AHA PALS PRECOURSE ASSESSMENT|EXAM QUESTIONS AND ANSWERS|100% CORRECT |LATEST 2025/2026|GRADED A +

AHA PALS PRECOURSE ASSESSMENT|EXAM
QUESTIONS AND ANSWERS|100% CORRECT


A previously healthy infant with a history of vomiting and diarrhea is brought to the emergenc
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y department by her parents. During your assessment, you find that the infant responds only t
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o painful stimulation. The infant's respiratory rate is 40 breaths per minute, and central pulses
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are rapid and weak. The infant has good bilateral breath sounds, cool extremities, and a capilla
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ry refill time of more than 5 seconds. The infant's blood pressure is 85/65 mmHg, and glucose i
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s 30 mg/dL (1.65 mmol/L). You administer 100% oxygen via face mask and start an IV. Which tr
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eatment is most appropriate for this infant? - ANSWER-
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Administer a bolus of isotonic crystalloid 20 ml/kg over 5- B B B B B B B B B



20 minutes, and also give D25W 2-4 ml/kg IV
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A 9yo boy is agitated and leaning forward on the bed in obvious respiratory distress. The patie
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nt is speaking in short phrases and tells you that he has asthma but does not carry an inhaler.
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He has nasal flaring, severe suprasternal and intercostal retractions, and decreased air movem
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ent with prolonged expiratory time and wheezing. You administer 100% oxygen by a nonrebre
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athing mask. His spO2 is 92%. Which med do you prepare to give to this patient? - ANSWER-
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Albuterol (duh) B




Paramedics are called to the home of a 1yo child. Their initial assessment reveals a child who r
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esponds only to painful stimuli and has irregular breathing, faint central pulses, bruises over t
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he abdomen, abdominal distention, and cyanosis. Bag-
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mask ventilation with 100% oxygen is initiated. The child's heart rate is 36/min. Peripheral pul
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ses cannot be palpated, and central pulses are barely palpable. The cardiac monitor shows sin
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us bradycardia. Two-
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rescuer CPR is started. Upon arrival to the emergency department, the child is intubated and v
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entilated with 100% oxygen, and IV access is established. The heart rate is now 150/min with
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weak central pulses but no distal pulses. Systolic blood pressure is 74 mmHg. Which interventi
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on should be provided next? - ANSWER-
B B B B B B Rapid bolus of 20ml/kg of isotonic crystalloid
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You are called to help treat an infant with severe symptomatic bradycardia (heart rate 66/min)
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associated with respiratory distress. The bradycardia persists despite establishment of an effe
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ctive airway, oxygenation, and ventilation. There is no heart block present. Which is the first dr
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ug you should administer? - ANSWER-
B B B B B Epinephrine

1
Wicky

, Which statement is correct about the use of calcium chloride in pediatric patients? - ANSWER-
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Routine administration is not indicated during cardiac arrest
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Which statement is correct about endotracheal drug administration during resuscitative effort
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s for pediatric patients? - ANSWER-
B B B B B It is the least desirable route of administration
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Initial impression of a 2yo girl shows her to be alert with mild breathing difficulty during inspir
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ation and pale skin color. On primary assessment, she makes high-
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pitched inspiratory sounds (mild stridor) when agitated; otherwise, her breathing is quiet. Her
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BspO2 is 92% on room air, and she has mild inspiratory intercostal retractions. Lung auscultatio
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n reveals transmitted upper airway sounds with adequate distal breath sounds bilaterally. Whi
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ch is the most appropriate initial intervention for this child? - ANSWER-
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Humidified oxygen as tolerated B B B




You are part of a team attempting to resuscitate a child with ventricular fibrillation cardiac arr
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est. You delivered 2 unsynchronized shocks. A team member established IO access, so you giv
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e a dose of epinephrine, 0.01 mg/kg IO. At the next rhythm check, persistent ventricular fibrill
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ation is present. You administer a 4 J/kg shock and resume CPR. Which drug and dose should b
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e administered next? - ANSWER-
B B B B Amiodarone 5 mg/kg IO B B B




Which oxygen delivery system most reliably delivers a high (90% or greater) concentration of i
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nspired oxygen to a 7yo child? - ANSWER- B B B B B B B Nonrebreathing face mask B B




Which statement is correct about the effects of epinephrine during attempted resuscitation? -
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B ANSWER- Epinephrine stimulates spontaneous contractions when asystole is present B B B B B B B




A 10mo infant boy is brought to the emergency department. Your initial assessment reveals a l
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ethargic, pale infant with slow respirations and slow, weak central pulses. One team member
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begins ventilation with a bag- B B B B



mask device with 100% oxygen. A second team member attaches the monitor/defibrillator an
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d obtains vital signs while a third team member attempts to establish IV/IO access. The patient
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's heart rate is 38/min with the rhythm shown here. The infant's blood pressure is 58/38 mmH
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g, and capillary refill is 4 seconds. His central pulses remain weak, and distal pulses cannot be
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2
Wicky