AHA PALS PRECOURSE ASSESSMENT EXAM WITH QUESTIONS
AND WELL VERIFIED ANSWERS [ALREADY GRADED A+} REAL
EXAM!!! REAL EXAM!!
Administer adenosine 0.1 mg/kg IV rapid push - -----ANS----A 1yo boy is brought to the emergency
department for evaluation of poor feeding, irritability, and sweating. The child is lethargic but arousable.
He has labored breathing, very rapid pulses, and a dusky color. His respiratory rate is 68/min, heart rate
300/min, and blood pressure 70/45 mmHg. He has weak brachial pulses and absent radial pulses, a
capillary refill of 6 seconds, spO2 85% on room air, and good bilateral breath sounds. You administer
high-flow oxygen and place the child on a cardiac monitor and see the rhythm shown here. The child has
no history of congenital heart disease. IV access has been established. Which therapy is most
appropriate for this child?
Position your fingers using the E-C clamp technique - -----ANS----During bag-mask ventilation, how
should you hold the mask to make an effective seal between the child's face and the mask?
Attempt defibrillation at 30 J, and then resume CPR, beginning with compressions - -----ANS----A 3yo
unresponsive, apneic child is brought to the emergency department. EMS personnel report that the
child became unresponsive as they arrived at the hospital. The child is receiving CPR with bag-mask
ventilation. The rhythm shown here is on the cardiac monitor. A biphasic manual defibrillator is present.
You quickly use the length from head to of the child on a color-coded length-based resuscitation tape to
estimate the approximate weight as 15kg. Which therapy is most appropriate for this child at this time?
Provide CPR for about 2 minutes before leaving to activate the emergency response system - -----ANS----
You find an infant who is unresponsive, is not breathing, and does not have a pulse. You shout for
nearby help, but no one arrives. What action should you take next?
- -----ANS----SVT converting to sinus rhythm after adenosine administration
- -----ANS----Sinus bradycardia
- -----ANS----Sinus bradycardia - version 2
, - -----ANS----Normal sinus rhythm
- -----ANS----Asystole
- -----ANS----Wide complex tachycardia
- -----ANS----Wide complex tachycardia - version 2
- -----ANS----Torsades de pointes
- -----ANS----Supraventricular tachycardia
- -----ANS----VF with successful defib and resumption of organized rhythm
- -----ANS----Pulseless electrical activity
- -----ANS----Ventricular fibrillation
- -----ANS----Sinus tachycardia
Administer a bolus of isotonic crystalloid 20 ml/kg over 5-20 minutes, and also give D25W 2-4 ml/kg IV -
-----ANS----A previously healthy infant with a history of vomiting and diarrhea is brought to the
emergency department by her parents. During your assessment, you find that the infant responds only
to painful stimulation. The infant's respiratory rate is 40 breaths per minute, and central pulses are rapid
and weak. The infant has good bilateral breath sounds, cool extremities, and a capillary refill time of
more than 5 seconds. The infant's blood pressure is 85/65 mmHg, and glucose is 30 mg/dL (1.65
mmol/L). You administer 100% oxygen via face mask and start an IV. Which treatment is most
appropriate for this infant?
Albuterol (duh) - -----ANS----A 9yo boy is agitated and leaning forward on the bed in obvious respiratory
distress. The patient is speaking in short phrases and tells you that he has asthma but does not carry an
AND WELL VERIFIED ANSWERS [ALREADY GRADED A+} REAL
EXAM!!! REAL EXAM!!
Administer adenosine 0.1 mg/kg IV rapid push - -----ANS----A 1yo boy is brought to the emergency
department for evaluation of poor feeding, irritability, and sweating. The child is lethargic but arousable.
He has labored breathing, very rapid pulses, and a dusky color. His respiratory rate is 68/min, heart rate
300/min, and blood pressure 70/45 mmHg. He has weak brachial pulses and absent radial pulses, a
capillary refill of 6 seconds, spO2 85% on room air, and good bilateral breath sounds. You administer
high-flow oxygen and place the child on a cardiac monitor and see the rhythm shown here. The child has
no history of congenital heart disease. IV access has been established. Which therapy is most
appropriate for this child?
Position your fingers using the E-C clamp technique - -----ANS----During bag-mask ventilation, how
should you hold the mask to make an effective seal between the child's face and the mask?
Attempt defibrillation at 30 J, and then resume CPR, beginning with compressions - -----ANS----A 3yo
unresponsive, apneic child is brought to the emergency department. EMS personnel report that the
child became unresponsive as they arrived at the hospital. The child is receiving CPR with bag-mask
ventilation. The rhythm shown here is on the cardiac monitor. A biphasic manual defibrillator is present.
You quickly use the length from head to of the child on a color-coded length-based resuscitation tape to
estimate the approximate weight as 15kg. Which therapy is most appropriate for this child at this time?
Provide CPR for about 2 minutes before leaving to activate the emergency response system - -----ANS----
You find an infant who is unresponsive, is not breathing, and does not have a pulse. You shout for
nearby help, but no one arrives. What action should you take next?
- -----ANS----SVT converting to sinus rhythm after adenosine administration
- -----ANS----Sinus bradycardia
- -----ANS----Sinus bradycardia - version 2
, - -----ANS----Normal sinus rhythm
- -----ANS----Asystole
- -----ANS----Wide complex tachycardia
- -----ANS----Wide complex tachycardia - version 2
- -----ANS----Torsades de pointes
- -----ANS----Supraventricular tachycardia
- -----ANS----VF with successful defib and resumption of organized rhythm
- -----ANS----Pulseless electrical activity
- -----ANS----Ventricular fibrillation
- -----ANS----Sinus tachycardia
Administer a bolus of isotonic crystalloid 20 ml/kg over 5-20 minutes, and also give D25W 2-4 ml/kg IV -
-----ANS----A previously healthy infant with a history of vomiting and diarrhea is brought to the
emergency department by her parents. During your assessment, you find that the infant responds only
to painful stimulation. The infant's respiratory rate is 40 breaths per minute, and central pulses are rapid
and weak. The infant has good bilateral breath sounds, cool extremities, and a capillary refill time of
more than 5 seconds. The infant's blood pressure is 85/65 mmHg, and glucose is 30 mg/dL (1.65
mmol/L). You administer 100% oxygen via face mask and start an IV. Which treatment is most
appropriate for this infant?
Albuterol (duh) - -----ANS----A 9yo boy is agitated and leaning forward on the bed in obvious respiratory
distress. The patient is speaking in short phrases and tells you that he has asthma but does not carry an
