AHA PALS Practice exam/ Study Guide Questions with
Correct Verified Answers/ Ratest Update 2024- Rated A+
Which of the following is a characteristic of respiratory failure? - ANSWER - Inadequate oxygenation
and/or ventilation
An alert toddler presents with a barking cough, moderate stridor, and moderate retractions. The child's
color is pink. What is the most appropriate initial intervention? - ANSWER - Administer (Racemic)
Epinephrine
An 8 year old child presents with history of vomiting and diarrhea. The child has the following vital signs:
HR 168/min, RR of 15/min, BP of 90/60, and a temp of 98.6 F. CAP refill is 4 sec. After 2 IV boluses of NS,
the child has the following Vitals: HR 130/min, RR 16/min, BP 94/62, CAP refill less than 2 sec, temp of
98.6 F. Urine output is 1 to 2 mL/kg. The Child is still lethargic. What diagnostic tests or information
should be obtained first? - ANSWER - Glucose
A 15 year old boy presents with acute onset of severe respiratory distress, with retractions and an O2 Sat
of about 85%. His trachea is deviated to the right, and there are no breath sounds on the left. His HR is
140/min, his BP is 84/60, and hi CAP refill time is 3 sec. What is the most appropriate intervention? -
ANSWER - Perform needle decompression on the left chest
For a 6 Month Old infant with Supraventricular Tachycardia and adequate perfusion, which of the
following is the preferred vagal maneuver? - ANSWER - Ice to face
During resuscitation attempt, the team leader orders an initial dose of epinephrine at 0.1mg/kg to be
given IO. What should the team member do? - ANSWER - Respectfully ask the team leader to clarify the
dose (closed loop communication)
A 2 week old infant presents with irritability and a history of poor feeding. BP is 55/40. What term
describes this infant's blood pressure? - ANSWER - Hypotensive
pg. 1
,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. HR is 195/min, RR is 36/min, BP is 85/40, and CAP refill
time is less than 2 seconds. What is the child's most likely condition? - ANSWER - Septic shock
A 10 year old child had a sudden witness's cardiac arrest and received immediate by standard 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? - ANSWER - 94% to 99%
Which of the following is most likely to produce a prolonged expiratory phase and wheezing? - ANSWER -
Lower airway obstruction
A 4 year old child presents with seizures and irregular respirations. The seizures stopped a few minutes
ago. Which of the following is most likely to be abnormal? - ANSWER - Control of breathing
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
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? - ANSWER - Synchronized shock with 0.5 to 1 J/kg
While you are performing CPR on an infant in cardiac arrest at a doctor's office, a second rescuer arrives
with an AED. Which of the following best describes the use of an AED on this infant? - ANSWER - If
pediatric pads are unavailable, it is acceptable to use adult pads
A 5-year-old child has had severe respiratory distress for 2 days. During assessment the child's HR
decreases from 150/min to 90/min, and the child's respiratory rate decreases from 66/min to 8/min.
What intervention is most appropriate? - ANSWER - Provide rescue breaths at a rate of 12 to 20/min
What is the recommended location to check for a pulse in a 3-month-old infant? - ANSWER - Brachial
A 6 month old infant is unresponsive and not breathing. What is the maximum time that should be spent
trying to palpate the pulse before starting CPR? - ANSWER - 10 Seconds
pg. 2
, A 4 year old is being treated for hypovolemic shock and has received a single fluid bolus of 20mL/kg of
NS. On reevaluation the child remains anxious, with a HR of 140/min, a BP of 84/54, and a CAP refill time
of 4 seconds. What describes this patient's condition? - ANSWER - Compensated shock
A pulseless 6 week old infant arrives in the emergency department, and high-quality CPR is in progress.
