AHA PALS NEWEST EXAM QUESTIONS AND
CORRECT VERIFIED ANSWERS LATEST
EXAM GUIDE GRADED A+ NEW MODIFIED
TESTED AND APPROVED!!
1. Which of the following oxygen saturations indicates the need for additional
intervention?
A. 96% on room air
B. 95% on room air
C. 93% on 4 L of oxygen
D. 97% on 50% oxygen - ✔✔✔ Correct Answer > 93% on 4 L of oxygen
2. A 3-year-old child presents with a 2-day history of nausea and vomiting. She
is alert, with no increase in respiratory effort, and is pale in color. The child's
heart rate is 160/min, respiratory rate is 40/min, and blood pressure is 100/70
mm Hg. Her extremities are cool, with sluggish capillary refill. Which term best
describes this child's physiologic state?
A. Compensated shock
B. Cardiogenic shock
C. Hypotensive shock
D. Obstructive shock - ✔✔✔ Correct Answer > Compensated shock
Page 1 of 27
,3. A 3-year-old child presents with dehydration after a 2-day history of
vomiting and diarrhea. The child after has received 2 fluid boluses of 20 mL/ kg
of normal saline. After the second bolus, the child is alert and interacting. Her
heart rate is 110/ min, respiratory rate is 30/min, and blood pressure is 92/64
mm Hg. Her capillary refill time is 2 seconds, and oxygen saturation is 98%.
What is the most appropriate next intervention for this child?
A. Administer another 20 mL/kg normal saline fluid bolus
B. Administer 10 mL/kg of packed red cells
C. Continue to monitor and reevaluate the child
D. Initiate a dopamine drip of 20 mcg/kg per minute - ✔✔✔ Correct
Answer > Continue to monitor and reevaluate the child
4. A 3-year-old child presents with a high fever and a petechial rash. The child
is lethargic, has no signs of increased work of breathing, and is pale in color.
His heart rate is 180/min, respiratory rate is 30/min, blood pressure is 80/68 mm
Hg.
Capillary refill time is 4 seconds, and oxygen saturation is 88%.
Airway and lungs are clear. Peripheral pulses are diminished. Which of the
following is the most appropriate initial intervention?
A. Provide 100% oxygen via a nonrebreathing mask B. Obtain IV access
C. Administer dopamine
D. Administer an antibiotic - ✔✔✔ Correct Answer > Provide 100% oxygen
via a nonrebreathing mask
Page 2 of 27
, 6. An alert toddler presents with a barking cough, moderate stridor, and
moderate retractions. The child's color is pink. What is the most appropriate
initial intervention?
A. Obtain a chest radiograph
B. Administer nebulized epinephrine
C. Prepare for a surgical airway
D. Use an epinephrine autoinjector - ✔✔✔ Correct Answer > Administer
nebulized epinephrine
7. The initial impression of a 4-year-old child reveals a lethargic child who is
diaphoretic, with no increased work of breathing and pink color. Her heart rate
is 220/min, respiratory rate is 24/min, blood pressure is 84/46 mm Hg, and
capillary refill time is 5 seconds. IV access has been established. The rhythm
below is seen on the cardiac monitor. What is the most appropriate initial
intervention?
A. Give adenosine 0.1 mg/kg rapid IV push
B. Perform carotid sinus massage
C. Perform synchronized cardioversion at 0.5 J/kg D. Attempt defibrillation
at 2 J/kg - ✔✔✔ Correct Answer > Give adenosine 0.1 mg/kg rapid IV push
8. An 8-month-old infant is being evaluated. The child's mother says the infant
has not been feeding well. The infant is alert with rapid but unlabored breathing,
and the infant's color is pale. A cardiac monitor is applied, and the rhythm
Page 3 of 27
CORRECT VERIFIED ANSWERS LATEST
EXAM GUIDE GRADED A+ NEW MODIFIED
TESTED AND APPROVED!!
1. Which of the following oxygen saturations indicates the need for additional
intervention?
A. 96% on room air
B. 95% on room air
C. 93% on 4 L of oxygen
D. 97% on 50% oxygen - ✔✔✔ Correct Answer > 93% on 4 L of oxygen
2. A 3-year-old child presents with a 2-day history of nausea and vomiting. She
is alert, with no increase in respiratory effort, and is pale in color. The child's
heart rate is 160/min, respiratory rate is 40/min, and blood pressure is 100/70
mm Hg. Her extremities are cool, with sluggish capillary refill. Which term best
describes this child's physiologic state?
A. Compensated shock
B. Cardiogenic shock
C. Hypotensive shock
D. Obstructive shock - ✔✔✔ Correct Answer > Compensated shock
Page 1 of 27
,3. A 3-year-old child presents with dehydration after a 2-day history of
vomiting and diarrhea. The child after has received 2 fluid boluses of 20 mL/ kg
of normal saline. After the second bolus, the child is alert and interacting. Her
heart rate is 110/ min, respiratory rate is 30/min, and blood pressure is 92/64
mm Hg. Her capillary refill time is 2 seconds, and oxygen saturation is 98%.
What is the most appropriate next intervention for this child?
A. Administer another 20 mL/kg normal saline fluid bolus
B. Administer 10 mL/kg of packed red cells
C. Continue to monitor and reevaluate the child
D. Initiate a dopamine drip of 20 mcg/kg per minute - ✔✔✔ Correct
Answer > Continue to monitor and reevaluate the child
4. A 3-year-old child presents with a high fever and a petechial rash. The child
is lethargic, has no signs of increased work of breathing, and is pale in color.
His heart rate is 180/min, respiratory rate is 30/min, blood pressure is 80/68 mm
Hg.
Capillary refill time is 4 seconds, and oxygen saturation is 88%.
Airway and lungs are clear. Peripheral pulses are diminished. Which of the
following is the most appropriate initial intervention?
A. Provide 100% oxygen via a nonrebreathing mask B. Obtain IV access
C. Administer dopamine
D. Administer an antibiotic - ✔✔✔ Correct Answer > Provide 100% oxygen
via a nonrebreathing mask
Page 2 of 27
, 6. An alert toddler presents with a barking cough, moderate stridor, and
moderate retractions. The child's color is pink. What is the most appropriate
initial intervention?
A. Obtain a chest radiograph
B. Administer nebulized epinephrine
C. Prepare for a surgical airway
D. Use an epinephrine autoinjector - ✔✔✔ Correct Answer > Administer
nebulized epinephrine
7. The initial impression of a 4-year-old child reveals a lethargic child who is
diaphoretic, with no increased work of breathing and pink color. Her heart rate
is 220/min, respiratory rate is 24/min, blood pressure is 84/46 mm Hg, and
capillary refill time is 5 seconds. IV access has been established. The rhythm
below is seen on the cardiac monitor. What is the most appropriate initial
intervention?
A. Give adenosine 0.1 mg/kg rapid IV push
B. Perform carotid sinus massage
C. Perform synchronized cardioversion at 0.5 J/kg D. Attempt defibrillation
at 2 J/kg - ✔✔✔ Correct Answer > Give adenosine 0.1 mg/kg rapid IV push
8. An 8-month-old infant is being evaluated. The child's mother says the infant
has not been feeding well. The infant is alert with rapid but unlabored breathing,
and the infant's color is pale. A cardiac monitor is applied, and the rhythm
Page 3 of 27
