Docsity
Log inSign up
Docsity
Prepare for your exams
Prepare for your exams

Study with the several resources on Docsity

Earn points to download
Earn points to download

Earn points by helping other students or get them with a premium plan

Guidelines and tips
Guidelines and tips
Sell on Docsity
Sell on Docsity
Log inSign up

Prepare for your exams

Study with the several resources on Docsity

Find documents

Prepare for your exams with the study notes shared by other students like you on Docsity

Search Store documents

The best documents sold by students who completed their studies

Search through all study resources
Docsity AINEW

Summarize your documents, ask them questions, convert them into quizzes and concept maps

Explore questions

Clear up your doubts by reading the answers to questions asked by your fellow students

Earn points to download

Earn points by helping other students or get them with a premium plan

Share documents
download point icon20 Points

For each uploaded document

Answer questions
download point icon5 Points

For each given answer (max 1 per day)

All the ways to get free points
Get points immediately

Choose a premium plan with all the points you need

Study Opportunities

Choose your next study program

Get in touch with the best universities in the world. Search through thousands of universities and official partners

Community

Ask the community

Ask the community for help and clear up your study doubts

University Rankings

Discover the best universities in your country according to Docsity users

Free resources

Our save-the-student-ebooks!

Download our free guides on studying techniques, anxiety management strategies, and thesis advice from Docsity tutors

From our blog

Exams and Study
Go to the blog

AHA PALS Practice Exam: 2024 Version, Exams of Nursing

Old Dominion UniversityNursing

A series of practice questions for the aha pals (advanced pediatric life support) exam. It covers various scenarios and clinical situations related to pediatric emergencies, including respiratory distress, shock, cardiac arrest, and other critical conditions. The questions are designed to assess knowledge and skills in pediatric resuscitation and management, providing valuable practice for healthcare professionals preparing for the pals certification exam.

Typology: Exams

2023/2024

Available from 01/25/2025

tizian-kylan
tizian-kylan 🇺🇸

2.7

(21)

3.7K documents

1 / 16

Toggle sidebar

This page cannot be seen from the preview

Don't miss anything!

bg1
AHA PALS Practice Exam | 100% Correct
Answers | Verified | Latest 2024 Version
1. A 5-year-old child presents 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 - ✔✔Unreliable; supplementary oxygen
should be administered
2. A 3-year-old child was recently 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 - ✔✔Septic shock
3. A 2-week-old infant presents 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 - ✔✔Hypotensive
4. During a resuscitation attempt, the team leader orders an initial dose of epinephrine at 0.1 mg/kg to
be given 10. What should the team member do?
pf3
pf4
pf5
pf8
pf9
pfa
pfd
pfe
pff

Partial preview of the text

Download AHA PALS Practice Exam: 2024 Version and more Exams Nursing in PDF only on Docsity!

AHA PALS Practice Exam | 100% Correct

Answers | Verified | Latest 2024 Version

  1. A 5-year-old child presents 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 - ✔✔Unreliable; supplementary oxygen should be administered
  2. A 3-year-old child was recently 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 - ✔✔Septic shock
  3. A 2-week-old infant presents with irritability and a history of poor feeding. Blood pressure is 55/ mm Hg. What term describes this infant's blood pressure? A. Hypotensive B. Normal C. Hypertensive D. Compensated - ✔✔Hypotensive
  4. During a resuscitation attempt, 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 - ✔✔Respectfully ask the team leader to clarify the dose

  1. Which of the following is a characteristic of respiratory failure? A. Inadequate oxygenation and/or ventilation B. Hypotension C. An increase in serum pH (alkalosis) D. Abnormal respiratory sounds - ✔✔Inadequate oxygenation and/or ventilation
  2. Which of the following is most 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 - ✔✔Lower airway obstruction
  3. A 4-year-old child presents 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 - ✔✔Control of breathing
  4. What abnormality is most 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