The initial strip is shows above. CPR continues, and vascular access has been established. What is the
next appropriate intervention? - ANSWER - Administer Epinephrine 0.01mg/kg IO/IV
A 2 year old child was found submerged in a swimming pool. She is unresponsive, not breathing, and
pulseless. In addition to performing CPR and establishing vascular access, which of the following is the
most appropriate Intervention? - ANSWER - Give Epinephrine 0.01mg/kg IO/IV
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? - ANSWER -
Epinephrine (pen) Intramuscular
A 3-month-old infant with bronchiolitis is intubated for management of respiratory failure. During
transport, the infant develops bradycardia with a HR 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? - ANSWER - Verify endotracheal tube position
An 8 year old child had a sudden onset of palpitations and light-headedness. At the time of evaluation
the child is alert. His RR is 26/min, BP is 104/70. A cardiac monitor is applied, that SVT is noted. What is
the most appropriate initial intervention? - ANSWER - Attempt vagal maneuvers
A 3 month old infant with bronchiolitis is suctioned to remove upper airway secretions. The infant's HR
decreases from 155/min to 65/min as shown above. The infant remains alert, with easily palpable
pulses. CAP refill time is 1 sec. What is the most appropriate initial intervention? - ANSWER - Administer
oxygen and ensure ventilation; be prepared to intervene (CPR) further if Heart rate does not increase
What is the appropriate fluid bolus to administer for a child with hypovolemic shock with adequate
myocardial infarction? - ANSWER - 20mL/kg Normal Saline
pg. 3
Correct Verified Answers/ Ratest Update 2024- Rated A+
Which of the following is a characteristic of respiratory failure? - ANSWER - Inadequate oxygenation
and/or ventilation
An alert toddler presents with a barking cough, moderate stridor, and moderate retractions. The child's
color is pink. What is the most appropriate initial intervention? - ANSWER - Administer (Racemic)
Epinephrine
An 8 year old child presents with history of vomiting and diarrhea. The child has the following vital signs:
HR 168/min, RR of 15/min, BP of 90/60, and a temp of 98.6 F. CAP refill is 4 sec. After 2 IV boluses of NS,
the child has the following Vitals: HR 130/min, RR 16/min, BP 94/62, CAP refill less than 2 sec, temp of
98.6 F. Urine output is 1 to 2 mL/kg. The Child is still lethargic. What diagnostic tests or information
should be obtained first? - ANSWER - Glucose
A 15 year old boy presents with acute onset of severe respiratory distress, with retractions and an O2 Sat
of about 85%. His trachea is deviated to the right, and there are no breath sounds on the left. His HR is
140/min, his BP is 84/60, and hi CAP refill time is 3 sec. What is the most appropriate intervention? -
ANSWER - Perform needle decompression on the left chest
For a 6 Month Old infant with Supraventricular Tachycardia and adequate perfusion, which of the
following is the preferred vagal maneuver? - ANSWER - Ice to face
During resuscitation attempt, the team leader orders an initial dose of epinephrine at 0.1mg/kg to be
given IO. What should the team member do? - ANSWER - Respectfully ask the team leader to clarify the
dose (closed loop communication)
A 2 week old infant presents with irritability and a history of poor feeding. BP is 55/40. What term
describes this infant's blood pressure? - ANSWER - Hypotensive
pg. 1
,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. HR is 195/min, RR is 36/min, BP is 85/40, and CAP refill
time is less than 2 seconds. What is the child's most likely condition? - ANSWER - Septic shock
A 10 year old child had a sudden witness's cardiac arrest and received immediate by standard 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? - ANSWER - 94% to 99%
Which of the following is most likely to produce a prolonged expiratory phase and wheezing? - ANSWER -
Lower airway obstruction
A 4 year old child presents with seizures and irregular respirations. The seizures stopped a few minutes
ago. Which of the following is most likely to be abnormal? - ANSWER - Control of breathing
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
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? - ANSWER - Synchronized shock with 0.5 to 1 J/kg
While you are performing CPR on an infant in cardiac arrest at a doctor's office, a second rescuer arrives
with an AED. Which of the following best describes the use of an AED on this infant? - ANSWER - If
pediatric pads are unavailable, it is acceptable to use adult pads
A 5-year-old child has had severe respiratory distress for 2 days. During assessment the child's HR
decreases from 150/min to 90/min, and the child's respiratory rate decreases from 66/min to 8/min.
What intervention is most appropriate? - ANSWER - Provide rescue breaths at a rate of 12 to 20/min
What is the recommended location to check for a pulse in a 3-month-old infant? - ANSWER - Brachial
A 6 month old infant is unresponsive and not breathing. What is the maximum time that should be spent
trying to palpate the pulse before starting CPR? - ANSWER - 10 Seconds
pg. 2
, A 4 year old is being treated for hypovolemic shock and has received a single fluid bolus of 20mL/kg of
NS. On reevaluation the child remains anxious, with a HR of 140/min, a BP of 84/54, and a CAP refill time
of 4 seconds. What describes this patient's condition? - ANSWER - Compensated shock
A pulseless 6 week old infant arrives in the emergency department, and high-quality CPR is in progress.
The initial strip is shows above. CPR continues, and vascular access has been established. What is the
next appropriate intervention? - ANSWER - Administer Epinephrine 0.01mg/kg IO/IV
A 2 year old child was found submerged in a swimming pool. She is unresponsive, not breathing, and
pulseless. In addition to performing CPR and establishing vascular access, which of the following is the
most appropriate Intervention? - ANSWER - Give Epinephrine 0.01mg/kg IO/IV
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? - ANSWER -
Epinephrine (pen) Intramuscular
A 3-month-old infant with bronchiolitis is intubated for management of respiratory failure. During
transport, the infant develops bradycardia with a HR 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? - ANSWER - Verify endotracheal tube position
An 8 year old child had a sudden onset of palpitations and light-headedness. At the time of evaluation
the child is alert. His RR is 26/min, BP is 104/70. A cardiac monitor is applied, that SVT is noted. What is
the most appropriate initial intervention? - ANSWER - Attempt vagal maneuvers
A 3 month old infant with bronchiolitis is suctioned to remove upper airway secretions. The infant's HR
decreases from 155/min to 65/min as shown above. The infant remains alert, with easily palpable
pulses. CAP refill time is 1 sec. What is the most appropriate initial intervention? - ANSWER - Administer
oxygen and ensure ventilation; be prepared to intervene (CPR) further if Heart rate does not increase
What is the appropriate fluid bolus to administer for a child with hypovolemic shock with adequate
myocardial infarction? - ANSWER - 20mL/kg Normal Saline
pg. 3
