AHA PALS EXAM 2024-2025 ACTUAL EXAM TEST
BANK 230 QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES (VERIFIED
ANSWERS) |ALREADY GRADED A+||NEWEST
VERSION
"I think the correct dose is 0.01 mg/kg. should I give that dose instead?" -
ANSDuring a resuscitation attempt, the team leader asks you to administer
an initial dose of Epinephrine at 0.1 mg/kg to be given IO. How should you
respond?
"resume compressions" - ANSA 3 year old child is in cardiac arrest, and high
quality CPR is in progress. You are the team leader. The first rhythm check
reveals the rhythm shown here. Defibrillation is attempted with a shock dose
of 2 J/kg. after administration of the shock, what should you say to you team
members?
2-4 J/kg - ANSA 4 year old child in cardiac arrest is brought to the emergency
department by ambulance. High quality CPR is being performed. The cardiac
monitor displays the rhythm strip shown here. The estimated weight of the
child is 20 kg. What dose range should you use for the initial defibrillation?
10 seconds - ANSA 6 month old infant is unresponsive. You begin checking
for breathing at the same time you check for the infants pulse. Which is the
maximum time you should spend when trying to simultaneously check for
breathing and palpate the infants pulse before starting CPR?
15:2 - ANSA 6 year old child is found unresponsive, not breathing, and
without a pulse. one health care worker leaves to activate the emergency
response system and get the resuscitation equipment. You and another
healthcare provider immediatly begin CPR. Which compression to ventilation
ratio do you use?
20 ml/kg - ANSYou are caring for a 12 year old girl with acute lymphoblastic
leukemia. She is responsive but she does not feel well and appears to be
flushed. Her Temp is 39 degrees C (102.2 F), HR is 118/min, respiratory rate
is 36/min, BP is 100/40 mmHg, and oxygen sat is 96% on room air. Your
assessment reveals mild increase in work of breathing and bounding pulses.
The child is receiving 100% Oxygen by NRB mask.--- Which NS bolus is most
appropriate for this patient?
,AHA PALS EXAM 2024-2025 ACTUAL EXAM TEST
BANK 230 QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES (VERIFIED
ANSWERS) |ALREADY GRADED A+||NEWEST
VERSION
20 ml/kg normal saline - ANSYou are caring for a 3 month old boy with a 2
day history of fever, vomiting and diarrhea. His parents state that he has
been sleeping much more. His HR is 190/min, temp is 38.3 degrees C (101 F)
blood pressure is 59/29 mmHg, Resp rate is 70/min and shallow, and oxygen
sat is 94% on 100% oxygen. His capillary refills time is 4-5 seconds, and he
has mottled, cool extremities. The infant weighs 6 Kg. You have decided that
this infant Needs fluid resuscitation. How much fluid should you administer?
40 Joules - ANSA 4 year old child in cardiac arrest is brought to the
emergency department by ambulance. High quality CPR is being performed.
The cardiac monitor displays the rhythm strip shown here. The estimated
weight of the child is 20 kg. As the team leader, how many joules do you tell
your team member to use to perform initial Defib?
88% on 4L of Nasal oxygen - ANSA 10 year old child is brought to the ED for
fever and cough. You obtain an O2 sat on the child. Which oxygen saturation
would indicate that immediate intervention is needed?
94%-99% - ANSIn post resuscitation management after cardiac arrest, extra
care should be taken to avoid repercussion injury. what should the ideal
oxygen saturation range most likely be?
A child who is grunting - ANSYou are caring for patients in the emergency
department. Which 2 year old child requires immediate intervention?
Administer 20 ml/kg of isotonic crystalloid over 5 to 10 mins - ANSThe
parents of a 7 year old child who is undergoing chemotherapy report that the
child has been febrile and has not been feeling well, with recent onset of
lethargy. Assessment reveals that the child is difficult to arouse and her skin
color is pale. The Childs HR is 160/min, respiratory rate is 38/min, blood
pressure is 76/45 mmHg, cap refill time is 5 to 6 seconds, and temp is 39.4
degrees C (103 F). IV access has been established, and blood cultures have
been obtained. which action should you perform next?