C. 20 mL/kg normal saline D. 10 mL/kg lactated Ringer's - ✔✔20 mL/kg normal saline

  1. 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 - ✔✔Administer nebulized epinephrine
  2. An 8-year-old child presents with a history of vomiting and diarrhea. The child has the following vital signs: heart rate 168/min, respiratory rate 15/min, blood pressure 9060 mm Hg, and temperature 98.6°F (37°C). The child's capillary refill time is 4 seconds. After 2 IV boluses of normal saline (20 mL/kg each), the child's vital signs are now as follows: heart rate 130/min, respiratory rate 16/min, blood pressure 94/62 mm Hg, capillary refill 2 seconds, and temperature 98.6°F (37°C). The child's urine output is 1 to 2 mL/kg in the past hour. The child is still lethargic. What diagnostic tests or information should be obtained first? A. Arterial blood gas B. Serum potassium concentration C. Glucose D. A 12-lead ECG - ✔✔Glucose
  3. A 15-year-old boy presents with acute onset of severe respiratory distress, with retractions and an oxygen saturation of 85%. His trachea is deviated to the right, and there are no breath sounds on the left. His heart rate is 140/min, his blood pressure is 84/60 mm Hg, and his capillary refill time is 3 seconds. What is the most appropriate intervention? A. Obtain a chest x-ray B. Perform needle decompression on the left chest C. Insert a chest tube on the left side D. Insert an IV and administer 20 mL/kg of normal saline - ✔✔Perform needle decompression on the left chest
  4. A 4-year-old is being treated for hypovolemic shock and has received a single fluid bolus of 20 mL/kg of normal saline. On reevaluation the child remains anxious, with a heart rate of 140/min, a blood

pressure of 84/54 mm Hg, and a capillary refill time of 4 seconds. What describes this patient's condition? A. Hypotensive shock B. Compensated shock C. No longer in shock D. Cardiogenic shock - ✔✔Compensated shock

  1. An 8-year-old child had a sudden onset of palpitations and light-headedness. At the time of evaluation the child is alert. His respiratory rate is 26/ min, and his blood pressure is 104/70 mm Hg. A cardiac monitor is applied, and the rhythm below is noted. What is the most appropriate initial intervention? A. Provide synchronized cardioversion at 0.5 to 1 J/kg B. Attempt vagal maneuvers C. Administer adenosine 0.1 mg/kg over 5 minutes D. Administer amiodarone 5 mg/kg over 20 minutes - ✔✔Attempt vagal maneuvers
  2. A 10-year-old child had a sudden witnessed cardiac arrest and received immediate bystander CPR and defibrillation within 3 minutes. He had a return of spontaneous circulation. The child remains unresponsive and has an advanced airway in place. There is no history of trauma or signs of shock. What is the target range for oxygen saturation for this child? A. 92% to 100% B. 92% to 99% C. 94% to 99% D. 94% to 100% - ✔✔94% to 99%
  3. A 3-month-old infant with bronchiolitis is suctioned to remove upper airway secretions. The infant's heart rate decreases from 155/min to 65/min as shown below. The infant remains alert, with easily palpable pulses. Capillary refill time is 1 second. What is the most appropriate initial intervention? A. Administer oxygen and ensure adequate ventilation; be prepared to intervene further if heart rate does not increase B. Establish IV/IO access and administer epinephrine 0.01 mg/kg IV C. Establish IV/IO access and administer atropine 0.02 mg/kg IV

