AHA PALS Practice exam
1. A thirteen-year-vintage affected person with bronchial asthma simply obtained oxygen and
albuterol via a nebulizer. What is the next maximum appropriate intervention?
A. Administer zero.1 mg/kg of adenosine
B. Obtain a blood pattern to evaluate arterial or venous blood gases
C. Reassess breath sounds and medical reputation
D. Repeat the albuterol remedy - ANS-Reassess breath sounds and scientific repute
1. A 5-12 months-vintage baby presents with lethargy, extended paintings of respiration, and
pale shade. The number one assessment well-knownshows that the airway is open and the
respiratory fee is 30/min, with crackles heard on auscultation. The cardiac screen shows sinus
tachycardia at a fee of a hundred sixty five/min. The pulse oximeter presentations an oxygen
saturation of 95% and a pulse rate of ninety three/min. On the basis of this data, which of the
subsequent affords the pleasant interpretation of the oxygen saturation of 95% by means of
pulse oximetry?
A. Reliable; no supplementary oxygen is indicated B. Reliable; supplementary oxygen ought to
be administered
C. Unreliable; no supplementary oxygen is indicated
D. Unreliable; supplementary oxygen need to be administered - ANS-Unreliable; supplementary
oxygen need to be administered
10. A 2-12 months-vintage child with a 2-day history of a barking cough affords with audible
stridor on proposal, intercostal retractions, and agitation. What is the maximum appropriate
intervention for this child?
A. Lay the kid flat on a stretcher
B. Suction the mouth and nose
C. Administer nebulized epinephrine
D. Administer inhaled albuterol - ANS-Administer nebulized epinephrine
10. The mother and father of a 7-yr-old infant who's undergoing chemotherapy file that the child
has been febrile and has not been feeling properly, with recent onset of lethargy. Assessment
reveals the following: The child is hard to arouse, with light color. The infant's coronary heart fee
is one hundred sixty/min, respiratory price is 30/min, blood stress is seventy six/45 mm Hg,
capillary refill time is 5 to 6 seconds, and temperature is 103°F (39.4°C). What is the most
suitable intervention?
A. Obtain vascular get right of entry to 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 ten mins
, C. Obtain immediate blood cultures and chest x-ray D. Obtain expert consultation with an
oncologist to decide the chemotherapeutic routine - ANS-Obtain vascular get admission to and
administer 20 mL/kg of isotonic crystalloid over 5 to ten minutes
11. A 2-yr-antique child offers with a four-day history of vomiting. The initial affect reveals an
unresponsive infant with intermittent apnea and mottled shade. Heart charge is 166/min,
respiration rate is now being supported with bag-masks ventilation, capillary replenish time is
five to 6 seconds, and temperature is 102°F (38.Nine°C). What is the first-rate method of
organising instantaneous vascular get admission to? A. Two companies can also attempt
peripheral vascular get right of entry to two times every
B. Three providers may additionally strive peripheral vascular get right of entry to once every
C. Place a significant venous line
D. Place an intraosseous line - ANS-Place an intraosseous line
eleven. Which of the subsequent oxygen saturations suggests the need for extra intervention?
A. 96% on room air
B. 95% on room air
C. 93% on four L of oxygen
D. 97% on 50% oxygen - ANS-ninety three% on 4 L of oxygen
12. A three-12 months-vintage toddler offers with a 2-day records of nausea and vomiting. She
is alert, without a growth in respiration effort, and is light in coloration. The infant's heart charge
is a hundred and sixty/min, breathing fee is forty/min, and blood strain is one hundred/70 mm
Hg. Her extremities are cool, with slow capillary top off. Which term high-quality describes this
baby's physiologic nation?
A. Compensated shock
B. Cardiogenic surprise
C. Hypotensive shock
D. Obstructive shock - ANS-Compensated shock
12. What is the right fluid bolus to manage for a child with hypovolemic shock with adequate
myocardial characteristic?
A. 10 mL/kg regular saline
B. 20 mL/kg of 5% dextrose and zero.2% sodium chloride
C. 20 mL/kg ordinary saline
D. 10 mL/kg lactated Ringer's - ANS-20 mL/kg ordinary saline
13. A 3-year-old infant presents with dehydration after a 2-day records of vomiting and diarrhea.
The child after has received 2 fluid boluses of 20 mL/ kg of normal saline. After the second
bolus, the child is alert and interacting. Her heart rate is a hundred and ten/ min, respiration
price is 30/min, and blood stress is 92/sixty four mm Hg. Her capillary top off time is 2 seconds,
and oxygen saturation is 98%. What is the maximum suitable subsequent intervention for this
baby?
