AHA PALS NEWEST ACTUAL EXAM
COMPREHENSIVE QUESTIONS AND
VERIFIED ANSWERS GRADED A+
A 5-year-old child has had severe respiratory distress for 2 days.
|| || || || || || || || || ||
During assessment the child's heart rate decreases from 140/min to
|| || || || || || || || || ||
90/min, and the child's respiratory rate decreases from 66/min to
|| || || || || || || || || ||
8/min. What intervention is most appropriate?
|| || || || || ||
A. Provide rescue breaths at a rate of 12 to 20/min B. Provide rescue
|| || || || || || || || || || || || ||
breaths at a rate of 6 to 10/min
|| || || || || || || ||
C. Initiate chest compressions at a rate of at least 100/min
|| || || || || || || || || ||
D. Initiate chest compressions at a rate of 60/min - ✔✔✔ Correct
|| || || || || || || || || || ||
Answer > Provide rescue breaths at a rate of 12 to 20/min
|| | | || || || || || || || || || ||
What is the recommended location to check for a pulse in a 3-
|| || || || || || || || || || || ||
month- old infant?
|| || ||
A. Carotid
||
B. Radial
||
C. Brachial
||
D. Cardiac apex - ✔✔✔ Correct Answer > C. Brachial
|| || || || || || || || ||
,The initial impression of a 4-year-old child reveals a lethargic child
|| || || || || || || || || ||
who is diaphoretic, with no increased work of breathing and pink
|| || || || || || || || || || ||
color. Her heart rate is 220/min, respiratory rate is 24/min, blood
|| || || || || || || || || || ||
pressure is 84/46 mm Hg, and capillary refill time is 5 seconds. IV
|| || || || || || || || || || || || ||
access has been established. The rhythm below is seen on the
|| || || || || || || || || || ||
cardiac monitor. What is the most appropriate initial intervention?
|| || || || || || || || ||
A. Give adenosine 0.1 mg/kg rapid IV push
|| || || || || || ||
B. Perform carotid sinus massage
|| || || ||
C. Perform synchronized cardioversion at 0.5 J/kg D. Attempt
|| || || || || || || ||
defibrillation at 2 J/kg - ✔✔✔ Correct Answer > Give adenosine
|| || || || || || || || || || ||
0.1 mg/kg rapid IV push
|| || || || ||
An 8-month-old infant is being evaluated. The child's mother says
|| || || || || || || || ||
the infant has not been feeding well. The infant is alert with rapid
|| || || || || || || || || || || || ||
but unlabored breathing, and the infant's color is pale. A cardiac
|| || || || || || || || || || ||
monitor is applied, and the rhythm below is noted. Distal pulses are
|| || || || || || || || || || || ||
readily palpable. You give oxygen and establish IV access. What is
|| || || || || || || || || || ||
the most appropriate vagal maneuver?
|| || || || ||
A. Valsalva maneuver
|| ||
B. Carotid massage
|| ||
C. Ocular pressure
|| ||
D. Ice to the face - ✔✔✔ Correct Answer > Ice to the face
|| || || || || || || || || || || || ||
A 7-year-old child presents in pulseless arrest. The child's ECG shows
|| || || || || || || || || ||
the rhythm below. Which of the following describes the patient's
|| || || || || || || || || ||
condition?
||
, A. Ventricular escape rhythm
|| || ||
B. Ventricular tachycardia
|| ||
C. Pulseless electrical activity
|| || ||
D. Sinus bradycardia - ✔✔✔ Correct Answer > Pulseless electrical
|| || || || || || || || ||
activity
||
A 12-year-old child suddenly collapses while playing sports. He is
|| || || || || || || || ||
unresponsive and not breathing. Emergency response is activated.
|| || || || || || || ||
The child has no pulse, and CPR is initiated. An AED arrives. What
|| || || || || || || || || || || || ||
is the most appropriate next intervention?
|| || || || || ||
A. Contact the child's family
|| || || ||
B. Provide CPR for 2 minutes
|| || || || ||
C. Drive the child to the hospital
|| || || || || ||
D. Use the AED - ✔✔✔ Correct Answer > Use the AED
|| || || || || || || || || || ||
A 6-year-old child is found unresponsive, not breathing, and pulseless.
|| || || || || || || || ||
What is the correct compression-to-ventilation ratio when 2 or
|| || || || || || || || ||
more healthcare providers are present to perform CPR? - ✔✔✔
|| || || || || || || || || ||
Correct Answer > 15:2
|| || | | | |
A 7-year-old child presents with a narrow-complex supraventricular
|| || || || || || ||
tachycardia, lethargy, and poor perfusion. Pulses are weak and
|| || || || || || || || ||
thready. Vascular access cannot be established. What is the most
|| || || || || || || || || ||
appropriate intervention?
