AHA PALS EXAM ACTUAL EXAM | QUESTIONS
AND CORRECT ANSWERS | GRADED A+ |
LATEST VERSION | VERIFIED ANSWERS
An 8-year-old child presents with a history of vomiting and diarrhea. The
child has the following vital signs: heart rate 168/min, respiratory rate
15/min, blood pressure 9060 mm Hg, and temperature 98.6°F (37°C). The
child's capillary refill time is 4 seconds. After 2 IV boluses of normal saline
(20 mL/kg each), the child's vital signs are now as follows: heart rate
130/min, respiratory rate 16/min, blood pressure 94/62 mm Hg, capillary
refill 2 seconds, and temperature 98.6°F (37°C). The child's urine output is
1 to 2 mL/kg in the past hour. The child is still lethargic. What diagnostic
tests or information should be obtained first?
A. Arterial blood gas
B. Serum potassium concentration
C. Glucose
D. A 12-lead ECG ---------CORRECT ANSWER-----------------Glucose
A 15-year-old boy presents with acute onset of severe respiratory distress,
with retractions and an oxygen saturation of 85%. His trachea is deviated to
the right, and there are no breath sounds on the left. His heart rate is
140/min, his blood pressure is 84/60 mm Hg, and his capillary refill time is 3
seconds. What is the most appropriate intervention?
A. Obtain a chest x-ray
B. Perform needle decompression on the left chest C. Insert a chest tube
on the left side
D. Insert an IV and administer 20 mL/kg of normal saline ---------CORRECT
ANSWER-----------------Perform needle decompression on the left chest
A 4-year-old is being treated for hypovolemic shock and has received a
single fluid bolus of 20 mL/kg of normal saline. On reevaluation the child
remains anxious, with a heart rate of 140/min, a blood pressure of 84/54
,mm Hg, and a capillary refill time of 4 seconds. What describes this
patient's condition?
A. Hypotensive shock
B. Compensated shock
C. No longer in shock
D. Cardiogenic shock ---------CORRECT ANSWER-----------------
Compensated shock
An 8-year-old child had a sudden onset of palpitations and light-
headedness. At the time of evaluation the child is alert. His respiratory rate
is 26/ min, and his blood pressure is 104/70 mm Hg. A cardiac monitor is
applied, and the rhythm below is noted. What is the most appropriate initial
intervention?
A. Provide synchronized cardioversion at 0.5 to 1 J/kg
B. Attempt vagal maneuvers
C. Administer adenosine 0.1 mg/kg over 5 minutes D. Administer
amiodarone 5 mg/kg over 20 minutes ---------CORRECT ANSWER------------
-----Attempt vagal maneuvers
10-year-old child had a sudden witnessed cardiac arrest and received
immediate bystander CPR and defibrillation within 3 minutes. He had a
return of spontaneous circulation. The child remains unresponsive and has
an advanced airway in place. There is no history of trauma or signs of
shock. What is the target range for oxygen saturation for this child?
A. 92% to 100%
B. 92% to 99%
C. 94% to 99%
D. 94% to 100% ---------CORRECT ANSWER-----------------94% to 99%
A 3-month-old infant with bronchiolitis is suctioned to remove upper airway
secretions. The infant's heart rate decreases from 155/min to 65/min as
shown below. The infant remains alert, with easily palpable pulses.
Capillary refill time is 1 second. What is the most appropriate initial
intervention?
,A. Administer oxygen and ensure adequate ventilation; be prepared to
intervene further if heart rate does not increase
B. Establish IV/IO access and administer epinephrine 0.01 mg/kg IV
C. Establish IV/IO access and administer atropine 0.02 mg/kg IV
D. Call for help and prepare to provide transthoracic pacing/transvenous
pacing ---------CORRECT ANSWER-----------------Administer oxygen and
ensure adequate ventilation; be prepared to intervene further if heart rate
A 3-month-old infant with bronchiolitis is intubated for management of
respiratory failure. During transport, the infant develops bradycardia with a
heart rate of 60/min, and the infant's oxygen saturation decreases to 75%.
