AHA PALS NEWEST 2024 COMPLETE EXAM/
UPDATED 180 ACTUAL EXAM QUESTIONS WITH
CORRECT VERIFIED ANSWERS/ GRADED A+
A 3-month-old infant presents with lethargy and a 3-day history of vomiting,
diarrhea, and poor feeding. The initial impression reveals lethargy, increased
respiratory effort with retractions, and pale, mottled skin color. Vital signs are as
follows: heart rate 210/min, respiratory rate 60/min, and blood pressure 60/40 mm
Hg. Peripheral pulses are thready, and capillary refill time is 4 seconds. The
cardiac monitor displays the rhythm below. After administration of oxygen and
establishment of vascular access, what is the most appropriate intervention?
A. Adenosine O.1 mg/kg IV rapid push
B. Vagal maneuvers
C. Synchronized shock at 0.5 to 1 J/kg
D. IV fluid bolus of 20 mL/kg normal saline - Correct Answer - IV fluid bolus of 20 mL/kg
normal saline
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 - Correct 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
pg. 1
,C. 4 J/kg or greater
D. Greater than 10 J/kg - Correct 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 - Correct Answer - Use the AED
A 3-year-old child is in cardiac arrest, and high- quality CPR is in progress. The
first rhythm check reveals the rhythm below. Defibrillation is attempted with a
shock dose of 2 J/kg. After administration of the shock, what is the most
appropriate next intervention?
A. Resume CPR, beginning with chest compressions
B. Check for a pulse
C. Analyze the rhythm
D. Administer epinephrine - Correct Answer - Resume CPR, beginning with chest
compressions
Which of the following is a characteristic of respiratory failure?
A. Inadequate oxygenation and/or ventilation
B. Hypotension
C. An increase in serum pH (alkalosis)
D. Abnormal respiratory sounds - Correct Answer - Inadequate oxygenation and/or
ventilation
A 3-year-old child is in cardiac arrest, and a resuscitation attempt is in progress.
The child is in ventricular fibrillation and was given a shock at 2 J/kg, followed by
immediate CPR. At the next rhythm check, ventricular fibrillation is again noted
on the cardiac monitor. What is the most appropriate next intervention?
pg. 2
,A. Attempt defibrillation with a 4 J/kg shock
B. Attempt defibrillation with a 2 J/kg shock
C. Resume CPR
D. Check for a pulse for at least 10 seconds - Correct Answer - A. Attempt defibrillation
with a 4 J/kg shock
CPR is in progress on a 10-month-old infant who was unresponsive and not
breathing, with no palpable pulse. A cardiac monitor is applied, and sinus
bradycardia at a rate of 42/min is noted. CPR is resumed, and vascular access is
obtained. Which of the following is the most appropriate intervention?
A. Epinephrine 0.01 mg/kg IO/IV
B. Atropine 0.5 mg/kg IO/IV
C. Amiodarone 5 mg/kg IO/IV
D. Lidocaine 1 mg/kg IO/IV - Correct Answer - Epinephrine 0.01 mg/kg IO/IV
During a pediatric resuscitation attempt, what is most likely to contribute to high-
quality CPR?
A. A depth of compressions of about one fourth the anterior-posterior depth of the chest
B. A compression rate of 80/min
C. Pulse checks performed once per minute
D. Allowing the chest wall to recoil completely between compressions - Correct Answer -
Allowing the chest wall to recoil completely between compressions
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?
A. The use of AEDS is not recommended on an infant.
B. There are not enough data to recommend for or against the use of AEDS on infants.
C. Only pediatric pads may be used on infants.
D. If pediatric pads are unavailable, it is acceptable to use adult pads. - Correct Answer
- D. If pediatric pads are unavailable, it is acceptable to use adult pads.
pg. 3
, A 5-year-old child is hit in the chest with a baseball and suddenly collapses. High-
quality CPR is being performed. When the AED arrives, only adult AED pads are
available. What should the rescuer do?
A. Use the AED with adult pads
B. Wait for pediatric AED pads and use them as soon as they are available
C. Continue the steps of CPR for 2 minutes before using the AED
D. Await arrival of a manual defibrillator - Correct Answer - Use the AED with adult pads
A team is attempting to resuscitate a child who was brought to the emergency
department by EMS after a traumatic injury. The family members arrive at the
child's bedside and request to remain in the room during the resuscitation
attempt. What does the American Heart Association recommend?
A. Allow the family to stay at the bedside alone, but they should not talk to anyone
B. Allow the family to stay at the bedside with a staff member who is assigned to provide
information and assistance
C. Escort the family to an assigned family room where they can be given regular
updates
D. Take the family to the chapel or an assigned quiet room so they can receive expert
consultation. - Correct Answer - Allow the family to stay at the bedside with a staff
member who is assigned to provide information and assistance
Which of the following is most likely to produce a prolonged expiratory phase
and wheezing?
A. Disordered control of breathing
B. Hypovolemic shock
C. Lower airway obstruction
D. Upper airway obstruction - Correct Answer - Lower airway obstruction
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. Which of the following is
the next appropriate intervention?
