AHA PALS - EXAMINATION
COMPLETE QUESTIONS AND DETAILED SOLUTIONS
LATEST UPDATE THIS YEAR JUST RELEASED
Question 1: 25. 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
B. Attempt defibrillation with a 2 J/kg shock
C. Administer epinephrine 0.01 mg/kg IO/IV
D. Consider insertion of an advanced airway
Answer:
C. Administer epinephrine 0.01 mg/kg IO/IV
Question 2: 26. 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
Answer:
A. 10 seconds
,Question 3: 27. 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
Answer:
C. Brachial
Question 4: 28. 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
Answer:
C. Pulseless electrical activity
Question 5: 30. 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?
A. Contact the child's family
B. Provide CPR for 2 minutes
C. Drive the child to the hospital
D. Use the AED
Answer:
, D. Use the AED
Question 6: 31. A 6-year-old child is found unresponsive, not
breathing, and pulseless. What is the correct
compression-to-ventilation ratio when 2 or more healthcare
providers are present to perform CPR?
Answer:
15:2
Question 7: 32. A 5-year-old child has had severe respiratory
distress for 2 days. During assessment the child's heart rate
decreases from 140/min to 90/min, and the child's respiratory rate
decreases from 66/min to 8/min. What intervention is most
appropriate?
A. Provide rescue breaths at a rate of 12 to 20/min B. Provide rescue
breaths at a rate of 6 to 10/min
C. Initiate chest compressions at a rate of at least 100/min
D. Initiate chest compressions at a rate of 60/min
Answer:
B. Provide rescue breaths at a rate of 12 to 20/min
Question 8: 33. A 7-year-old child presents with a narrow-complex
supraventricular tachycardia, lethargy, and poor perfusion. Pulses
are weak and thready. Vascular access cannot be established.
What is the most appropriate intervention?
A. Unsynchronized shock with 0.5 to 1 J/kg
B. Synchronized shock with 0.5 to 1 J/kg
C. Unsynchronized shock with 2 J/kg
D. Synchronized shock with 2 J/kg
COMPLETE QUESTIONS AND DETAILED SOLUTIONS
LATEST UPDATE THIS YEAR JUST RELEASED
Question 1: 25. 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
B. Attempt defibrillation with a 2 J/kg shock
C. Administer epinephrine 0.01 mg/kg IO/IV
D. Consider insertion of an advanced airway
Answer:
C. Administer epinephrine 0.01 mg/kg IO/IV
Question 2: 26. 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
Answer:
A. 10 seconds
,Question 3: 27. 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
Answer:
C. Brachial
Question 4: 28. 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
Answer:
C. Pulseless electrical activity
Question 5: 30. 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?
A. Contact the child's family
B. Provide CPR for 2 minutes
C. Drive the child to the hospital
D. Use the AED
Answer:
, D. Use the AED
Question 6: 31. A 6-year-old child is found unresponsive, not
breathing, and pulseless. What is the correct
compression-to-ventilation ratio when 2 or more healthcare
providers are present to perform CPR?
Answer:
15:2
Question 7: 32. A 5-year-old child has had severe respiratory
distress for 2 days. During assessment the child's heart rate
decreases from 140/min to 90/min, and the child's respiratory rate
decreases from 66/min to 8/min. What intervention is most
appropriate?
A. Provide rescue breaths at a rate of 12 to 20/min B. Provide rescue
breaths at a rate of 6 to 10/min
C. Initiate chest compressions at a rate of at least 100/min
D. Initiate chest compressions at a rate of 60/min
Answer:
B. Provide rescue breaths at a rate of 12 to 20/min
Question 8: 33. A 7-year-old child presents with a narrow-complex
supraventricular tachycardia, lethargy, and poor perfusion. Pulses
are weak and thready. Vascular access cannot be established.
What is the most appropriate intervention?
A. Unsynchronized shock with 0.5 to 1 J/kg
B. Synchronized shock with 0.5 to 1 J/kg
C. Unsynchronized shock with 2 J/kg
D. Synchronized shock with 2 J/kg
