PALS HEARTCODE 2025 ACTUAL EXAM
PAPER 2026 COMPLETE QUESTIONS AND
ANSWERS GRADED A+
⩥ What ECG characteristics are consistent with sinus tachycardia?
Answer: Beat-to-beat variability with changes in activity.
⩥ How should sinus tachycardia be treated? Answer: Treat the
underlying cause.
⩥ What signs & symptoms are consistent with SVT? Answer: Heart rate:
- Infant < 220 /min
- Child < 180 /min
Absent or abnormal P waves
Heart rate does not vary with activity
⩥ If amiodarone or procainamide does not terminate the rapid rhythm,
why should adenosine be considered? Answer: A wide-complex
tachycardia could be SVT with aberrant ventricular conduction.
⩥ What signs & symptoms are consistent with sinus tachycardia?
Answer: Heart rate:
- Infant < 220 /min
, - Child < 180 /min
P waves are present and normal
Heart rate varies with activity
⩥ What is considered an initial management priority in managing
tachyarrhythmias? Answer: Assess and support the airway, oxygenation
and ventilation.
Attach continuous ECG monitor, defibrillator and pulse oximeter
Obtain 12-lead ECG if practical
NOTE: although algorithm states IV access is part of initial
management, this is not part of accepted answer!
⩥ What ECG characteristic is consistent with ventricular tachycardia?
Answer: Wide QRS complex, > 0.09 sec
⩥ What is the appropriate initial cardioversion dose? Answer: 0.5 - 1
J/kg
⩥ What are the signs of cardiac arrest? Answer: No pulse.
Unresponsive.
Agonal gasps.
PAPER 2026 COMPLETE QUESTIONS AND
ANSWERS GRADED A+
⩥ What ECG characteristics are consistent with sinus tachycardia?
Answer: Beat-to-beat variability with changes in activity.
⩥ How should sinus tachycardia be treated? Answer: Treat the
underlying cause.
⩥ What signs & symptoms are consistent with SVT? Answer: Heart rate:
- Infant < 220 /min
- Child < 180 /min
Absent or abnormal P waves
Heart rate does not vary with activity
⩥ If amiodarone or procainamide does not terminate the rapid rhythm,
why should adenosine be considered? Answer: A wide-complex
tachycardia could be SVT with aberrant ventricular conduction.
⩥ What signs & symptoms are consistent with sinus tachycardia?
Answer: Heart rate:
- Infant < 220 /min
, - Child < 180 /min
P waves are present and normal
Heart rate varies with activity
⩥ What is considered an initial management priority in managing
tachyarrhythmias? Answer: Assess and support the airway, oxygenation
and ventilation.
Attach continuous ECG monitor, defibrillator and pulse oximeter
Obtain 12-lead ECG if practical
NOTE: although algorithm states IV access is part of initial
management, this is not part of accepted answer!
⩥ What ECG characteristic is consistent with ventricular tachycardia?
Answer: Wide QRS complex, > 0.09 sec
⩥ What is the appropriate initial cardioversion dose? Answer: 0.5 - 1
J/kg
⩥ What are the signs of cardiac arrest? Answer: No pulse.
Unresponsive.
Agonal gasps.
