AHA PALS precourse assessment / AHA
PALS Exam Questions & Answers
2022/2024 (Verified 100% Correct)
Rapid bolus of 20ml/kg of isotonic crystalloid - ✔✔✔ANSWER-Paramedics are
called to the home of a 1yo child. Their initial assessment reveals a child who
responds only to painful stimuli and has irregular breathing, faint central pulses,
bruises over the abdomen, abdominal distention, and cyanosis. Bag-mask
ventilation with 100% oxygen is initiated. The child's heart rate is 36/min.
Peripheral pulses cannot be palpated, and central pulses are barely palpable. The
cardiac monitor shows sinus bradycardia. Two-rescuer CPR is started. Upon arrival
to the emergency department, the child is intubated and ventilated with 100%
oxygen, and IV access is established. The heart rate is now 150/min with weak
central pulses but no distal pulses. Systolic blood pressure is 74 mmHg. Which
intervention should be provided next?
Epinephrine - ✔✔✔ANSWER-You are called to help treat an infant with severe
symptomatic bradycardia (heart rate 66/min) associated with respiratory distress.
, The bradycardia persists despite establishment of an effective airway,
oxygenation, and ventilation. There is no heart block present. Which is the first
drug you should administer?
Routine administration is not indicated during cardiac arrest - ✔✔✔ANSWER-
Which statement is correct about the use of calcium chloride in pediatric
patients?
It is the least desirable route of administration - ✔✔✔ANSWER-Which statement
is correct about endotracheal drug administration during resuscitative efforts for
pediatric patients?
Humidified oxygen as tolerated - ✔✔✔ANSWER-Initial impression of a 2yo girl
shows her to be alert with mild breathing difficulty during inspiration and pale
skin color. On primary assessment, she makes high-pitched inspiratory sounds
(mild stridor) when agitated; otherwise, her breathing is quiet. Her spO2 is 92% on
room air, and she has mild inspiratory intercostal retractions. Lung auscultation
reveals transmitted upper airway sounds with adequate distal breath sounds
bilaterally. Which is the most appropriate initial intervention for this child?
Amiodarone 5 mg/kg IO - ✔✔✔ANSWER-You are part of a team attempting to
resuscitate a child with ventricular fibrillation cardiac arrest. You delivered 2
unsynchronized shocks. A team member established IO access, so you give a dose
of epinephrine, 0.01 mg/kg IO. At the next rhythm check, persistent ventricular
fibrillation is present. You administer a 4 J/kg shock and resume CPR. Which drug
and dose should be administered next?
Nonrebreathing face mask - ✔✔✔ANSWER-Which oxygen delivery system most
reliably delivers a high (90% or greater) concentration of inspired oxygen to a 7yo
child?
PALS Exam Questions & Answers
2022/2024 (Verified 100% Correct)
Rapid bolus of 20ml/kg of isotonic crystalloid - ✔✔✔ANSWER-Paramedics are
called to the home of a 1yo child. Their initial assessment reveals a child who
responds only to painful stimuli and has irregular breathing, faint central pulses,
bruises over the abdomen, abdominal distention, and cyanosis. Bag-mask
ventilation with 100% oxygen is initiated. The child's heart rate is 36/min.
Peripheral pulses cannot be palpated, and central pulses are barely palpable. The
cardiac monitor shows sinus bradycardia. Two-rescuer CPR is started. Upon arrival
to the emergency department, the child is intubated and ventilated with 100%
oxygen, and IV access is established. The heart rate is now 150/min with weak
central pulses but no distal pulses. Systolic blood pressure is 74 mmHg. Which
intervention should be provided next?
Epinephrine - ✔✔✔ANSWER-You are called to help treat an infant with severe
symptomatic bradycardia (heart rate 66/min) associated with respiratory distress.
, The bradycardia persists despite establishment of an effective airway,
oxygenation, and ventilation. There is no heart block present. Which is the first
drug you should administer?
Routine administration is not indicated during cardiac arrest - ✔✔✔ANSWER-
Which statement is correct about the use of calcium chloride in pediatric
patients?
It is the least desirable route of administration - ✔✔✔ANSWER-Which statement
is correct about endotracheal drug administration during resuscitative efforts for
pediatric patients?
Humidified oxygen as tolerated - ✔✔✔ANSWER-Initial impression of a 2yo girl
shows her to be alert with mild breathing difficulty during inspiration and pale
skin color. On primary assessment, she makes high-pitched inspiratory sounds
(mild stridor) when agitated; otherwise, her breathing is quiet. Her spO2 is 92% on
room air, and she has mild inspiratory intercostal retractions. Lung auscultation
reveals transmitted upper airway sounds with adequate distal breath sounds
bilaterally. Which is the most appropriate initial intervention for this child?
Amiodarone 5 mg/kg IO - ✔✔✔ANSWER-You are part of a team attempting to
resuscitate a child with ventricular fibrillation cardiac arrest. You delivered 2
unsynchronized shocks. A team member established IO access, so you give a dose
of epinephrine, 0.01 mg/kg IO. At the next rhythm check, persistent ventricular
fibrillation is present. You administer a 4 J/kg shock and resume CPR. Which drug
and dose should be administered next?
Nonrebreathing face mask - ✔✔✔ANSWER-Which oxygen delivery system most
reliably delivers a high (90% or greater) concentration of inspired oxygen to a 7yo
child?