A. Administer any other 20 mL/kg regular saline fluid bolus
1. A thirteen-year-vintage affected person with bronchial asthma simply obtained oxygen and
albuterol via a nebulizer. What is the next maximum appropriate intervention?
A. Administer zero.1 mg/kg of adenosine
B. Obtain a blood pattern to evaluate arterial or venous blood gases
C. Reassess breath sounds and medical reputation
D. Repeat the albuterol remedy - ANS-Reassess breath sounds and scientific repute
1. A 5-12 months-vintage baby presents with lethargy, extended paintings of respiration, and
pale shade. The number one assessment well-knownshows that the airway is open and the
respiratory fee is 30/min, with crackles heard on auscultation. The cardiac screen shows sinus
tachycardia at a fee of a hundred sixty five/min. The pulse oximeter presentations an oxygen
saturation of 95% and a pulse rate of ninety three/min. On the basis of this data, which of the
subsequent affords the pleasant interpretation of the oxygen saturation of 95% by means of
pulse oximetry?
A. Reliable; no supplementary oxygen is indicated B. Reliable; supplementary oxygen ought to
be administered
C. Unreliable; no supplementary oxygen is indicated
D. Unreliable; supplementary oxygen need to be administered - ANS-Unreliable; supplementary
oxygen need to be administered
10. A 2-12 months-vintage child with a 2-day history of a barking cough affords with audible
stridor on proposal, intercostal retractions, and agitation. What is the maximum appropriate
intervention for this child?
A. Lay the kid flat on a stretcher
B. Suction the mouth and nose
C. Administer nebulized epinephrine
D. Administer inhaled albuterol - ANS-Administer nebulized epinephrine
10. The mother and father of a 7-yr-old infant who's undergoing chemotherapy file that the child
has been febrile and has not been feeling properly, with recent onset of lethargy. Assessment
reveals the following: The child is hard to arouse, with light color. The infant's coronary heart fee
is one hundred sixty/min, respiratory price is 30/min, blood stress is seventy six/45 mm Hg,
capillary refill time is 5 to 6 seconds, and temperature is 103°F (39.4°C). What is the most
suitable intervention?
A. Obtain vascular get right of entry to 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 ten mins
, C. Obtain immediate blood cultures and chest x-ray D. Obtain expert consultation with an
oncologist to decide the chemotherapeutic routine - ANS-Obtain vascular get admission to and
administer 20 mL/kg of isotonic crystalloid over 5 to ten minutes
11. A 2-yr-antique child offers with a four-day history of vomiting. The initial affect reveals an
unresponsive infant with intermittent apnea and mottled shade. Heart charge is 166/min,
respiration rate is now being supported with bag-masks ventilation, capillary replenish time is
five to 6 seconds, and temperature is 102°F (38.Nine°C). What is the first-rate method of
organising instantaneous vascular get admission to? A. Two companies can also attempt
peripheral vascular get right of entry to two times every
B. Three providers may additionally strive peripheral vascular get right of entry to once every
C. Place a significant venous line
D. Place an intraosseous line - ANS-Place an intraosseous line
eleven. Which of the subsequent oxygen saturations suggests the need for extra intervention?
A. 96% on room air
B. 95% on room air
C. 93% on four L of oxygen
D. 97% on 50% oxygen - ANS-ninety three% on 4 L of oxygen
12. A three-12 months-vintage toddler offers with a 2-day records of nausea and vomiting. She
is alert, without a growth in respiration effort, and is light in coloration. The infant's heart charge
is a hundred and sixty/min, breathing fee is forty/min, and blood strain is one hundred/70 mm
Hg. Her extremities are cool, with slow capillary top off. Which term high-quality describes this
baby's physiologic nation?
A. Compensated shock
B. Cardiogenic surprise
C. Hypotensive shock
D. Obstructive shock - ANS-Compensated shock
12. What is the right fluid bolus to manage for a child with hypovolemic shock with adequate
myocardial characteristic?
A. 10 mL/kg regular saline
B. 20 mL/kg of 5% dextrose and zero.2% sodium chloride
C. 20 mL/kg ordinary saline
D. 10 mL/kg lactated Ringer's - ANS-20 mL/kg ordinary saline
13. A 3-year-old infant presents with dehydration after a 2-day records of vomiting and diarrhea.
The child after has received 2 fluid boluses of 20 mL/ kg of normal saline. After the second
bolus, the child is alert and interacting. Her heart rate is a hundred and ten/ min, respiration
price is 30/min, and blood stress is 92/sixty four mm Hg. Her capillary top off time is 2 seconds,
and oxygen saturation is 98%. What is the maximum suitable subsequent intervention for this
baby?
A. Administer any other 20 mL/kg regular saline fluid bolus
