AHA PALS EXAM 2024 ACTUAL EXAM TEST BANK
230 QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES (VERIFIED
ANSWERS) |ALREADY GRADED A+||NEWEST
VERSION
"I think the correct dose is 0.01 mg/kg. should I give that dose instead?" - ANSDuring a resuscitation
attempt, the team leader asks you to administer an initial dose of Epinephrine at 0.1 mg/kg to be given IO.
How should you respond?
"resume compressions" - ANSA 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 administration of the shock, what should you say to you team
members?
2-4 J/kg - ANSA 4 year old child in cardiac arrest is brought to the emergency department by ambulance.
High quality CPR is being performed. The cardiac monitor displays the rhythm strip shown here. The
estimated weight of the child is 20 kg. What dose range should you use for the initial defibrillation?
10 seconds - ANSA 6 month old infant is unresponsive. You begin checking for breathing at the same
time you check for the infants pulse. Which is the maximum time you should spend when trying to
simultaneously check for breathing and palpate the infants pulse before starting CPR?
15:2 - ANSA 6 year old child is found unresponsive, not breathing, and without a pulse. one health care
worker leaves to activate the emergency response system and get the resuscitation equipment. You and
another healthcare provider immediatly begin CPR. Which compression to ventilation ratio do you use?
20 ml/kg - ANSYou 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 Temp is 39 degrees C (102.2 F), HR is
118/min, respiratory rate is 36/min, BP is 100/40 mmHg, and oxygen sat is 96% on room air. Your
assessment reveals mild increase in work of breathing and bounding pulses. The child is receiving 100%
Oxygen by NRB mask.--- Which NS bolus is most appropriate for this patient?
20 ml/kg normal saline - ANSYou are caring for a 3 month old boy with a 2 day history of fever, vomiting
and diarrhea. His parents state that he has been sleeping much more. His HR is 190/min, temp is 38.3
degrees C (101 F) blood pressure is 59/29 mmHg, Resp rate is 70/min and shallow, and oxygen sat is
94% on 100% oxygen. His capillary refills time is 4-5 seconds, and he has mottled, cool extremities. The
infant weighs 6 Kg. You have decided that this infant Needs fluid resuscitation. How much fluid should
you administer?
40 Joules - ANSA 4 year old child in cardiac arrest is brought to the emergency department by
ambulance. High quality CPR is being performed. The cardiac monitor displays the rhythm strip shown
here. The estimated weight of the child is 20 kg. As the team leader, how many joules do you tell your
team member to use to perform initial Defib?
88% on 4L of Nasal oxygen - ANSA 10 year old child is brought to the ED for fever and cough. You obtain
an O2 sat on the child. Which oxygen saturation would indicate that immediate intervention is needed?
94%-99% - ANSIn post resuscitation management after cardiac arrest, extra care should be taken to
avoid repercussion injury. what should the ideal oxygen saturation range most likely be?
A child who is grunting - ANSYou are caring for patients in the emergency department. Which 2 year old
child requires immediate intervention?
,AHA PALS EXAM 2024 ACTUAL EXAM TEST BANK
230 QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES (VERIFIED
ANSWERS) |ALREADY GRADED A+||NEWEST
VERSION
Administer 20 ml/kg of isotonic crystalloid over 5 to 10 mins - ANSThe parents of a 7 year old child who is
undergoing chemotherapy report that the child has been febrile and has not been feeling well, with recent
onset of lethargy. Assessment reveals that the child is difficult to arouse and her skin color is pale. The
Childs HR is 160/min, respiratory rate is 38/min, blood pressure is 76/45 mmHg, cap refill time is 5 to 6
seconds, and temp is 39.4 degrees C (103 F). IV access has been established, and blood cultures have
been obtained. which action should you perform next?
Alert - ANSA 5 year old child is brought to the emergency department by ambulance after being involved
in a MVC. You are using the primary assessment to evaluate the child. When assessing the Childs
neurological status, you note that he has spontaneous eye opening, is fully oriented, and is able to follow
command. How would you document this Childs AVPU pediatric response scale finding?
Allowing complete chest wall recoil after each compression - ANSYou are the team leader during a
pediatric resuscitation attempt. which action is an element of high quality CPR?
an antibiotic - ANSYou 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 O2 sat is 72% on room air and 89% when on a NRB O2 mask. He has shallow
respirations, with a respiratory rate of 38/min. Auscultation of the lungs reveals bilateral crackles. Which
medication would be most appropriate?
