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AHA PALS EXAM 2024 ACTUAL EXAM
TEST
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BANK 60 QUESTIONS AND
CORRECT DETAILED ANSWERS WITH
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RATIONALES (VERIFIED ANSWERS)
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1 of 62
Term
12. What is the appropriate fluid bolus to administer for a child with
hypovolemic shock with adequate myocardial function?
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20 mL/kg of 5% dextrose and 0.2%
10 mL/kg normal saline
sodium chloride
, 20 mL/kg normal saline 10 mL/kg lactated Ringer's
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2 of 62
Term
33. A 5-year-old child has had severe respiratory distress for 2 days.
During assessment the child's heart rate decreases from 140/min to
90/min, and the child's respiratory rate decreases from 66/min to 8/min.
Which of the following is the next appropriate intervention?
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Rescue breaths at a rate of 12 to Rescue breaths at a rate of 6 to
20/min 10/min
Chest compressions at a rate of at Chest compressions at a rate of
least 100/min 60/min
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3 of 62
Term
,1. A 13-year-old patient with asthma just received oxygen and albuterol
via a nebulizer. What is the next most appropriate intervention?
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Obtain a blood sample to evaluate
Administer 0.1 mg/kg of adenosine
arterial or venous blood gases
Reassess breath sounds and
Repeat the albuterol treatment
clinical status
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4 of 62
Term
2. The respiratory rate of a 1-year-old child with respiratory distress has
decreased from 65/min to 30/min. The child is more lethargic and
continues to have subcostal retractions. What does this change likely
indicate?
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Progression toward respiratory
Respiratory distress is unchanged
failure
Improved respiratory status Neurologic impairment
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5 of 62
Term
25. A pulseless 6-week-old infant arrives in the emergency
department, and high-quality CPR is in progress. The initial rhythm strip
is shown below. CPR continues, and vascular access has been
established. What is the next appropriate intervention?
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Attempt defibrillation with a 2 J/kg
Administer atropine 0.02 mg/kg IO/IV
shock
Administer epinephrine 0.01 Consider insertion of an advanced
mg/kg IO/IV airway
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6 of 62
Term
17. An 8-year-old child had a sudden onset of palpitations and light-
headedness. At the time of evaluation the child is alert. His respiratory
rate is 26/ min, and his blood pressure is 104/70 mm Hg. A cardiac
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