AHA PALS EXAM | NEWEST
EXAM COMPREHENSIVE
QUESTIONS AND VERIFIED
ANSWERS GRADED A+
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 - ✔✔✔ Correct Answer > Use the AED
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? - ✔✔✔ Correct
Answer > 15:2
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?
1
,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 - ✔✔✔ Correct Answer >
Synchronized shock with 0.5 to 1 J/kg
A 13-year-old patient with asthma just received oxygen and albuterol via
a nebulizer. What is the next most appropriate intervention?
A. Administer 0.1 mg/kg of adenosine
B. Obtain a blood sample to evaluate arterial or venous blood gases
C. Reassess breath sounds and clinical status
D. Repeat the albuterol treatment - ✔✔✔ Correct Answer > Reassess
breath sounds and clinical status
The respiratory rate of a 1-year-old child with respiratory distress has
decreased from 65/min to 30/min. The child is more lethargic and
continues to have subcostal retractions. What does this change likely
indicate?
A. Respiratory distress is unchanged
B. Progression toward respiratory failure
C. Improved respiratory status
D. Neurologic impairment - ✔✔✔ Correct Answer > Progression toward
respiratory failure
2
, What is the most likely cause of head bobbing in infants?
A. Increased respiratory effort
B. Improving respiratory status
C. Decompensated shock
D. Brain injury - ✔✔✔ Correct Answer > Increased respiratory effort
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 - ✔✔✔ Correct
Answer > Provide rescue breaths at a rate of 12 to 20/min
What is the recommended location to check for a pulse in a 3-
monthold infant? A. Carotid
B. Radial
C. Brachial
D. Cardiac apex - ✔✔✔ Correct Answer > C. Brachial
The initial impression of a 4-year-old child reveals a lethargic child who
is diaphoretic, with no increased work of breathing and pink color. Her
heart rate is 220/min, respiratory rate is 24/min, blood pressure is 84/46
3
EXAM COMPREHENSIVE
QUESTIONS AND VERIFIED
ANSWERS GRADED A+
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 - ✔✔✔ Correct Answer > Use the AED
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? - ✔✔✔ Correct
Answer > 15:2
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?
1
,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 - ✔✔✔ Correct Answer >
Synchronized shock with 0.5 to 1 J/kg
A 13-year-old patient with asthma just received oxygen and albuterol via
a nebulizer. What is the next most appropriate intervention?
A. Administer 0.1 mg/kg of adenosine
B. Obtain a blood sample to evaluate arterial or venous blood gases
C. Reassess breath sounds and clinical status
D. Repeat the albuterol treatment - ✔✔✔ Correct Answer > Reassess
breath sounds and clinical status
The respiratory rate of a 1-year-old child with respiratory distress has
decreased from 65/min to 30/min. The child is more lethargic and
continues to have subcostal retractions. What does this change likely
indicate?
A. Respiratory distress is unchanged
B. Progression toward respiratory failure
C. Improved respiratory status
D. Neurologic impairment - ✔✔✔ Correct Answer > Progression toward
respiratory failure
2
, What is the most likely cause of head bobbing in infants?
A. Increased respiratory effort
B. Improving respiratory status
C. Decompensated shock
D. Brain injury - ✔✔✔ Correct Answer > Increased respiratory effort
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 - ✔✔✔ Correct
Answer > Provide rescue breaths at a rate of 12 to 20/min
What is the recommended location to check for a pulse in a 3-
monthold infant? A. Carotid
B. Radial
C. Brachial
D. Cardiac apex - ✔✔✔ Correct Answer > C. Brachial
The initial impression of a 4-year-old child reveals a lethargic child who
is diaphoretic, with no increased work of breathing and pink color. Her
heart rate is 220/min, respiratory rate is 24/min, blood pressure is 84/46
3
