AHA PALS EXAM ACTUAL EXAM TEST BANK| A j j j j j j j
HA PALS ACTUAL UPDATED EXAM WITH EXPE j j j j j j
RTLY AND CORRECTLY ANSWERED QUESTIO j j j j
NS| READY WITH RATIONALES |ACE YOUR GRA j j j j j j
DES!!!
1. A 3-month-old infant presents with lethargy and a 3-
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day history of vomiting, diarrhea, and poor feeding. The initial impression reveal
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s lethargy, increased respiratory effort with retractions, and pale, mottled skin col
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or. Vital signs are as follows: heart rate 210/min, respiratory rate 60/min, and blo
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od pressure 60/40 mm Hg. Peripheral pulses are thready, and capillary refill time
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is 4 seconds. The cardiac monitor displays the rhythm below. After administratio
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n of oxygen and establishment of vascular access, what is the most appropriate i
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ntervention?
A. Adenosine O.1 mg/kg IV rapid push j j j j j
B. Vagal maneuvers j
C. Synchronized shock at 0.5 to 1 J/kg j j j j j j
D. IV fluid bolus of 20 mL/kg normal saline - Correct Answer-
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IV fluid bolus of 20 mL/kg normal saline
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2. A 3-year- j
old child is unresponsive, gasping, and has no detectable pulse. CPR is initi
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ated. A monitor is attached, and the rhythm is shown below. What is the appr
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opriate next therapy? j j
A. Attempted defibrillation with 2 J/kg j j j j
B. Synchronized cardioversion with 0.5 to 1 J/kg j j j j j j
C. Epinephrine 0.01 mg/kg 10/IV j j j
,D. Amiodarone 5 mg/kg 1O/IV - Correct Answer- j j j j j j
Attempted defibrillation with 2 J/kg j j j j
3. A 2-year-old child is in pulseless arrest. The child has received high-
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quality CPR, 2 shocks, and a dose of IV epinephrine. The next rhythm check
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reveals the rhythm shown below. What would be an appropriate energy dos
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e for the third defibrillation attempt?
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A. 2 J/kg j
B. 2 to 4 J/kg
j j j
C. 4 J/kg or greater
j j j
D. Greater than 10 J/kg - Correct Answer-4 J/kg or greater j j j j j j j j j
4. A 12-year-
j
old child suddenly collapses while playing sports. He is unresponsive and not b
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reathing. Emergency response is activated. The child has no pulse, and CPR is
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initiated. An AED arrives. What is the most appropriate next intervention?
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A. Contact the child's family j j j
B. Provide CPR for 2 minutes j j j j
C. Drive the child to the hospital j j j j j
D. Use the AED - Correct Answer-Use the AED
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5. A 3-year-old child is in cardiac arrest, and high-
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quality CPR is in progress. The first rhythm check reveals the rhythm below. De
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fibrillation is attempted with a shock dose of 2 J/kg. After administration of the sh
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ock, what is the most appropriate next intervention?
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A. Resume CPR, beginning with chest compressions j j j j j
,B. Check for a pulse j j j
C. Analyze the rhythm j j
D. Administer epinephrine - Correct Answer- j j j j
Resume CPR, beginning with chest compressions
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6. Which of the following is a characteristic of respiratory failure?
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A. Inadequate oxygenation and/or ventilation j j j
B. Hypotension
C. An increase in serum pH (alkalosis)
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D. Abnormal respiratory sounds - Correct Answer- j j j j j
Inadequate oxygenation and/or ventilation j j j
7. A 3-year- j
old child is in cardiac arrest, and a resuscitation attempt is in progress. The chil
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d is in ventricular fibrillation and was given a shock at 2 J/kg, followed by immed
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iate CPR. At the next rhythm check, ventricular fibrillation is again noted on the
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cardiac monitor. What is the most appropriate next intervention?
