AHA PALS Post-Test Questions and Answers Graded A+
In which of the following situations may IO access be
An extremity with slow a capillary refill time
used?
A 2-week-old infant is being evaluated for irritability and
poor feeding. His blood pressure is 55/40 mm Hg, and
It is hypotensive.
capillary refill time is 5 seconds. Which statement best
describes your assessment of this infant's blood pressure?
You are caring for patients in the emergency department.
A child who is grunting
Which 2-year-old child requires immediate intervention?
A 3-year-old child is having diflculty breathing. What find-
ing would most likely lead you to suspect an upper airway Increased inspiratory ettort with retractions
obstruction in this child?
A team member is unable to perform an assigned task
because it is beyond the team member's scope of practice. Ask for a new task or role
What action should the team member take?
You are the Team Leader during a pediatric resuscitation Allowing complete chest wall recoil after each compres-
attempt. What action is an element of high-quality CPR? sion
An 8-year-old child is brought to the emergency depart-
ment by his mother for diflculty breathing. He has a his-
tory of asthma and nut allergies. His mother tells you that Upper airway obstruction
he recently ate a cookie at a family picnic. What condition
is most likely to be present in this child?
An 8-year-old child is brought to the emergency depart-
ment by ambulance after being involved in a motor vehi-
Decreased level of consciousness
cle collision. What finding would suggest that immediate
intervention is needed?
A 6-year-old child is found unresponsive, not breath-
ing, and without a pulse. One healthcare worker leaves
15:2
to activate the emergency response system and get the
resuscitation equipment. You and another healthcare
, AHA PALS Post-Test Questions and Answers Graded A+
provider immediately begin performing CPR. What com-
pression-to-ventilation ratio do you use?
A 3-year-old child is in cardiac arrest, and high-quality CPR
is in progress. You are the Team Leader. The first rhythm
"Resume compressions."
check reveals the rhythm shown here. Defibrillation is
attempted with a shock dose of 2 J/kg. After shock admin-
istration, what should you say to your team members?
You 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 diflcult to arouse and
is unresponsive to voice commands. His oxygen saturation
is 72% on room air and 89% when on a nonrebreathing Oxygen saturation
oxygen mask. He has shallow respirations with a respi-
ratory rate of 38/min. Auscultation of the lungs reveals
bilateral crackles. What assessment finding is consistent
with respiratory failure in this child?
You 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 diflcult to arouse and
is unresponsive to voice commands. His oxygen saturation
is 72% on room air and 89% when on a nonrebreathing An antibiotic
oxygen mask. He has shallow respirations with a respi-
ratory rate of 38/min. Auscultation of the lungs reveals
bilateral crackles. What medication would be most appro-
priate?
During a resuscitation attempt, the Team Leader asks you
"I think the correct dose is 0.01 mg/kg. Should I give that
to administer an initial dose of epinephrine at 0.1 mg/kg
dose instead?"
to be given IO. How should you respond?
A 6-month-old infant is unresponsive. You begin checking
for breathing at the same time you check for the infant's
In which of the following situations may IO access be
An extremity with slow a capillary refill time
used?
A 2-week-old infant is being evaluated for irritability and
poor feeding. His blood pressure is 55/40 mm Hg, and
It is hypotensive.
capillary refill time is 5 seconds. Which statement best
describes your assessment of this infant's blood pressure?
You are caring for patients in the emergency department.
A child who is grunting
Which 2-year-old child requires immediate intervention?
A 3-year-old child is having diflculty breathing. What find-
ing would most likely lead you to suspect an upper airway Increased inspiratory ettort with retractions
obstruction in this child?
A team member is unable to perform an assigned task
because it is beyond the team member's scope of practice. Ask for a new task or role
What action should the team member take?
You are the Team Leader during a pediatric resuscitation Allowing complete chest wall recoil after each compres-
attempt. What action is an element of high-quality CPR? sion
An 8-year-old child is brought to the emergency depart-
ment by his mother for diflculty breathing. He has a his-
tory of asthma and nut allergies. His mother tells you that Upper airway obstruction
he recently ate a cookie at a family picnic. What condition
is most likely to be present in this child?
An 8-year-old child is brought to the emergency depart-
ment by ambulance after being involved in a motor vehi-
Decreased level of consciousness
cle collision. What finding would suggest that immediate
intervention is needed?
A 6-year-old child is found unresponsive, not breath-
ing, and without a pulse. One healthcare worker leaves
15:2
to activate the emergency response system and get the
resuscitation equipment. You and another healthcare
, AHA PALS Post-Test Questions and Answers Graded A+
provider immediately begin performing CPR. What com-
pression-to-ventilation ratio do you use?
A 3-year-old child is in cardiac arrest, and high-quality CPR
is in progress. You are the Team Leader. The first rhythm
"Resume compressions."
check reveals the rhythm shown here. Defibrillation is
attempted with a shock dose of 2 J/kg. After shock admin-
istration, what should you say to your team members?
You 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 diflcult to arouse and
is unresponsive to voice commands. His oxygen saturation
is 72% on room air and 89% when on a nonrebreathing Oxygen saturation
oxygen mask. He has shallow respirations with a respi-
ratory rate of 38/min. Auscultation of the lungs reveals
bilateral crackles. What assessment finding is consistent
with respiratory failure in this child?
You 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 diflcult to arouse and
is unresponsive to voice commands. His oxygen saturation
is 72% on room air and 89% when on a nonrebreathing An antibiotic
oxygen mask. He has shallow respirations with a respi-
ratory rate of 38/min. Auscultation of the lungs reveals
bilateral crackles. What medication would be most appro-
priate?
During a resuscitation attempt, the Team Leader asks you
"I think the correct dose is 0.01 mg/kg. Should I give that
to administer an initial dose of epinephrine at 0.1 mg/kg
dose instead?"
to be given IO. How should you respond?
A 6-month-old infant is unresponsive. You begin checking
for breathing at the same time you check for the infant's
