AHA PALS EXAM 2024 ACTUAL EXAM TEST
BANK 230 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES
(VERIFIED ANSWERS) |ALREADY GRADED
A+||NEWEST VERSION
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
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
,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- Increased respiratory effort
4. Several healthcare providers are participating in an attempted
resuscitation. Which of the following is most consistent with the
responsibilities of the team leader of the resuscitation?
A. Records medications and interventions
B. Assigns roles to team members
C. Administers defibrillation shocks
D. Provides compressions - ANSWER- Assigns roles to team members
5. Which of the following conditions is appropriate for use of an
oropharyngeal airway?
A. Conscious with no gag reflex
B. Unconscious with a gag reflex
C. Unconscious with no gag reflex
D. Conscious with a gag reflex - ANSWER- Unconscious with no gag
reflex
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?
,A. Nebulized albuterol
B. Epinephrine IM
C. Isotonic crystalloid IV
D. Methylprednisolone IV - ANSWER- Epinephrine IM
8. A mother brings her 7-year-old child to the emergency department.
The mother states that the child has had a fever for the past 4 days and
has had little to eat or drink during the past 24 hours. Your initial
impression reveals a lethargic child with increased respiratory rate and
pale color. Heart rate is 160/min, respiratory rate is 38/min, and blood
pressure is 86/48 mm Hg. Capillary refill is 4 seconds. Which of the
following is the most appropriate intervention for this child?
A. Fluid bolus of 10 mL/kg of isotonic crystalloid
B. Fluid bolus of 20 mL/kg of isotonic crystalloid
C. Maintenance fluid infusion of isotonic crystalloid at 10 mL/h
D. Maintenance fluid infusion of 5% dextrose and water at 20 mL/h -
ANSWER- Fluid bolus of 20 mL/kg of isotonic crystalloid
9. An intubated 5-year-old child who was in a motor vehicle collision
becomes increasingly more difficult to ventilate. The child has
diminished breath sounds and chest expansion on the right side of the
chest, with audible breath sounds and visible chest expansion on the left.
The endotracheal tube insertion depth has not changed. What is the most
appropriate intervention?
A. Deflate the cuff and pull the tube back
B. Perform needle decompression on the right chest
, C. Perform needle decompression on the left chest D. Insert a gastric
tube - ANSWER- Perform needle decompression on the right chest
10. A 2-year-old child with a 2-day history of a barking cough presents
with audible stridor on inspiration, intercostal retractions, and agitation.
What is the most appropriate intervention for this child?
A. Lay the child flat on a stretcher
B. Suction the mouth and nose
C. Administer nebulized epinephrine
D. Administer inhaled albuterol - ANSWER- Administer nebulized
epinephrine
11. Which of the following oxygen saturations indicates the need for
additional intervention?
A. 96% on room air
B. 95% on room air
C. 93% on 4 L of oxygen
D. 97% on 50% oxygen - ANSWER- 93% on 4 L of oxygen
12. A 3-year-old child presents with a 2-day history of nausea and
vomiting. She is alert, with no increase in respiratory effort, and is pale
in color. The child's heart rate is 160/min, respiratory rate is 40/min, and
blood pressure is 100/70 mm Hg. Her extremities are cool, with sluggish
capillary refill. Which term best describes this child's physiologic state?
A. Compensated shock
B. Cardiogenic shock
BANK 230 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES
(VERIFIED ANSWERS) |ALREADY GRADED
A+||NEWEST VERSION
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
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
,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- Increased respiratory effort
4. Several healthcare providers are participating in an attempted
resuscitation. Which of the following is most consistent with the
responsibilities of the team leader of the resuscitation?
A. Records medications and interventions
B. Assigns roles to team members
C. Administers defibrillation shocks
D. Provides compressions - ANSWER- Assigns roles to team members
5. Which of the following conditions is appropriate for use of an
oropharyngeal airway?
A. Conscious with no gag reflex
B. Unconscious with a gag reflex
C. Unconscious with no gag reflex
D. Conscious with a gag reflex - ANSWER- Unconscious with no gag
reflex
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?
,A. Nebulized albuterol
B. Epinephrine IM
C. Isotonic crystalloid IV
D. Methylprednisolone IV - ANSWER- Epinephrine IM
8. A mother brings her 7-year-old child to the emergency department.
The mother states that the child has had a fever for the past 4 days and
has had little to eat or drink during the past 24 hours. Your initial
impression reveals a lethargic child with increased respiratory rate and
pale color. Heart rate is 160/min, respiratory rate is 38/min, and blood
pressure is 86/48 mm Hg. Capillary refill is 4 seconds. Which of the
following is the most appropriate intervention for this child?
A. Fluid bolus of 10 mL/kg of isotonic crystalloid
B. Fluid bolus of 20 mL/kg of isotonic crystalloid
C. Maintenance fluid infusion of isotonic crystalloid at 10 mL/h
D. Maintenance fluid infusion of 5% dextrose and water at 20 mL/h -
ANSWER- Fluid bolus of 20 mL/kg of isotonic crystalloid
9. An intubated 5-year-old child who was in a motor vehicle collision
becomes increasingly more difficult to ventilate. The child has
diminished breath sounds and chest expansion on the right side of the
chest, with audible breath sounds and visible chest expansion on the left.
The endotracheal tube insertion depth has not changed. What is the most
appropriate intervention?
A. Deflate the cuff and pull the tube back
B. Perform needle decompression on the right chest
, C. Perform needle decompression on the left chest D. Insert a gastric
tube - ANSWER- Perform needle decompression on the right chest
10. A 2-year-old child with a 2-day history of a barking cough presents
with audible stridor on inspiration, intercostal retractions, and agitation.
What is the most appropriate intervention for this child?
A. Lay the child flat on a stretcher
B. Suction the mouth and nose
C. Administer nebulized epinephrine
D. Administer inhaled albuterol - ANSWER- Administer nebulized
epinephrine
11. Which of the following oxygen saturations indicates the need for
additional intervention?
A. 96% on room air
B. 95% on room air
C. 93% on 4 L of oxygen
D. 97% on 50% oxygen - ANSWER- 93% on 4 L of oxygen
12. A 3-year-old child presents with a 2-day history of nausea and
vomiting. She is alert, with no increase in respiratory effort, and is pale
in color. The child's heart rate is 160/min, respiratory rate is 40/min, and
blood pressure is 100/70 mm Hg. Her extremities are cool, with sluggish
capillary refill. Which term best describes this child's physiologic state?
A. Compensated shock
B. Cardiogenic shock
