AHA PALS PRACTICE EXAM QUESTIONS AND CORRECT ANSWERS

AHA PALS PRACTICE EXAM QUESTIONS
AND CORRECT ANSWERS

1.A2AA25-year-
oldA2childA2presentsA2withA2lethargy,A2increasedA2workA2ofA2breathing,A2andA2paleA2color.A
2TheA2primaryA2assessmentA2revealsA2thatA2theA2airwayA2isA2openA2andA2theA2respiratoryA
2rateA2isA230/
min,A2withA2cracklesA2heardA2onA2auscultation.A2TheA2cardiacA2monitorA2showsA2sinusA2ta
chycardiaA2atA2aA2rateA2ofA2165/
min.A2TheA2pulseA2oximeterA2displaysA2anA2oxygenA2saturationA2ofA295%A2andA2aA2pulseA2
rateA2ofA293/
min.A2OnA2theA2basisA2ofA2thisA2information,A2whichA2ofA2theA2followingA2providesA2theA2be
stA2interpretationA2ofA2theA2oxygenA2saturationA2ofA295%A2byA2pulseA2oximetry?A2
A.A2Reliable;A2noA2supplementaryA2oxygenA2isA2indicatedA2B.A2Reliable;A2supplementaryA2
oxygenA2shouldA2beA2administeredA2
C.A2Unreliable;A2noA2supplementaryA2oxygenA2isA2indicatedA2
D.A2Unreliable;A2supplementaryA2oxygenA2shouldA2beA2administeredA2-A2Ans--
Unreliable;A2supplementaryA2oxygenA2shouldA2beA2administered

2.A2AA23-year-
oldA2childA2wasA2recentlyA2diagnosedA2withA2leukemiaA2andA2hasA2beenA2treatedA2withA2c
hemotherapy.A2TheA2childA2presentsA2withA2lethargyA2andA2aA2highA2fever.A2HeartA2rateA2i
sA2195/min,A2respiratoryA2rateA2isA236/
min,A2bloodA2pressureA2isA285/40A2mmA2Hg,A2andA2capillaryA2refillA2timeA2isA2lessA2thanA22
A2seconds.A2WhatA2isA2theA2child'sA2mostA2likelyA2condition?A2
A.A2SepticA2shockA2
B.A2HypovolemicA2shockA2
C.A2SignificantA2bradycardiaA2
D.A2CardiogenicA2shockA2-A2Ans--SepticA2shock

3.A2AA22-week-
oldA2infantA2presentsA2withA2irritabilityA2andA2aA2historyA2ofA2poorA2feeding.A2BloodA2press
ureA2isA255/40A2mmA2Hg.A2WhatA2termA2describesA2thisA2infant'sA2bloodA2pressure?A2
A.A2HypotensiveA2
B.A2NormalA2
C.A2HypertensiveA2
D.A2CompensatedA2-A2Ans--Hypotensive

4.A2DuringA2aA2resuscitationA2attempt,A2theA2teamA2leaderA2ordersA2anA2initialA2doseA2ofA2
epinephrineA2atA20.1A2mg/
kgA2toA2beA2givenA210.A2WhatA2shouldA2theA2teamA2memberA2do?A2
A.A2AdministerA2theA2drugA2asA2orderedA2
B.A2AdministerA20.01A2mg/kgA2ofA2epinephrineA2
C.A2RespectfullyA2askA2theA2teamA2leaderA2toA2clarifyA2theA2doseA2

, D.A2RefuseA2toA2administerA2theA2drugA2-A2Ans--
RespectfullyA2askA2theA2teamA2leaderA2toA2clarifyA2theA2dose

5.A2WhichA2ofA2theA2followingA2isA2aA2characteristicA2ofA2respiratoryA2failure?A2
A.A2InadequateA2oxygenationA2and/orA2ventilationA2
B.A2HypotensionA2
C.A2AnA2increaseA2inA2serumA2pHA2(alkalosis)A2
D.A2AbnormalA2respiratoryA2soundsA2-A2Ans--InadequateA2oxygenationA2and/
orA2ventilation

6.A2WhichA2ofA2theA2followingA2isA2mostA2likelyA2toA2produceA2aA2prolongedA2expiratoryA2p
haseA2andA2wheezing?A2
A.A2DisorderedA2controlA2ofA2breathingA2
B.A2HypovolemicA2shockA2
C.A2LowerA2airwayA2obstructionA2
D.A2UpperA2airwayA2obstructionA2-A2Ans--LowerA2airwayA2obstruction

7.A2AA24-year-
oldA2childA2presentsA2withA2seizuresA2andA2irregularA2respirations.A2TheA2seizuresA2stopp
edA2aA2fewA2minutesA2ago.A2WhichA2ofA2theA2followingA2mostA2likelyA2toA2beA2abnormal?A2
A.A2VascularA2resistanceA2
B.A2PulseA2rateA2
C.A2LungA2complianceA2
D.A2ControlA2ofA2breathingA2-A2Ans--ControlA2ofA2breathing

8.A2WhatA2abnormalityA2isA2mostA2likelyA2toA2beA2presentA2inA2childrenA2withA2acuteA2respi
ratoryA2distressA2causedA2byA2lungA2tissueA2disease?A2
A.A2DecreasedA2oxygenA2saturationA2
B.A2StridorA2
C.A2NormalA2respiratoryA2rateA2
D.A2DecreasedA2respiratoryA2effortA2-A2Ans--DecreasedA2oxygenA2saturation

9.A2AnA2alertA22-year-
oldA2childA2withA2anA2increasedA2workA2ofA2breathingA2andA2pinkA2colorA2isA2beingA2evalua
ted.A2HeartA2rateA2isA2110/min,A2andA2respiratoryA2rateA2isA230/
min.A2WhatA2wouldA2bestA2describeA2thisA2patient'sA2condition?
A2A.A2RespiratoryA2distressA2
B.A2RespiratoryA2arrest
C.A2RespiratoryA2failureA2
D.A2DisorderedA2controlA2ofA2breathingA2-A2Ans--RespiratoryA2distress

10.A2TheA2parentsA2ofA2aA27-year-
oldA2childA2whoA2isA2undergoingA2chemotherapyA2reportA2thatA2theA2childA2hasA2beenA2feb
rileA2andA2hasA2notA2beenA2feelingA2well,A2withA2recentA2onsetA2ofA2lethargy.A2Assessment
A2revealsA2theA2following:A2TheA2childA2isA2difficultA2toA2arouse,A2withA2paleA2color.A2TheA2c
hild'sA2heartA2rateA2isA2160/min,A2respiratoryA2rateA2isA230/