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AHA PALS Post-Test Question, Exams of Advanced Education

University of LimpopoAdvanced Education

AHA PALS Post-Test Question And 100% Complete

Typology: Exams

2025/2026

Available from 02/11/2026

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AHA PALS Post-Test
In which of the following situations may IO access be used?
An extremity with slow a capillary refill time
3 multiple choice options
A 2-week-old infant is being evaluated for irritability and poor feeding. His blood pressure is
55/40 mm Hg, and capillary refill time is 5 seconds. Which statement best describes your
assessment of this infant's blood pressure?
It is hypotensive.
3 multiple choice options
You are caring for patients in the emergency department. Which 2-year-old child requires
immediate intervention?
A child who is grunting
3 multiple choice options
A 3-year-old child is having difficulty breathing. What finding would most likely lead you to
suspect an upper airway obstruction in this child?
Increased inspiratory effort with retractions
3 multiple choice options
A team member is unable to perform an assigned task because it is beyond the team member's
scope of practice. What action should the team member take?
Ask for a new task or role
3 multiple choice options
You are the Team Leader during a pediatric resuscitation attempt. What action is an element of
high-quality CPR?
Allowing complete chest wall recoil after each compression
3 multiple choice options
An 8-year-old child is brought to the emergency department by his mother for difficulty
breathing. He has a history of asthma and nut allergies. His mother tells you that he recently ate a
cookie at a family picnic. What condition is most likely to be present in this child?
Upper airway obstruction
3 multiple choice options
An 8-year-old child is brought to the emergency department by ambulance after being involved
in a motor vehicle collision. What finding would suggest that immediate intervention is needed?
Decreased level of consciousness
3 multiple choice options
A 6-year-old child is found unresponsive, not breathing, and without a pulse. One healthcare
worker leaves to activate the emergency response system and get the resuscitation equipment.
You and another healthcare provider immediately begin performing CPR. What compression-to-
ventilation ratio do you use?
15:2
3 multiple choice options
pf3
pf4
pf5

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AHA PALS Post-Test

In which of the following situations may IO access be used? An extremity with slow a capillary refill time 3 multiple choice options A 2-week-old infant is being evaluated for irritability and poor feeding. His blood pressure is 55/40 mm Hg, and capillary refill time is 5 seconds. Which statement best describes your assessment of this infant's blood pressure? It is hypotensive. 3 multiple choice options You are caring for patients in the emergency department. Which 2-year-old child requires immediate intervention? A child who is grunting 3 multiple choice options A 3-year-old child is having difficulty breathing. What finding would most likely lead you to suspect an upper airway obstruction in this child? Increased inspiratory effort with retractions 3 multiple choice options A team member is unable to perform an assigned task because it is beyond the team member's scope of practice. What action should the team member take? Ask for a new task or role 3 multiple choice options You are the Team Leader during a pediatric resuscitation attempt. What action is an element of high-quality CPR? Allowing complete chest wall recoil after each compression 3 multiple choice options An 8-year-old child is brought to the emergency department by his mother for difficulty breathing. He has a history of asthma and nut allergies. His mother tells you that he recently ate a cookie at a family picnic. What condition is most likely to be present in this child? Upper airway obstruction 3 multiple choice options An 8-year-old child is brought to the emergency department by ambulance after being involved in a motor vehicle collision. What finding would suggest that immediate intervention is needed? Decreased level of consciousness 3 multiple choice options A 6-year-old child is found unresponsive, not breathing, and without a pulse. One healthcare worker leaves to activate the emergency response system and get the resuscitation equipment. You and another healthcare provider immediately begin performing CPR. What compression-to- ventilation ratio do you use? 15: 3 multiple choice options

A 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 shock administration, what should you say to your team members? "Resume compressions." 3 multiple choice options 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 difficult to arouse and is unresponsive to voice commands. His oxygen saturation is 72% on room air and 89% when on a nonrebreathing oxygen mask. He has shallow respirations with a respiratory rate of 38/min. Auscultation of the lungs reveals bilateral crackles. What assessment finding is consistent with respiratory failure in this child? Oxygen saturation 3 multiple choice options 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 difficult to arouse and is unresponsive to voice commands. His oxygen saturation is 72% on room air and 89% when on a nonrebreathing oxygen mask. He has shallow respirations with a respiratory rate of 38/min. Auscultation of the lungs reveals bilateral crackles. What medication would be most appropriate? An antibiotic 3 multiple choice options During 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? "I think the correct dose is 0.01 mg/kg. Should I give that dose instead?" 3 multiple choice options A 6-month-old infant is unresponsive. You begin checking for breathing at the same time you check for the infant's pulse. What is the maximum time you should spend trying to simultaneously check for breathing and palpate the infant's pulse before starting CPR? 10 seconds 3 multiple choice options A 10-year-old child is being evaluated for a headache. What is a normal finding for this 10-year- old child? Heart rate of 88/min 3 multiple choice options A 6-year-old boy is being evaluated for difficulty breathing. What finding would suggest this child has respiratory distress? Audible inspiratory stridor 3 multiple choice options A 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 dosage range should you use for initial defibrillation? 2 to 4 J/kg 3 multiple choice options A 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