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A. Attempt defibrillation with a 4 J/kg shock j j j j j j
B. Attempt defibrillation with a 2 J/kg shock j j j j j j
C. Resume CPR j
D. Check for a pulse for at least 10 seconds - Correct Answer-
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A. Attempt defibrillation with a 4 J/kg shock
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8. CPR is in progress on a 10-month-
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old infant who was unresponsive and not breathing, with no palpable pulse. A ca
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rdiac monitor is applied, and
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, sinus bradycardia at a rate of 42/min is noted. CPR is resumed, and vascular acc
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ess is obtained. Which of the following is the most appropriate intervention?
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A. Epinephrine 0.01 mg/kg IO/IV j j j
B. Atropine 0.5 mg/kg IO/IV j j j
C. Amiodarone 5 mg/kg IO/IV j j j
D. Lidocaine 1 mg/kg IO/IV - Correct Answer-Epinephrine 0.01 mg/kg IO/IV j j j j j j j j j
9. During a pediatric resuscitation attempt, what is most likely to contribute to hi
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gh-quality CPR? j
A. A depth of compressions of about one fourth the anterior-
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posterior depth of the chest j j j j
B. A compression rate of 80/min
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C. Pulse checks performed once per minute
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D. Allowing the chest wall to recoil completely between compressions -
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Correct Answer-
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Allowing the chest wall to recoil completely between compressions
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10. A 13-year- j
old patient with asthma just received oxygen and albuterol via a nebulizer. Wh
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at is the next most appropriate intervention?
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A. Administer 0.1 mg/kg of adenosine j j j j
B. Obtain a blood sample to evaluate arterial or venous blood gases
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C. Reassess breath sounds and clinical status j j j j j
D. Repeat the albuterol treatment - Correct Answer- j j j j j j
Reassess breath sounds and clinical status j j j j j
HA PALS ACTUAL UPDATED EXAM WITH EXPE j j j j j j
RTLY AND CORRECTLY ANSWERED QUESTIO j j j j
NS| READY WITH RATIONALES |ACE YOUR GRA j j j j j j
DES!!!
1. A 3-month-old infant presents with lethargy and a 3-
j j j j j j j j
day history of vomiting, diarrhea, and poor feeding. The initial impression reveal
j j j j j j j j j j j
s lethargy, increased respiratory effort with retractions, and pale, mottled skin col
j j j j j j j j j j j
or. Vital signs are as follows: heart rate 210/min, respiratory rate 60/min, and blo
j j j j j j j j j j j j j
od pressure 60/40 mm Hg. Peripheral pulses are thready, and capillary refill time
j j j j j j j j j j j j
is 4 seconds. The cardiac monitor displays the rhythm below. After administratio
j j j j j j j j j j j j
n of oxygen and establishment of vascular access, what is the most appropriate i
j j j j j j j j j j j j j
ntervention?
A. Adenosine O.1 mg/kg IV rapid push j j j j j
B. Vagal maneuvers j
C. Synchronized shock at 0.5 to 1 J/kg j j j j j j
D. IV fluid bolus of 20 mL/kg normal saline - Correct Answer-
j j j j j j j j j j
IV fluid bolus of 20 mL/kg normal saline
j j j j j j j
2. A 3-year- j
old child is unresponsive, gasping, and has no detectable pulse. CPR is initi
j j j j j j j j j j j j
ated. A monitor is attached, and the rhythm is shown below. What is the appr
j j j j j j j j j j j j j j
opriate next therapy? j j
A. Attempted defibrillation with 2 J/kg j j j j
B. Synchronized cardioversion with 0.5 to 1 J/kg j j j j j j
C. Epinephrine 0.01 mg/kg 10/IV j j j
,D. Amiodarone 5 mg/kg 1O/IV - Correct Answer- j j j j j j
Attempted defibrillation with 2 J/kg j j j j
3. A 2-year-old child is in pulseless arrest. The child has received high-
j j j j j j j j j j j
quality CPR, 2 shocks, and a dose of IV epinephrine. The next rhythm check
j j j j j j j j j j j j j j
reveals the rhythm shown below. What would be an appropriate energy dos
j j j j j j j j j j j j
e for the third defibrillation attempt?
