AHA PALS EXAM 2024 ACTUAL EXAM TEST BANK
230 QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES (VERIFIED
ANSWERS) |ALREADY GRADED A+||NEWEST
VERSION
The nurse is assessing a 9 year old bow who has been admitted to the hospital with
possible acute poststreptoccocal glomerulonephritis (APSGN). In obtaining his
history, what info is MOST significant?
A - a sore throat last week
B - hx of HTN
C - diuresis during the night
D - back pain for a few days - ANSWER A
The nurse is measuring the frontal occipital circumference (FOC) of a 3-month-old
infant, and notes that the FOC has increased 5 inches (12.7cm) since birth and the
child's head appears large in relation to body size. Which action is MOST important
for the nurse to take next?
A - plot the measurement on the infant's growth chart
B - observe the infant for sunset eyes
C - measure the infant's head-to-heel length
D - palpate the anterior fontanel for tension and bulging - ANSWER D
A female infant recently admitted with vomiting and diarrhea now weighs 10 kg. Her
weigh at a previous well-baby visit was 11 kg. What is the percentage of body weight
loss for this infant?
A - 4%
B - 9%
C - 10%
D - 5% - ANSWER B
A male high school student with Type 1 diabetes tests his blood glucose level before
playing a game of soccer and he obtains a reading of 180 mg/dL (10 mmol/L). Based
on the reading, which action should the nurse take?
A - tell him to eat a sandwich and fruit before beginning the game
B - Check his urine for ketones
C -give him permission to go ahead and play soccer
D- call the healthcare provider - ANSWER A
A 7-year-old child is admitted to the hospital with a diagnosis of acute rheumatic
fever. In obtaining a health hx from the child's mother, the recent occurrence of
which illness is MOST significant?
A - sore throat
, B - chickenpox
C - mumps
D - influenza - ANSWER A
A mother brings her 2-month-old son to the clinic for a well baby exam. During the
assessment, the nurse finds that the right testicle is not descended into the scrotum,
but the left is palpable. Which action should the nurse take?
A- prepare to obtain a catheterized urine specimen for culture
B - address possible concerns about the child's future fertility
C - ask if the right teste has been seen in the scrotum before
D - schedule an IV pyelogram to validate presence of testeicle - ANSWER C
The nurse is assessing a 6-month-old infant. Which response requires further
evaluation by the nurse?
A - has doubled birth weight
B - turns head to locate sound
C - plays "peek-a-boo"
D- demonstrates startle reflex - ANSWER D
A 4-year-old girl returns to the pediatrician's office for a postoperative visit following
hospitalization for minor surgery. When observing the child in the waiting area, which
behavior should the nurse consider normal for this age child?
A - ignores other children in the play area
B - draws picture of self with facial features
C - "talks" to imaginary friend
D - sits quietly in her mother's lap - ANSWER C
A preschool-aged child is experiencing respiratory distress is brought to the
emergency department by the parents. the child is anxious, has a temperature of
102.8 F (39.3 C), and is drooling from the mouth while leaning forward when sitting.
Which action should the nurse prepare the child for next?
A - obtain bedside trays for intubation or tracheotomy by the healthcare provider
B - begin prescribed intravenous antibiotic administration
C - provide a nebulizer treatment with bronchodilators
D - schedule the child for a stat MRI of the neck - ANSWER A
The nurse is caring for a preschool-aged child with a congenital heart defect who is
admitted with intermittent low-grade fever, fatigue, and weight loss. Further physical
assessment findings include a new murmur, splinter hemorrhages under the nails,
and painless red lesions on the palms of the hands. Which diagnostic procedure
should the nurse prepare the parents to expect the healthcare provider to prescribe?