38.3°C (101°F), blood pressure is 59/29 mm Hg, respiratory rate is 70/min and shallow, and oxygen saturation is 94% on 100% oxygen. His capillary refill time is 4 to 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? 20 mL/kg normal saline 3 multiple choice options What abnormality helps identify children with acute respiratory distress caused by lung tissue disease? Crackles 3 multiple choice options You are caring for a 9-month-old girl who has increased work of breathing, a fever, and a cough. On assessment, you find an alert infant with stridor and retractions. The infant's Sp O2 is 94%. On auscultation, the lungs are clear bilaterally. What is the most likely cause of this infant's respiratory distress? Upper airway obstruction 3 multiple choice options You are caring for a 9-month-old girl who has increased work of breathing, a fever, and a cough. On assessment, you find an alert infant with stridor and retractions. The infant's Sp O2 is 94%. On auscultation, the lungs are clear bilaterally. What medication should you administer first? Epinephrine, nebulized 3 multiple choice options What condition is characterized by a prolonged expiratory phase and wheezing? Lower airway obstruction 3 multiple choice options A 5-year-old child is brought to the emergency department by ambulance after being involved in a motor vehicle collision. You are using the primary assessment to evaluate the child. When assessing the child's neurologic status, you note that he has spontaneous eye opening, is fully oriented, and is able to follow commands. How would you document this child's AVPU (Alert, Voice, Painful, Unresponsive) Pediatric Response Scale finding? Alert 3 multiple choice options A 4-year-old child is brought to the emergency department for seizures. The seizures stopped a few minutes ago, but the child continues to have slow and irregular respirations. What condition is most consistent with your assessment? Disordered control of breathing 3 multiple choice options You are evaluating a 1-year-old child for respiratory distress. His heart rate is 168/min, and his respiratory rate has decreased from 65/min to 30/min. He now appears more lethargic and continues to have severe subcostal retractions. On the basis of your assessment, what is the most likely reason for this change in the child's condition? The child has signs of respiratory failure. 3 multiple choice options A 7-year-old child in cardiac arrest is brought to the emergency department by ambulance. No palpable pulses are detected. The child's ECG is shown here. How would you characterize this child's rhythm?

Pulseless electrical activity 3 multiple choice options After rectal administration of diazepam, an 8-year-old boy with a history of seizures is now unresponsive to painful stimulation. His respirations are shallow, at a rate of 10/min. His oxygen saturation is 94% on 2 L/min of nasal cannula oxygen. On examination, the child is snoring with poor chest rise and poor air entry bilaterally. What action should you take next? Reposition the patient and insert an oral airway 3 multiple choice options After rectal administration of diazepam, an 8-year-old boy with a history of seizures is now unresponsive to painful stimulation. His respirations are shallow, at a rate of 10/min. His oxygen saturation is 94% on 2 L/min of nasal cannula oxygen. On examination, the child is snoring with poor chest rise and poor air entry bilaterally. If the patient continues to snore and exhibit poor chest rise and poor air entry bilaterally after your initial intervention, what next step is most appropriate? Provide bag-mask ventilation 3 multiple choice options You are performing the airway component of the primary assessment. What finding would lead you to conclude that the child has an upper airway obstruction? Inspiratory stridor 3 multiple choice options In management of post-cardiac arrest patients, extra care should be taken to avoid reperfusion injury. What should the ideal oxygen saturation range most likely be? 94% to 99% 3 multiple choice options You 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 temperature is 39°C (102.2°F), heart rate is 118/min, respiratory rate is 36/min, blood pressure is 100/40 mm Hg, and oxygen saturation is 96% on room air. Your assessment reveals mild increase in work of breathing and bounding pulses. The child is placed on 100% oxygen by nonrebreathing mask. Laboratory studies document lactic acidosis. On the basis of the patient's clinical assessment and history, what type of shock does this patient most likely have? Distributive, septic 3 multiple choice options You 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 temperature is 39°C (102.2°F), heart rate is 118/min, respiratory rate is 36/min, blood pressure is 100/40 mm Hg, and oxygen saturation is 96% on room air. Your assessment reveals mild increase in work of breathing and bounding pulses. The child is placed on 100% oxygen by nonrebreathing mask. What assessment finding is most important in your determination of the severity of the patient's condition? Blood pressure 1 multiple choice option You 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 temperature is 39°C (102.2°F), heart rate is 118/min, respiratory rate is 36/min, blood pressure is 100/40 mm Hg, and oxygen saturation is 96% on room air. Your assessment reveals mild increase in work of breathing and bounding

An unresponsive 9-year-old boy was given a dose of rectal valium by his caretaker for a prolonged seizure. His blood pressure is 80/40 mm Hg, heart rate is 45/min, respiratory rate is 6/min, and Sp O2 is 60% on room air. He is unresponsive and cyanotic. The cardiac monitor displays the rhythm shown here. What action do you take next? Provide bag-mask ventilation with 100% oxygen 3 multiple choice options A 3-year-old child is brought to the emergency department by his mother. What is a normal finding for a 3-year-old child? Respiratory rate of 24/min 3 multiple choice options A 6-month-old infant is being evaluated for bradycardia. What is the most likely cause of bradycardia? Hypoxia 3 multiple choice options