2023-2024 AHA PALS Child Care Practice Exam With Answers (33 Solved Questions)

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AHA PALS Practice exam ALL SOLUTIONLATEST 100% CORRECT SPRING FALL-2023/24 EDITION GUARANTEED GRADE A+1. A 5-year-old child presents with lethargy, increased work of breathing, and pale color. The primaryassessment reveals that the airway is open and the respiratory rate is 30/min, with crackles heard onauscultation. The cardiac monitor shows sinus tachycardia at a rate of 165/min. The pulse oximeterdisplays an oxygen saturation of 95% and a pulse rate of 93/min. On the basis of this information, whichof 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 beadministeredC. Unreliable; no supplementary oxygen is indicatedD. Unreliable; supplementary oxygen should be administeredUnreliable; supplementary oxygen should be administered2. 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 mostlikely condition?A. Septic shockB. Hypovolemic shockC. Significant bradycardiaD. Cardiogenic shockSeptic shock3. A 2-week-old infant presents with irritability and a history of poor feeding. Blood pressure is 55/40mm Hg. What term describes this infant's blood pressure?A. HypotensiveB. NormalC. HypertensiveD. CompensatedHypotensive4. During a resuscitation attempt, the team leader orders an initial dose of epinephrine at 0.1 mg/kg tobe given 10. What should the team member do?A. Administer the drug as orderedB. Administer 0.01 mg/kg of epinephrineC. Respectfully ask the team leader to clarify the doseD. Refuse to administer the drug

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Respectfully ask the team leader to clarify the dose5. Which of the following is a characteristic of respiratory failure?A. Inadequate oxygenation and/or ventilationB. HypotensionC. An increase in serum pH (alkalosis)D. Abnormal respiratory soundsInadequate oxygenation and/or ventilation6. Which of the following is most likely to produce a prolonged expiratory phase and wheezing?A. Disordered control of breathingB. Hypovolemic shockC. Lower airway obstructionD. Upper airway obstructionLower airway obstruction7. A 4-year-old child presents with seizures and irregular respirations. The seizures stopped a fewminutes ago. Which of the following most likely to be abnormal?A. Vascular resistanceB. Pulse rateC. Lung complianceD. Control of breathingControl of breathing8. What abnormality is most likely to be present in children with acute respiratory distress caused bylung tissue disease?A. Decreased oxygen saturationB. StridorC. Normal respiratory rateD. Decreased respiratory effortDecreased oxygen saturation9. An alert 2-year-old child with an increased work of breathing and pink color is being evaluated. Heartrate is 110/min, and respiratory rate is 30/min. What would best describe this patient's condition? A.Respiratory distressB. Respiratory arrestC. Respiratory failureD. Disordered control of breathingRespiratory distress10. The parents of a 7-year-old child who is undergoing chemotherapy report that the child has beenfebrile 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 is30/min, blood pressure is 76/45 mm Hg, capillary refill time is 5 to 6 seconds, and temperature is 103°F

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(39.4°C). What is the most appropriate intervention?A. Obtain vascular access and administer 20 mL/kg of isotonic crystalloid over 30 minutesB. Obtain vascular access and administer 20 mL/kg of isotonic crystalloid over 5 to 10 minutesC. Obtain immediate blood cultures and chest x-ray D. Obtain expert consultation with an oncologist todetermine the chemotherapeutic regimenObtain vascular access and administer 20 mL/kg of isotonic crystalloid over 5 to 10 minutes11. A 2-year-old child presents with a 4-day history of vomiting. The initial impression reveals anunresponsive child with intermittent apnea and mottled color. Heart rate is 166/min, respiratory rate isnow being supported with bag-mask ventilation, capillary refill time is 5 to 6 seconds, and temperatureis 102°F (38.9°C). What is the best method of establishing immediate vascular access? A. Two providersmay attempt peripheral vascular access twice eachB. Three providers may attempt peripheral vascular access once eachC. Place a central venous lineD. Place an intraosseous linePlace an intraosseous line12. What is the appropriate fluid bolus to administer for a child with hypovolemic shock with adequatemyocardial function?A. 10 mL/kg normal salineB. 20 mL/kg of 5% dextrose and 0.2% sodium chlorideC. 20 mL/kg normal salineD. 10 mL/kg lactated Ringer's20 mL/kg normal saline13. An alert toddler presents with a barking cough, moderate stridor, and moderate retractions. Thechild's color is pink. What is the most appropriate initial intervention?A. Obtain a chest radiographB. Administer nebulized epinephrineC. Prepare for a surgical airwayD. Use an epinephrine autoinjectorAdminister nebulized epinephrine14. An 8-year-old child presents with a history of vomiting and diarrhea. The child has the following vitalsigns: 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 4seconds. 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 pressure94/62 mm Hg, capillary refill 2 seconds, and temperature 98.6°F (37°C). The child's urineoutput is 1 to 2mL/kg in the past hour. The child is still lethargic. What diagnostic tests or information should beobtained first?A. Arterial blood gasB. Serum potassium concentrationC. GlucoseD. A 12-lead ECG

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