AHA PALS ACTUAL EXAM TEST BANK
QUESTIONS AND CORRECT DETAILED ANSWERS
WITH RATIONALES (VERIFIED ANSWERS)
ALREADY GRADED A+
1. 1. A 5-year-old child presents with lethargy, increased work of
breathing, and pale color. The primary assessment reveals that the
airway is open and the respiratory rate is 30/min, with crackles
heard on auscultation. The cardiac monitor shows sinus
tachycardia at a rate of 165/min. The pulse oximeter displays an
oxygen saturation of 95% and a pulse rate of 93/min. On the basis of
this information, which of the following provides the best
interpretation of the oxygen saturation of 95% by pulse oximetry?
A. Reliable; no supplementary oxygen is indicated B. Reliable;
supplementary oxygen should be administered
C. Unreliable; no supplementary oxygen is indicated
D. Unreliable; supplementary oxygen should be administered
Answer Unreliable; supplementary oxygen should be administered
2. 2. A 3-year-old child was recently diagnosed with leukemia and
has been treated with chemotherapy. The child presents with
lethargy and a high fever. Heart rate is 195/min, respiratory rate is
,36/min, blood pressure is 85/40 mm Hg, and capillary refill time is
less than 2 seconds. What is the child's most likely condition?
A. Septic shock
B. Hypovolemic shock
C. Significant bradycardia
D. Cardiogenic shock
Answer Septic shock
3. 3. A 2-week-old infant presents with irritability and a history of poor
feeding. Blood pressure is 55/40 mm Hg. What term describes this
infant's blood pres- sure?
A. Hypotensive
B. Normal
C. Hypertensive
D. Compensated
Answer Hypotensive
4. 4. During a resuscitation attempt, the team leader orders an
initial dose of epinephrine at 0.1 mg/kg to be given 10. What
should the team member do?
A. Administer the drug as ordered
B. Administer 0.01 mg/kg of epinephrine
,C. Respectfully ask the team leader to clarify the dose
D. Refuse to administer the drug
Answer Respectfully ask the team leader to clarify the dose
5. 5. Which of the following is a characteristic of respiratory failure?
A. Inadequate oxygenation and/or ventilation
B. Hypotension
C. An increase in serum pH (alkalosis)
D. Abnormal respiratory sounds
Answer Inadequate oxygenation and/or ventilation
6. 6. 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
Answer Lower airway obstruction
7. 7. A 4-year-old child presents with seizures and irregular
respirations. The seizures stopped a few minutes ago. Which of the
following most likely to be abnormal?
, A. Vascular resistance
B. Pulse rate
C. Lung compliance
D. Control of breathing
Answer Control of breathing
8. 8. What abnormality is most likely to be present in children with
acute respi- ratory distress caused by lung tissue disease?
A. Decreased oxygen saturation
B. Stridor
C. Normal respiratory rate
D. Decreased respiratory effort
Answer Decreased oxygen saturation
9. 9. An alert 2-year-old child with an increased work of breathing and
pink color is being evaluated. Heart rate is 110/min, and respiratory
rate is 30/min. What
would best describe this patient's condition?
A. Respiratory distress
B. Respiratory arrest
C. Respiratory failure
D. Disordered control of breathing
QUESTIONS AND CORRECT DETAILED ANSWERS
WITH RATIONALES (VERIFIED ANSWERS)
ALREADY GRADED A+
1. 1. A 5-year-old child presents with lethargy, increased work of
breathing, and pale color. The primary assessment reveals that the
airway is open and the respiratory rate is 30/min, with crackles
heard on auscultation. The cardiac monitor shows sinus
tachycardia at a rate of 165/min. The pulse oximeter displays an
oxygen saturation of 95% and a pulse rate of 93/min. On the basis of
this information, which of the following provides the best
interpretation of the oxygen saturation of 95% by pulse oximetry?
A. Reliable; no supplementary oxygen is indicated B. Reliable;
supplementary oxygen should be administered
C. Unreliable; no supplementary oxygen is indicated
D. Unreliable; supplementary oxygen should be administered
Answer Unreliable; supplementary oxygen should be administered
2. 2. A 3-year-old child was recently diagnosed with leukemia and
has been treated with chemotherapy. The child presents with
lethargy and a high fever. Heart rate is 195/min, respiratory rate is
,36/min, blood pressure is 85/40 mm Hg, and capillary refill time is
less than 2 seconds. What is the child's most likely condition?
A. Septic shock
B. Hypovolemic shock
C. Significant bradycardia
D. Cardiogenic shock
Answer Septic shock
3. 3. A 2-week-old infant presents with irritability and a history of poor
feeding. Blood pressure is 55/40 mm Hg. What term describes this
infant's blood pres- sure?
A. Hypotensive
B. Normal
C. Hypertensive
D. Compensated
Answer Hypotensive
4. 4. During a resuscitation attempt, the team leader orders an
initial dose of epinephrine at 0.1 mg/kg to be given 10. What
should the team member do?
A. Administer the drug as ordered
B. Administer 0.01 mg/kg of epinephrine
,C. Respectfully ask the team leader to clarify the dose
D. Refuse to administer the drug
Answer Respectfully ask the team leader to clarify the dose
5. 5. Which of the following is a characteristic of respiratory failure?
A. Inadequate oxygenation and/or ventilation
B. Hypotension
C. An increase in serum pH (alkalosis)
D. Abnormal respiratory sounds
Answer Inadequate oxygenation and/or ventilation
6. 6. 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
Answer Lower airway obstruction
7. 7. A 4-year-old child presents with seizures and irregular
respirations. The seizures stopped a few minutes ago. Which of the
following most likely to be abnormal?
, A. Vascular resistance
B. Pulse rate
C. Lung compliance
D. Control of breathing
Answer Control of breathing
8. 8. What abnormality is most likely to be present in children with
acute respi- ratory distress caused by lung tissue disease?
A. Decreased oxygen saturation
B. Stridor
C. Normal respiratory rate
D. Decreased respiratory effort
Answer Decreased oxygen saturation
9. 9. An alert 2-year-old child with an increased work of breathing and
pink color is being evaluated. Heart rate is 110/min, and respiratory
rate is 30/min. What
would best describe this patient's condition?
A. Respiratory distress
B. Respiratory arrest
C. Respiratory failure
D. Disordered control of breathing
