AHA PALS ACTUAL EXAM WITH

AHA PALS ACTUAL EXAM / WITH

QUESTIONS AND 100% CORRECT ANSWERS

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• A 5-year-old child presents with lethargy, increased work of breathing, and pale

color. The primary assessment reveals that the airway is open and the respiratory rate is 30/min, with crackles heard on auscultation. The cardiac monitor shows sinus tachycardia at a rate of 165/min. The pulse oximeter displays an oxygen saturation of 95% and a pulse rate of 93/min. Based on this information, which of the following provides the best interpretation of the oxygen saturation of 95% by pulse oximetry?

• Reliable; no supplementary oxygen is indicated B. Reliable; supplementary

oxygen should be administered

• Unreliable; no supplementary oxygen is indicated
• Unreliable; supplementary oxygen should be administered - ANSWER-

Unreliable; supplementary oxygen should be administered

• A 3-year-old child was recently diagnosed with leukemia and has been treated

with chemotherapy. The child presents with lethargy and a high fever. Heart rate is 195/min, respiratory rate is 36/min, blood pressure is 85/40 mm Hg, and capillary refill time is less than 2 seconds. What is the child's most likely condition?

• Septic shock
• Hypovolemic shock
• Significant bradycardia 1 / 4

• Cardiogenic shock - ANSWER- Septic shock

• A 2-week-old infant presents with irritability and a history of poor feeding.

Blood pressure is 55/40 mm Hg. What term describes this infant's blood pressure?

• Hypotensive
• Normal
• Hypertensive
• Compensated - ANSWER- Hypotensive

• During a resuscitation attempt, the team leader orders an initial dose of

epinephrine at 0.1 mg/kg to be given 10. What should the team member do?

• Administer the drug as ordered
• Administer 0.01 mg/kg of epinephrine
• Respectfully ask the team leader to clarify the dose
• Refuse to administer the drug - ANSWER- Respectfully ask the team leader to

clarify the dose

• Which of the following is a characteristic of respiratory failure?
• Inadequate oxygenation and/or ventilation
• Hypotension
• An increase in serum pH (alkalosis)
• Abnormal respiratory sounds - ANSWER- Inadequate oxygenation and/or

ventilation

• Which of the following is most likely to produce a prolonged expiratory phase

and wheezing?

• Disordered control of breathing 2 / 4

• Hypovolemic shock
• Lower airway obstruction
• Upper airway obstruction - ANSWER- Lower airway obstruction

• A 4-year-old child presents with seizures and irregular respirations. The seizures

stopped a few minutes ago. Which of the following is most likely to be abnormal?

• Vascular resistance
• Pulse rate
• Lung compliance
• Control of breathing - ANSWER- Control of breathing

• What abnormality is most likely to be present in children with acute respiratory

distress caused by lung tissue disease?

• Decreased oxygen saturation
• Stridor
• Normal respiratory rate
• Decreased respiratory effort - ANSWER- Decreased oxygen saturation

• An alert 2-year-old child with an increased work of breathing and pink color is

being evaluated. Heart rate is 110/min, and respiratory rate is 30/min. What would best describe this patient's condition? A. Respiratory distress

• Respiratory arrest
• Respiratory failure
• Disordered control of breathing - ANSWER- Respiratory distress

• The 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 3 / 4

lethargy. Assessment reveals the following: The child is difficult to arouse, with a pale color. The child's heart rate is 160/min, respiratory rate is 30/min, blood pressure is 76/45 mm Hg, capillary refill time is 5 to 6 seconds, and temperature is 103°F (39.4°C). What is the most appropriate intervention?

• Obtain vascular access and administer 20 mL/kg of isotonic crystalloid over 30

minutes

• Obtain vascular access and administer 20 mL/kg of isotonic crystalloid over 5 to

10 minutes

• Obtain immediate blood cultures and chest x-ray
• Obtain expert consultation with an oncologist to determine the

chemotherapeutic regimen - ANSWER- Obtain vascular access and administer 20 mL/kg of isotonic crystalloid over 5 to 10 minutes

• A 2-year-old child presents with a 4-day history of vomiting. The initial

impression reveals an unresponsive child with intermittent apnea and mottled color. Heart rate is 166/min, respiratory rate is now being supported with bag-mask ventilation, capillary refill time is 5 to 6 seconds, and temperature is 102°F (38.9°C). What is the best method of establishing immediate vascular access? A.Two providers may attempt peripheral vascular access twice each

• Three providers may attempt peripheral vascular access once each
• Place a central venous line
• Place an intraosseous line - ANSWER- Place an intraosseous line

• What is the appropriate fluid bolus to administer for a child with hypovolemic

shock with adequate myocardial function?

• 10 mL/kg normal saline
• 20 mL/kg of 5% dextrose and 0.2% sodium chloride
• 20 mL/kg normal saline
• 10 mL/kg lactated Ringer's - ANSWER- 20 mL/kg normal saline
• / 4