A - echocardiogram
B - electrocardiogram
C - chest radiography
D - CT scan - ANSWER A
A 6 year old male with a BMI in the 95th percentile for gender and age arrives at the
clinic after a referral from the school nurse. His laboratory findings include
hemoglobin A1c of 5.5%, BP in the 50th percentile for age, height in the 75th
230 QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES (VERIFIED
ANSWERS) |ALREADY GRADED A+||NEWEST
VERSION
The nurse is assessing a 9 year old bow who has been admitted to the hospital with
possible acute poststreptoccocal glomerulonephritis (APSGN). In obtaining his
history, what info is MOST significant?
A - a sore throat last week
B - hx of HTN
C - diuresis during the night
D - back pain for a few days - ANSWER A
The nurse is measuring the frontal occipital circumference (FOC) of a 3-month-old
infant, and notes that the FOC has increased 5 inches (12.7cm) since birth and the
child's head appears large in relation to body size. Which action is MOST important
for the nurse to take next?
A - plot the measurement on the infant's growth chart
B - observe the infant for sunset eyes
C - measure the infant's head-to-heel length
D - palpate the anterior fontanel for tension and bulging - ANSWER D
A female infant recently admitted with vomiting and diarrhea now weighs 10 kg. Her
weigh at a previous well-baby visit was 11 kg. What is the percentage of body weight
loss for this infant?
A - 4%
B - 9%
C - 10%
D - 5% - ANSWER B
A male high school student with Type 1 diabetes tests his blood glucose level before
playing a game of soccer and he obtains a reading of 180 mg/dL (10 mmol/L). Based
on the reading, which action should the nurse take?
A - tell him to eat a sandwich and fruit before beginning the game
B - Check his urine for ketones
C -give him permission to go ahead and play soccer
D- call the healthcare provider - ANSWER A
A 7-year-old child is admitted to the hospital with a diagnosis of acute rheumatic
fever. In obtaining a health hx from the child's mother, the recent occurrence of
which illness is MOST significant?
A - sore throat
, B - chickenpox
C - mumps
D - influenza - ANSWER A
A mother brings her 2-month-old son to the clinic for a well baby exam. During the
assessment, the nurse finds that the right testicle is not descended into the scrotum,
but the left is palpable. Which action should the nurse take?
A- prepare to obtain a catheterized urine specimen for culture
B - address possible concerns about the child's future fertility
C - ask if the right teste has been seen in the scrotum before
D - schedule an IV pyelogram to validate presence of testeicle - ANSWER C
The nurse is assessing a 6-month-old infant. Which response requires further
evaluation by the nurse?
A - has doubled birth weight
B - turns head to locate sound
C - plays "peek-a-boo"
D- demonstrates startle reflex - ANSWER D
A 4-year-old girl returns to the pediatrician's office for a postoperative visit following
hospitalization for minor surgery. When observing the child in the waiting area, which
behavior should the nurse consider normal for this age child?
A - ignores other children in the play area
B - draws picture of self with facial features
C - "talks" to imaginary friend
D - sits quietly in her mother's lap - ANSWER C
A preschool-aged child is experiencing respiratory distress is brought to the
emergency department by the parents. the child is anxious, has a temperature of
102.8 F (39.3 C), and is drooling from the mouth while leaning forward when sitting.
Which action should the nurse prepare the child for next?
A - obtain bedside trays for intubation or tracheotomy by the healthcare provider
B - begin prescribed intravenous antibiotic administration
C - provide a nebulizer treatment with bronchodilators
D - schedule the child for a stat MRI of the neck - ANSWER A
The nurse is caring for a preschool-aged child with a congenital heart defect who is
admitted with intermittent low-grade fever, fatigue, and weight loss. Further physical
assessment findings include a new murmur, splinter hemorrhages under the nails,
and painless red lesions on the palms of the hands. Which diagnostic procedure
should the nurse prepare the parents to expect the healthcare provider to prescribe?
A - echocardiogram
B - electrocardiogram
C - chest radiography
D - CT scan - ANSWER A
A 6 year old male with a BMI in the 95th percentile for gender and age arrives at the
clinic after a referral from the school nurse. His laboratory findings include
hemoglobin A1c of 5.5%, BP in the 50th percentile for age, height in the 75th
