AHA PALS ACTUAL REAL FINAL EXAM WITH

AHA PALS ACTUAL REAL FINAL EXAM WITH

QUESTIONS AND WELL VERIFIED CORRECT

ANSWERS [ GRADED A+]//AHA PALS LATEST

VERSION -

• 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?

• Compensated shock
• Cardiogenic shock
• Hypotensive shock
• Obstructive shock - ANSWER-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?

• Administer another 20 mL/kg normal saline fluid bolus
• Administer 10 mL/kg of packed red cells
• Continue to monitor and reevaluate the child
• Initiate a dopamine drip of 20 mcg/kg per minute - ANSWER-Continue to

monitor and reevaluate the child 1 / 3

• 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 lethargy. Assessment reveals the following: The child is difficult to arouse, with 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 D. 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

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• 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

• 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?

• Obtain a chest radiograph
• Administer nebulized epinephrine
• Prepare for a surgical airway
• Use an epinephrine autoinjector - ANSWER-Administer nebulized epinephrine

• A 3-year-old child presents with a high fever and a petechial rash. The child is

lethargic, has 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.

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