AHA PALS POST-TEST Questions with Correct Solutions
Question:
1. In which of the following situations may IO access be used?
Answer:
An extremity with slow a capillary refill time
Question:
2. A 2-week-old infant is being evaluated for irritability and poor feeding. His blood pressure
is 55/40 mm Hg, and capillary refill time is 5 seconds. Which statement best describes your
assessment of this infant's blood pressure?
Answer:
It is hypotensive.
Question:
3. You are caring for patients in the emergency department. Which 2-year-old child requires
immediate intervention?
Answer:
A child who is grunting
Question:
4. A 3-year-old child is having difficulty breathing. What finding would most likely lead you to
suspect an upper airway obstruction in this child?
Answer:
Increased inspiratory effort with retractions
Question:
5. A team member is unable to perform an assigned task because it is beyond the team
member's scope of practice. What action should the team member take?
Answer:
Ask for a new task or role
Question:
6. You are the Team Leader during a pediatric resuscitation attempt. What action is an
element of high-quality CPR?
Answer:
Allowing complete chest wall recoil after each compression
, Question:
7. An 8-year-old child is brought to the emergency department by his mother for difficulty
breathing. He has a history of asthma and nut allergies. His mother tells you that he recently
ate a cookie at a family picnic. What condition is most likely to be present in this child?
Answer:
Upper airway obstruction
Question:
8. An 8-year-old child is brought to the emergency department by ambulance after being
involved in a motor vehicle collision. What finding would suggest that immediate intervention
is needed?
Answer:
Decreased level of consciousness
Question:
9. A 6-year-old child is found unresponsive, not breathing, and without a pulse. One
healthcare worker leaves to activate the emergency response system and get the
resuscitation equipment. You and another healthcare provider immediately begin performing
CPR. What compression-to-ventilation ratio do you use?
Answer:
15:2
Question:
10. A 3-year-old child is in cardiac arrest, and high-quality CPR is in progress. You are the
Team Leader. The first rhythm check reveals the rhythm shown here. Defibrillation is
attempted with a shock dose of 2 J/kg. After shock administration, what should you say to
your team members?
Answer:
"Resume compressions."
Question:
11. You are caring for a 5-year-old boy with a 4-day history of high fever and cough. He is
having increasing lethargy, grunting, and sleepiness. Now he is difficult to arouse and is
unresponsive to voice commands. His oxygen saturation is 72% on room air and 89% when on
a nonrebreathing oxygen mask. He has shallow respirations with a respiratory rate of 38/min.
Auscultation of the lungs reveals bilateral crackles. What assessment finding is consistent
with respiratory failure in this child?
Question:
1. In which of the following situations may IO access be used?
Answer:
An extremity with slow a capillary refill time
Question:
2. A 2-week-old infant is being evaluated for irritability and poor feeding. His blood pressure
is 55/40 mm Hg, and capillary refill time is 5 seconds. Which statement best describes your
assessment of this infant's blood pressure?
Answer:
It is hypotensive.
Question:
3. You are caring for patients in the emergency department. Which 2-year-old child requires
immediate intervention?
Answer:
A child who is grunting
Question:
4. A 3-year-old child is having difficulty breathing. What finding would most likely lead you to
suspect an upper airway obstruction in this child?
Answer:
Increased inspiratory effort with retractions
Question:
5. A team member is unable to perform an assigned task because it is beyond the team
member's scope of practice. What action should the team member take?
Answer:
Ask for a new task or role
Question:
6. You are the Team Leader during a pediatric resuscitation attempt. What action is an
element of high-quality CPR?
Answer:
Allowing complete chest wall recoil after each compression
, Question:
7. An 8-year-old child is brought to the emergency department by his mother for difficulty
breathing. He has a history of asthma and nut allergies. His mother tells you that he recently
ate a cookie at a family picnic. What condition is most likely to be present in this child?
Answer:
Upper airway obstruction
Question:
8. An 8-year-old child is brought to the emergency department by ambulance after being
involved in a motor vehicle collision. What finding would suggest that immediate intervention
is needed?
Answer:
Decreased level of consciousness
Question:
9. A 6-year-old child is found unresponsive, not breathing, and without a pulse. One
healthcare worker leaves to activate the emergency response system and get the
resuscitation equipment. You and another healthcare provider immediately begin performing
CPR. What compression-to-ventilation ratio do you use?
Answer:
15:2
Question:
10. A 3-year-old child is in cardiac arrest, and high-quality CPR is in progress. You are the
Team Leader. The first rhythm check reveals the rhythm shown here. Defibrillation is
attempted with a shock dose of 2 J/kg. After shock administration, what should you say to
your team members?
Answer:
"Resume compressions."
Question:
11. You are caring for a 5-year-old boy with a 4-day history of high fever and cough. He is
having increasing lethargy, grunting, and sleepiness. Now he is difficult to arouse and is
unresponsive to voice commands. His oxygen saturation is 72% on room air and 89% when on
a nonrebreathing oxygen mask. He has shallow respirations with a respiratory rate of 38/min.
Auscultation of the lungs reveals bilateral crackles. What assessment finding is consistent
with respiratory failure in this child?