Antibiotic Administration - ANSYou 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 Temp is 39 degrees C (102.2
F), HR is 118/min, respiratory rate is 36/min, BP is 100/40 mmHg, and oxygen sat is 96% on room air.
Your assessment reveals mild increase in work of breathing and bounding pulses. The child is receiving
100% Oxygen by NRB mask.--- In edition to oxygen administration and appropriate fluid resuscitation,
which additional early intervention should you provide to the patient?
Ask for a new task or role - ANSA team member is unable to perform an assigned task because it is
beyond the team members scope of practice. Which action should the team member take?
Audible inspiratory stridor - ANSA 6 year old boy is being evaluated for difficulty breathing. Which finding
would suggest this child has respiratory distress?
Begin CPR for 2 mins before leaving to activate the emergency response system. - ANSYou respond to
an infant who is unresponsive, in not breathing, and doe not have a pulse. You shout for nearby help, but
no one arrives. What action should you take next?
blood glucose - ANSAn 8 year old child is brought to the emergency department with a 2 day history of
lethargy and polyuria. The child has new onset rapid, deep, and labored breathing. Which diagnostic test
should you order first?
blood pressure - ANSYou are caring for a 3 month old boy with a 2 day history of fever, vomiting and
diarrhea. His parents state that he has been sleeping much more. His HR is 190/min, temp is 38.3
degrees C (101 F) blood pressure is 59/29 mmHg, Resp rate is 70/min and shallow, and oxygen sat is
94% on 100% oxygen. His capillary refills time is 4-5 seconds, and he has mottled, cool extremities. The
infant weighs 6 Kg. Which assessment finding indicates that the infant is in hypotensive shock?
, AHA PALS EXAM 2024 ACTUAL EXAM TEST BANK
230 QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES (VERIFIED
ANSWERS) |ALREADY GRADED A+||NEWEST
VERSION
blood pressure - ANSYou 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 Temp is 39 degrees C (102.2 F),
HR is 118/min, respiratory rate is 36/min, BP is 100/40 mmHg, and oxygen sat is 96% on room air. Your
assessment reveals mild increase in work of breathing and bounding pulses. The child is receiving 100%
Oxygen by NRB mask.--- Which assessment finding is the most important in your determination of the
severity of the patients condition?
blood pressure - ANSYou are evaluating a 10 year old child who is febrile and tachycardia. The Childs
cap refill times 5 seconds. which parameter will determine if the child is in compensated shock?
cardiac arrest - ANSWhich condition in a child would IO access most likely be attempted before vascular
access?
crackles - ANSWhich abnormality helps identify children with acute respiratory distress caused by lung
tissue disease?
Decreased level of consciousness - ANSAn 8 year old child is brought to the ED by ambulance after
being involved in a MVC. Which finding would suggest that immediate intervention is needed?
Disordered Control of Breathing - ANSA 4 year old child is brought to the emergency department for
seizures. The seizures stopped a few minutes ago, but the child continues to have slow and irregular
respirations. Which condition is most consistent with your assessment?
Distributive Septic Shock - ANSYou 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 Temp is 39 degrees C (102.2
F), HR is 118/min, respiratory rate is 36/min, BP is 100/40 mmHg, and oxygen sat is 96% on room air.
Your assessment reveals mild increase in work of breathing and bounding pulses. The child is receiving
100% Oxygen by NRB mask.--- Laberatory studies document a lactic acidosis. On the basis of the
patients clinical assessment and history. Which type of shock does this patient most likely have?
Epinephrine, nebulized - ANSYou are Caring for a 9 month old girl who has increased work of breathing,
a fever, and a cough. On assessment, you find an alert infant with stridor and retractions. The infants
SpO2 is 94% On auscultation, the lungs are clear bilaterally. Which medication should you administer
first?
Give 30 compressions to 2 breaths - ANSWhat ratio for compressions to breaths should be used for 1
rescuer infant CPR
Heart rate of 88/min - ANSA 10 year old child is being evaluated for a head ache. Which is a normal
finding for this 10 year old child?
hypovolemic shock - ANSYou are caring for a 3 month old boy with a 2 day history of fever, vomiting and
diarrhea. His parents state that he has been sleeping much more. His HR is 190/min, temp is 38.3
degrees C (101 F) blood pressure is 59/29 mmHg, Resp rate is 70/min and shallow, and oxygen sat is
94% on 100% oxygen. His capillary refills time is 4-5 seconds, and he has mottled, cool extremities. The
infant weighs 6 Kg. On the basis of this infants presentation, which type of shock does this infant have?
Hypoxia - ANSA 6 month old infant is being evaluated for bradycardia. Which is the most likely cause of
bradycardia?
