AHA PALS (PEDIATRIC ADVANCED LIFE SUPPORT) -
EXAMINATION COMPLETE QUESTIONS AND DETAILED
SOLUTIONS LATEST UPDATE THIS YEAR JUST RELEASED
Question 1: You are evaluating a 48-year-old man with crushing
substernal chest pain. The patient is pale, diaphoretic, cool to the
touch, and slow to respond to your questions. The blood pressure
is 58/32 mm Hg, the heart rate is 190/min, the respiratory rate is 18
breaths/min, and the pulse oximeter is unable to obtain a reading
because there is no radial pulse. The lead II ECG displays a regular
wide-complex tachycardia. What intervention should you perform
next?
A. Procedural sedation
B. 12-lead ECG
C. Amiodarone administration
D. Synchronized cardioversion
Answer:
D. Synchronized cardioversion
Question 2: What is the initial priority for an unconscious patient
with any tachycardia on the monitor?
A. Review the patient's home medications.
B. Evaluate the breath sounds.
C. Determine whether pulses are present.
D. Administer sedative drugs.
Answer:
C. Determine whether pulses are present.
,Question 3: Which rhythm requires synchronized cardioversion?
A. Unstable supraventricular tachycardia
B. Atrial fibrillation
C. Sinus tachycardia
D. NSR on monitor but no pulse
Answer:
A. Unstable supraventricular tachycardia
Question 4: What is the recommended second dose of adenosine
for patients in refractory but stable narrow-complex tachycardia?
A. 3mg
B. 6mg
C. 9mg
D. 12mg
Answer:
D. 12mg
Question 5: What is the usual post-cardiac arrest target range for
PETCO2 when ventilating a patient who achieves return of
spontaneous circulation (ROSC)?
A. 30to35mmHg
B. 35to40mmHg
C. 40to45mmHg
D. 45to50mmHg
Answer:
B. 35to40mmHg
,Question 6: Which condition is a contraindication to therapeutic
hypothermia during the postcardiac arrest period for patients who
achieve return of spontaneous circulation ROSC?
A. Initial rhythm of asystole
B. Responding to verbal commands
C. Patient age greater than 60 years
D. Desire to provide coronary reperfusion (eg, PCI)
Answer:
B. Responding to verbal commands
Question 7: What is the potential danger of using ties that pass
circumferentially around the patient's neck when securing an
advanced airway?
A. May interfere with effective ventilation
B. Places the patient's cervical spine at risk
C. Obstruction of venous return from the brain
D. Does not adequately secure the airway device
Answer:
C. Obstruction of venous return from the brain
Question 8: What is the most reliable method of confirming and
monitoring correct placement of an endotracheal tube?
A. 5-point auscultation
B. Colorimetric capnography
C. Continuous waveform capnography
D. Use of esophageal detection devices
Answer:
C. Continuous waveform capnography
, Question 9: What is the recommended IV fluid (normal saline or
Ringer's lactate) bolus dose for a patient who achieves ROSC but is
hypotensive during the post-cardiac arrest period?
A. 250 to 500 mL
B. 500 to 1000 mL
C. 1 to 2 L
D. 2 to 3 L
Answer:
C. 1 to 2 L
Question 10: What is the minimum systolic blood pressure one
should attempt to achieve with fluid, inotropic, or vasopressor
administration in a hypotensive post-cardiac arrest patient who
achieves ROSC?
A. 90 mm Hg
B. 85 mm Hg
C. 80mmHg
D. 75mmHg
Answer:
A. 90 mm Hg
Question 11: What is the first treatment priority for a patient who
achieves ROSC?
A. Coronary reperfusion
B. Therapeutic hypothermia
C. Maintaining blood glucose <185 mg/dL
D. Optimizing ventilation and oxygenation
Answer:
EXAMINATION COMPLETE QUESTIONS AND DETAILED
SOLUTIONS LATEST UPDATE THIS YEAR JUST RELEASED
Question 1: You are evaluating a 48-year-old man with crushing
substernal chest pain. The patient is pale, diaphoretic, cool to the
touch, and slow to respond to your questions. The blood pressure
is 58/32 mm Hg, the heart rate is 190/min, the respiratory rate is 18
breaths/min, and the pulse oximeter is unable to obtain a reading
because there is no radial pulse. The lead II ECG displays a regular
wide-complex tachycardia. What intervention should you perform
next?
A. Procedural sedation
B. 12-lead ECG
C. Amiodarone administration
D. Synchronized cardioversion
Answer:
D. Synchronized cardioversion
Question 2: What is the initial priority for an unconscious patient
with any tachycardia on the monitor?
A. Review the patient's home medications.
B. Evaluate the breath sounds.
C. Determine whether pulses are present.
D. Administer sedative drugs.
Answer:
C. Determine whether pulses are present.
,Question 3: Which rhythm requires synchronized cardioversion?
A. Unstable supraventricular tachycardia
B. Atrial fibrillation
C. Sinus tachycardia
D. NSR on monitor but no pulse
Answer:
A. Unstable supraventricular tachycardia
Question 4: What is the recommended second dose of adenosine
for patients in refractory but stable narrow-complex tachycardia?
A. 3mg
B. 6mg
C. 9mg
D. 12mg
Answer:
D. 12mg
Question 5: What is the usual post-cardiac arrest target range for
PETCO2 when ventilating a patient who achieves return of
spontaneous circulation (ROSC)?
A. 30to35mmHg
B. 35to40mmHg
C. 40to45mmHg
D. 45to50mmHg
Answer:
B. 35to40mmHg
,Question 6: Which condition is a contraindication to therapeutic
hypothermia during the postcardiac arrest period for patients who
achieve return of spontaneous circulation ROSC?
A. Initial rhythm of asystole
B. Responding to verbal commands
C. Patient age greater than 60 years
D. Desire to provide coronary reperfusion (eg, PCI)
Answer:
B. Responding to verbal commands
Question 7: What is the potential danger of using ties that pass
circumferentially around the patient's neck when securing an
advanced airway?
A. May interfere with effective ventilation
B. Places the patient's cervical spine at risk
C. Obstruction of venous return from the brain
D. Does not adequately secure the airway device
Answer:
C. Obstruction of venous return from the brain
Question 8: What is the most reliable method of confirming and
monitoring correct placement of an endotracheal tube?
A. 5-point auscultation
B. Colorimetric capnography
C. Continuous waveform capnography
D. Use of esophageal detection devices
Answer:
C. Continuous waveform capnography
, Question 9: What is the recommended IV fluid (normal saline or
Ringer's lactate) bolus dose for a patient who achieves ROSC but is
hypotensive during the post-cardiac arrest period?
A. 250 to 500 mL
B. 500 to 1000 mL
C. 1 to 2 L
D. 2 to 3 L
Answer:
C. 1 to 2 L
Question 10: What is the minimum systolic blood pressure one
should attempt to achieve with fluid, inotropic, or vasopressor
administration in a hypotensive post-cardiac arrest patient who
achieves ROSC?
A. 90 mm Hg
B. 85 mm Hg
C. 80mmHg
D. 75mmHg
Answer:
A. 90 mm Hg
Question 11: What is the first treatment priority for a patient who
achieves ROSC?
A. Coronary reperfusion
B. Therapeutic hypothermia
C. Maintaining blood glucose <185 mg/dL
D. Optimizing ventilation and oxygenation
Answer:
