Exam (elaborations)

AHA PALS POST EXAM (3 VERSIONS) 2024 WITH ACTUAL CORRECT QUESTIONS AND VERIFIED DETAILED ANSWERS |FREQUENTLY TESTED QUESTONS AND SOLUTIONS |ALREADY GRADED A+|BRAND NEW VERSION!!|LATEST UPDATE |GUARANTEED PASS

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AHA PALS POST

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aha pals post exam 3 versions 2024
aha pals post exam 3 versions

Institution AHA PALS POST
Course AHA PALS POST

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AHA PALS POST EXAM (3 VERSIONS) 2024
WITH ACTUAL CORRECT QUESTIONS AND
VERIFIED DETAILED ANSWERS
|FREQUENTLY TESTED QUESTONS AND
SOLUTIONS |ALREADY GRADED A+|BRAND
NEW VERSION!!|LATEST UPDATE
|GUARANTEED PASS

You are caring for a 12-year-old girl with acute lymphoblastic leukemia. She is responsive, but she does
not feel well and appears to be flushed. Her temperature is 39°C (102.2°F), heart rate is 118/min,
respiratory rate is 36/min, blood pressure is 100/40 mm Hg, and oxygen saturation is 96% on room air.
Your assessment reveals mild increase in work of breathing and bounding pulses. The child is placed on
100% oxygen by nonrebreathing mask. What is the most appropriate amount to administer for the first
normal saline fluid bolus?

10 to 20 mL/kg

You are caring for a 12-year-old girl with acute lymphoblastic leukemia. She is responsive, but she does
not feel well and appears to be flushed. Her temperature is 39°C (102.2°F), heart rate is 118/min,
respiratory rate is 36/min, blood pressure is 100/40 mm Hg, and oxygen saturation is 96% on room air.
Your assessment reveals mild increase in work of breathing and bounding pulses. The child is placed on
100% oxygen by nonrebreathing mask. In addition to oxygen administration and appropriate fluid
resuscitation, what additional early intervention should you provide to this patient?

Antibiotic administration

A 10-year-old child is brought to the emergency department for fever and cough. You obtain an oxygen
saturation on the child. What oxygen saturation would indicate that immediate intervention is needed?

88% on 4 L/min of nasal oxygen

An unresponsive 14-year-old girl is pale and cool to the touch. Her blood pressure is 70/45 mm Hg, heart
rate is 190/min, and respiratory rate is 12/min. The Sp O2 is not detectable. Capillary refill time is 5
seconds. An IV is in place. The cardiac monitor displays the rhythm shown here. What rhythm is seen on
the patient's cardiac monitor?

1|Page

,Supraventricular tachycardia

An unresponsive 14-year-old girl is pale and cool to the touch. Her blood pressure is 70/45 mm Hg, heart
rate is 190/min, and respiratory rate is 12/min. The Sp O2 is not detectable. Capillary refill time is 5
seconds. An IV is in place. The cardiac monitor displays the rhythm shown here. If pharmacological
interventions are unavailable or delayed, what intervention is indicated?

Synchronized cardioversion

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 that the child is difficult
to arouse, and her skin color is pale. The child's heart rate is 160/min, respiratory rate is 38/min, blood
pressure is 76/45 mm Hg, capillary refill time is 5 to 6 seconds, and temperature is 39.4°C (103°F). IV
access has been established, and blood cultures have been obtained. What is the most appropriate
intervention?

Administer 10 to 20 mL/kg of isotonic crystalloid over 5 to 10 minutes

An unresponsive 9-year-old boy was given a dose of rectal valium by his caretaker for a prolonged
seizure. His blood pressure is 80/40 mm Hg, heart rate is 45/min, respiratory rate is 6/min, and Sp O2 is
60% on room air. He is unresponsive and cyanotic. The cardiac monitor displays the rhythm shown here.
What rhythm is most consistent with this patient's presentation and ECG findings?

Sinus bradycardia

An unresponsive 9-year-old boy was given a dose of rectal valium by his caretaker for a prolonged
seizure. His blood pressure is 80/40 mm Hg, heart rate is 45/min, respiratory rate is 6/min, and Sp O2 is
60% on room air. He is unresponsive and cyanotic. The cardiac monitor displays the rhythm shown here.
What action do you take next?

