AHA PALS (PEDIATRIC ADVANCED LIFE SUPPORT) -
EXAMINATION
COMPLETE QUESTIONS AND DETAILED SOLUTIONS
LATEST UPDATE THIS YEAR JUST RELEASED
Question 1: 28. A 7-year-old child presents in pulseless arrest. The
child's ECG shows the rhythm below. Which of the following
describes the patient's condition?
A. Ventricular escape rhythm
B. Ventricular tachycardia
C. Pulseless electrical activity
D. Sinus bradycardia
Answer:
Pulseless electrical activity
Question 2: 30. A 12-year-old child suddenly collapses while
playing sports. He is unresponsive and not breathing. Emergency
response is activated. The child has no pulse, and CPR is initiated.
An AED arrives. What is the most appropriate next intervention?
A. Contact the child's family
B. Provide CPR for 2 minutes
C. Drive the child to the hospital
D. Use the AED
Answer:
Use the AED
,Question 3: 31. A 6-year-old child is found unresponsive, not
breathing, and pulseless. What is the correct
compression-to-ventilation ratio when 2 or more healthcare
providers are present to perform CPR?
Answer:
15:2
Question 4: 32. 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. What intervention is most
appropriate?
A. Provide rescue breaths at a rate of 12 to 20/min B. Provide rescue
breaths at a rate of 6 to 10/min
C. Initiate chest compressions at a rate of at least 100/min
D. Initiate chest compressions at a rate of 60/min
Answer:
Provide rescue breaths at a rate of 12 to 20/min
Question 5: 33. A 7-year-old child presents with a narrow-complex
supraventricular tachycardia, lethargy, and poor perfusion. Pulses
are weak and thready. Vascular access cannot be established.
What is the most appropriate intervention?
A. Unsynchronized shock with 0.5 to 1 J/kg
B. Synchronized shock with 0.5 to 1 J/kg
C. Unsynchronized shock with 2 J/kg
D. Synchronized shock with 2 J/kg
Answer:
Synchronized shock with 0.5 to 1 J/kg
, Question 6: 1. A 13-year-old patient with asthma just received
oxygen and albuterol via a nebulizer. What is the next most
appropriate intervention?
A. Administer 0.1 mg/kg of adenosine
B. Obtain a blood sample to evaluate arterial or venous blood gases
C. Reassess breath sounds and clinical status
D. Repeat the albuterol treatment
Answer:
Reassess breath sounds and clinical status
Question 7: 2. The respiratory rate of a 1-year-old child with
respiratory distress has decreased from 65/min to 30/min. The child
is more lethargic and continues to have subcostal retractions.
What does this change likely indicate?
A. Respiratory distress is unchanged
B. Progression toward respiratory failure
C. Improved respiratory status
D. Neurologic impairment
Answer:
Progression toward respiratory failure
Question 8: 3. What is the most likely cause of head bobbing in
infants?
A. Increased respiratory effort
B. Improving respiratory status
C. Decompensated shock
D. Brain injury
Answer:
EXAMINATION
COMPLETE QUESTIONS AND DETAILED SOLUTIONS
LATEST UPDATE THIS YEAR JUST RELEASED
Question 1: 28. A 7-year-old child presents in pulseless arrest. The
child's ECG shows the rhythm below. Which of the following
describes the patient's condition?
A. Ventricular escape rhythm
B. Ventricular tachycardia
C. Pulseless electrical activity
D. Sinus bradycardia
Answer:
Pulseless electrical activity
Question 2: 30. A 12-year-old child suddenly collapses while
playing sports. He is unresponsive and not breathing. Emergency
response is activated. The child has no pulse, and CPR is initiated.
An AED arrives. What is the most appropriate next intervention?
A. Contact the child's family
B. Provide CPR for 2 minutes
C. Drive the child to the hospital
D. Use the AED
Answer:
Use the AED
,Question 3: 31. A 6-year-old child is found unresponsive, not
breathing, and pulseless. What is the correct
compression-to-ventilation ratio when 2 or more healthcare
providers are present to perform CPR?
Answer:
15:2
Question 4: 32. 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. What intervention is most
appropriate?
A. Provide rescue breaths at a rate of 12 to 20/min B. Provide rescue
breaths at a rate of 6 to 10/min
C. Initiate chest compressions at a rate of at least 100/min
D. Initiate chest compressions at a rate of 60/min
Answer:
Provide rescue breaths at a rate of 12 to 20/min
Question 5: 33. A 7-year-old child presents with a narrow-complex
supraventricular tachycardia, lethargy, and poor perfusion. Pulses
are weak and thready. Vascular access cannot be established.
What is the most appropriate intervention?
A. Unsynchronized shock with 0.5 to 1 J/kg
B. Synchronized shock with 0.5 to 1 J/kg
C. Unsynchronized shock with 2 J/kg
D. Synchronized shock with 2 J/kg
Answer:
Synchronized shock with 0.5 to 1 J/kg
, Question 6: 1. A 13-year-old patient with asthma just received
oxygen and albuterol via a nebulizer. What is the next most
appropriate intervention?
A. Administer 0.1 mg/kg of adenosine
B. Obtain a blood sample to evaluate arterial or venous blood gases
C. Reassess breath sounds and clinical status
D. Repeat the albuterol treatment
Answer:
Reassess breath sounds and clinical status
Question 7: 2. The respiratory rate of a 1-year-old child with
respiratory distress has decreased from 65/min to 30/min. The child
is more lethargic and continues to have subcostal retractions.
What does this change likely indicate?
A. Respiratory distress is unchanged
B. Progression toward respiratory failure
C. Improved respiratory status
D. Neurologic impairment
Answer:
Progression toward respiratory failure
Question 8: 3. What is the most likely cause of head bobbing in
infants?
A. Increased respiratory effort
B. Improving respiratory status
C. Decompensated shock
D. Brain injury
Answer:
