AHA PALS PRE-TEST 2024 QUESTIONS
AND DETAILED CORRECT ANSWERS
You are called to help treat an infant with severe symptomatic
bradycardia (heart rate 66/min) associated with respiratory
distress. The bradycardia persists despite establishment of an
effective airway, oxygenation, and ventilation. There is no heart
block present. Which is the first drug you should administer?
Correct Answer Epinephrine
Initial impression of a 2yo girl shows her to be alert with mild
breathing difficulty during inspiration and pale skin color. On
primary assessment, she makes high-pitched inspiratory
sounds (mild stridor) when agitated; otherwise, her breathing is
quiet. Her spO2 is 92% on room air, and she has mild
inspiratory intercostal retractions. Lung auscultation reveals
transmitted upper airway sounds with adequate distal breath
sounds bilaterally. Which is the most appropriate initial
intervention for this child? Correct Answer Humidified oxygen
as tolerated
You are part of a team attempting to resuscitate a child with
ventricular fibrillation cardiac arrest. You delivered 2
unsynchronized shocks. A team member established IO
access, so you give a dose of epinephrine, 0.01 mg/kg IO. At
the next rhythm check, persistent ventricular fibrillation is
present. You administer a 4 J/kg shock and resume CPR.
Which drug and dose should be administered next? Correct
Answer Amiodarone 5 mg/kg IO
Which statement is correct about the effects of epinephrine
during attempted resuscitation? Correct Answer Epinephrine
stimulates spontaneous contractions when asystole is present
, 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. Correct Answer Administer
a bolus of isotonic crystalloid 20 ml/kg over 5-20 minutes, and
also give D25W 2-4 ml/kg IV
Which statement is correct about endotracheal drug
administration during resuscitative efforts for pediatric patients?
Correct Answer It is the least desirable route of administration
Which statement is correct about the use of calcium chloride in
pediatric patients? Correct Answer Routine administration is not
indicated during cardiac arrest
A 9yo boy is agitated and leaning forward on the bed in obvious
respiratory distress. Correct Answer Albuterol
Which oxygen delivery system most reliably delivers a high
(90% or greater) concentration of inspired oxygen to a 7yo
child? Correct Answer Nonrebreathing face mask
Paramedics are called to the home of a 1yo child. Their initial
assessment reveals a child who responds only to painful stimuli
and has irregular breathing, faint central pulses, bruises over
the abdomen, abdominal distention, and cyanosis Correct
Answer Rapid bolus of 20ml/kg of isotonic crystalloid
A 7yo boy is found unresponsive, apneic, and pulseless. CPR
is ongoing Correct Answer Identify and treat reversible causes
You are preparing to use a manual defibrillator in the pediatric
setting. Which best describes when it is appropriate to use the
smaller, pediatric-sized paddles? Correct Answer If the child
weighs less than 10kg or is less than 1 year old
AND DETAILED CORRECT ANSWERS
You are called to help treat an infant with severe symptomatic
bradycardia (heart rate 66/min) associated with respiratory
distress. The bradycardia persists despite establishment of an
effective airway, oxygenation, and ventilation. There is no heart
block present. Which is the first drug you should administer?
Correct Answer Epinephrine
Initial impression of a 2yo girl shows her to be alert with mild
breathing difficulty during inspiration and pale skin color. On
primary assessment, she makes high-pitched inspiratory
sounds (mild stridor) when agitated; otherwise, her breathing is
quiet. Her spO2 is 92% on room air, and she has mild
inspiratory intercostal retractions. Lung auscultation reveals
transmitted upper airway sounds with adequate distal breath
sounds bilaterally. Which is the most appropriate initial
intervention for this child? Correct Answer Humidified oxygen
as tolerated
You are part of a team attempting to resuscitate a child with
ventricular fibrillation cardiac arrest. You delivered 2
unsynchronized shocks. A team member established IO
access, so you give a dose of epinephrine, 0.01 mg/kg IO. At
the next rhythm check, persistent ventricular fibrillation is
present. You administer a 4 J/kg shock and resume CPR.
Which drug and dose should be administered next? Correct
Answer Amiodarone 5 mg/kg IO
Which statement is correct about the effects of epinephrine
during attempted resuscitation? Correct Answer Epinephrine
stimulates spontaneous contractions when asystole is present
, 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. Correct Answer Administer
a bolus of isotonic crystalloid 20 ml/kg over 5-20 minutes, and
also give D25W 2-4 ml/kg IV
Which statement is correct about endotracheal drug
administration during resuscitative efforts for pediatric patients?
Correct Answer It is the least desirable route of administration
Which statement is correct about the use of calcium chloride in
pediatric patients? Correct Answer Routine administration is not
indicated during cardiac arrest
A 9yo boy is agitated and leaning forward on the bed in obvious
respiratory distress. Correct Answer Albuterol
Which oxygen delivery system most reliably delivers a high
(90% or greater) concentration of inspired oxygen to a 7yo
child? Correct Answer Nonrebreathing face mask
Paramedics are called to the home of a 1yo child. Their initial
assessment reveals a child who responds only to painful stimuli
and has irregular breathing, faint central pulses, bruises over
the abdomen, abdominal distention, and cyanosis Correct
Answer Rapid bolus of 20ml/kg of isotonic crystalloid
A 7yo boy is found unresponsive, apneic, and pulseless. CPR
is ongoing Correct Answer Identify and treat reversible causes
You are preparing to use a manual defibrillator in the pediatric
setting. Which best describes when it is appropriate to use the
smaller, pediatric-sized paddles? Correct Answer If the child
weighs less than 10kg or is less than 1 year old