Alert - ANSA 5 year old child is brought to the emergency department by
ambulance after being involved in a MVC. You are using the primary
,AHA PALS EXAM 2024-2025 ACTUAL EXAM TEST
BANK 230 QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES (VERIFIED
ANSWERS) |ALREADY GRADED A+||NEWEST
VERSION
assessment to evaluate the child. When assessing the Childs neurological
status, you note that he has spontaneous eye opening, is fully oriented, and
is able to follow command. How would you document this Childs AVPU
pediatric response scale finding?
Allowing complete chest wall recoil after each compression - ANSYou are
the team leader during a pediatric resuscitation attempt. which action is an
element of high quality CPR?
an antibiotic - ANSYou are caring for a 5 year old boy with a 4 day history of
high fever and cough. He is having increasing lethargy, grunting, and
sleepiness. Now he is difficult to arouse and is unresponsive to voice
commands. His O2 sat is 72% on room air and 89% when on a NRB O2 mask.
He has shallow respirations, with a respiratory rate of 38/min. Auscultation of
the lungs reveals bilateral crackles. Which medication would be most
appropriate?
Antibiotic Administration - ANSYou are caring for a 12 year old girl with
acute lymphoblastic leukemia. She is responsive but she does not feel well
and appears to be flushed. Her Temp is 39 degrees C (102.2 F), HR is
118/min, respiratory rate is 36/min, BP is 100/40 mmHg, and oxygen sat is
96% on room air. Your assessment reveals mild increase in work of breathing
and bounding pulses. The child is receiving 100% Oxygen by NRB mask.--- In
edition to oxygen administration and appropriate fluid resuscitation, which
additional early intervention should you provide to the patient?
Ask for a new task or role - ANSA team member is unable to perform an
assigned task because it is beyond the team members scope of practice.
Which action should the team member take?
Audible inspiratory stridor - ANSA 6 year old boy is being evaluated for
difficulty breathing. Which finding would suggest this child has respiratory
distress?
Begin CPR for 2 mins before leaving to activate the emergency response
system. - ANSYou respond to an infant who is unresponsive, in not breathing,
, AHA PALS EXAM 2024-2025 ACTUAL EXAM TEST
BANK 230 QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES (VERIFIED
ANSWERS) |ALREADY GRADED A+||NEWEST
VERSION
and doe not have a pulse. You shout for nearby help, but no one arrives. What
action should you take next?
blood glucose - ANSAn 8 year old child is brought to the emergency
department with a 2 day history of lethargy and polyuria. The child has new
onset rapid, deep, and labored breathing. Which diagnostic test should you
order first?
blood pressure - ANSYou are caring for a 3 month old boy with a 2 day history
of fever, vomiting and diarrhea. His parents state that he has been sleeping
much more. His HR is 190/min, temp is 38.3 degrees C (101 F) blood pressure
is 59/29 mmHg, Resp rate is 70/min and shallow, and oxygen sat is 94% on
100% oxygen. His capillary refills time is 4-5 seconds, and he has mottled,
cool extremities. The infant weighs 6 Kg. Which assessment finding
indicates that the infant is in hypotensive shock?
blood pressure - ANSYou are caring for a 12 year old girl with acute
lymphoblastic leukemia. She is responsive but she does not feel well and
appears to be flushed. Her Temp is 39 degrees C (102.2 F), HR is 118/min,
respiratory rate is 36/min, BP is 100/40 mmHg, and oxygen sat is 96% on
room air. Your assessment reveals mild increase in work of breathing and
bounding pulses. The child is receiving 100% Oxygen by NRB mask.--- Which
assessment finding is the most important in your determination of the
severity of the patients condition?
blood pressure - ANSYou are evaluating a 10 year old child who is febrile and
tachycardia. The Childs cap refill times 5 seconds. which parameter will
determine if the child is in compensated shock?
cardiac arrest - ANSWhich condition in a child would IO access most likely
be attempted before vascular access?
crackles - ANSWhich abnormality helps identify children with acute
respiratory distress caused by lung tissue disease?
BANK 230 QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES (VERIFIED
ANSWERS) |ALREADY GRADED A+||NEWEST
VERSION
"I think the correct dose is 0.01 mg/kg. should I give that dose instead?" -
ANSDuring a resuscitation attempt, the team leader asks you to administer
an initial dose of Epinephrine at 0.1 mg/kg to be given IO. How should you
respond?
"resume compressions" - ANSA 3 year old child is in cardiac arrest, and high
quality CPR is in progress. You are the team leader. The first rhythm check
reveals the rhythm shown here. Defibrillation is attempted with a shock dose
of 2 J/kg. after administration of the shock, what should you say to you team
members?
2-4 J/kg - ANSA 4 year old child in cardiac arrest is brought to the emergency
department by ambulance. High quality CPR is being performed. The cardiac
monitor displays the rhythm strip shown here. The estimated weight of the
child is 20 kg. What dose range should you use for the initial defibrillation?
10 seconds - ANSA 6 month old infant is unresponsive. You begin checking
for breathing at the same time you check for the infants pulse. Which is the
maximum time you should spend when trying to simultaneously check for
breathing and palpate the infants pulse before starting CPR?
15:2 - ANSA 6 year old child is found unresponsive, not breathing, and
without a pulse. one health care worker leaves to activate the emergency
response system and get the resuscitation equipment. You and another
healthcare provider immediatly begin CPR. Which compression to ventilation
ratio do you use?
20 ml/kg - ANSYou are caring for a 12 year old girl with acute lymphoblastic
leukemia. She is responsive but she does not feel well and appears to be
flushed. Her Temp is 39 degrees C (102.2 F), HR is 118/min, respiratory rate
is 36/min, BP is 100/40 mmHg, and oxygen sat is 96% on room air. Your
assessment reveals mild increase in work of breathing and bounding pulses.
The child is receiving 100% Oxygen by NRB mask.--- Which NS bolus is most
appropriate for this patient?
,AHA PALS EXAM 2024-2025 ACTUAL EXAM TEST
BANK 230 QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES (VERIFIED
ANSWERS) |ALREADY GRADED A+||NEWEST
VERSION
20 ml/kg normal saline - ANSYou are caring for a 3 month old boy with a 2
day history of fever, vomiting and diarrhea. His parents state that he has
been sleeping much more. His HR is 190/min, temp is 38.3 degrees C (101 F)
blood pressure is 59/29 mmHg, Resp rate is 70/min and shallow, and oxygen
sat is 94% on 100% oxygen. His capillary refills time is 4-5 seconds, and he
has mottled, cool extremities. The infant weighs 6 Kg. You have decided that
this infant Needs fluid resuscitation. How much fluid should you administer?
40 Joules - ANSA 4 year old child in cardiac arrest is brought to the
emergency department by ambulance. High quality CPR is being performed.
The cardiac monitor displays the rhythm strip shown here. The estimated
weight of the child is 20 kg. As the team leader, how many joules do you tell
your team member to use to perform initial Defib?
88% on 4L of Nasal oxygen - ANSA 10 year old child is brought to the ED for
fever and cough. You obtain an O2 sat on the child. Which oxygen saturation
would indicate that immediate intervention is needed?
94%-99% - ANSIn post resuscitation management after cardiac arrest, extra
care should be taken to avoid repercussion injury. what should the ideal
oxygen saturation range most likely be?
A child who is grunting - ANSYou are caring for patients in the emergency
department. Which 2 year old child requires immediate intervention?
Administer 20 ml/kg of isotonic crystalloid over 5 to 10 mins - ANSThe
parents of a 7 year old child who is undergoing chemotherapy report that the
child has been febrile and has not been feeling well, with recent onset of
lethargy. Assessment reveals that the child is difficult to arouse and her skin
color is pale. The Childs HR is 160/min, respiratory rate is 38/min, blood
pressure is 76/45 mmHg, cap refill time is 5 to 6 seconds, and temp is 39.4
degrees C (103 F). IV access has been established, and blood cultures have
been obtained. which action should you perform next?
