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AHA PALS Post-Test Questions and Answers Graded A+
In which of the following situations may IO access be used? 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? You are caring for patients in the emergency department. 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 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. What action should the team member take? You are the Team Leader during a pediatric resuscitation attempt. What action is an element of high-quality CPR? 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 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- 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 to activate the emergency response system and get the resuscitation equipment. You and another healthcare An extremity with slow a capillary refill time It is hypotensive. A child who is grunting Increased inspiratory ettort with retractions Ask for a new task or role Allowing complete chest wall recoil after each compres- sion Upper airway obstruction Decreased level of consciousness 15:
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 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 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 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 to administer an initial dose of epinephrine at 0.1 mg/kg 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 "Resume compressions." Oxygen saturation An antibiotic "I think the correct dose is 0.01 mg/kg. Should I give that dose instead?"
AHA PALS Post-Test Questions and Answers Graded A+
warm extremities and brisk capillary refill. Which immedi- ate life-threatening condition could this child's condition most likely progress to if left untreated? You are evaluating a 10 - year-old child who is febrile and tachycardic. The child's capillary refill time is 5 seconds. What parameter will determine if the child is in compen- sated shock? An 18-month old has had vomiting and diarrhea for the past 2 days; the mother brings him to the emergency de- partment because he is becoming more lethargic. What diagnostic test should you order first? You are caring for a 3 - month-old boy with a 2 - day history of fever, vomiting, and diarrhea. His parents state that he has been sleeping much more. His heart rate is 190/min, temperature is 38.3°C (101°F), blood pressure is 59/ mm Hg, respiratory rate is 70/min and shallow, and oxy- gen saturation is 94% on 100% oxygen. His capillary refill time is 4 to 5 seconds, and he has mottled, cool extrem- ities. The infant weighs 6 kg. What assessment finding indicates that the infant has hypotensive shock? You are caring for a 3 - month-old boy with a 2 - day history of fever, vomiting, and diarrhea. His parents state that he has been sleeping much more. His heart rate is 190/min, temperature is 38.3°C (101°F), blood pressure is 59/ mm Hg, respiratory rate is 70/min and shallow, and oxy- gen saturation is 94% on 100% oxygen. His capillary refill time is 4 to 5 seconds, and he has mottled, cool extrem- ities. The infant weighs 6 kg. On the basis of this infant's presentation, what type of shock does this infant have? Blood pressure Blood glucose Blood pressure Hypovolemic
You are caring for a 3 - month-old boy with a 2 - day history of fever, vomiting, and diarrhea. His parents state that he has been sleeping much more. His heart rate is 190/min, temperature is 38.3°C (101°F), blood pressure is 59/ mm Hg, respiratory rate is 70/min and shallow, and oxy- gen saturation is 94% on 100% oxygen. His capillary refill time is 4 to 5 seconds, and he has mottled, cool extrem- ities. The infant weighs 6 kg. You have decided that this infant needs fluid resuscitation. How much fluid should you administer? What abnormality helps identify children with acute res- piratory distress caused by lung tissue disease? 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? 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? What condition is characterized by a prolonged expiratory phase and wheezing? A 5-year-old child is brought to the emergency depart- ment by ambulance after being involved in a motor ve- hicle 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 20 mL/kg normal saline Crackles Upper airway obstruction Epinephrine, nebulized Lower airway obstruction Alert
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? 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? 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? You are caring for a 12-year-old girl with acute lym- phoblastic 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? Inspiratory stridor 94% to 99% Distributive, septic You are caring for a 12-year-old girl with acute lym- phoblastic 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 Blood pressure
mask. What assessment finding is most important in your determination of the severity of the patient's condition? You are caring for a 12-year-old girl with acute lym- phoblastic 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 is the most appropriate amount to administer for the first normal saline fluid bolus? You are caring for a 12-year-old girl with acute lym- phoblastic 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. In addition to oxygen administration and appropri- ate fluid resuscitation, what additional early intervention should you provide to this patient? A 10 - year-old child is brought to the emergency depart- ment for fever and cough. You obtain an oxygen saturation on the child. What oxygen saturation would indicate that immediate intervention is needed? An unresponsive 14 - year-old girl is pale and cool to the touch. Her blood pressure is 70/45 mm Hg, heart rate is 190/min, and respiratory rate is 12/min. The Sp O 10 to 20 mL/kg Antibiotic administration 88% on 4 L/min of nasal oxygen Supraventricular tachycardia
pressure is 80/40 mm Hg, heart rate is 45/min, respira- tory 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? A 3-year-old child is brought to the emergency depart- ment by his mother. What is a normal finding for a 3 - year-old child? A 6-month-old infant is being evaluated for bradycardia. What is the most likely cause of bradycardia? Provide bag-mask ventilation with 100% oxygen Respiratory rate of 24/min Hypoxia