C. Give epinephrine 0.01 mg/kg IO/IV D. Provide transthoracic pacing - ✔✔Give epinephrine 0.01 mg/kg IO/IV

  1. A 3-year-old child is unresponsive, not breathing, and pulseless. High-quality CPR is in progress. A cardiac monitor is applied, and the rhythm below is noted. What is the next appropriate intervention? A. Attempt defibrillation with a 2 J/kg shock B. Administer epinephrine 0.01 mg/kg C. Consider placement of an advanced airway D. Administer amiodarone 5 mg/kg - ✔✔Attempt defibrillation with a 2 J/kg shock
  2. A pulseless 6-week-old infant arrives in the emergency department, and high-quality CPR is in progress. The initial rhythm strip is shown below. CPR continues, and vascular access has been established. What is the next appropriate intervention? A. Administer atropine 0.02 mg/kg IO/IV B. Attempt defibrillation with a 2 J/kg shock C. Administer epinephrine 0.01 mg/kg IO/IV D. Consider insertion of an advanced airway - ✔✔Administer epinephrine 0.01 mg/kg IO/IV
  3. A 6-month-old infant is unresponsive and not breathing. What is the maximum time that should be spent trying to palpate the pulse before starting CPR? A. 10 seconds B. 15 seconds C. 30 seconds D. 60 seconds - ✔✔10 seconds
  4. What is the recommended location to check for a pulse in a 3- month-old infant? A. Carotid B. Radial C. Brachial D. Cardiac apex - ✔✔C. Brachial
  1. A 7-year-old child presents in pulseless arrest. The child's ECG shows the rhythm below. Which of the following describes the patient's condition? A. Ventricular escape rhythm B. Ventricular tachycardia C. Pulseless electrical activity D. Sinus bradycardia - ✔✔Pulseless electrical activity
  2. A 12-year-old child suddenly collapses while playing sports. He is unresponsive and not breathing. Emergency response is activated. The child has no pulse, and CPR is initiated. An AED arrives. What is the most appropriate next intervention? A. Contact the child's family B. Provide CPR for 2 minutes C. Drive the child to the hospital D. Use the AED - ✔✔Use the AED
  3. A 6-year-old child is found unresponsive, not breathing, and pulseless. What is the correct compression-to-ventilation ratio when 2 or more healthcare providers are present to perform CPR? - ✔✔15:
  4. A 5-year-old child has had severe respiratory distress for 2 days. During assessment the child's heart rate decreases from 140/min to 90/min, and the child's respiratory rate decreases from 66/min to 8/min. What intervention is most appropriate? A. Provide rescue breaths at a rate of 12 to 20/min B. Provide rescue breaths at a rate of 6 to 10/min C. Initiate chest compressions at a rate of at least 100/min D. Initiate chest compressions at a rate of 60/min - ✔✔Provide rescue breaths at a rate of 12 to 20/min
  5. A 7-year-old child presents with a narrow-complex supraventricular tachycardia, lethargy, and poor perfusion. Pulses are weak and thready. Vascular access cannot be established. What is the most appropriate intervention? A. Unsynchronized shock with 0.5 to 1 J/kg B. Synchronized shock with 0.5 to 1 J/kg
  1. Which of the following conditions is appropriate for use of an oropharyngeal airway? A. Conscious with no gag reflex B. Unconscious with a gag reflex C. Unconscious with no gag reflex D. Conscious with a gag reflex - ✔✔Unconscious with no gag reflex
  2. A child presents with severe respiratory distress, urticaria, stridor, and tachycardia about 10 minutes after eating peanuts. What is the most appropriate initial medication for this child? A. Nebulized albuterol B. Epinephrine IM C. Isotonic crystalloid IV D. Methylprednisolone IV - ✔✔Epinephrine IM
  3. A mother brings her 7-year-old child to the emergency department. The mother states that the child has had a fever for the past 4 days and has had little to eat or drink during the past 24 hours. Your initial impression reveals a lethargic child with increased respiratory rate and pale color. Heart rate is 160/min, respiratory rate is 38/min, and blood pressure is 86/48 mm Hg. Capillary refill is 4 seconds. Which of the following is the most appropriate intervention for this child? A. Fluid bolus of 10 mL/kg of isotonic crystalloid B. Fluid bolus of 20 mL/kg of isotonic crystalloid C. Maintenance fluid infusion of isotonic crystalloid at 10 mL/h D. Maintenance fluid infusion of 5% dextrose and water at 20 mL/h - ✔✔Fluid bolus of 20 mL/kg of isotonic crystalloid
  4. An intubated 5-year-old child who was in a motor vehicle collision becomes increasingly more difficult to ventilate. The child has diminished breath sounds and chest expansion on the right side of the chest, with audible breath sounds and visible chest expansion on the left. The endotracheal tube insertion depth has not changed. What is the most appropriate intervention? A. Deflate the cuff and pull the tube back B. Perform needle decompression on the right chest

C. Perform needle decompression on the left chest D. Insert a gastric tube - ✔✔Perform needle decompression on the right chest

  1. A 2-year-old child with a 2-day history of a barking cough presents with audible stridor on inspiration, intercostal retractions, and agitation. What is the most appropriate intervention for this child? A. Lay the child flat on a stretcher B. Suction the mouth and nose C. Administer nebulized epinephrine D. Administer inhaled albuterol - ✔✔Administer nebulized epinephrine
  2. 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 - ✔✔93% on 4 L of oxygen
  3. 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 - ✔✔Compensated shock
  4. 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