j j j j j
A. 2 J/kg j
B. 2 to 4 J/kg
j j j
C. 4 J/kg or greater
j j j
D. Greater than 10 J/kg - Correct Answer-4 J/kg or greater j j j j j j j j j
4. A 12-year-
j
old child suddenly collapses while playing sports. He is unresponsive and not b
j j j j j j j j j j j j
reathing. Emergency response is activated. The child has no pulse, and CPR is
j j j j j j j j j j j j j
initiated. An AED arrives. What is the most appropriate next intervention?
j j j j j j j j j j
A. Contact the child's family j j j
B. Provide CPR for 2 minutes j j j j
C. Drive the child to the hospital j j j j j
D. Use the AED - Correct Answer-Use the AED
j j j j j j j
5. A 3-year-old child is in cardiac arrest, and high-
j j j j j j j j
quality CPR is in progress. The first rhythm check reveals the rhythm below. De
j j j j j j j j j j j j j j
fibrillation is attempted with a shock dose of 2 J/kg. After administration of the sh
j j j j j j j j j j j j j j
ock, what is the most appropriate next intervention?
j j j j j j j
A. Resume CPR, beginning with chest compressions j j j j j
,B. Check for a pulse j j j
C. Analyze the rhythm j j
D. Administer epinephrine - Correct Answer- j j j j
Resume CPR, beginning with chest compressions
j j j j j
6. Which of the following is a characteristic of respiratory failure?
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A. Inadequate oxygenation and/or ventilation j j j
B. Hypotension
C. An increase in serum pH (alkalosis)
j j j j j
D. Abnormal respiratory sounds - Correct Answer- j j j j j
Inadequate oxygenation and/or ventilation j j j
7. A 3-year- j
old child is in cardiac arrest, and a resuscitation attempt is in progress. The chil
j j j j j j j j j j j j j j
d is in ventricular fibrillation and was given a shock at 2 J/kg, followed by immed
j j j j j j j j j j j j j j j
iate CPR. At the next rhythm check, ventricular fibrillation is again noted on the
j j j j j j j j j j j j j j
cardiac monitor. What is the most appropriate next intervention?
j j j j j j j j
A. Attempt defibrillation with a 4 J/kg shock j j j j j j
B. Attempt defibrillation with a 2 J/kg shock j j j j j j
C. Resume CPR j
D. Check for a pulse for at least 10 seconds - Correct Answer-
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A. Attempt defibrillation with a 4 J/kg shock
j j j j j j j
8. CPR is in progress on a 10-month-
j j j j j j
old infant who was unresponsive and not breathing, with no palpable pulse. A ca
j j j j j j j j j j j j j
rdiac monitor is applied, and
j j j j
, sinus bradycardia at a rate of 42/min is noted. CPR is resumed, and vascular acc
j j j j j j j j j j j j j j
ess is obtained. Which of the following is the most appropriate intervention?
j j j j j j j j j j j
A. Epinephrine 0.01 mg/kg IO/IV j j j
B. Atropine 0.5 mg/kg IO/IV j j j
C. Amiodarone 5 mg/kg IO/IV j j j
D. Lidocaine 1 mg/kg IO/IV - Correct Answer-Epinephrine 0.01 mg/kg IO/IV j j j j j j j j j
9. During a pediatric resuscitation attempt, what is most likely to contribute to hi
j j j j j j j j j j j j
gh-quality CPR? j
A. A depth of compressions of about one fourth the anterior-
j j j j j j j j j
posterior depth of the chest j j j j
B. A compression rate of 80/min
j j j j
C. Pulse checks performed once per minute
j j j j j
D. Allowing the chest wall to recoil completely between compressions -
j j j j j j j j j
Correct Answer-
j j
Allowing the chest wall to recoil completely between compressions
j j j j j j j j
10. A 13-year- j
old patient with asthma just received oxygen and albuterol via a nebulizer. Wh
j j j j j j j j j j j j
at is the next most appropriate intervention?
j j j j j j
A. Administer 0.1 mg/kg of adenosine j j j j
B. Obtain a blood sample to evaluate arterial or venous blood gases
j j j j j j j j j j
C. Reassess breath sounds and clinical status j j j j j
D. Repeat the albuterol treatment - Correct Answer- j j j j j j
Reassess breath sounds and clinical status j j j j j
