AHA PALS EXAM 2024-2025 ACTUAL EXAM TEST BANK QUESTIONS AND
CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS)
|ALREADY GRADED A+||NEWEST VERSION
Terms in this set (63)
1. A 5-year-old child presents Unreliable; supplementary oxygen should be administered
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
,2. A 3-year-old
child was recently Septic shock
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
D. Cardiogenic shock
3. A 2-week-old infant presents Hypotensive
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
4. During a resuscitation attempt, Respectfully ask the team leader to clarify the dose
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
,5. Which of the following is a Inadequate oxygenation and/or ventilation
characteristic of respiratory
failure?
A. Inadequate oxygenation
and/or ventilation
B. Hypotension
C. An increase in serum pH
(alkalosis)
D. Abnormal respiratory sounds
6. Which of the following is most Lower airway obstruction
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
7. A 4-year-old child presents Control of breathing
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
, 8. What abnormality is most Decreased oxygen saturation
likely to be present in children
with acute respiratory distress
caused by lung tissue
disease?
A. Decreased oxygen saturation
B. Stridor
C. Normal respiratory rate
D. Decreased respiratory effort
9. An alert 2-year-old child with an Respiratory distress
increased work of breathing and
pink color is being evaluated.
Heart rate is 110/min,
and respiratory rate is 30/min.
What would best describe this
patient's condition? A.
Respiratory distress
B. Respiratory arrest
C. Respiratory failure
D. Disordered control of breathing
10.The parents of a 7-year-old Obtain vascular access and administer 20 mL/kg of isotonic
child who is undergoing crystalloid over 5 to 10 minutes
chemotherapy report that the
child has been febrile and has
not been
feeling well, with recent onset
of lethargy. Assessment reveals
the following: The child is
difficult to arouse, with pale
color. The
child's heart rate is 160/min,
respiratory rate is 30/min,
blood pressure is 76/45 mm Hg,
capillary refill time is 5 to 6
seconds, and temperature is
103°F (39.4°C). What is the
most appropriate
intervention?
CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS)
|ALREADY GRADED A+||NEWEST VERSION
Terms in this set (63)
1. A 5-year-old child presents Unreliable; supplementary oxygen should be administered
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
,2. A 3-year-old
child was recently Septic shock
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
D. Cardiogenic shock
3. A 2-week-old infant presents Hypotensive
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
4. During a resuscitation attempt, Respectfully ask the team leader to clarify the dose
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
,5. Which of the following is a Inadequate oxygenation and/or ventilation
characteristic of respiratory
failure?
A. Inadequate oxygenation
and/or ventilation
B. Hypotension
C. An increase in serum pH
(alkalosis)
D. Abnormal respiratory sounds
6. Which of the following is most Lower airway obstruction
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
7. A 4-year-old child presents Control of breathing
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
, 8. What abnormality is most Decreased oxygen saturation
likely to be present in children
with acute respiratory distress
caused by lung tissue
disease?
A. Decreased oxygen saturation
B. Stridor
C. Normal respiratory rate
D. Decreased respiratory effort
9. An alert 2-year-old child with an Respiratory distress
increased work of breathing and
pink color is being evaluated.
Heart rate is 110/min,
and respiratory rate is 30/min.
What would best describe this
patient's condition? A.
Respiratory distress
B. Respiratory arrest
C. Respiratory failure
D. Disordered control of breathing
10.The parents of a 7-year-old Obtain vascular access and administer 20 mL/kg of isotonic
child who is undergoing crystalloid over 5 to 10 minutes
chemotherapy report that the
child has been febrile and has
not been
feeling well, with recent onset
of lethargy. Assessment reveals
the following: The child is
difficult to arouse, with pale
color. The
child's heart rate is 160/min,
respiratory rate is 30/min,
blood pressure is 76/45 mm Hg,
capillary refill time is 5 to 6
seconds, and temperature is
103°F (39.4°C). What is the
most appropriate
intervention?