There are breath sounds on the right side, but no air entry is heard on the
left side. What is the most appropriate initial intervention?
A. Administer epinephrine 0.01 mg/kg IV
B. Place a chest tube on the left
C. Verify the endotracheal tube position
D. Aggressively suction the endotracheal tube ---------CORRECT
ANSWER-----------------Verify the endotracheal tube position
For a 6-month-old infant with supraventricular tachycardia and adequate
perfusion, which of the following is the preferred vagal maneuver?
A. Ocular pressure
B. Carotid pressure
C. Valsalva maneuver
D. Ice to the face ---------CORRECT ANSWER-----------------Ice to the face
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 ---------CORRECT ANSWER-----------------
Epinephrine IM
, A 2-year-old child was found submerged in a swimming pool. She is
unresponsive, not breathing, and pulseless. In addition to performing high-
quality CPR and establishing vascular access, which of the following is the
most appropriate intervention?
A. Give atropine 0.02 mg/kg lIO/IV
B. Apply cricoid pressure
C. Give epinephrine 0.01 mg/kg IO/IV
D. Provide transthoracic pacing ---------CORRECT ANSWER-----------------
Give epinephrine 0.01 mg/kg IO/IV
Which of the following is most likely to produce a prolonged expiratory
phase and wheezing?
A. Disordered control of breathing
B. Hypovolemic shock
C. Lower airway obstruction
D. Upper airway obstruction ---------CORRECT ANSWER-----------------
Lower airway obstruction
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. Which of the
following is the next appropriate intervention?
A. Rescue breaths at a rate of 12 to 20/min
B. Rescue breaths at a rate of 6 to 10/min
C. Chest compressions at a rate of at least 100/min D. Chest compressions
at a rate of 60/min ---------CORRECT ANSWER-----------------Rescue
breaths at a rate of 12 to 20/min
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
AND CORRECT ANSWERS | GRADED A+ |
LATEST VERSION | VERIFIED ANSWERS
An 8-year-old child presents with a history of vomiting and diarrhea. The
child has the following vital signs: heart rate 168/min, respiratory rate
15/min, blood pressure 9060 mm Hg, and temperature 98.6°F (37°C). The
child's capillary refill time is 4 seconds. After 2 IV boluses of normal saline
(20 mL/kg each), the child's vital signs are now as follows: heart rate
130/min, respiratory rate 16/min, blood pressure 94/62 mm Hg, capillary
refill 2 seconds, and temperature 98.6°F (37°C). The child's urine output is
1 to 2 mL/kg in the past hour. The child is still lethargic. What diagnostic
tests or information should be obtained first?
A. Arterial blood gas
B. Serum potassium concentration
C. Glucose
D. A 12-lead ECG ---------CORRECT ANSWER-----------------Glucose
A 15-year-old boy presents with acute onset of severe respiratory distress,
with retractions and an oxygen saturation of 85%. His trachea is deviated to
the right, and there are no breath sounds on the left. His heart rate is
140/min, his blood pressure is 84/60 mm Hg, and his capillary refill time is 3
seconds. What is the most appropriate intervention?
A. Obtain a chest x-ray
B. Perform needle decompression on the left chest C. Insert a chest tube
on the left side
D. Insert an IV and administer 20 mL/kg of normal saline ---------CORRECT
ANSWER-----------------Perform needle decompression on the left chest
A 4-year-old is being treated for hypovolemic shock and has received a
single fluid bolus of 20 mL/kg of normal saline. On reevaluation the child
remains anxious, with a heart rate of 140/min, a blood pressure of 84/54
,mm Hg, and a capillary refill time of 4 seconds. What describes this
patient's condition?