Alert - ANSA 5 year old child is brought to the emergency department by
ambulance after being involved in a MVC. You are using the primary
,AHA PALS EXAM 2024-2025 ACTUAL EXAM TEST
BANK 230 QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES (VERIFIED
ANSWERS) |ALREADY GRADED A+||NEWEST
VERSION
assessment to evaluate the child. When assessing the Childs neurological
status, you note that he has spontaneous eye opening, is fully oriented, and
is able to follow command. How would you document this Childs AVPU
pediatric response scale finding?
Allowing complete chest wall recoil after each compression - ANSYou are
the team leader during a pediatric resuscitation attempt. which action is an
element of high quality CPR?
an antibiotic - ANSYou are caring for a 5 year old boy with a 4 day history of
high fever and cough. He is having increasing lethargy, grunting, and
sleepiness. Now he is difficult to arouse and is unresponsive to voice
commands. His O2 sat is 72% on room air and 89% when on a NRB O2 mask.
He has shallow respirations, with a respiratory rate of 38/min. Auscultation of
the lungs reveals bilateral crackles. Which medication would be most
appropriate?
Antibiotic Administration - ANSYou are caring for a 12 year old girl with
acute lymphoblastic leukemia. She is responsive but she does not feel well
and appears to be flushed. Her Temp is 39 degrees C (102.2 F), HR is
118/min, respiratory rate is 36/min, BP is 100/40 mmHg, and oxygen sat is
96% on room air. Your assessment reveals mild increase in work of breathing
and bounding pulses. The child is receiving 100% Oxygen by NRB mask.--- In
edition to oxygen administration and appropriate fluid resuscitation, which
additional early intervention should you provide to the patient?
Ask for a new task or role - ANSA team member is unable to perform an
assigned task because it is beyond the team members scope of practice.
Which action should the team member take?
Audible inspiratory stridor - ANSA 6 year old boy is being evaluated for
difficulty breathing. Which finding would suggest this child has respiratory
distress?
Begin CPR for 2 mins before leaving to activate the emergency response
system. - ANSYou respond to an infant who is unresponsive, in not breathing,
, AHA PALS EXAM 2024-2025 ACTUAL EXAM TEST
BANK 230 QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES (VERIFIED
ANSWERS) |ALREADY GRADED A+||NEWEST
VERSION
and doe not have a pulse. You shout for nearby help, but no one arrives. What
action should you take next?
blood glucose - ANSAn 8 year old child is brought to the emergency
department with a 2 day history of lethargy and polyuria. The child has new
onset rapid, deep, and labored breathing. Which diagnostic test should you
order first?
blood pressure - ANSYou are caring for a 3 month old boy with a 2 day history
of fever, vomiting and diarrhea. His parents state that he has been sleeping
much more. His HR is 190/min, temp is 38.3 degrees C (101 F) blood pressure
is 59/29 mmHg, Resp rate is 70/min and shallow, and oxygen sat is 94% on
100% oxygen. His capillary refills time is 4-5 seconds, and he has mottled,
cool extremities. The infant weighs 6 Kg. Which assessment finding
indicates that the infant is in hypotensive shock?
blood pressure - ANSYou are caring for a 12 year old girl with acute
lymphoblastic leukemia. She is responsive but she does not feel well and
appears to be flushed. Her Temp is 39 degrees C (102.2 F), HR is 118/min,
respiratory rate is 36/min, BP is 100/40 mmHg, and oxygen sat is 96% on
room air. Your assessment reveals mild increase in work of breathing and
bounding pulses. The child is receiving 100% Oxygen by NRB mask.--- Which
assessment finding is the most important in your determination of the
severity of the patients condition?
blood pressure - ANSYou are evaluating a 10 year old child who is febrile and
tachycardia. The Childs cap refill times 5 seconds. which parameter will
determine if the child is in compensated shock?
cardiac arrest - ANSWhich condition in a child would IO access most likely
be attempted before vascular access?
crackles - ANSWhich abnormality helps identify children with acute
respiratory distress caused by lung tissue disease?
