2024 AHA PALS Post Test Exam Q & As (Version A and B) each
version contains 33 latest exam questions with correct answers
graded A+
15. A 15-year-old boy presents with acute onset of severe respiratory distress, with
retractions and an oxygen saturation of 85%. His trachea is deviated to the right, and
there are no breath sounds on the left. His heart rate is 140/min, his blood pressure is
84/60 mm Hg, and his capillary refill time is 3 seconds. What is the most appropriate
intervention?
A. Obtain a chest x-ray
B. Perform needle decompression on the left chest C. Insert a chest tube on the left
side
D. Insert an IV and administer 20 mL/kg of normal saline - Perform needle
decompression on the left chest
16. A 4-year-old is being treated for hypovolemic shock and has received a single fluid
bolus of 20 mL/kg of normal saline. On reevaluation the child remains anxious, with a
heart rate of 140/min, a blood pressure of 84/54 mm Hg, and a capillary refill time of 4
seconds. What describes this patient's condition?
A. Hypotensive shock
B. Compensated shock
C. No longer in shock
D. Cardiogenic shock - Compensated shock
17. An 8-year-old child had a sudden onset of palpitations and light-headedness. At the
time of evaluation the child is alert. His respiratory rate is 26/ min, and his blood
pressure is 104/70 mm Hg. A cardiac monitor is applied, and the rhythm below is noted.
What is the most appropriate initial intervention?
A. Provide synchronized cardioversion at 0.5 to 1 J/kg
B. Attempt vagal maneuvers
C. Administer adenosine 0.1 mg/kg over 5 minutes D. Administer amiodarone 5 mg/kg
over 20 minutes - Attempt vagal maneuvers
18. 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?
A. 92% to 100%
B. 92% to 99%
C. 94% to 99%
D. 94% to 100% - 94% to 99%
,19. A 3-month-old infant with bronchiolitis is suctioned to remove upper airway
secretions. The infant's heart rate decreases from 155/min to 65/min as shown below.
The infant remains alert, with easily palpable pulses. Capillary refill time is 1 second.
What is the most appropriate initial intervention?
A. Administer oxygen and ensure adequate ventilation; be prepared to intervene further
if heart rate does not increase
B. Establish IV/IO access and administer epinephrine 0.01 mg/kg IV
C. Establish IV/IO access and administer atropine 0.02 mg/kg IV
D. Call for help and prepare to provide transthoracic pacing/transvenous pacing -
Administer oxygen and ensure adequate ventilation; be prepared to intervene further if
heart rate
20. A 3-month-old infant with bronchiolitis is intubated for management of respiratory
failure. During transport, the infant develops bradycardia with a heart rate of 60/min, and
the infant's oxygen saturation decreases to 75%. There are breath sounds on the right
side, but no air entry is heard on the left side. What is the most appropriate initial
intervention?
A. Administer epinephrine 0.01 mg/kg IV
B. Place a chest tube on the left
C. Verify the endotracheal tube position
D. Aggressively suction the endotracheal tube - Verify the endotracheal tube position
21. 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 - Ice to the face
22. 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 - Epinephrine IM
1. 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 - 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 - Septic shock
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 - 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 - 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)
D. Abnormal respiratory sounds - 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 - 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 - Control of breathing
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