A. Hypotensive shock
B. Compensated shock
C. No longer in shock
D. Cardiogenic shock ---------CORRECT ANSWER-----------------
Compensated shock
An 8-year-old child had a sudden onset of palpitations and light-
headedness. At the time of evaluation the child is alert. His respiratory rate
is 26/ min, and his blood pressure is 104/70 mm Hg. A cardiac monitor is
applied, and the rhythm below is noted. What is the most appropriate initial
intervention?
A. Provide synchronized cardioversion at 0.5 to 1 J/kg
B. Attempt vagal maneuvers
C. Administer adenosine 0.1 mg/kg over 5 minutes D. Administer
amiodarone 5 mg/kg over 20 minutes ---------CORRECT ANSWER------------
-----Attempt vagal maneuvers
10-year-old child had a sudden witnessed cardiac arrest and received
immediate bystander CPR and defibrillation within 3 minutes. He had a
return of spontaneous circulation. The child remains unresponsive and has
an advanced airway in place. There is no history of trauma or signs of
shock. What is the target range for oxygen saturation for this child?
A. 92% to 100%
B. 92% to 99%
C. 94% to 99%
D. 94% to 100% ---------CORRECT ANSWER-----------------94% to 99%
A 3-month-old infant with bronchiolitis is suctioned to remove upper airway
secretions. The infant's heart rate decreases from 155/min to 65/min as
shown below. The infant remains alert, with easily palpable pulses.
Capillary refill time is 1 second. What is the most appropriate initial
intervention?
,A. Administer oxygen and ensure adequate ventilation; be prepared to
intervene further if heart rate does not increase
B. Establish IV/IO access and administer epinephrine 0.01 mg/kg IV
C. Establish IV/IO access and administer atropine 0.02 mg/kg IV
D. Call for help and prepare to provide transthoracic pacing/transvenous
pacing ---------CORRECT ANSWER-----------------Administer oxygen and
ensure adequate ventilation; be prepared to intervene further if heart rate
A 3-month-old infant with bronchiolitis is intubated for management of
respiratory failure. During transport, the infant develops bradycardia with a
heart rate of 60/min, and the infant's oxygen saturation decreases to 75%.
There are breath sounds on the right side, but no air entry is heard on the
left side. What is the most appropriate initial intervention?
A. Administer epinephrine 0.01 mg/kg IV
B. Place a chest tube on the left
C. Verify the endotracheal tube position
D. Aggressively suction the endotracheal tube ---------CORRECT
ANSWER-----------------Verify the endotracheal tube position
For a 6-month-old infant with supraventricular tachycardia and adequate
perfusion, which of the following is the preferred vagal maneuver?
A. Ocular pressure
B. Carotid pressure
C. Valsalva maneuver
D. Ice to the face ---------CORRECT ANSWER-----------------Ice to the face
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 ---------CORRECT ANSWER-----------------
Epinephrine IM
, A 2-year-old child was found submerged in a swimming pool. She is
unresponsive, not breathing, and pulseless. In addition to performing high-
quality CPR and establishing vascular access, which of the following is the
most appropriate intervention?
A. Give atropine 0.02 mg/kg lIO/IV
B. Apply cricoid pressure
C. Give epinephrine 0.01 mg/kg IO/IV
D. Provide transthoracic pacing ---------CORRECT ANSWER-----------------
Give epinephrine 0.01 mg/kg IO/IV
Which of the following is most likely to produce a prolonged expiratory
phase and wheezing?
A. Disordered control of breathing
B. Hypovolemic shock
C. Lower airway obstruction
D. Upper airway obstruction ---------CORRECT ANSWER-----------------
Lower airway obstruction
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. Which of the
following is the next appropriate intervention?
A. Rescue breaths at a rate of 12 to 20/min
B. Rescue breaths at a rate of 6 to 10/min
C. Chest compressions at a rate of at least 100/min D. Chest compressions
at a rate of 60/min ---------CORRECT ANSWER-----------------Rescue
breaths at a rate of 12 to 20/min
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
