AHA PALS POST TEST VERSION 1,2 AND 3 LATEST 2025/2026
ACTUAL EXAM WITH COMPLETE QUESTIONS AND CORRECT
DETAILED ANSWERS (100% VERIFIED ANSWERS) |ALREADY
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A 4-year-old child in cardiac arrest is brought to the emergency
department by ambulance. High-quality CPR is being performed.
The cardiac monitor displays the rhythm strip shown here. The
estimated weight of the child is 20 kg.
As the Team Leader, how many joules do you tell your team
member to use to perform initial defibrillation? - ANSWER-40J
You respond to an infant who is unresponsive, is not breathing,
and does not have a pulse. You do not have a mobile device, and
you shout for nearby help but no one arrives. What action should
you take next? - ANSWER-Begin CPR for 2 minutes before
leaving to activate the emergency response system
What ratio for compressions to breaths should be used for 1-
rescuer infant CPR? - ANSWER-Give 30 compressions to 2
breaths
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A 3-year-old boy is brought to the emergency department by his
mother. He is lethargic, with retractions and nasal flaring. He has
a respiratory rate of 70/min, with warm extremities and brisk
capillary refill. Which immediate life-threatening condition could
this child's condition most likely progress to if left untreated? -
ANSWER-Respiratory Failure
You are evaluating a 10-year-old child who is febrile and
tachycardic. The child's capillary refill time is 5 seconds. What
parameter will determine if the child is in compensated shock? -
ANSWER-Blood Pressure
An 18-month old has had vomiting and diarrhea for the past 2
days; the mother brings him to the emergency department
because he is becoming more lethargic. What diagnostic test
should you order first? - ANSWER-Blood Glucose
You are caring for a 3-month-old boy with a 2-day history of fever,
vomiting, and diarrhea. His parents state that he has been
sleeping much more. His heart rate is 190/min, temperature is
38.3°C (101°F), blood pressure is 59/29 mm Hg, respiratory rate
is 70/min and shallow, and oxygen saturation is 94% on 100%
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oxygen. His capillary refili time is 4 to 5 seconds, and he has
mottled, cool extremities. The infant weighs 6 kg.
24. What assessment finding indicates that the infant has
hypotensive shock? - ANSWER-Blood Pressure
You are caring for a 3-month-old boy with a 2-day history of fever,
vomiting, and diarrhea. His parents state that he has been
sleeping much more. His heart rate is 190/min, temperature is
38.3°C (101°F), blood pressure is 59/29 mm Hg, respiratory rate
is 70/min and shallow, and oxygen saturation is 94% on 100%
oxygen. His capillary refili time is 4 to 5 seconds, and he has
mottled, cool extremities. The infant weighs 6 kg.
On the basis of this infant's presentation, what type of shock does
this infant have? - ANSWER-Hypovolemic Shock
You are caring for a 3-month-old boy with a 2-day history of fever,
vomiting, and diarrhea. His parents state that he has been
sleeping much more. His heart rate is 190/min, temperature is
38.3°C (101°F), blood pressure is 59/29 mm Hg, respiratory rate
is 70/min and shallow, and oxygen saturation is 94% on 100%
oxygen. His capillary refili time is 4 to 5 seconds, and he has
mottled, cool extremities. The infant weighs 6 kg.
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You have decided that this infant needs fluid resuscitation. How
much fluid should you administer? - ANSWER-20 ml/kg normal
saline
What abnormality helps identify children with acute respiratory
distress caused by lung tissue disease? - ANSWER-Crackles
You are caring for a 9-month-old girl who has increased work of
breathing, a fever, and a cough. On assessment, you find an alert
infant with stridor and retractions. The infant's SpOz is 94%. On
auscultation, the lungs are clear bilaterally.
What is the most likely cause of this infant's respiratory distress? -
ANSWER-Upper airway obstruction
You are caring for a 9-month-old girl who has increased work of
breathing, a fever, and a cough. On assessment, you find an alert
infant with stridor and retractions. The infant's SpOz is 94%. On
auscultation, the lungs are clear bilaterally.
What medication should you administer first? - ANSWER-
Epinephrine, nebulized