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AHA PALS EXAM QUESTIONS AND ANSWERS
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AHA PALS EXAM QUESTIONS AND ANSWERS
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AHA PALS EXAM QUESTIONS ANDANSWERS
1. For a 6-month-old infant with supraventricular tachycardia and adequate
perfusion, which of the following is the preferred vagal maneuver?
A. Ocular pressure
B. Carotid pressure
C. Valsalva maneuver
D. Ice to the face - ANSWERS-Ice to the face
2. 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 albuterol
B. Epinephrine IM
C. Isotonic crystalloid IV
D. Methylprednisolone - ANSWERS-Epinephrine IM
3. A 2-year-old child was found submerged in a swimming pool. She is
unresponsive, not breathing, and pulseless. In addition to performing high-quality
CPR and establishing vascular access, which of the following is the most
appropriate intervention?
A. Give atropine 0.02 mg/kg lIO/IV
,B. Apply cricoid pressure
C. Give epinephrine 0.01 mg/kg IO/IV
D. Provide transthoracic pacing - ANSWERS-Give epinephrine 0.01 mg/kg IO/IV
4. A 3-year-old child is unresponsive, not breathing, and pulseless. High-quality
CPR is in progress. A cardiac monitor is applied, and the rhythm below is noted.
What is the next appropriate intervention?
A. Attempt defibrillation with a 2 J/kg shock
B. Administer epinephrine 0.01 mg/kg
C. Consider placement of an advanced airway
D. Administer amiodarone 5 mg/kg - ANSWERS-Attempt defibrillation with a 2
J/kg shock
5. A pulseless 6-week-old infant arrives in the emergency department, and high-
quality CPR is in progress. The initial rhythm strip is shown below. CPR continues,
and vascular access has been established. What is the next appropriate
intervention?
A. Administer atropine 0.02 mg/kg IO/IV
B. Attempt defibrillation with a 2 J/kg shock
C. Administer epinephrine 0.01 mg/kg IO/IV
D. Consider insertion of an advanced airway - ANSWERS-Administer epinephrine
0.01 mg/kg IO/IV
, 6. A 6-month-old infant is unresponsive and not breathing. What is the maximum
time that should be spent trying to palpate the pulse before starting CPR?
A. 10 seconds
B. 15 seconds
C. 30 seconds
D. 60 seconds - ANSWERS-10 seconds
7. What is the recommended location to check for a pulse in a 3- month-old
infant?
A. Carotid
B. Radial
C. Brachial
D. Cardiac apex - ANSWERS-C. Brachial
8. A 7-year-old child presents in pulseless arrest. The child's ECG shows the
rhythm below. Which of the following describes the patient's condition?
A. Ventricular escape rhythm
B. Ventricular tachycardia
C. Pulseless electrical activity
D. Sinus bradycardia - ANSWERS-Pulseless electrical activity
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