B. Carotid massage C. Ocular pressure D. Ice to the face - ✔✔Ice to the face

  1. A 7-year-old child presents with a narrow-complex supraventricular tachycardia, lethargy, and poor perfusion. Pulses are weak and thready. Vascular access cannot be established. What is the most appropriate intervention? A. Unsynchronized shock with 0.5 to 1 J/kg B. Synchronized shock with 0.5 to 1 J/kg C. Unsynchronized shock with 2 J/kg D. Synchronized shock with 2 J/kg - ✔✔Synchronized shock with 0.5 to 1 J/kg
  2. A 3-month-old infant presents with lethargy and a 3-day history of vomiting, diarrhea, and poor feeding. The initial impression reveals lethargy, increased respiratory effort with retractions, and pale, mottled skin color. Vital signs are as follows: heart rate 210/min, respiratory rate 60/min, and blood pressure 60/40 mm Hg. Peripheral pulses are thready, and capillary refill time is 4 seconds. The cardiac monitor displays the rhythm below. After administration of oxygen and establishment of vascular access, what is the most appropriate intervention? A. Adenosine O.1 mg/kg IV rapid push B. Vagal maneuvers C. Synchronized shock at 0.5 to 1 J/kg D. IV fluid bolus of 20 mL/kg normal saline - ✔✔IV fluid bolus of 20 mL/kg normal saline
  3. A 3-year-old child is unresponsive, gasping, and has no detectable pulse. CPR is initiated. A monitor is attached, and the rhythm is shown below. What is the appropriate next therapy? A. Attempted defibrillation with 2 J/kg B. Synchronized cardioversion with 0.5 to 1 J/kg C. Epinephrine 0.01 mg/kg 10/IV D. Amiodarone 5 mg/kg 1O/IV - ✔✔Attempted defibrillation with 2 J/kg
  1. A 2-year-old child is in pulseless arrest. The child has received high-quality CPR, 2 shocks, and a dose of IV epinephrine. The next rhythm check reveals the rhythm shown below. What would be an appropriate energy dose for the third defibrillation attempt? A. 2 J/kg B. 2 to 4 J/kg C. 4 J/kg or greater D. Greater than 10 J/kg - ✔✔4 J/kg or greater
  2. A 12-year-old child suddenly collapses while playing sports. He is unresponsive and not breathing. Emergency response is activated. The child has no pulse, and CPR is initiated. An AED arrives. What is the most appropriate next intervention? A. Contact the child's family B. Provide CPR for 2 minutes C. Drive the child to the hospital D. Use the AED - ✔✔Use the AED
  3. A 3-year-old child is in cardiac arrest, and high- quality CPR is in progress. The first rhythm check reveals the rhythm below. Defibrillation is attempted with a shock dose of 2 J/kg. After administration of the shock, what is the most appropriate next intervention? A. Resume CPR, beginning with chest compressions B. Check for a pulse C. Analyze the rhythm D. Administer epinephrine - ✔✔Resume CPR, beginning with chest compressions
  4. Which of the following is a characteristic of respiratory failure? A. Inadequate oxygenation and/or ventilation B. Hypotension C. An increase in serum pH (alkalosis) D. Abnormal respiratory sounds - ✔✔Inadequate oxygenation and/or ventilation
  1. A 5-year-old child is hit in the chest with a baseball and suddenly collapses. High-quality CPR is being performed. When the AED arrives, only adult AED pads are available. What should the rescuer do? A. Use the AED with adult pads B. Wait for pediatric AED pads and use them as soon as they are available C. Continue the steps of CPR for 2 minutes before using the AED D. Await arrival of a manual defibrillator - ✔✔Use the AED with adult pads
  2. A team is attempting to resuscitate a child who was brought to the emergency department by EMS after a traumatic injury. The family members arrive at the child's bedside and request to remain in the room during the resuscitation attempt. What does the American Heart Association recommend? A. Allow the family to stay at the bedside alone, but they should not talk to anyone B. Allow the family to stay at the bedside with a staff member who is assigned to provide information and assistance C. Escort the family to an assigned family room where they can be given regular updates D. Take the family to the chapel or an assigned quiet room so they can receive expert consultation. - ✔✔Allow the family to stay at the bedside with a staff member who is assigned to provide information and assistance
  3. Which of the following is most 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 - ✔✔Lower airway obstruction
  4. A 5-year-old child has had severe respiratory distress for 2 days. During assessment the child's heart rate decreases from 140/min to 90/min, and the child's respiratory rate decreases from 66/min to 8/min. Which of the following is the next appropriate intervention? A. Rescue breaths at a rate of 12 to 20/min B. Rescue breaths at a rate of 6 to 10/min C. Chest compressions at a rate of at least 100/min D. Chest compressions at a rate of 60/min - ✔✔Rescue breaths at a rate of 12 to 20/min