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AHA PALS Practice exam questions and
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answers well illustrated.
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1. aA a5-year-old achild apresents awith alethargy, aincreased awork aof abreathing, aand apale
acolor. a
The aprimary aassessment areveals athat athe aairway ais aopen aand athe arespiratory arate ais
a30/min, awith acrackles aheard aon aauscultation. aThe acardiac amonitor ashows asinus
atachycardia aat aa arate aof a165/min. aThe apulse aoximeter adisplays aan aoxygen asaturation
aof a95% aand aa apulse arate aof a93/min. aOn athe abasis aof athis ainformation, awhich aof athe
afollowing aprovides athe abest ainterpretation aof athe aoxygen asaturation aof a95% aby apulse
aoximetry? a a
A. aReliable; ano asupplementary aoxygen ais aindicated aB. aReliable; asupplementary
aoxygen ashould abe aadministered a a
C. Unreliable; ano asupplementary aoxygen ais aindicated a a
D. Unreliable; asupplementary aoxygen ashould abe aadministered a- a acorrect aanswer. a a
aUnreliable; asupplementary aoxygen ashould abe aadministered a
a
2. aA a3-year-old achild awas arecently adiagnosed awith aleukemia aand ahas abeen atreated
awith achemotherapy. aThe achild apresents awith alethargy aand aa ahigh afever. aHeart arate ais
a195/min, arespiratory arate ais a36/min, ablood apressure ais a85/40 amm aHg, aand acapillary
arefill atime ais aless athan a2 aseconds. aWhat ais athe achild's amost alikely acondition? a a
A. Septic ashock a a
B. Hypovolemic ashock a a
C. Significant abradycardia a a
D. Cardiogenic ashock a- a acorrect aanswer. a a aSeptic ashock a
a
3. aA a2-week-old ainfant apresents awith airritability aand aa ahistory aof apoor afeeding.
aBlood a
a a
pressure ais a55/40 amm aHg. aWhat aterm adescribes athis ainfant's ablood
apressure?
A. Hypotensive a a
B. Normal a a
C. Hypertensive a a
D. Compensated a- a acorrect aanswer. a a aHypotensive a
a
, 4. aDuring aa aresuscitation aattempt, athe ateam aleader aorders aan ainitial adose aof
aepinephrine aat a0.1 amg/kg ato abe agiven a10. aWhat ashould athe ateam amember ado? a a
A. Administer athe adrug aas aordered a a
B. Administer a0.01 amg/kg aof aepinephrine a a
C. Respectfully aask athe ateam aleader ato aclarify athe adose a a
D. Refuse ato aadminister athe adrug a- a acorrect aanswer. a a aRespectfully aask athe ateam
aleader ato aclarify athe adose a
a
5. aWhich aof athe afollowing ais aa acharacteristic aof arespiratory afailure? a a
A. Inadequate aoxygenation aand/or aventilation a a
B. Hypotension a a
C. An aincrease ain aserum apH a(alkalosis) a a
D. Abnormal arespiratory asounds a- a acorrect aanswer. a a aInadequate aoxygenation aand/or
aventilation a
a
6. aWhich aof athe afollowing ais amost alikely ato aproduce aa aprolonged aexpiratory aphase
aand a
a a
wheezing?
a a
A. aDisordered acontrol aof
abreathing
a a
B. aHypovolemic
ashock
a a
C. aLower aairway
aobstruction
a
D. aUpper aairway aobstruction a- a acorrect aanswer. a a aLower aairway
aobstruction
a
7. aA a4-year-old achild apresents awith aseizures aand airregular arespirations. aThe
aseizures a
a a
stopped aa afew aminutes aago. aWhich aof athe afollowing amost alikely ato abe
aabnormal?
a a
A. aVascular
aresistance
a
B. aPulse
arate a
a a
C. aLung
acompliance
a
D. aControl aof abreathing a- a acorrect aanswer. a a aControl aof
abreathing
a
8. aWhat aabnormality ais amost alikely ato abe apresent ain achildren awith aacute
arespiratory a
a a
distress acaused aby alung atissue
adisease?