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AHA PALS EXAM UPDATED EXAM WITH
VERIFIED SOLUTIONS.
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 -
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
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D. Cardiogenic shock - correct answer -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 - 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
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B. Hypotension
C. An increase in serum pH (alkalosis)
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
AHA PALS EXAM UPDATED EXAM WITH
VERIFIED SOLUTIONS.
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 -
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
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D. Cardiogenic shock - correct answer -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 - 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
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B. Hypotension
C. An increase in serum pH (alkalosis)
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
