PALS Precourse Test_ answered_ Updated Fall 2021/2022
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ACLS Test (PALS, BLS, ACLS) 2022
pals certification online pals Test 2022 Answered.
A 5-year-old child in supraventricular tachycardia has adequate pulses with the rhythm.
Supplemental oxygen is in place and vital signs are stable except for the elevated heart
rate. The most appropriate next intervention for this child is:
(answer)- Vagal Maneuvers
*Rationale:* Vagal maneuvers are a reasonable first intervention for supraventricular
tachycardia in a hemodynamically stable patient, as this child is.
A child has an advanced airway in place during cardiac arrest. How frequently should
ventilations be given?
(answer)- Every 6-8 Seconds
8-10 BPM
*Rationale:* The latest AHA guidelines recommend one ventilation every six seconds, or
10 per minute, when an advanced airway is in place.
You are using a bag-valve mask to resuscitate an infant, while another rescuer is
performing chest compressions. What is the correct ratio of chest compressions to
ventilations?
(answer)- 15 chest compressions to 2 ventilations
*Rationale:* The AHA suggests that during a pediatric resuscitation with two or more
rescuers present, the correct ratio of chest compressions to ventilations is 15:2.
You are alone performing infant CPR. What is the correct ratio of chest compressions to
ventilations?
(answer)- 30 chest compressions to 2 ventilations
*Rationale:* The AHA suggests that during a pediatric resuscitation with only one
rescuer present, the correct ratio of chest compressions to ventilations is 30:2.
A 7 month old appears to be unconscious and not breathing. You check for a pulse at the
________ artery.
(answer)- Brachial
*Rationale:* Rescuers should use the brachial artery in the upper arm to check for a
pulse. The artery is easily palpable in infants and young children.
, A clear sign of upper airway obstruction is:
(answer)- A "whistling" sound during breathing
*Rationale:* A "whistling" sound during breathing usually indicates *stridor.* Crying
suggests full lung function, as does breath sounds in all lung fields. Decreased inspiratory
effort is a non-specific sign, but may reflect a central process (i.e. consequence of head
trauma).
In children, which of the following is the most common form of arrest?
(answer)- Respiratory arrest
*Rationale:* Respiratory distress, failure, and arrest are the most common conditions
prompting PALS care. In fact, most cases of pediatric cardiac arrest are preceded by
respiratory issues.
In small children, a rescue breath should be given:
(answer)- Over one second
*Rationale:* Rescue breaths and ventilations should be delivered over one second,
regardless of the patient's age.
What is the normal range of heart rates for an 8-year-old child?
(answer)- *Answer:* 60-140 per minute *(The ACLS test I took says this. This is most
likely a older ACLS test. According to 2015 Handbook of Emergency Cardiovascular
Care it says for a school-age child the rate is 75-118.)*
*Rationale:* Normal vital sign values change as children age. It is important to know
what "normal" is for the age of your patient.
The child you are caring for is very pale. You know that this pallor can be caused by all
of the following EXCEPT:
A) Anemia
B) Heat
C) Shock
D) Albinism
(answer)- Heat
*Rationale:* Heat generally causes skin flushing and capillary dilation, which makes the
skin red/pink. The other conditions result in pale skin. Anemia and shock are due to
decreased blood flow through skin capillaries. Albinism is due to a congenital lack of
skin pigment.
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