AHA PEDIATRIC ADVANCED LIFE SUPPORT EXAM
2024 ACTUAL EXAM TEST BANK 150 QUESTIONS AND
CORRECT DETAILED ANSWERS WITH RATIONALES
(VERIFIED ANSWERS) |ALREADY GRADED
A+||NEWEST VERSION
What oxygen delivery system most reliably delivers a high (90% of greater) concentration of inspired
oxygen to a 7-year-old child? - answer-Nonrebreathing face mask
You are called to help treat an infant with severe symptomatic bradycardia (heart rate 66/min)
associated with respiratory distress. Bradycardia persists despite establishment of an effective airway,
oxygenation, and ventilation. There is no heart block present. What first drug should you administer? -
answer-*Epinephrine*
You are part of a team attempting to resuscitate a child with ventricular fibrillation cardiac arrest. You
deliver 2 unsynchronized shocks. A team member established IO access, so you give a dose of
epinephrine, 0.01 mg/kg IO. At next rhythm check, persistent ventricular fibrillation is present. You
administer a 4-J/kg shock and resume CPR. What drug and dose should be administered next? - answer-
*Amiodarone 5 mg/kg IO*
- can be used for shock-refractory VF or pVT
Initial impression of a 2-year-old girl shows her to be alert with mild breathing difficulty during
inspiration and pale skin color. On primary assessment, she makes high-pitched inspiratory sounds (mild
stridor) when agitated; otherwise, her breathing is quiet. Her SpO2 is 92% on room air, and she has mild
inspiratory intercostal retractions. Lung auscultation reveals transmitted upper airway sounds with
adequate distal breath sounds bilaterally. Most appropriate initial intervention for this c - answer-
*Humidified oxygen as tolerated*
7-year-old boy found unresponsive, apneic, and pulseless. CPR is ongoing. Child is intubated, and
vascular access is established. ECG monitor shows organized rhythm with heart rate of 45/min, but a
pulse check reveals no palpable pulses. High-quality CPR is resumed, and an initial IV dose of
epinephrine is administered. What intervention should you perform next? - answer-*Identify and treat
reversible causes*
You are caring for a 6-year-old patient who is receiving positive-pressure mechanical ventilation via an
endotracheal tube. Child begins to move his head and suddenly becomes cyanotic, and his heart rate
,decreases. His SpO2 is 65%. You remove child from mechanical ventilator and begin to provide manual
ventilation with a bag via endotracheal tube. During manual ventilation with 100% oxygen, child's color
and heart rate improve slightly and his BP remains adequate. Breath sounds and chest expansi - answer-
*Tracheal tube displacement into right main bronchus*
You are giving chest compressions for a child in cardiac arrest. What is the proper depth of compressions
for a child? - answer-*Compress the chest at least one third the depth of the chest, about 2 inches (5
cm)*
During PALS, you and another rescuers begin CPR. Your colleague begins compressions, and you noticed
that the compression rate is too slow. What should you say to offer constructive feedback? - answer-
*You need to compress at a rate of 100 to 120 per minute*
You are preparing to use a manual defibrillator in the pediatric setting. What best describes when it is
appropriate to use the smaller pediatric-sized paddles? - answer-*If the child weighs less than 10 kg or is
less than 1 year old*
You need to provide rescue breaths to a child victim with a pulse. What is the appropriate rate for
delivering breaths? - answer-*1 breath every 3 to 5 seconds*
You find an infant who is unresponsive, is not breathing, and does not have a pulse. You shout for
nearby help, but no one arrives. What action should you take next? - answer-*Provide CPR for about 2
minutes before leaving to activate the emergency response system*
3 yo boy presents with multiple-system trauma. Child was an unrestrained passenger in a high-speed
MVC. On primary assessment, he is unresponsive to voice or painful stimulation. His RR is 5/min, HR and
pulses are 170/min, systolic BC is 60 mmHg, capillary refill is 5 seconds, and SpO2 is 75% on room air.
What action should you take first? - answer-*While a colleague provides spinal motion restriction, open
the airway with a jaw thrust and provide bag-mask ventilation*
You are assisting in the elective intubation of an average-sized 4 yo child with respiratory failure.
Colleague is retrieving the color-coded length-based tape from the resuscitation chart. What is likely to
be the estimated size of the uncuffed endotracheal tube for this child? - answer-*5-mm tube*
, You find a 10 yo boy to be unresponsive. You shout for help, and after finding that he is not breathing
and has no pulse, you and a colleague begin CPR. Another colleague activates the emergency response
system, brings the emergency equipment, and places the child on a cardiac monitor/defibrillator, which
reveals ventricular tachycardia. You attempt defib at 2 J/kg and give 2 minutes of CPR. The rhythm
persists at the second rhythm check, at which point you attempt defibrillation with 4 J/kg. A - answer-
*Lidocaine 1 mg/kg IV*
During bag-mask ventilation, how should you hold the mask to make an effective seal between the
child's face and the mask? - answer-*Position your fingers using the E-C clamp technique*
Age of infants - answer-<1 yo (excluding the newly born)
Age of children - answer-from 1 year of age to puberty
To perform a pulse check in an infant, palpate a - answer-brachial pulse
- if you don't definitely feel a pulse within 10 seconds, starts CPR, beginning with chest compressions
To perform a pulse check in a child, palpate a - answer-carotid or femoral pulse
- if you don't definitely feel a pulse within 10 seconds, starts CPR, beginning with chest compressions
Compression depth in infants - answer-at least 1/3 the AP diameter of the chest or about 1 1/2 inches (4
cm)
If a head or neck injury is suspected, use what to open the airway? - answer-jaw-thrust maneuver
- if jaw thrust does not open the airway, use the head tilt-chin lift
The primary assessment (primary survey) uses a hands-on ABCDE approach and includes assessment of
the patient's vital signs .. what does ABCDE stand for? - answer-Airway
Breathing
