and poor
feeding. His BP is 55/40 mmHg, and cap refill time is 5 seconds.
Which statement best describes your assessment of this infants BP?
A. It represents compensated shock
B. It is hypertensive
C. It is Hypotensive
D. It is normal
Answer C. It is Hypotensive
3. You are caring for patients in the emergency department. Which 2
year old child requires immediate intervention?
A. A child who is grunting
,B. A child with an Sp02 of 95% on room air
C. A child with a systolic blood pressure of 92 mm Hg
D. A child with a temperature of 37.4 C (99.3 F)
Answer A. A child who is grunting
4. A 3 year old child is having difficulty breathing. Which finding
would most likely lead you to suspect an upper airway
obstruction in this child?
A. Expiratory breath sounds
B. Decreased expiratory effort
C. Increased inspiratory effort with retractions
D. Normal inspiratory sounds
Answer C. Increased inspiratory effort with retractions
5. A team member is unable to perform an assigned task because it
is beyond the team members scope of practice. Which action
should the team member take?
A. Ask for a new task or role
B. Refuse to perform the task
C. Do it anyway
D. Seek expert consultation
Answer A. Ask for a new task or role
, 6. You are the team leader during a pediatric resuscitation attempt.
which action is an element of high quality CPR?
A. Providing a compression depth of one fourth the depth of the chest
B. Providing a compression rate of 80 to 100/min
C. Allowing complete chest wall recoil after each compression
D. Performing pulse checks every minute
Answer C. Allowing complete chest wall recoil after each compression
7. An 8 year old child is brought to the ED by his mother for difficulty
breathing. He has a history of asthma and nut allergies. He's
mother tells you that he recently ate a cookie at a family picnic.
Which condition is most likely to be present in this child?
A. Disordered control of breathing
B. Hypovolemic shock
C. Lung tissue disease
D. upper airway obstruction
Answer D. upper airway obstruction
8. An 8 year old child is brought to the ED by ambulance after being
involved in a MVC. Which finding would suggest that immediate
intervention is needed?
1. In which of the following situations may IO access be used?
A. An extremity with signs of infection
B. An extremity with a sign of a crush injury
C. An extremity with a previous unsuccessful IO attempt
D. An extremity with slow a capillary refill time
Answer D. An extremity with slow a capillary refill time
2. A 2 week old infant is being evaluated for irritability and poor
feeding. His BP is 55/40 mmHg, and cap refill time is 5 seconds.
Which statement best describes your assessment of this infants BP?
A. It represents compensated shock
B. It is hypertensive
C. It is Hypotensive
D. It is normal
Answer C. It is Hypotensive
3. You are caring for patients in the emergency department. Which 2
year old child requires immediate intervention?
A. A child who is grunting
,B. A child with an Sp02 of 95% on room air
C. A child with a systolic blood pressure of 92 mm Hg
D. A child with a temperature of 37.4 C (99.3 F)
Answer A. A child who is grunting
4. A 3 year old child is having difficulty breathing. Which finding
would most likely lead you to suspect an upper airway
obstruction in this child?
A. Expiratory breath sounds
B. Decreased expiratory effort
C. Increased inspiratory effort with retractions
D. Normal inspiratory sounds
Answer C. Increased inspiratory effort with retractions
5. A team member is unable to perform an assigned task because it
is beyond the team members scope of practice. Which action
should the team member take?
A. Ask for a new task or role
B. Refuse to perform the task
C. Do it anyway
D. Seek expert consultation
Answer A. Ask for a new task or role
, 6. You are the team leader during a pediatric resuscitation attempt.
which action is an element of high quality CPR?
A. Providing a compression depth of one fourth the depth of the chest
B. Providing a compression rate of 80 to 100/min
C. Allowing complete chest wall recoil after each compression
D. Performing pulse checks every minute
Answer C. Allowing complete chest wall recoil after each compression
7. An 8 year old child is brought to the ED by his mother for difficulty
breathing. He has a history of asthma and nut allergies. He's
mother tells you that he recently ate a cookie at a family picnic.
Which condition is most likely to be present in this child?
A. Disordered control of breathing
B. Hypovolemic shock
C. Lung tissue disease
D. upper airway obstruction
Answer D. upper airway obstruction
8. An 8 year old child is brought to the ED by ambulance after being
involved in a MVC. Which finding would suggest that immediate
intervention is needed?
