AHA PALS Post Test Exam Q As Version A and B -

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AHA PALS Post Test Exam Q & As (Version A and B) - Revision Guide

• A 13-year-old patient with asthma just received oxygen and albuterol via a nebulizer. What is

the next most appropriate intervention - ANSWER✅✅C. Reassess breath sounds and clinical status

• The respiratory rate of a 1-year-old child with respiratory distress has decreased from 65/min

to 30/min. The child is more lethargic and continues to have subcostal retractions. What does this change likely indicate - ANSWER✅✅B. Progression toward respiratory failure

• What is the most likely cause of head bobbing in infants - ANSWER✅✅A. Increased

respiratory effort

• Several healthcare providers are participating in an attempted resuscitation. Which of the

following is most consistent with the responsibilities of the team leader of the resuscitation - ANSWER✅✅B. Assigns roles to team members

• Which of the following conditions is appropriate for use of an oropharyngeal airway -

ANSWER✅✅C. Unconscious with no gag reflex

• A 10-year-old child had a sudden witnessed cardiac arrest and received immediate bystander

CPR and defibrillation within 3 minutes. He had a return of spontaneous circulation. The child remains unresponsive and has an advanced airway in place. There is no history of trauma or signs of shock. What is the target range for oxygen saturation for this child - ANSWER✅✅C.94% to 99%

• A child presents with severe respiratory distress, urticaria, stridor, and tachycardia about 10

minutes after eating peanuts. What is the most appropriate initial medication for this child?A.Nebulized albuterolB. Epinephrine IMC. Isotonic crystalloid IVD. Methylprednisolone - ANSWER✅✅B. Epinephrine IM

• A mother brings her 7-year-old child to the emergency department. The mother states that

the child has had a fever for the past 4 days and has had little to eat or drink during the past 24 hours.Your initial impression reveals a lethargic child with increased respiratory rate and pale color. 1 / 4

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Heart rate is 160/min, respiratory rate is 38/min, and blood pressure is 86/48 mm Hg. Capillary refill is 4 seconds. Which of the following is the most appropriate intervention for this child - ANSWER✅✅B. Fluid bolus of 20 mL/kg of isotonic crystalloid

• An intubated 5-year-old child who was in a motor vehicle collision becomes increasingly

more difficult to ventilate. The child has diminished breath sounds and chest expansion on the right side of the chest, with audible breath sounds and visible chest expansion on the left. The endotracheal tube insertion depth has not changed. What is the most appropriate intervention

• ANSWER✅✅B. Perform needle decompression on the right chest
• A 2-year-old child with a 2-day history of a barking cough presents with audible stridor on

inspiration, intercostal retractions, and agitation. What is the most appropriate intervention for this child - ANSWER✅✅C. Administer nebulized epinephrine

• Which of the following oxygen saturations indicates the need for additional intervention -

ANSWER✅✅C. 93% on 4 L of oxygen

• A 3-year-old child presents with a 2-day history of nausea and vomiting. She is alert, with no

increase in respiratory effort, and is pale in color. The child's heart rate is 160/min, respiratory rate is 40/min, and blood pressure is 100/70 mm Hg. Her extremities are cool, with sluggish capillary refill. Which term best describes this child's physiologic state - ANSWER✅✅A. Compensated shock

• A 3-year-old child presents with dehydration after a 2-day history of vomiting and diarrhea.

The child after has received 2 fluid boluses of 20 mL/kg of normal saline. After the second bolus, the child is alert and interacting. Her heart rate is 110/min, respiratory rate is 30/min, and blood pressure is 92/64 mm Hg. Her capillary refill time is 2 seconds, and oxygen saturation is 98% What is the most appropriate next intervention for this child - ANSWER✅✅C. Continue to monitor and reevaluate the child

• A 3-year-old child presents with a high fever and a petechial rash. The child is lethargic, has 2 / 4

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no signs of increased work of breathing, and is pale in color. His heart rate is 180/min, respiratory rate is 30/min, blood pressure is 80/68 mm Hg. Capillary refill time is 4 seconds, and oxygen saturation is 88%. Airway and lungs are clear. Peripheral pulses are diminished. Which of the following is the most appropriate initial intervention - ANSWER✅✅A. Provide 100% oxygen via a nonrebreathing mask

• You are examining a 2-year-old child who has a history of gastroenteritis. The initial

impression reveals that the child is lethargic, with increased work of breathing and pale color.The child has a heart rate of 180/min, a respiratory rate of 40/min, a blood pressure of 80/60 mm Hg, a capillary refill time of 4 seconds, and an oxygen saturation of 96%. Central pulses are strong and peripheral pulses are weak, and the extremities are cool below the knee. What best describes the patient's condition - ANSWER✅✅A. Compensated shock

• An alert toddler presents with a barking cough, moderate stridor, and moderate retractions.

The child's color is pink. What is the most appropriate initial intervention - ANSWER✅✅B.Administer nebulized epinephrine

• The initial impression of a 4-year-old child reveals a lethargic child who is diaphoretic, with

no increased work of breathing and pink color. Her heart rate is 220/min, respiratory rate is 24/min, blood pressure is 84/46 mm Hg, and capillary refill time is 5 seconds. IV access has been established. The rhythm below is seen on the cardiac monitor.What is the most appropriate initial intervention - ANSWER✅✅A. Give adenosine 0.1 mg/kg rapid IV push

• An 8-month-old infant is being evaluated. The child's mother says the infant has not been

feeding well. The infant is alert with rapid but unlabored breathing, and the infant's color is pale. A cardiac monitor is applied, and the rhythm below is noted. 3 / 4

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Distal pulses are readily palpable. You give oxygen and establish IV access. What is the most appropriate vagal maneuver - ANSWER✅✅D. Ice to the face

• A 7-year-old child presents with a narrow-complex supraventricular tachycardia, lethargy,

and poor perfusion. Pulses are weak and thready. Vascular access cannot be established. What is the most appropriate intervention - ANSWER✅✅B. Synchronized shock with 0.5 to 1 J/kg

• A 3-month-old infant presents with lethargy and a 3-day history of vomiting, diarrhea, and

poor feeding. The initial impression reveals lethargy, increased respiratory effort with retractions, and pale, mottled skin color. Vital signs are as follows: heart rate 210/min, respiratory rate 60/min, and blood pressure 60/40 mm Hg. Peripheral pulses are thready, and capillary refill time is 4 seconds.The cardiac monitor displays the rhythm below. After administration of oxygen and establishment of vascular access, what is the most appropriate intervention - ANSWER✅✅D. IV fluid bolus of 20 mL/kg normal saline

• A 3-year-old child is unresponsive, gasping, and has no detectable pulse. CPR is initiated. A

monitor is attached, and the rhythm is shown below.What is the appropriate next therapy - ANSWER✅✅A. Attempted defibrillation with 2 J/kg

• A 2-year-old child is in pulseless arrest. The child has received high-quality CPR, 2 shocks,

and a dose of IV epinephrine. The next rhythm check reveals the rhythm shown below.What would be an appropriate energy dose for the third defibrillation attempt - ANSWER✅✅C. 4 J/kg or greater

• A 12-year-old child suddenly collapses while playing sports. He is unresponsive and not

breathing. Emergency response is activated. The child has no pulse, and CPR is initiated. An AED arrives. What is the most appropriate next intervention - ANSWER✅✅D. Use the AED

• A 3-year-old child is in cardiac arrest, and high-quality CPR is in progress. The first rhythm
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