ACLS TEST PREP (PALS, BLS, ACLS)
QUESTIONS WITH ALL CORRECT & VERIFIED
ANSWERS
*These 50 questions and answers are found on. You can take the test there is you would rather study
in a test format. You could also us the test study feature on quizlet. Hope this helps you study some
basic ACLS.* Correct answer-https://www.aclsmedicaltraining.com/practice-tests/
A 5-year-old child in supraventricular tachycardia has adequate pulses with the rhythm.
Supplemental oxygen is in place and vital signs are stable except for the elevated heart rate. The
most appropriate next intervention for this child is: Correct answer-Vagal Maneuvers
*Rationale:* Vagal maneuvers are a reasonable first intervention for supraventricular tachycardia in a
hemodynamically stable patient, as this child is.
A child has an advanced airway in place during cardiac arrest. How frequently should ventilations be
given? Correct answer-Every 6-8 Seconds
8-10 BPM
*Rationale:* The latest AHA guidelines recommend one ventilation every six seconds, or 10 per
minute, when an advanced airway is in place.
You are using a bag-valve mask to resuscitate an infant, while another rescuer is performing chest
compressions. What is the correct ratio of chest compressions to ventilations? Correct answer-15
chest compressions to 2 ventilations
*Rationale:* The AHA suggests that during a pediatric resuscitation with two or more rescuers
present, the correct ratio of chest compressions to ventilations is 15:2.
You are alone performing infant CPR. What is the correct ratio of chest compressions to ventilations?
Correct answer-30 chest compressions to 2 ventilations
*Rationale:* The AHA suggests that during a pediatric resuscitation with only one rescuer present,
the correct ratio of chest compressions to ventilations is 30:2.
A 7 month old appears to be unconscious and not breathing. You check for a pulse at the ________
artery. Correct answer-Brachial
*Rationale:* Rescuers should use the brachial artery in the upper arm to check for a pulse. The
artery is easily palpable in infants and young children.
A clear sign of upper airway obstruction is: Correct answer-A "whistling" sound during breathing
*Rationale:* A "whistling" sound during breathing usually indicates *stridor.* Crying suggests full
lung function, as does breath sounds in all lung fields. Decreased inspiratory effort is a non-specific
sign, but may reflect a central process (i.e. consequence of head trauma).
In children, which of the following is the most common form of arrest? Correct answer-Respiratory
arrest
, *Rationale:* Respiratory distress, failure, and arrest are the most common conditions prompting
PALS care. In fact, most cases of pediatric cardiac arrest are preceded by respiratory issues.
In small children, a rescue breath should be given: Correct answer-Over one second
*Rationale:* Rescue breaths and ventilations should be delivered over one second, regardless of the
patient's age.
What is the normal range of heart rates for an 8-year-old child? Correct answer-*Answer:* 60-140
per minute *(The ACLS test I took says this. This is most likely a older ACLS test. According to 2015
Handbook of Emergency Cardiovascular Care it says for a school-age child the rate is 75-118.)*
*Rationale:* Normal vital sign values change as children age. It is important to know what "normal"
is for the age of your patient.
The child you are caring for is very pale. You know that this pallor can be caused by all of the
following EXCEPT:
A) Anemia
B) Heat
C) Shock
D) Albinism Correct answer-Heat
*Rationale:* Heat generally causes skin flushing and capillary dilation, which makes the skin
red/pink. The other conditions result in pale skin. Anemia and shock are due to decreased blood flow
through skin capillaries. Albinism is due to a congenital lack of skin pigment.
Clinical signs of respiratory distress may include all of the following EXCEPT:
A) Rapid respiratory rate
B) Grunting respirations
C) Warm, pink skin
D) Diminished level of consciousness Correct answer-Warm, pink skin
*Rationale:* Grunting respirations, rapid respiratory rate, and a diminished level of consciousness
are signs of respiratory compromise. Warm, pink skin would not normally occur during the course of
respiratory distress.
Late and ominous signs of respiratory failure include all of the following EXCEPT:
A) Rapid respiratory rate
B) Cyanosis
C) Bradycardia
D) Diminished level of consciousness Correct answer-Rapid respiratory rate
*Rationale:* An elevated respiratory rate is a sign of early respiratory compromise. In late stages or
overt respiratory failure, the respiratory rate is low or barely detectable.