A. Rescue breaths at a rate of 12 to 20/min
pg. 4
UPDATED 180 ACTUAL EXAM QUESTIONS WITH
CORRECT VERIFIED ANSWERS/ GRADED A+
A 3-month-old infant presents with lethargy and a 3-day history of vomiting,
diarrhea, and poor feeding. The initial impression reveals lethargy, increased
respiratory effort with retractions, and pale, mottled skin color. Vital signs are as
follows: heart rate 210/min, respiratory rate 60/min, and blood pressure 60/40 mm
Hg. Peripheral pulses are thready, and capillary refill time is 4 seconds. The
cardiac monitor displays the rhythm below. After administration of oxygen and
establishment of vascular access, what is the most appropriate intervention?
A. Adenosine O.1 mg/kg IV rapid push
B. Vagal maneuvers
C. Synchronized shock at 0.5 to 1 J/kg
D. IV fluid bolus of 20 mL/kg normal saline - Correct Answer - IV fluid bolus of 20 mL/kg
normal saline
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 - Correct 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
pg. 1
,C. 4 J/kg or greater
D. Greater than 10 J/kg - Correct 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 - Correct Answer - Use the AED
A 3-year-old child is in cardiac arrest, and high- quality CPR is in progress. The
first rhythm check reveals the rhythm below. Defibrillation is attempted with a
shock dose of 2 J/kg. After administration of the shock, what is the most
appropriate next intervention?
A. Resume CPR, beginning with chest compressions
B. Check for a pulse
C. Analyze the rhythm
D. Administer epinephrine - Correct Answer - Resume CPR, beginning with chest
compressions
Which of the following is a characteristic of respiratory failure?
A. Inadequate oxygenation and/or ventilation
B. Hypotension
C. An increase in serum pH (alkalosis)
D. Abnormal respiratory sounds - Correct Answer - Inadequate oxygenation and/or
ventilation
A 3-year-old child is in cardiac arrest, and a resuscitation attempt is in progress.
The child is in ventricular fibrillation and was given a shock at 2 J/kg, followed by
immediate CPR. At the next rhythm check, ventricular fibrillation is again noted
on the cardiac monitor. What is the most appropriate next intervention?
pg. 2
,A. Attempt defibrillation with a 4 J/kg shock
B. Attempt defibrillation with a 2 J/kg shock
C. Resume CPR
D. Check for a pulse for at least 10 seconds - Correct Answer - A. Attempt defibrillation
with a 4 J/kg shock
CPR is in progress on a 10-month-old infant who was unresponsive and not
breathing, with no palpable pulse. A cardiac monitor is applied, and sinus
bradycardia at a rate of 42/min is noted. CPR is resumed, and vascular access is
obtained. Which of the following is the most appropriate intervention?
A. Epinephrine 0.01 mg/kg IO/IV
B. Atropine 0.5 mg/kg IO/IV
C. Amiodarone 5 mg/kg IO/IV
D. Lidocaine 1 mg/kg IO/IV - Correct Answer - Epinephrine 0.01 mg/kg IO/IV
During a pediatric resuscitation attempt, what is most likely to contribute to high-
quality CPR?
A. A depth of compressions of about one fourth the anterior-posterior depth of the chest
B. A compression rate of 80/min
C. Pulse checks performed once per minute
D. Allowing the chest wall to recoil completely between compressions - Correct Answer -
Allowing the chest wall to recoil completely between compressions
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?
A. The use of AEDS is not recommended on an infant.
B. There are not enough data to recommend for or against the use of AEDS on infants.
C. Only pediatric pads may be used on infants.
D. If pediatric pads are unavailable, it is acceptable to use adult pads. - Correct Answer
- D. If pediatric pads are unavailable, it is acceptable to use adult pads.
pg. 3
, A 5-year-old child is hit in the chest with a baseball and suddenly collapses. High-
quality CPR is being performed. When the AED arrives, only adult AED pads are
available. What should the rescuer do?
A. Use the AED with adult pads
B. Wait for pediatric AED pads and use them as soon as they are available
C. Continue the steps of CPR for 2 minutes before using the AED
D. Await arrival of a manual defibrillator - Correct Answer - Use the AED with adult pads
A team is attempting to resuscitate a child who was brought to the emergency
department by EMS after a traumatic injury. The family members arrive at the
child's bedside and request to remain in the room during the resuscitation
attempt. What does the American Heart Association recommend?
A. Allow the family to stay at the bedside alone, but they should not talk to anyone
B. Allow the family to stay at the bedside with a staff member who is assigned to provide
information and assistance
C. Escort the family to an assigned family room where they can be given regular
updates
D. Take the family to the chapel or an assigned quiet room so they can receive expert
consultation. - Correct Answer - Allow the family to stay at the bedside with a staff
member who is assigned to provide information and assistance
Which of the following is most likely to produce a prolonged expiratory phase
and wheezing?
A. Disordered control of breathing
B. Hypovolemic shock
C. Lower airway obstruction
D. Upper airway obstruction - Correct Answer - Lower airway obstruction
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. Which of the following is
the next appropriate intervention?
A. Rescue breaths at a rate of 12 to 20/min
pg. 4
