AHA PALS PRACTICE EXAM Questions
and Answers Latest Update 2024 GRADED
A+
1. 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
,2. 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
3. A 4-year-old child presents with seizures and irregular respirations.
The seizures stopped a few minutes ago. Which of the following most
likely to be abnormal?
A. Vascular resistance
B. Pulse rate
C. Lung compliance
pg. 5
D. Control of breathing - CORRECT ANSWER - Control of breathing
,4. What abnormality is most likely to be present in children with
acute respiratory distress caused by lung tissue disease?
A. Decreased oxygen saturation
B. Stridor
C. Normal respiratory rate
D. Decreased respiratory effort - CORRECT ANSWER - Decreased
oxygen saturation
5. An alert 2-year-old child with an increased work of breathing and
pink color is being evaluated. Heart rate is 110/min, and respiratory rate
is 30/min. What would best describe this patient's condition? A.
Respiratory distress
B. Respiratory arrest
C. Respiratory failure
D. Disordered control of breathing - CORRECT ANSWER - Respiratory
distress
6. The parents of a 7-year-old child who is undergoing chemotherapy
report that the child has been febrile and has not been feeling well, with
recent onset of lethargy. Assessment reveals the following: The child is
difficult to arouse, with pale color. The child's heart rate is 160/min,
respiratory rate is
30/min, blood pressure is 76/45 mm Hg, capillary refill time is 5 to 6
seconds, and temperature is 103°F (39.4°C). What is the most
appropriate intervention?
, A. Obtain vascular access and administer 20 mL/kg of isotonic
crystalloid over 30 minutes
B. Obtain vascular access and administer 20 mL/kg of isotonic
crystalloid over 5 to 10 minutes
C. Obtain immediate blood cultures and chest x-ray D. Obtain expert
consultation with an oncologist to determine the chemotherapeutic
regimen - CORRECT ANSWER - Obtain vascular access and administer 20
mL/kg of isotonic crystalloid over 5 to 10 minutes
7. A 2-year-old child presents with a 4-day history of vomiting. The
initial impression reveals an
unresponsive child with intermittent apnea and mottled color. Heart rate
is 166/min, respiratory rate is now being supported with bag-mask
ventilation, capillary refill time is 5 to 6 seconds, and temperature is
102°F (38.9°C). What is the best method of establishing immediate
vascular access? A. Two providers may attempt peripheral vascular
access twice each
B. Three providers may attempt peripheral vascular access once each
pg. 6
C. Place a central venous line
D. Place an intraosseous line - CORRECT ANSWER - Place an
intraosseous line
and Answers Latest Update 2024 GRADED
A+
1. 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
,2. 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
3. A 4-year-old child presents with seizures and irregular respirations.
The seizures stopped a few minutes ago. Which of the following most
likely to be abnormal?
A. Vascular resistance
B. Pulse rate
C. Lung compliance
pg. 5
D. Control of breathing - CORRECT ANSWER - Control of breathing
,4. What abnormality is most likely to be present in children with
acute respiratory distress caused by lung tissue disease?
A. Decreased oxygen saturation
B. Stridor
C. Normal respiratory rate
D. Decreased respiratory effort - CORRECT ANSWER - Decreased
oxygen saturation
5. An alert 2-year-old child with an increased work of breathing and
pink color is being evaluated. Heart rate is 110/min, and respiratory rate
is 30/min. What would best describe this patient's condition? A.
Respiratory distress
B. Respiratory arrest
C. Respiratory failure
D. Disordered control of breathing - CORRECT ANSWER - Respiratory
distress
6. The parents of a 7-year-old child who is undergoing chemotherapy
report that the child has been febrile and has not been feeling well, with
recent onset of lethargy. Assessment reveals the following: The child is
difficult to arouse, with pale color. The child's heart rate is 160/min,
respiratory rate is
30/min, blood pressure is 76/45 mm Hg, capillary refill time is 5 to 6
seconds, and temperature is 103°F (39.4°C). What is the most
appropriate intervention?
, A. Obtain vascular access and administer 20 mL/kg of isotonic
crystalloid over 30 minutes
B. Obtain vascular access and administer 20 mL/kg of isotonic
crystalloid over 5 to 10 minutes
C. Obtain immediate blood cultures and chest x-ray D. Obtain expert
consultation with an oncologist to determine the chemotherapeutic
regimen - CORRECT ANSWER - Obtain vascular access and administer 20
mL/kg of isotonic crystalloid over 5 to 10 minutes
7. A 2-year-old child presents with a 4-day history of vomiting. The
initial impression reveals an
unresponsive child with intermittent apnea and mottled color. Heart rate
is 166/min, respiratory rate is now being supported with bag-mask
ventilation, capillary refill time is 5 to 6 seconds, and temperature is
102°F (38.9°C). What is the best method of establishing immediate
vascular access? A. Two providers may attempt peripheral vascular
access twice each
B. Three providers may attempt peripheral vascular access once each
pg. 6
C. Place a central venous line
D. Place an intraosseous line - CORRECT ANSWER - Place an
intraosseous line
