2023 AHA PALS FINAL REAL EXAM
QUESTIONS AND ACCURATE
ANSWERS 100% SOLVED
A provider is assessing a child with suspected
shock. Which statement correctly describes
hypotension and shock? - ANS ✔✔✔Hypotension is
not a consistent feature of shock presentation in
children.
A 10-year-old child has collapsed in the gym of the
elementary school. The school nurse arrives and
determines that the child is unresponsive. The
school nurse then simultaneously checks for
breathing and a central pulse, limiting this
assessment to which time frame? - ANS ✔✔✔No
more than 10 seconds
A 4-year-old child is brought to the emergency
department by the parents. Assessment reveals that
the child has only gasping respirations and the pulse
rate is 65 beats per minute. Which action would the
provider initiate first? - ANS ✔✔✔Deliver 1 BVM
ventilation every 2 to 3 seconds.
A 7-year-old child collapses on the playground at
school. The school nurse is called to the scene and
determines that the child is unresponsive and is not
breathing and has no pulse. The nurse initiates
CPR. At what rate and depth would the nurse deliver
compressions to this child? - ANS ✔✔✔100 to 120
compressions per minute at a depth of about 2
inches
What is considered inadequate perfusion when
assessing/caring for a pediatric patient with an
arrhythmia? - ANS ✔✔✔Diminished peripheral
pulses
Acutely altered mental status
Hypotension
A 9-year-old child is brought to the emergency
department because the child suddenly collapsed at
school. The child's ECG reveals the following
waveform, and primary assessment findings indicate
that the child has inadequate perfusion. Which
primary assessment findings indicate this? - ANS
✔✔✔Signs of shock
Acutely altered mental status
Hypotension
Primary assessment of a 10-year-old child reveals
septic shock. As part of the secondary assessment,
if not already done as part of initial sepsis care,
laboratory testing is completed to evaluate the
child's status. Which laboratory tests would be
ordered for this child? - ANS ✔✔✔Complete blood
count (CBC)
Lactate level
Blood cultures
A 6-year-old patient is brought to the emergency
department after a bicycle accident. Assessment
reveals chest pain on inspiration, diminished breath
sounds on the right side, and respiratory distress.
The provider suspects obstructive shock caused by
what condition? - ANS ✔✔✔Tension pneumothorax
A child exhibiting a narrow-complex tachycardia with
adequate perfusion is to receive adenosine. The
provider would be alert for which result after
administering this medication? - ANS ✔✔✔Transient
asystole
The emergency response team is providing care to a
preschooler who is experiencing shock. The primary
goal, common to all types of shock, is to restore a
favorable balance between tissue perfusion and
metabolic demand with a focus on what? - ANS
✔✔✔Oxygen delivery and oxygen demand
An 8-year-old child being treated in the emergency
department has significant respiratory distress. The
child also exhibits hives, wheezing, angioedema,
tachycardia and dyspnea. The parents state that the
child, who is allergic to peanuts, had eaten some
popcorn that had peanuts in it. The team initiates
care, preparing to administer which agent first? -
ANS ✔✔✔Epinephrine
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