AHA Pediatric Advanced Life Support Exam / PALS
Exam (answered)
A 6 month old infant is unresponsive. You begin checking for breathing at the
same time you check for the infant's pulse. Which is the max time you should
spend when trying to simultaneously check for breathing and palpate the infant's
pulse before starting CPR?
- 10 secs
A 4 yr old child is brought to the emergency department for seizures. The seizures
stopped a few minutes ago, but the child continues to have slow and irregular
respirations. Which condition is consistent with your assessment?
- Disordered control of breathing
An 8 yr old is brought to the emergency department with a 2 day hx of lethargy
and polyuria. The child has new-onset rapid, deep and labored breathing. Which
diagnostic test should you order first?
- Blood glucose
After rectal administration of diazepam, an 8 yr old boy with a hx of seizures is
now unresponsive to painful stimulation. His respirations are shallow, at a rate of
10/min. His oxygen sat is 94% on 2L via NC. On examination, the child is snoring
with poor chest rise and poor air entry bilaterally. Which action should you take
next?
- Repositiion the patient and insert an oral airway.
After rectal administration of diazepam, an 8 yr old boy with a hx of seizures is
now unresponsive to painful stimulation. His respirations are shallow, at a rate of
10/min. His oxygen sat is 94% on 2L via NC. On examination, the child is snoring
with poor chest rise and poor air entry bilaterally. If the patient continues to
deteriorate after your initial intervention, which next step is most appropriate?
- Provide BVM respirations
, A 6 yr old child is found unresponsive, not breathing, and without a pulse. One
healthcare worker leaves to activate the emergency response system and get the
resuscitation equipment. you and another healthcare provider immediately begin
performing CPR. Which compression-to-ventilation ratio do you use?
- 15:2
In postresusitation management after cardiac arrest, extra care should be taken to
avoid reperfusion injury. What should the ideal oxygen saturation range most
likely be?
- 94%-99%
A 3 yr old child is in cardiac arrest, and high-quality CPR is in progress. You are
the team leader. The first rhythm check reveals the rhythm shown here. (V-Fib)
Defibrillation is attempted with a shock dose of 2 J/kg. After administration of the
shock, what should you say to your team members?
- Resume Compressions
A 4 yr old child in cardiac arrest is brought to the emergency dept. by ambulance.
High-quality CPR is being performed. The cardiac monitor displays the rhythm
strip shown here. The estimated weight of the child is 20kg. Which dosage range
should you use the for initial defibrillation?
- 2-4 J/kg
A 4 yr old child in cardiac arrest is brought to the emergency dept. by ambulance.
High-quality CPR is being performed. The cardiac monitor displays the rhythm
strip shown here. The estimated weight of the child is 20kg. As the team leader,
how many joules do you tell your team member to use to perform initial
defibrillation?
- 40 J
You are the team leader during a pediatric resuscitation attempt. Which action is an
element of high quality CPR?
- Allowing complete chest wall recoil after each compression
Exam (answered)
A 6 month old infant is unresponsive. You begin checking for breathing at the
same time you check for the infant's pulse. Which is the max time you should
spend when trying to simultaneously check for breathing and palpate the infant's
pulse before starting CPR?
- 10 secs
A 4 yr old child is brought to the emergency department for seizures. The seizures
stopped a few minutes ago, but the child continues to have slow and irregular
respirations. Which condition is consistent with your assessment?
- Disordered control of breathing
An 8 yr old is brought to the emergency department with a 2 day hx of lethargy
and polyuria. The child has new-onset rapid, deep and labored breathing. Which
diagnostic test should you order first?
- Blood glucose
After rectal administration of diazepam, an 8 yr old boy with a hx of seizures is
now unresponsive to painful stimulation. His respirations are shallow, at a rate of
10/min. His oxygen sat is 94% on 2L via NC. On examination, the child is snoring
with poor chest rise and poor air entry bilaterally. Which action should you take
next?
- Repositiion the patient and insert an oral airway.
After rectal administration of diazepam, an 8 yr old boy with a hx of seizures is
now unresponsive to painful stimulation. His respirations are shallow, at a rate of
10/min. His oxygen sat is 94% on 2L via NC. On examination, the child is snoring
with poor chest rise and poor air entry bilaterally. If the patient continues to
deteriorate after your initial intervention, which next step is most appropriate?
- Provide BVM respirations
, A 6 yr old child is found unresponsive, not breathing, and without a pulse. One
healthcare worker leaves to activate the emergency response system and get the
resuscitation equipment. you and another healthcare provider immediately begin
performing CPR. Which compression-to-ventilation ratio do you use?
- 15:2
In postresusitation management after cardiac arrest, extra care should be taken to
avoid reperfusion injury. What should the ideal oxygen saturation range most
likely be?
- 94%-99%
A 3 yr old child is in cardiac arrest, and high-quality CPR is in progress. You are
the team leader. The first rhythm check reveals the rhythm shown here. (V-Fib)
Defibrillation is attempted with a shock dose of 2 J/kg. After administration of the
shock, what should you say to your team members?
- Resume Compressions
A 4 yr old child in cardiac arrest is brought to the emergency dept. by ambulance.
High-quality CPR is being performed. The cardiac monitor displays the rhythm
strip shown here. The estimated weight of the child is 20kg. Which dosage range
should you use the for initial defibrillation?
- 2-4 J/kg
A 4 yr old child in cardiac arrest is brought to the emergency dept. by ambulance.
High-quality CPR is being performed. The cardiac monitor displays the rhythm
strip shown here. The estimated weight of the child is 20kg. As the team leader,
how many joules do you tell your team member to use to perform initial
defibrillation?
- 40 J
You are the team leader during a pediatric resuscitation attempt. Which action is an
element of high quality CPR?
- Allowing complete chest wall recoil after each compression
