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AHA PALS Practice exam review 2024
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AHA PALS Practice exam review 2024
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AHA PALS Practice exam review 20241. 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. On the basis of this information,
which of the following provides the best interpretation of the oxygen saturation of
95% by pulse oximetry?
A. Reliable; no supplementary oxygen is indicated B. Reliable; supplementary
oxygen should be administered
C. Unreliable; no supplementary oxygen is indicated
D. Unreliable; supplementary oxygen should be administered - correct answer
✅Unreliable; supplementary oxygen should be administered
2. 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?
A. Septic shock
B. Hypovolemic shock
C. Significant bradycardia
D. Cardiogenic shock - correct answer ✅Septic shock
,AHA PALS Practice exam review 2024
3. 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?
A. Hypotensive
B. Normal
C. Hypertensive
D. Compensated - correct answer ✅Hypotensive
4. 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?
A. Administer the drug as ordered
B. Administer 0.01 mg/kg of epinephrine
C. Respectfully ask the team leader to clarify the dose
D. Refuse to administer the drug - correct answer ✅Respectfully ask the team
leader to clarify the dose
5. Which of the following is a characteristic of respiratory failure?
A. Inadequate oxygenation and/or ventilation
B. Hypotension
C. An increase in serum pH (alkalosis)
, AHA PALS Practice exam review 2024
D. Abnormal respiratory sounds - correct answer ✅Inadequate oxygenation
and/or ventilation
6. Which of the following is most likely to produce a prolonged expiratory phase
and wheezing?
A. Disordered control of breathing
B. Hypovolemic shock
C. Lower airway obstruction
D. Upper airway obstruction - correct answer ✅Lower airway obstruction
7. A 4-year-old child presents with seizures and irregular respirations. The seizures
stopped a few minutes ago. Which of the following most likely to be abnormal?
A. Vascular resistance
B. Pulse rate
C. Lung compliance
D. Control of breathing - correct answer ✅Control of breathing
8. What abnormality is most likely to be present in children with acute respiratory
distress caused by lung tissue disease?
A. Decreased oxygen saturation
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