230 QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES (VERIFIED
ANSWERS) |ALREADY GRADED A+||NEWEST
VERSION
"I think the correct dose is 0.01 mg/kg. should I give that dose instead?" - ANSDuring a resuscitation
attempt, the team leader asks you to administer an initial dose of Epinephrine at 0.1 mg/kg to be given IO.
How should you respond?
"resume compressions" - ANSA 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 administration of the shock, what should you say to you team
members?
2-4 J/kg - ANSA 4 year old child in cardiac arrest is brought to the emergency department by ambulance.
High quality CPR is being performed. The cardiac monitor displays the rhythm strip shown here. The
estimated weight of the child is 20 kg. What dose range should you use for the initial defibrillation?
10 seconds - ANSA 6 month old infant is unresponsive. You begin checking for breathing at the same
time you check for the infants pulse. Which is the maximum time you should spend when trying to
simultaneously check for breathing and palpate the infants pulse before starting CPR?
15:2 - ANSA 6 year old child is found unresponsive, not breathing, and without a pulse. one health care
worker leaves to activate the emergency response system and get the resuscitation equipment. You and
another healthcare provider immediatly begin CPR. Which compression to ventilation ratio do you use?
20 ml/kg - ANSYou 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 Temp is 39 degrees C (102.2 F), HR is
118/min, respiratory rate is 36/min, BP is 100/40 mmHg, and oxygen sat is 96% on room air. Your
assessment reveals mild increase in work of breathing and bounding pulses. The child is receiving 100%
Oxygen by NRB mask.--- Which NS bolus is most appropriate for this patient?
20 ml/kg normal saline - ANSYou are caring for a 3 month old boy with a 2 day history of fever, vomiting
and diarrhea. His parents state that he has been sleeping much more. His HR is 190/min, temp is 38.3
degrees C (101 F) blood pressure is 59/29 mmHg, Resp rate is 70/min and shallow, and oxygen sat is
94% on 100% oxygen. His capillary refills time is 4-5 seconds, and he has mottled, cool extremities. The
infant weighs 6 Kg. You have decided that this infant Needs fluid resuscitation. How much fluid should
you administer?
40 Joules - ANSA 4 year old child in cardiac arrest is brought to the emergency department by
ambulance. High quality CPR is being performed. The cardiac monitor displays the rhythm strip shown
here. The estimated weight of the child is 20 kg. As the team leader, how many joules do you tell your
team member to use to perform initial Defib?
88% on 4L of Nasal oxygen - ANSA 10 year old child is brought to the ED for fever and cough. You obtain
an O2 sat on the child. Which oxygen saturation would indicate that immediate intervention is needed?
94%-99% - ANSIn post resuscitation management after cardiac arrest, extra care should be taken to
avoid repercussion injury. what should the ideal oxygen saturation range most likely be?
A child who is grunting - ANSYou are caring for patients in the emergency department. Which 2 year old
child requires immediate intervention?
,AHA PALS EXAM 2024 ACTUAL EXAM TEST BANK
230 QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES (VERIFIED
ANSWERS) |ALREADY GRADED A+||NEWEST
VERSION
Administer 20 ml/kg of isotonic crystalloid over 5 to 10 mins - ANSThe parents of a 7 year old child who is
undergoing chemotherapy report that the child has been febrile and has not been feeling well, with recent
onset of lethargy. Assessment reveals that the child is difficult to arouse and her skin color is pale. The
Childs HR is 160/min, respiratory rate is 38/min, blood pressure is 76/45 mmHg, cap refill time is 5 to 6
seconds, and temp is 39.4 degrees C (103 F). IV access has been established, and blood cultures have
been obtained. which action should you perform next?
Alert - ANSA 5 year old child is brought to the emergency department by ambulance after being involved
in a MVC. You are using the primary assessment to evaluate the child. When assessing the Childs
neurological status, you note that he has spontaneous eye opening, is fully oriented, and is able to follow
command. How would you document this Childs AVPU pediatric response scale finding?
Allowing complete chest wall recoil after each compression - ANSYou are the team leader during a
pediatric resuscitation attempt. which action is an element of high quality CPR?
an antibiotic - ANSYou 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 O2 sat is 72% on room air and 89% when on a NRB O2 mask. He has shallow
respirations, with a respiratory rate of 38/min. Auscultation of the lungs reveals bilateral crackles. Which
medication would be most appropriate?
Antibiotic Administration - ANSYou 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 Temp is 39 degrees C (102.2
F), HR is 118/min, respiratory rate is 36/min, BP is 100/40 mmHg, and oxygen sat is 96% on room air.
