AHA PALS Exam A (Pediatric Advanced Life
Support Exam A) Complete With 100% Correct
Answers And Well Explained
MULTIPLE CHOICE
1. An 8-Year-Old Child Is Brought To The ED By Ambulance After Being Involved
In A MVC. Which Finding Would Suggest That Immediate Intervention Is Needed?
A) Decreased Level Of Consciousness
B) Systolic Blood Pressure Of 106 Mm Hg
C) Temperature Of 38.1°C (100.5°F)
D) Warm, Moist Skin
Correct Ans: A)
A Decreased Level Of Consciousness In A Child Who Has Been Involved In A Motor
Vehicle Collision (MVC) Suggests That The Child May Have Sustained A Head
Injury, Intracranial Hemorrhage, Or A Neurovascular Event, All Of Which Require
Immediate Intervention. This Finding Is A More Urgent Concern Than The Other
Options, Which May Be Less Immediately Threatening.
2. A 6-Year-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 CPR. Which Compression To Ventilation Ratio Do You Use?
A) 15:1
B) 30:1
C) 15:2
D) 30:2
Correct Ans: C)
,For Infants And Children, The Compression To Ventilation Ratio For 2-Rescuer CPR
Is 15:2. This Ratio Applies To Children Who Are Not Responding To CPR And In
Need Of Advanced Life Support Measures. It Is A Guideline To Provide Effective
Chest Compressions While Also Ensuring Adequate Ventilation.
3. A 3-Year-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. Defibrillation Is Attempted With A Shock Dose Of 2 J/Kg. After
Administration Of The Shock, What Should You Say To Your Team Members?
A) Check For A Pulse
B) Give Epinephrine 0.01 Mg/Kg
C) Let's Check The Rhythm
D) Resume Compressions
Correct Ans: D)
After Delivering A Shock For Cardiac Arrest, It Is Critical To Resume Chest
Compressions Immediately. Compressions Help Maintain Circulation And Provide
Adequate Perfusion To Vital Organs. Checking For A Pulse Too Soon Can Delay
Necessary Interventions, And Medications Such As Epinephrine Are Typically
Administered After The Second Shock If Necessary.
4. You Are Caring For A 5-Year-Old Boy With A 4-Day History Of High Fever And
Cough. He Is Having Increasing Lethargy, Grunting, And Sleepiness. Now He Is
Difficult To Arouse And Is Unresponsive To Voice Commands. His O2 Sat Is 72%
On Room Air And 89% When On A NRB O2 Mask. He Has Shallow Respirations,
With A Respiratory Rate Of 38/Min. Auscultation Of The Lungs Reveals Bilateral
Crackles. Which Assessment Finding Is Consistent With Respiratory Failure In This
Child?
A) Cough
B) Fever
C) Oxygen Saturation
D) Respiratory Rate
, Correct Ans: C)
The Child’s Low Oxygen Saturation (72% On Room Air) Is A Key Indicator Of
Respiratory Failure. Respiratory Failure Occurs When The Lungs Cannot Maintain
Adequate Oxygenation Or Ventilation, And A Low Oxygen Saturation Despite
Supplemental Oxygen Is A Clear Sign Of The Body’s Inability To Meet Metabolic
Demands. The Other Findings, While Concerning, Do Not Directly Point To
Respiratory Failure In The Same Way.
5. You Are Caring For A 5-Year-Old Boy With A 4-Day History Of High Fever And
Cough. He Is Having Increasing Lethargy, Grunting, And Sleepiness. Now He Is
Difficult To Arouse And Is Unresponsive To Voice Commands. His O2 Sat Is 72%
On Room Air And 89% When On A NRB O2 Mask. He Has Shallow Respirations,
With A Respiratory Rate Of 38/Min. Auscultation Of The Lungs Reveals Bilateral
Crackles. Which Medication Would Be Most Appropriate?
A) A Bronchodilator
B) An Antibiotic
C) A Corticosteroid
D) A Vasopressor
Correct Ans: B)
Given The Child’s Clinical Presentation, Including Fever, High Respiratory Rate,
And Bilateral Crackles, The Child Is Most Likely Suffering From A Bacterial
Pneumonia Or Another Respiratory Infection. Antibiotics Are The First-Line
Treatment In Suspected Bacterial Pneumonia. The Child’s Low Oxygen Saturation
Also Suggests That Early Treatment With Antibiotics Is Necessary To Treat The
Underlying Infection.
6. During A Resuscitation Attempt, The Team Leader Asks You To Administer An
Initial Dose Of Epinephrine At 0.1 Mg/Kg To Be Given IO. How Should You
Respond?