QUESTIONS WITH ALL CORRECT & VERIFIED
ANSWERS
*These 50 questions and answers are found on. You can take the test there is you would rather study
in a test format. You could also us the test study feature on quizlet. Hope this helps you study some
basic ACLS.* Correct answer-https://www.aclsmedicaltraining.com/practice-tests/
A 5-year-old child in supraventricular tachycardia has adequate pulses with the rhythm.
Supplemental oxygen is in place and vital signs are stable except for the elevated heart rate. The
most appropriate next intervention for this child is: Correct answer-Vagal Maneuvers
*Rationale:* Vagal maneuvers are a reasonable first intervention for supraventricular tachycardia in a
hemodynamically stable patient, as this child is.
A child has an advanced airway in place during cardiac arrest. How frequently should ventilations be
given? Correct answer-Every 6-8 Seconds
8-10 BPM
*Rationale:* The latest AHA guidelines recommend one ventilation every six seconds, or 10 per
minute, when an advanced airway is in place.
You are using a bag-valve mask to resuscitate an infant, while another rescuer is performing chest
compressions. What is the correct ratio of chest compressions to ventilations? Correct answer-15
chest compressions to 2 ventilations
*Rationale:* The AHA suggests that during a pediatric resuscitation with two or more rescuers
present, the correct ratio of chest compressions to ventilations is 15:2.
You are alone performing infant CPR. What is the correct ratio of chest compressions to ventilations?
Correct answer-30 chest compressions to 2 ventilations
*Rationale:* The AHA suggests that during a pediatric resuscitation with only one rescuer present,
the correct ratio of chest compressions to ventilations is 30:2.
A 7 month old appears to be unconscious and not breathing. You check for a pulse at the ________
artery. Correct answer-Brachial
*Rationale:* Rescuers should use the brachial artery in the upper arm to check for a pulse. The
artery is easily palpable in infants and young children.
A clear sign of upper airway obstruction is: Correct answer-A "whistling" sound during breathing
*Rationale:* A "whistling" sound during breathing usually indicates *stridor.* Crying suggests full
lung function, as does breath sounds in all lung fields. Decreased inspiratory effort is a non-specific
sign, but may reflect a central process (i.e. consequence of head trauma).
In children, which of the following is the most common form of arrest? Correct answer-Respiratory
arrest
, *Rationale:* Respiratory distress, failure, and arrest are the most common conditions prompting
PALS care. In fact, most cases of pediatric cardiac arrest are preceded by respiratory issues.
In small children, a rescue breath should be given: Correct answer-Over one second
*Rationale:* Rescue breaths and ventilations should be delivered over one second, regardless of the
patient's age.
What is the normal range of heart rates for an 8-year-old child? Correct answer-*Answer:* 60-140
per minute *(The ACLS test I took says this. This is most likely a older ACLS test. According to 2015
Handbook of Emergency Cardiovascular Care it says for a school-age child the rate is 75-118.)*
*Rationale:* Normal vital sign values change as children age. It is important to know what "normal"
is for the age of your patient.
The child you are caring for is very pale. You know that this pallor can be caused by all of the
following EXCEPT:
A) Anemia
B) Heat
C) Shock
D) Albinism Correct answer-Heat
*Rationale:* Heat generally causes skin flushing and capillary dilation, which makes the skin
red/pink. The other conditions result in pale skin. Anemia and shock are due to decreased blood flow
through skin capillaries. Albinism is due to a congenital lack of skin pigment.
Clinical signs of respiratory distress may include all of the following EXCEPT:
A) Rapid respiratory rate
B) Grunting respirations
C) Warm, pink skin
D) Diminished level of consciousness Correct answer-Warm, pink skin
*Rationale:* Grunting respirations, rapid respiratory rate, and a diminished level of consciousness
are signs of respiratory compromise. Warm, pink skin would not normally occur during the course of
respiratory distress.
Late and ominous signs of respiratory failure include all of the following EXCEPT:
A) Rapid respiratory rate
B) Cyanosis
C) Bradycardia
D) Diminished level of consciousness Correct answer-Rapid respiratory rate
*Rationale:* An elevated respiratory rate is a sign of early respiratory compromise. In late stages or
overt respiratory failure, the respiratory rate is low or barely detectable.
