AHA PALS EXAM 2024 ACTUAL EXAM TEST BANK WITH
COMPLETE 250 REAL EXAM QUESTIONS WITH CORRECT
DETAILED ANSWERS ( VERIFIED ANSWERS) |ALREADY
GRADED A+||NEWEST VERSION
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
. A 3-year-old child is unresponsive, gasping, and has no
detectable pulse. CPR is initiated. A monitor is attached, and
the rhythm is shown below. What is the appropriate next
therapy? A. Attempted defibrillation with 2 J/kg
B. Synchronized cardioversion with 0.5 to 1 J/kg
C. Epinephrine 0.01 mg/kg 10/IV
,D. Amiodarone 5 mg/kg 1O/IV - ANSWER -Attempted
defibrillation with 2 J/kg
. A 2-year-old child is in pulseless arrest. The child has received
high-quality CPR, 2 shocks, and a dose of IV epinephrine. The
next rhythm check reveals the rhythm shown below. What would
be an appropriate energy dose for the third defibrillation
attempt?
A. 2 J/kg
B. 2 to 4 J/kg
C. 4 J/kg or greater
D. Greater than 10 J/kg - ANSWER -4 J/kg or greater
. 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
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
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% - ANSWER -94% to 99%
. 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
COMPLETE 250 REAL EXAM QUESTIONS WITH CORRECT
DETAILED ANSWERS ( VERIFIED ANSWERS) |ALREADY
GRADED A+||NEWEST VERSION
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
. A 3-year-old child is unresponsive, gasping, and has no
detectable pulse. CPR is initiated. A monitor is attached, and
the rhythm is shown below. What is the appropriate next
therapy? A. Attempted defibrillation with 2 J/kg
B. Synchronized cardioversion with 0.5 to 1 J/kg
C. Epinephrine 0.01 mg/kg 10/IV
,D. Amiodarone 5 mg/kg 1O/IV - ANSWER -Attempted
defibrillation with 2 J/kg
. A 2-year-old child is in pulseless arrest. The child has received
high-quality CPR, 2 shocks, and a dose of IV epinephrine. The
next rhythm check reveals the rhythm shown below. What would
be an appropriate energy dose for the third defibrillation
attempt?
A. 2 J/kg
B. 2 to 4 J/kg
C. 4 J/kg or greater
D. Greater than 10 J/kg - ANSWER -4 J/kg or greater
. 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
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
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% - ANSWER -94% to 99%
. 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
