2025 AHA PALS EXAM A QUESTIONS AND 100%
VERIFIED ANSWERS
In which of the following situations may IO access be used? - ✔✔✔ ANSWER-An
extremity with slow capillary refill time.
A 2 - week old infant is being evaluated 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 infants blood pressure? - ✔✔✔ ANSWER-It is Hypotensive
A 7-year-old child in cardiac arrest is brought to the emergency department by
ambulance. No palpable pulses are detected. The child's ECG is shown here. How
would you characterize this child's rhythm? - ✔✔✔ ANSWER-Pulseless electrical
activity
After rectal administration of diazepam, an 8-year-old boy with a history of seizures is
now unresponsive to paintul stimulation. His respirations are shallow, at a rate of
10/min. His oxygen saturation is 94% on 2 L/min of nasal cannula oxygen. On
examination, the child is snoring with poor chest rise and poor air entry bilaterally.
What action should you take next? - ✔✔✔ ANSWER-Reposition the patient and insert
an oral airway
If the patient continues to snore and exhibit poor chest rise and poor air entry bilaterally
after your initial intervention, what next step is most appropriate? - ✔✔✔ ANSWER-
Provide bag-mask ventilation
You are performing the airway component of the primary assessment. What finding
would lead you to conclude that the child has an upper airway obstruction? - ✔✔✔
ANSWER-Inspiratory strides
In management of post-cardiac arrest patients, extra care should be taken to avoid
reperfusion injury. What should the ideal oxygen saturation range most likely be? -
✔✔✔ ANSWER-94%- 99%
, You are caring for a 12-year-old girl with acute lymphoblastic leukemia. She is
responsive, but she does not feel well and appears to be flushed. Her temperature is
39°C (102.2°F), heart rate is 118/min, respiratory rate is 36/min, blood pressure is
100/40 mm Hg, and oxygen saturation is 96% on room air.
Your assessment reveals mild increase in work of breathing and bounding pulses. The
child is receiving 100% oxygen by nonrebreathing mask.
Laboratory studies document lactic acidosis. On the basis of the patient's clinical
assessment and history, what type of shock does this patient most likely have? - ✔✔✔
ANSWER-Distributive, septic
You are caring for a 12-year-old girl with acute lymphoblastic leukemia. She is
responsive, but she does not feel well and appears to be flushed. Her temperature is
39°C (102.2°F), heart rate is 118/min, respiratory rate is 36/min, blood pressure is
100/40 mm Hg, and oxygen saturation is 96% on room air.
Your assessment reveals mild increase in work of breathing and bounding pulses. The
child is receiving 100% oxygen by nonrebreathing mask.
What assessment finding is most important in your determination of the severity of the
patient's
condition? - ✔✔✔ ANSWER-Blood pressure
You are caring for a 12-year-old girl with acute lymphoblastic leukemia. She is
responsive, but she does not feel well and appears to be flushed. Her temperature is
39°C (102.2°F), heart rate is 118/min, respiratory rate is 36/min, blood pressure is
100/40 mm Hg, and oxygen saturation is 96% on room air.
Your assessment reveals mild increase in work of breathing and bounding pulses. The
child is receiving 100% oxygen by nonrebreathing mask.
What is the most appropriate amount to administer for the first normal saline fluid bolus?
- ✔✔✔ ANSWER-10-20 ml/kg
You are caring for a 12-year-old girl with acute lymphoblastic leukemia. She is
responsive, but she does not feel well and appears to be flushed. Her temperature is
39°C (102.2°F), heart rate is 118/min, respiratory rate is 36/min, blood pressure is
100/40 mm Hg, and oxygen saturation is 96% on room air.
VERIFIED ANSWERS
In which of the following situations may IO access be used? - ✔✔✔ ANSWER-An
extremity with slow capillary refill time.
A 2 - week old infant is being evaluated 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 infants blood pressure? - ✔✔✔ ANSWER-It is Hypotensive
A 7-year-old child in cardiac arrest is brought to the emergency department by
ambulance. No palpable pulses are detected. The child's ECG is shown here. How
would you characterize this child's rhythm? - ✔✔✔ ANSWER-Pulseless electrical
activity
After rectal administration of diazepam, an 8-year-old boy with a history of seizures is
now unresponsive to paintul stimulation. His respirations are shallow, at a rate of
10/min. His oxygen saturation is 94% on 2 L/min of nasal cannula oxygen. On
examination, the child is snoring with poor chest rise and poor air entry bilaterally.
What action should you take next? - ✔✔✔ ANSWER-Reposition the patient and insert
an oral airway
If the patient continues to snore and exhibit poor chest rise and poor air entry bilaterally
after your initial intervention, what next step is most appropriate? - ✔✔✔ ANSWER-
Provide bag-mask ventilation
You are performing the airway component of the primary assessment. What finding
would lead you to conclude that the child has an upper airway obstruction? - ✔✔✔
ANSWER-Inspiratory strides
In management of post-cardiac arrest patients, extra care should be taken to avoid
reperfusion injury. What should the ideal oxygen saturation range most likely be? -
✔✔✔ ANSWER-94%- 99%
, You are caring for a 12-year-old girl with acute lymphoblastic leukemia. She is
responsive, but she does not feel well and appears to be flushed. Her temperature is
39°C (102.2°F), heart rate is 118/min, respiratory rate is 36/min, blood pressure is
100/40 mm Hg, and oxygen saturation is 96% on room air.
Your assessment reveals mild increase in work of breathing and bounding pulses. The
child is receiving 100% oxygen by nonrebreathing mask.
Laboratory studies document lactic acidosis. On the basis of the patient's clinical
assessment and history, what type of shock does this patient most likely have? - ✔✔✔
ANSWER-Distributive, septic
You are caring for a 12-year-old girl with acute lymphoblastic leukemia. She is
responsive, but she does not feel well and appears to be flushed. Her temperature is
39°C (102.2°F), heart rate is 118/min, respiratory rate is 36/min, blood pressure is
100/40 mm Hg, and oxygen saturation is 96% on room air.
Your assessment reveals mild increase in work of breathing and bounding pulses. The
child is receiving 100% oxygen by nonrebreathing mask.
What assessment finding is most important in your determination of the severity of the
patient's
condition? - ✔✔✔ ANSWER-Blood pressure
You are caring for a 12-year-old girl with acute lymphoblastic leukemia. She is
responsive, but she does not feel well and appears to be flushed. Her temperature is
39°C (102.2°F), heart rate is 118/min, respiratory rate is 36/min, blood pressure is
100/40 mm Hg, and oxygen saturation is 96% on room air.
Your assessment reveals mild increase in work of breathing and bounding pulses. The
child is receiving 100% oxygen by nonrebreathing mask.
What is the most appropriate amount to administer for the first normal saline fluid bolus?
- ✔✔✔ ANSWER-10-20 ml/kg
You are caring for a 12-year-old girl with acute lymphoblastic leukemia. She is
responsive, but she does not feel well and appears to be flushed. Her temperature is
39°C (102.2°F), heart rate is 118/min, respiratory rate is 36/min, blood pressure is
100/40 mm Hg, and oxygen saturation is 96% on room air.
