AHA PALS POST TEST (VERSION A AND B) -
EXAMINATION COMPLETE QUESTIONS AND DETAILED
SOLUTIONS LATEST UPDATE THIS YEAR JUST RELEASED
Question 1: 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
Answer:
Perform needle decompression on the left chest
Question 2: 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
Answer:
Compensated shock
,Question 3: 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
Answer:
Attempt vagal maneuvers
Question 4: A 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% - 94% to 99% 19. 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
Answer:
, Administer oxygen and ensure adequate ventilation; be prepared to
intervene further if heart rate
Question 5: 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
Answer:
Verify the endotracheal tube position
Question 6: 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
Answer:
Ice to the face
Question 7: 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?
EXAMINATION COMPLETE QUESTIONS AND DETAILED
SOLUTIONS LATEST UPDATE THIS YEAR JUST RELEASED
Question 1: 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
Answer:
Perform needle decompression on the left chest
Question 2: 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
Answer:
Compensated shock
,Question 3: 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
Answer:
Attempt vagal maneuvers
Question 4: A 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% - 94% to 99% 19. 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
Answer:
, Administer oxygen and ensure adequate ventilation; be prepared to
intervene further if heart rate
Question 5: 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
Answer:
Verify the endotracheal tube position
Question 6: 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
Answer:
Ice to the face
Question 7: 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?