A) "I Can't Administer The Drug At The Dose You Ordered"
Support Exam A) Complete With 100% Correct
Answers And Well Explained
MULTIPLE CHOICE
1. An 8-Year-Old Child Is Brought To The ED By Ambulance After Being Involved
In A MVC. Which Finding Would Suggest That Immediate Intervention Is Needed?
A) Decreased Level Of Consciousness
B) Systolic Blood Pressure Of 106 Mm Hg
C) Temperature Of 38.1°C (100.5°F)
D) Warm, Moist Skin
Correct Ans: A)
A Decreased Level Of Consciousness In A Child Who Has Been Involved In A Motor
Vehicle Collision (MVC) Suggests That The Child May Have Sustained A Head
Injury, Intracranial Hemorrhage, Or A Neurovascular Event, All Of Which Require
Immediate Intervention. This Finding Is A More Urgent Concern Than The Other
Options, Which May Be Less Immediately Threatening.
2. A 6-Year-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 CPR. Which Compression To Ventilation Ratio Do You Use?
A) 15:1
B) 30:1
C) 15:2
D) 30:2
Correct Ans: C)
,For Infants And Children, The Compression To Ventilation Ratio For 2-Rescuer CPR
Is 15:2. This Ratio Applies To Children Who Are Not Responding To CPR And In
Need Of Advanced Life Support Measures. It Is A Guideline To Provide Effective
Chest Compressions While Also Ensuring Adequate Ventilation.
3. A 3-Year-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. Defibrillation Is Attempted With A Shock Dose Of 2 J/Kg. After
Administration Of The Shock, What Should You Say To Your Team Members?
A) Check For A Pulse
B) Give Epinephrine 0.01 Mg/Kg
C) Let's Check The Rhythm
D) Resume Compressions
Correct Ans: D)
After Delivering A Shock For Cardiac Arrest, It Is Critical To Resume Chest
Compressions Immediately. Compressions Help Maintain Circulation And Provide
Adequate Perfusion To Vital Organs. Checking For A Pulse Too Soon Can Delay
Necessary Interventions, And Medications Such As Epinephrine Are Typically
Administered After The Second Shock If Necessary.
4. You Are Caring For A 5-Year-Old Boy With A 4-Day History Of High Fever And
Cough. He Is Having Increasing Lethargy, Grunting, And Sleepiness. Now He Is
Difficult To Arouse And Is Unresponsive To Voice Commands. His O2 Sat Is 72%
On Room Air And 89% When On A NRB O2 Mask. He Has Shallow Respirations,
With A Respiratory Rate Of 38/Min. Auscultation Of The Lungs Reveals Bilateral
Crackles. Which Assessment Finding Is Consistent With Respiratory Failure In This
Child?
A) Cough
B) Fever
C) Oxygen Saturation
D) Respiratory Rate
, Correct Ans: C)
The Child’s Low Oxygen Saturation (72% On Room Air) Is A Key Indicator Of
Respiratory Failure. Respiratory Failure Occurs When The Lungs Cannot Maintain
Adequate Oxygenation Or Ventilation, And A Low Oxygen Saturation Despite
Supplemental Oxygen Is A Clear Sign Of The Body’s Inability To Meet Metabolic
Demands. The Other Findings, While Concerning, Do Not Directly Point To
Respiratory Failure In The Same Way.
5. You Are Caring For A 5-Year-Old Boy With A 4-Day History Of High Fever And
Cough. He Is Having Increasing Lethargy, Grunting, And Sleepiness. Now He Is
Difficult To Arouse And Is Unresponsive To Voice Commands. His O2 Sat Is 72%
On Room Air And 89% When On A NRB O2 Mask. He Has Shallow Respirations,
With A Respiratory Rate Of 38/Min. Auscultation Of The Lungs Reveals Bilateral
Crackles. Which Medication Would Be Most Appropriate?
A) A Bronchodilator
B) An Antibiotic
C) A Corticosteroid
D) A Vasopressor
Correct Ans: B)
Given The Child’s Clinical Presentation, Including Fever, High Respiratory Rate,
And Bilateral Crackles, The Child Is Most Likely Suffering From A Bacterial
Pneumonia Or Another Respiratory Infection. Antibiotics Are The First-Line
Treatment In Suspected Bacterial Pneumonia. The Child’s Low Oxygen Saturation
Also Suggests That Early Treatment With Antibiotics Is Necessary To Treat The
Underlying Infection.
6. During A Resuscitation Attempt, The Team Leader Asks You To Administer An
Initial Dose Of Epinephrine At 0.1 Mg/Kg To Be Given IO. How Should You
Respond?
A) "I Can't Administer The Drug At The Dose You Ordered"
