AHA PALS SAMPLE QUIZ SET 2 UPDATED ACTUAL QUESTIONS AND
CORRECT ANSWERS
◉5. Which of the following conditions is appropriate for use of an oropharyngeal airway?
A. Conscious with no gag reflex
B. Unconscious with a gag reflex
C. Unconscious with no gag reflex
D. Conscious with a gag reflex. Answer:Unconscious with no gag reflex
◉7. A child presents with severe respiratory distress, urticaria, stridor, and tachycardia about
10 minutes after eating peanuts. What is the most appropriate initial medication for this child?
A. Nebulized albuterol
B. Epinephrine IM
C. Isotonic crystalloid IV
D. Methylprednisolone IV. Answer:Epinephrine IM
◉8. A mother brings her 7-year-old child to the emergency department. The mother states that
the child has had a fever for the past 4 days and has had little to eat or drink during the past 24
hours. Your initial impression reveals a lethargic child with increased respiratory rate and pale
color. Heart rate is 160/min, respiratory rate is 38/min, and blood pressure is 86/48 mm Hg.
Capillary refill is 4 seconds. Which of the following is the most appropriate intervention for this
child?
A. Fluid bolus of 10 mL/kg of isotonic crystalloid
B. Fluid bolus of 20 mL/kg of isotonic crystalloid
C. Maintenance fluid infusion of isotonic crystalloid at 10 mL/h
D. Maintenance fluid infusion of 5% dextrose and water at 20 mL/h. Answer:Fluid bolus of 20
mL/kg of isotonic crystalloid
◉9. An intubated 5-year-old child who was in a motor vehicle collision becomes increasingly
more difficult to ventilate. The child has diminished breath sounds and chest expansion on the
right side of the chest, with audible breath sounds and visible chest expansion on the left. The
endotracheal tube insertion depth has not changed. What is the most appropriate intervention?
A. Deflate the cuff and pull the tube back
, B. Perform needle decompression on the right chest
C. Perform needle decompression on the left chest D. Insert a gastric tube. Answer:Perform
needle decompression on the right chest
◉10. A 2-year-old child with a 2-day history of a barking cough presents with audible stridor on
inspiration, intercostal retractions, and agitation. What is the most appropriate intervention for
this child?
A. Lay the child flat on a stretcher
B. Suction the mouth and nose
C. Administer nebulized epinephrine
D. Administer inhaled albuterol. Answer:Administer nebulized epinephrine
◉11. Which of the following oxygen saturations indicates the need for additional intervention?
A. 96% on room air
B. 95% on room air
C. 93% on 4 L of oxygen
D. 97% on 50% oxygen. Answer:93% on 4 L of oxygen
◉12. A 3-year-old child presents with a 2-day history of nausea and vomiting. She is alert, with
no increase in respiratory effort, and is pale in color. The child's heart rate is 160/min,
respiratory rate is 40/min, and blood pressure is 100/70 mm Hg. Her extremities are cool, with
sluggish capillary refill. Which term best describes this child's physiologic state?
A. Compensated shock
B. Cardiogenic shock
C. Hypotensive shock
D. Obstructive shock. Answer:Compensated shock
◉13. A 3-year-old child presents with dehydration after a 2-day history of vomiting and
diarrhea. The child after has received 2 fluid boluses of 20 mL/ kg of normal saline. After the
second bolus, the child is alert and interacting. Her heart rate is 110/ min, respiratory rate is
30/min, and blood pressure is 92/64 mm Hg. Her capillary refill time is 2 seconds, and oxygen
saturation is 98%. What is the most appropriate next intervention for this child?
A. Administer another 20 mL/kg normal saline fluid bolus
B. Administer 10 mL/kg of packed red cells
C. Continue to monitor and reevaluate the child
CORRECT ANSWERS
◉5. Which of the following conditions is appropriate for use of an oropharyngeal airway?
A. Conscious with no gag reflex
B. Unconscious with a gag reflex
C. Unconscious with no gag reflex
D. Conscious with a gag reflex. Answer:Unconscious with no gag reflex
◉7. A child presents with severe respiratory distress, urticaria, stridor, and tachycardia about
10 minutes after eating peanuts. What is the most appropriate initial medication for this child?
A. Nebulized albuterol
B. Epinephrine IM
C. Isotonic crystalloid IV
D. Methylprednisolone IV. Answer:Epinephrine IM
◉8. A mother brings her 7-year-old child to the emergency department. The mother states that
the child has had a fever for the past 4 days and has had little to eat or drink during the past 24
hours. Your initial impression reveals a lethargic child with increased respiratory rate and pale
color. Heart rate is 160/min, respiratory rate is 38/min, and blood pressure is 86/48 mm Hg.
Capillary refill is 4 seconds. Which of the following is the most appropriate intervention for this
child?
A. Fluid bolus of 10 mL/kg of isotonic crystalloid
B. Fluid bolus of 20 mL/kg of isotonic crystalloid
C. Maintenance fluid infusion of isotonic crystalloid at 10 mL/h
D. Maintenance fluid infusion of 5% dextrose and water at 20 mL/h. Answer:Fluid bolus of 20
mL/kg of isotonic crystalloid
◉9. An intubated 5-year-old child who was in a motor vehicle collision becomes increasingly
more difficult to ventilate. The child has diminished breath sounds and chest expansion on the
right side of the chest, with audible breath sounds and visible chest expansion on the left. The
endotracheal tube insertion depth has not changed. What is the most appropriate intervention?
A. Deflate the cuff and pull the tube back
, B. Perform needle decompression on the right chest
C. Perform needle decompression on the left chest D. Insert a gastric tube. Answer:Perform
needle decompression on the right chest
◉10. A 2-year-old child with a 2-day history of a barking cough presents with audible stridor on
inspiration, intercostal retractions, and agitation. What is the most appropriate intervention for
this child?
A. Lay the child flat on a stretcher
B. Suction the mouth and nose
C. Administer nebulized epinephrine
D. Administer inhaled albuterol. Answer:Administer nebulized epinephrine
◉11. Which of the following oxygen saturations indicates the need for additional intervention?
A. 96% on room air
B. 95% on room air
C. 93% on 4 L of oxygen
D. 97% on 50% oxygen. Answer:93% on 4 L of oxygen
◉12. A 3-year-old child presents with a 2-day history of nausea and vomiting. She is alert, with
no increase in respiratory effort, and is pale in color. The child's heart rate is 160/min,
respiratory rate is 40/min, and blood pressure is 100/70 mm Hg. Her extremities are cool, with
sluggish capillary refill. Which term best describes this child's physiologic state?
A. Compensated shock
B. Cardiogenic shock
C. Hypotensive shock
D. Obstructive shock. Answer:Compensated shock
◉13. A 3-year-old child presents with dehydration after a 2-day history of vomiting and
diarrhea. The child after has received 2 fluid boluses of 20 mL/ kg of normal saline. After the
second bolus, the child is alert and interacting. Her heart rate is 110/ min, respiratory rate is
30/min, and blood pressure is 92/64 mm Hg. Her capillary refill time is 2 seconds, and oxygen
saturation is 98%. What is the most appropriate next intervention for this child?
A. Administer another 20 mL/kg normal saline fluid bolus
B. Administer 10 mL/kg of packed red cells
C. Continue to monitor and reevaluate the child
