AHA PALS ACTUAL REAL FINAL EXAM WITH QUESTIONS AND WELL VERIFIED CORRECT ANSWERS [ GRADED A+]//AHA PALS LATEST VERSION //
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Course
AHA PALS ACTUAL
Institution
AHA PALS ACTUAL
AHA PALS ACTUAL REAL FINAL EXAM WITH
QUESTIONS AND WELL VERIFIED CORRECT
ANSWERS [ GRADED A+]//AHA PALS LATEST
VERSION //
1. 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 hea...
AHA PALS ACTUAL REAL FINAL EXAM WITH
QUESTIONS AND WELL VERIFIED CORRECT
ANSWERS [ GRADED A+]//AHA PALS LATEST
VERSION 2024-2025//
1. 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 - ANSWER-Compensated shock
2. 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
C. Continue to monitor and reevaluate the child
D. Initiate a dopamine drip of 20 mcg/kg per minute - ANSWER-Continue to
monitor and reevaluate the child
,3. 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
D. Decreased respiratory effort - ANSWER-Decreased oxygen saturation
4. An alert 2-year-old child with an increased work of breathing and pink color is
being evaluated. Heart rate is 110/min, and respiratory rate is 30/min. What would
best describe this patient's condition? A. Respiratory distress
B. Respiratory arrest
C. Respiratory failure
D. Disordered control of breathing - ANSWER-Respiratory distress
5. The parents of a 7-year-old child who is undergoing chemotherapy report that
the child has been febrile 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 is 30/min, blood
pressure is 76/45 mm Hg, capillary refill time is 5 to 6 seconds, and temperature is
103°F (39.4°C). What is the most appropriate intervention?
A. Obtain vascular access and administer 20 mL/kg of isotonic crystalloid over 30
minutes
B. Obtain vascular access and administer 20 mL/kg of isotonic crystalloid over 5 to
10 minutes
C. Obtain immediate blood cultures and chest x-ray D. Obtain expert consultation
with an oncologist to determine the chemotherapeutic regimen - ANSWER-Obtain
vascular access and administer 20 mL/kg of isotonic crystalloid over 5 to 10
minutes
, 6. A 2-year-old child presents with a 4-day history of vomiting. The initial
impression reveals an unresponsive child with intermittent apnea and mottled
color. Heart rate is 166/min, respiratory rate is now being supported with bag-mask
ventilation, capillary refill time is 5 to 6 seconds, and temperature is 102°F
(38.9°C). What is the best method of establishing immediate vascular access? A.
Two providers may attempt peripheral vascular access twice each
B. Three providers may attempt peripheral vascular access once each
C. Place a central venous line
D. Place an intraosseous line - ANSWER-Place an intraosseous line
7. What is the appropriate fluid bolus to administer for a child with hypovolemic
shock with adequate myocardial function?
A. 10 mL/kg normal saline
B. 20 mL/kg of 5% dextrose and 0.2% sodium chloride
C. 20 mL/kg normal saline
D. 10 mL/kg lactated Ringer's - ANSWER-20 mL/kg normal saline
8. 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 - ANSWER-Administer nebulized epinephrine
9. A 3-year-old child presents with a high fever and a petechial rash. The child is
lethargic, has no signs of increased work of breathing, and is pale in color. His
heart rate is 180/min, respiratory rate is 30/min, blood pressure is 80/68 mm Hg.
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