Your assessment reveals mild increase in work of breathing and bounding pulses. The child is receiving
100% Oxygen by NRB mask.--- In edition to oxygen administration and appropriate fluid resuscitation,
which additional early intervention should you provide to the patient?
Ask for a new task or role - ANSA team member is unable to perform an assigned task because it is
beyond the team members scope of practice. Which action should the team member take?
Audible inspiratory stridor - ANSA 6 year old boy is being evaluated for difficulty breathing. Which finding
would suggest this child has respiratory distress?
Begin CPR for 2 mins before leaving to activate the emergency response system. - ANSYou respond to
an infant who is unresponsive, in not breathing, and doe not have a pulse. You shout for nearby help, but
no one arrives. What action should you take next?
blood glucose - ANSAn 8 year old child is brought to the emergency department with a 2 day history of
lethargy and polyuria. The child has new onset rapid, deep, and labored breathing. Which diagnostic test
should you order first?
blood pressure - ANSYou are caring for a 3 month old boy with a 2 day history of fever, vomiting and
diarrhea. His parents state that he has been sleeping much more. His HR is 190/min, temp is 38.3
degrees C (101 F) blood pressure is 59/29 mmHg, Resp rate is 70/min and shallow, and oxygen sat is
94% on 100% oxygen. His capillary refills time is 4-5 seconds, and he has mottled, cool extremities. The
infant weighs 6 Kg. Which assessment finding indicates that the infant is in hypotensive shock?
, AHA PALS EXAM 2024 ACTUAL EXAM TEST BANK
230 QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES (VERIFIED
ANSWERS) |ALREADY GRADED A+||NEWEST
VERSION
blood pressure - ANSYou 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 Temp is 39 degrees C (102.2 F),
HR is 118/min, respiratory rate is 36/min, BP is 100/40 mmHg, and oxygen sat is 96% on room air. Your
assessment reveals mild increase in work of breathing and bounding pulses. The child is receiving 100%
Oxygen by NRB mask.--- Which assessment finding is the most important in your determination of the
severity of the patients condition?
blood pressure - ANSYou are evaluating a 10 year old child who is febrile and tachycardia. The Childs
cap refill times 5 seconds. which parameter will determine if the child is in compensated shock?
cardiac arrest - ANSWhich condition in a child would IO access most likely be attempted before vascular
access?
crackles - ANSWhich abnormality helps identify children with acute respiratory distress caused by lung
tissue disease?
Decreased level of consciousness - ANSAn 8 year old child is brought to the ED by ambulance after
being involved in a MVC. Which finding would suggest that immediate intervention is needed?
Disordered Control of Breathing - ANSA 4 year old child is brought to the emergency department for
seizures. The seizures stopped a few minutes ago, but the child continues to have slow and irregular
respirations. Which condition is most consistent with your assessment?
Distributive Septic Shock - ANSYou 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 Temp is 39 degrees C (102.2
F), HR is 118/min, respiratory rate is 36/min, BP is 100/40 mmHg, and oxygen sat is 96% on room air.
Your assessment reveals mild increase in work of breathing and bounding pulses. The child is receiving
100% Oxygen by NRB mask.--- Laberatory studies document a lactic acidosis. On the basis of the
patients clinical assessment and history. Which type of shock does this patient most likely have?
Epinephrine, nebulized - ANSYou are Caring for a 9 month old girl who has increased work of breathing,
a fever, and a cough. On assessment, you find an alert infant with stridor and retractions. The infants
SpO2 is 94% On auscultation, the lungs are clear bilaterally. Which medication should you administer
first?
Give 30 compressions to 2 breaths - ANSWhat ratio for compressions to breaths should be used for 1
rescuer infant CPR
Heart rate of 88/min - ANSA 10 year old child is being evaluated for a head ache. Which is a normal
finding for this 10 year old child?
hypovolemic shock - ANSYou are caring for a 3 month old boy with a 2 day history of fever, vomiting and
diarrhea. His parents state that he has been sleeping much more. His HR is 190/min, temp is 38.3
degrees C (101 F) blood pressure is 59/29 mmHg, Resp rate is 70/min and shallow, and oxygen sat is
94% on 100% oxygen. His capillary refills time is 4-5 seconds, and he has mottled, cool extremities. The
infant weighs 6 Kg. On the basis of this infants presentation, which type of shock does this infant have?
Hypoxia - ANSA 6 month old infant is being evaluated for bradycardia. Which is the most likely cause of
bradycardia?
