ACLS TEST PREP (PALS, BLS, ACLS) EXAM QUESTIONS AND ANSWERS GRADED A+
A 5-year-old child in supraventricular tachycardia has adequate pulses
with the rhythm. Supplemental oxygen is in place and vital signs are
stable except for the elevated heart rate. The most appropriate next
intervention for this child is: ANS >> Vagal Manoeuvres
*Rationale: * Vagal manoeuvres are a reasonable first intervention for
supraventricular tachycardia in a hemodynamically stable patient, as
this child is.
A child has an advanced airway in place during cardiac arrest. How
frequently should ventilations be given? ANS >> Every 6-8 Seconds
8-10 BPM
*Rationale: * The latest AHA guidelines recommend one ventilation
every six seconds, or 10 per minute, when an advanced airway is in
place.
,ACLS TEST PREP
You are using a bag-valve mask to resuscitate an infant, while another
rescuer is performing chest compressions. What is the correct ratio of
chest compressions to ventilations? ANS >> 15 chest compressions to
2 ventilations
*Rationale: * The AHA suggests that during a paediatric resuscitation
with two or more rescuers present, the correct ratio of chest
compressions to ventilations is 15:2.
You are alone performing infant CPR. What is the correct ratio of chest
compressions to ventilations? ANS >> 30 chest compressions to 2
ventilations
*Rationale: * The AHA suggests that during a paediatric resuscitation
with only one rescuer present, the correct ratio of chest compressions
to ventilations is 30:2.
A 7-month-old appears to be unconscious and not breathing. You check
for a pulse at the ________ artery. ANS >> Brachial
*Rationale: * Rescuers should use the brachial artery in the upper arm
to check for a pulse. The artery is easily palpable in infants and young
children.
, ACLS TEST PREP
A clear sign of upper airway obstruction is: ANS >> A "whistling" sound
during breathing
*Rationale: * A "whistling" sound during breathing usually indicates
*stridor. * Crying suggests full lung function, as does breathe sounds in
all lung fields. Decreased inspiratory effort is a non-specific sign, but
may reflect a central process (i.e. consequence of head trauma).
In children, which of the following is the most common form of arrest?
ANS >> Respiratory arrest
*Rationale: * Respiratory distress, failure, and arrest are the most
common conditions prompting PALS care. In fact, most cases of
paediatric cardiac arrest are preceded by respiratory issues.
In small children, a rescue breath should be given: ANS >> Over one
second
*Rationale: * Rescue breaths and ventilations should be delivered over
one second, regardless of the patient's age.
What is the normal range of heart rates for an 8-year-old child? ANS
>> *Answer: * 60-140 per minute *(The ACLS test I took says this. This
is most likely an older ACLS test. According to 2015 Handbook of