AHA PALS COMPREHENSIVE STUDY GUIDE FULLY SOLVED
EDITION WITH TESTED QUESTIONS AND CORRECT ANSWERS
2027
Question 1.
Administer a bolus of isotonic crystalloid 20 ml/kg over 5-20 minutes, and also give
D25W 2-4 ml/kg IV .
Answer: A previously healthy infant with a history of vomiting and diarrhea is
brought to the emergency department by her parents. During your
assessment, you find that the infant responds only to painful stimulation. The
infant's respiratory rate is 40 breaths per minute, and central pulses are rapid
and weak. The infant has good bilateral breath sounds, cool extremities, and a
capillary refill time of more than 5 seconds. The infant's blood pressure is
85/65 mmHg, and glucose is 30 mg/dL (1.65 mmol/L). You administer 100%
oxygen via face mask and start an IV. Which treatment is most appropriate for
this infant?
Question 2.
Albuterol (duh) .
Answer: A 9yo boy is agitated and leaning forward on the bed in obvious
respiratory distress. The patient is speaking in short phrases and tells you
that he has asthma but does not carry an inhaler. He has nasal flaring, severe
suprasternal and intercostal retractions, and decreased air movement with
prolonged expiratory time and wheezing. You administer 100% oxygen by a
nonrebreathing mask. His spO2 is 92%. Which med do you prepare to give to
this patient?
Question 3.
Rapid bolus of 20ml/kg of isotonic crystalloid .
Answer: Paramedics are called to the home of a 1yo child. Their initial
assessment reveals a child who responds only to painful stimuli and has
irregular breathing, faint central pulses, bruises over the abdomen, abdominal
distention, and cyanosis. Bag-mask ventilation with 100% oxygen is initiated.
The child's heart rate is 36/min. Peripheral pulses cannot be palpated, and
central pulses are barely palpable. The cardiac monitor shows sinus
bradycardia. Two-rescuer CPR is started. Upon arrival to the emergency
department, the child is intubated and ventilated with 100% oxygen, and IV
access is established. The heart rate is now 150/min with weak central pulses
but no distal pulses. Systolic blood pressure is 74 mmHg. Which intervention
should be provided next?
, Question 4.
Epinephrine .
Answer: You are called to help treat an infant with severe symptomatic
bradycardia (heart rate 66/min) associated with respiratory distress. The
bradycardia persists despite establishment of an effective airway,
oxygenation, and ventilation. There is no heart block present. Which is the
first drug you should administer?
Question 5.
Routine administration is not indicated during cardiac arrest .
Answer: Which statement is correct about the use of calcium chloride in
pediatric patients?
Question 6.
It is the least desirable route of administration .
Answer: Which statement is correct about endotracheal drug administration
during resuscitative efforts for pediatric patients?
Question 7.
Humidified oxygen as tolerated .
Answer: Initial impression of a 2yo girl shows her to be alert with mild
breathing difficulty during inspiration and pale skin color. On primary
assessment, she makes high- pitched inspiratory sounds (mild stridor) when
agitated; otherwise, her breathing is quiet. Her spO2 is 92% on room air, and
she has mild inspiratory intercostal retractions. Lung auscultation reveals
transmitted upper airway sounds with adequate distal breath sounds
bilaterally. Which is the most appropriate initial intervention for this child?
Question 8.
Amiodarone 5 mg/kg IO .
Answer: You are part of a team attempting to resuscitate a child with
ventricular fibrillation cardiac arrest. You delivered 2 unsynchronized shocks.
A team member established IO access, so you give a dose of epinephrine, 0.01
mg/kg IO. At the next rhythm check, persistent ventricular fibrillation is
present. You administer a 4 J/kg shock and resume CPR. Which drug and dose
should be administered next?
Question 9.
Nonrebreathing face mask .
EDITION WITH TESTED QUESTIONS AND CORRECT ANSWERS
2027
Question 1.
Administer a bolus of isotonic crystalloid 20 ml/kg over 5-20 minutes, and also give
D25W 2-4 ml/kg IV .
Answer: A previously healthy infant with a history of vomiting and diarrhea is
brought to the emergency department by her parents. During your
assessment, you find that the infant responds only to painful stimulation. The
infant's respiratory rate is 40 breaths per minute, and central pulses are rapid
and weak. The infant has good bilateral breath sounds, cool extremities, and a
capillary refill time of more than 5 seconds. The infant's blood pressure is
85/65 mmHg, and glucose is 30 mg/dL (1.65 mmol/L). You administer 100%
oxygen via face mask and start an IV. Which treatment is most appropriate for
this infant?
Question 2.
Albuterol (duh) .
Answer: A 9yo boy is agitated and leaning forward on the bed in obvious
respiratory distress. The patient is speaking in short phrases and tells you
that he has asthma but does not carry an inhaler. He has nasal flaring, severe
suprasternal and intercostal retractions, and decreased air movement with
prolonged expiratory time and wheezing. You administer 100% oxygen by a
nonrebreathing mask. His spO2 is 92%. Which med do you prepare to give to
this patient?
Question 3.
Rapid bolus of 20ml/kg of isotonic crystalloid .
Answer: Paramedics are called to the home of a 1yo child. Their initial
assessment reveals a child who responds only to painful stimuli and has
irregular breathing, faint central pulses, bruises over the abdomen, abdominal
distention, and cyanosis. Bag-mask ventilation with 100% oxygen is initiated.
The child's heart rate is 36/min. Peripheral pulses cannot be palpated, and
central pulses are barely palpable. The cardiac monitor shows sinus
bradycardia. Two-rescuer CPR is started. Upon arrival to the emergency
department, the child is intubated and ventilated with 100% oxygen, and IV
access is established. The heart rate is now 150/min with weak central pulses
but no distal pulses. Systolic blood pressure is 74 mmHg. Which intervention
should be provided next?
, Question 4.
Epinephrine .
Answer: You are called to help treat an infant with severe symptomatic
bradycardia (heart rate 66/min) associated with respiratory distress. The
bradycardia persists despite establishment of an effective airway,
oxygenation, and ventilation. There is no heart block present. Which is the
first drug you should administer?
Question 5.
Routine administration is not indicated during cardiac arrest .
Answer: Which statement is correct about the use of calcium chloride in
pediatric patients?
Question 6.
It is the least desirable route of administration .
Answer: Which statement is correct about endotracheal drug administration
during resuscitative efforts for pediatric patients?
Question 7.
Humidified oxygen as tolerated .
Answer: Initial impression of a 2yo girl shows her to be alert with mild
breathing difficulty during inspiration and pale skin color. On primary
assessment, she makes high- pitched inspiratory sounds (mild stridor) when
agitated; otherwise, her breathing is quiet. Her spO2 is 92% on room air, and
she has mild inspiratory intercostal retractions. Lung auscultation reveals
transmitted upper airway sounds with adequate distal breath sounds
bilaterally. Which is the most appropriate initial intervention for this child?
Question 8.
Amiodarone 5 mg/kg IO .
Answer: You are part of a team attempting to resuscitate a child with
ventricular fibrillation cardiac arrest. You delivered 2 unsynchronized shocks.
A team member established IO access, so you give a dose of epinephrine, 0.01
mg/kg IO. At the next rhythm check, persistent ventricular fibrillation is
present. You administer a 4 J/kg shock and resume CPR. Which drug and dose
should be administered next?
Question 9.
Nonrebreathing face mask .