2|Page

,Provide bag-mask ventilation with 100% oxygen

A 3-year-old child is brought to the emergency department by his mother. What is a normal finding for a
3-year-old child?

Respiratory rate of 24/min

A 6-month-old infant is being evaluated for bradycardia. What is the most likely cause of bradycardia?

Hypoxia

In which of the following situations may IO access be used?

An extremity with slow a capillary refill time

A 2-week-old infant is being evaluated for irritability and poor feeding. His blood pressure is 55/40 mm
Hg, and capillary refill time is 5 seconds. Which statement best describes your assessment of this infant's
blood pressure?

It is hypotensive.

You are caring for patients in the emergency department. Which 2-year-old child requires immediate
intervention?

A child who is grunting

A 3-year-old child is having difficulty breathing. What finding would most likely lead you to suspect an
upper airway obstruction in this child?

Increased inspiratory effort with retractions

A team member is unable to perform an assigned task because it is beyond the team member's scope of
practice. What action should the team member take?

Ask for a new task or role

You are the Team Leader during a pediatric resuscitation attempt. What action is an element of high-
quality CPR?

Allowing complete chest wall recoil after each compression

An 8-year-old child is brought to the emergency department by his mother for difficulty breathing. He
has a history of asthma and nut allergies. His mother tells you that he recently ate a cookie at a family
picnic. What condition is most likely to be present in this child?

Upper airway obstruction

3|Page

, An 8-year-old child is brought to the emergency department by ambulance after being involved in a
motor vehicle collision. What finding would suggest that immediate intervention is needed?

Decreased level of consciousness

A 6-year-old child is found unresponsive, not breathing, and without a pulse. One healthcare worker
leaves to activate the emergency response system and get the resuscitation equipment. You and
another healthcare provider immediately begin performing CPR. What compression-to-ventilation ratio
do you use?

15:2

A 3-year-old child is in cardiac arrest, and high-quality CPR is in progress. You are the Team Leader. The
first rhythm check reveals the rhythm shown here. Defibrillation is attempted with a shock dose of 2
J/kg. After shock administration, what should you say to your team members?

"Resume compressions."

You are caring for a 5-year-old boy with a 4-day history of high fever and cough. He is having increasing
lethargy, grunting, and sleepiness. Now he is difficult to arouse and is unresponsive to voice commands.
His oxygen saturation is 72% on room air and 89% when on a nonrebreathing oxygen mask. He has
shallow respirations with a respiratory rate of 38/min. Auscultation of the lungs reveals bilateral
crackles. What assessment finding is consistent with respiratory failure in this child?

Oxygen saturation

You are caring for a 5-year-old boy with a 4-day history of high fever and cough. He is having increasing
lethargy, grunting, and sleepiness. Now he is difficult to arouse and is unresponsive to voice commands.
His oxygen saturation is 72% on room air and 89% when on a nonrebreathing oxygen mask. He has
shallow respirations with a respiratory rate of 38/min. Auscultation of the lungs reveals bilateral
crackles. What medication would be most appropriate?

An antibiotic

During a resuscitation attempt, the Team Leader asks you to administer an initial dose of epinephrine at
0.1 mg/kg to be given IO. How should you respond?

"I think the correct dose is 0.01 mg/kg. Should I give that dose instead?"

A 6-month-old infant is unresponsive. You begin checking for breathing at the same time you check for
the infant's pulse. What is the maximum time you should spend trying to simultaneously check for
breathing and palpate the infant's pulse before starting CPR?

10 seconds

4|Page

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Exam (elaborations)

AHA PALS POST EXAM (3 VERSIONS) 2024 WITH ACTUAL CORRECT QUESTIONS AND VERIFIED DETAILED ANSWERS |FREQUENTLY TESTED QUESTONS AND SOLUTIONS |ALREADY GRADED A+|BRAND NEW VERSION!!|LATEST UPDATE |GUARANTEED PASS

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