AHA PALS Practice exam Questions With Correct
Answers
1. |A |5-year-old |child |presents |with |lethargy, |increased |work |of |breathing, |and |pale |color. |The |
primary |assessment |reveals |that |the |airway |is |open |and |the |respiratory |rate |is |30/min, |with |
crackles |heard |on |auscultation. |The |cardiac |monitor |shows |sinus |tachycardia |at |a |rate |of |
165/min. |The |pulse |oximeter |displays |an |oxygen |saturation |of |95% |and |a |pulse |rate |of |93/min.
|On |the |basis |of |this |information, |which |of |the |following |provides |the |best |interpretation |of |
the |oxygen |saturation |of |95% |by |pulse |oximetry? |
A. |Reliable; |no |supplementary |oxygen |is |indicated |B. |Reliable; |supplementary |oxygen |should |
be |administered |
C. |Unreliable; |no |supplementary |oxygen |is |indicated |
D. |Unreliable; |supplementary |oxygen |should |be |administered |- |CORRECT |ANSWER✔✔-
Unreliable; |supplementary |oxygen |should |be |administered
2. |A |3-year-old |child |was |recently |diagnosed |with |leukemia |and |has |been |treated |with |
chemotherapy. |The |child |presents |with |lethargy |and |a |high |fever. |Heart |rate |is |195/min, |
respiratory |rate |is |36/min, |blood |pressure |is |85/40 |mm |Hg, |and |capillary |refill |time |is |less |than
|2 |seconds. |What |is |the |child's |most |likely |condition? |
A. |Septic |shock |
B. |Hypovolemic |shock |
C. |Significant |bradycardia |
D. |Cardiogenic |shock |- |CORRECT |ANSWER✔✔-Septic |shock
3. |A |2-week-old |infant |presents |with |irritability |and |a |history |of |poor |feeding. |Blood |pressure |
is |55/40 |mm |Hg. |What |term |describes |this |infant's |blood |pressure? |
A. |Hypotensive |
B. |Normal |
,C. |Hypertensive |
D. |Compensated |- |CORRECT |ANSWER✔✔-Hypotensive
4. |During |a |resuscitation |attempt, |the |team |leader |orders |an |initial |dose |of |epinephrine |at |0.1 |
mg/kg |to |be |given |10. |What |should |the |team |member |do? |
A. |Administer |the |drug |as |ordered |
B. |Administer |0.01 |mg/kg |of |epinephrine |
C. |Respectfully |ask |the |team |leader |to |clarify |the |dose |
D. |Refuse |to |administer |the |drug |- |CORRECT |ANSWER✔✔-Respectfully |ask |the |team |leader |to |
clarify |the |dose
5. |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
6. |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
7. |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 |
D. |Control |of |breathing |- |CORRECT |ANSWER✔✔-Control |of |breathing
8. |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
9. |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
10. |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
Answers
1. |A |5-year-old |child |presents |with |lethargy, |increased |work |of |breathing, |and |pale |color. |The |
primary |assessment |reveals |that |the |airway |is |open |and |the |respiratory |rate |is |30/min, |with |
crackles |heard |on |auscultation. |The |cardiac |monitor |shows |sinus |tachycardia |at |a |rate |of |
165/min. |The |pulse |oximeter |displays |an |oxygen |saturation |of |95% |and |a |pulse |rate |of |93/min.
|On |the |basis |of |this |information, |which |of |the |following |provides |the |best |interpretation |of |
the |oxygen |saturation |of |95% |by |pulse |oximetry? |
A. |Reliable; |no |supplementary |oxygen |is |indicated |B. |Reliable; |supplementary |oxygen |should |
be |administered |
C. |Unreliable; |no |supplementary |oxygen |is |indicated |
D. |Unreliable; |supplementary |oxygen |should |be |administered |- |CORRECT |ANSWER✔✔-
Unreliable; |supplementary |oxygen |should |be |administered
2. |A |3-year-old |child |was |recently |diagnosed |with |leukemia |and |has |been |treated |with |
chemotherapy. |The |child |presents |with |lethargy |and |a |high |fever. |Heart |rate |is |195/min, |
respiratory |rate |is |36/min, |blood |pressure |is |85/40 |mm |Hg, |and |capillary |refill |time |is |less |than
|2 |seconds. |What |is |the |child's |most |likely |condition? |
A. |Septic |shock |
B. |Hypovolemic |shock |
C. |Significant |bradycardia |
D. |Cardiogenic |shock |- |CORRECT |ANSWER✔✔-Septic |shock
3. |A |2-week-old |infant |presents |with |irritability |and |a |history |of |poor |feeding. |Blood |pressure |
is |55/40 |mm |Hg. |What |term |describes |this |infant's |blood |pressure? |
A. |Hypotensive |
B. |Normal |
,C. |Hypertensive |
D. |Compensated |- |CORRECT |ANSWER✔✔-Hypotensive
4. |During |a |resuscitation |attempt, |the |team |leader |orders |an |initial |dose |of |epinephrine |at |0.1 |
mg/kg |to |be |given |10. |What |should |the |team |member |do? |
A. |Administer |the |drug |as |ordered |
B. |Administer |0.01 |mg/kg |of |epinephrine |
C. |Respectfully |ask |the |team |leader |to |clarify |the |dose |
D. |Refuse |to |administer |the |drug |- |CORRECT |ANSWER✔✔-Respectfully |ask |the |team |leader |to |
clarify |the |dose
5. |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
6. |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
7. |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 |
D. |Control |of |breathing |- |CORRECT |ANSWER✔✔-Control |of |breathing
8. |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
9. |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
10. |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