|| ||
A. Unsynchronized shock with 0.5 to 1 J/kg
|| || || || || || ||
COMPREHENSIVE QUESTIONS AND
VERIFIED ANSWERS GRADED A+
A 5-year-old child has had severe respiratory distress for 2 days.
|| || || || || || || || || ||
During assessment the child's heart rate decreases from 140/min to
|| || || || || || || || || ||
90/min, and the child's respiratory rate decreases from 66/min to
|| || || || || || || || || ||
8/min. What intervention is most appropriate?
|| || || || || ||
A. Provide rescue breaths at a rate of 12 to 20/min B. Provide rescue
|| || || || || || || || || || || || ||
breaths at a rate of 6 to 10/min
|| || || || || || || ||
C. Initiate chest compressions at a rate of at least 100/min
|| || || || || || || || || ||
D. Initiate chest compressions at a rate of 60/min - ✔✔✔ Correct
|| || || || || || || || || || ||
Answer > Provide rescue breaths at a rate of 12 to 20/min
|| | | || || || || || || || || || ||
What is the recommended location to check for a pulse in a 3-
|| || || || || || || || || || || ||
month- old infant?
|| || ||
A. Carotid
||
B. Radial
||
C. Brachial
||
D. Cardiac apex - ✔✔✔ Correct Answer > C. Brachial
|| || || || || || || || ||
,The initial impression of a 4-year-old child reveals a lethargic child
|| || || || || || || || || ||
who is diaphoretic, with no increased work of breathing and pink
|| || || || || || || || || || ||
color. Her heart rate is 220/min, respiratory rate is 24/min, blood
|| || || || || || || || || || ||
pressure is 84/46 mm Hg, and capillary refill time is 5 seconds. IV
|| || || || || || || || || || || || ||
access has been established. The rhythm below is seen on the
|| || || || || || || || || || ||
cardiac monitor. What is the most appropriate initial intervention?
|| || || || || || || || ||
A. Give adenosine 0.1 mg/kg rapid IV push
|| || || || || || ||
B. Perform carotid sinus massage
|| || || ||
C. Perform synchronized cardioversion at 0.5 J/kg D. Attempt
|| || || || || || || ||
defibrillation at 2 J/kg - ✔✔✔ Correct Answer > Give adenosine
|| || || || || || || || || || ||
0.1 mg/kg rapid IV push
|| || || || ||
An 8-month-old infant is being evaluated. The child's mother says
|| || || || || || || || ||
the infant has not been feeding well. The infant is alert with rapid
|| || || || || || || || || || || || ||
but unlabored breathing, and the infant's color is pale. A cardiac
|| || || || || || || || || || ||
monitor is applied, and the rhythm below is noted. Distal pulses are
|| || || || || || || || || || || ||
readily palpable. You give oxygen and establish IV access. What is
|| || || || || || || || || || ||
the most appropriate vagal maneuver?
|| || || || ||
A. Valsalva maneuver
|| ||
B. Carotid massage
|| ||
C. Ocular pressure
|| ||
D. Ice to the face - ✔✔✔ Correct Answer > Ice to the face
|| || || || || || || || || || || || ||
A 7-year-old child presents in pulseless arrest. The child's ECG shows
|| || || || || || || || || ||
the rhythm below. Which of the following describes the patient's
|| || || || || || || || || ||
condition?
||
, A. Ventricular escape rhythm
|| || ||
B. Ventricular tachycardia
|| ||
C. Pulseless electrical activity
|| || ||
D. Sinus bradycardia - ✔✔✔ Correct Answer > Pulseless electrical
|| || || || || || || || ||
activity
||
A 12-year-old child suddenly collapses while playing sports. He is
|| || || || || || || || ||
unresponsive and not breathing. Emergency response is activated.
|| || || || || || || ||
The child has no pulse, and CPR is initiated. An AED arrives. What
|| || || || || || || || || || || || ||
is the most appropriate next intervention?
|| || || || || ||
A. Contact the child's family
|| || || ||
B. Provide CPR for 2 minutes
|| || || || ||
C. Drive the child to the hospital
|| || || || || ||
D. Use the AED - ✔✔✔ Correct Answer > Use the AED
|| || || || || || || || || || ||
A 6-year-old child is found unresponsive, not breathing, and pulseless.
|| || || || || || || || ||
What is the correct compression-to-ventilation ratio when 2 or
|| || || || || || || || ||
more healthcare providers are present to perform CPR? - ✔✔✔
|| || || || || || || || || ||
Correct Answer > 15:2
|| || | | | |
A 7-year-old child presents with a narrow-complex supraventricular
|| || || || || || ||
tachycardia, lethargy, and poor perfusion. Pulses are weak and
|| || || || || || || || ||
thready. Vascular access cannot be established. What is the most
|| || || || || || || || || ||
appropriate intervention?
|| ||
A. Unsynchronized shock with 0.5 to 1 J/kg
|| || || || || || ||
