Heartcode PALS Exam 2026–2027 Exam
Questions and Verified Correct Answers
What should be your next action? CORRECT ANSWER Begin CPR
CPR has been ongoing and IV access has been established. A pulse
and rhythm check are done. He has the rhythm.
What intervention would be most appropriate at this time?
CORRECT ANSWER Administer epinephrine
What is the proper dosing for epinephrine (IV/IO)
administration during CPR? CORRECT ANSWER -0.01
mg/kg IO/IV -Repeat every 3 to 5 minutes.
After 2 more minutes of CPR, you notice the patient is moving and
his skin color improves. his vital signs are 114 RR 8/min and
temperature 37.9 C (100.2 F). The infant is still slow to respond but
is moving.
What should be the next steps for this patient? CORRECT ANSWER -
Continue oxygen
-Obtain expert consultation
-Support ABC's
-Identify and treat underlying causes
What clinical findings may be presented in a child with a
tachyarrhythmia? CORRECT ANSWER Palpitations
,-Light-headedness
-Syncope
How is tachycardia defined in pediatric patients? CORRECT
ANSWER A heart rate that is fast compared with the normal heart
rate for the child's age
Where do tacharrhythmias originate? CORRECT ANSWER Atria or
ventricles
How are tachycardia and tacharrhythmias classifed? CORRECT
ANSWER By the width of the QRS complex
What is initial treatment for pediatric bradycardia with
cardiopulmonary compromise? CORRECT ANSWER Provide bag-
mask ventilation with 100% oxygen
if bradycardia persists after initial treatment and the heart rate
remains less than 60/min, what action should be taken next?
CORRECT ANSWER Begin CPR
What are the characteristics of ventricular tachycardia? CORRECT
ANSWER -It is a wide QRS complex generated within the ventricles
-The rapid rate may deteriorate into pulseless ventricular
tachycardia or ventricular fibrillation
-A rapid rate compromises ventricular filling
, Why does sinus tachycardia typically develop? CORRECT ANSWER
The body needs increased cardiac output
What is characteristic feature of supraventricular tachycardia?
CORRECT ANSWER An abrupt increase in heart rate that does not
vary with activity
In what conditions is atropine preferred over epinephrine as the
first-choice treatment of symptomatic bradycardia? CORRECT
ANSWER -Increased vagal tone
-Cholinergic drug toxicity (orgranophosphates)
-Atrioventricular block due to primary bradycardia
What is heart rate is consistent with sinus tachycardia? CORRECT
ANSWER Infant: Less than 220/min
Child: Less than 180/min
What are the characteristics of atrial flutter? CORRECT ANSWER -
Atrial rate can exceed 300/min and ventricular rate is slow
-Can develop in children with congenital heart disease
-A narrow-complex tacharrhythmia
What history is consistent with supraventricular tachycardia?
CORRECT ANSWER Symptoms of congenital heart disease
Questions and Verified Correct Answers
What should be your next action? CORRECT ANSWER Begin CPR
CPR has been ongoing and IV access has been established. A pulse
and rhythm check are done. He has the rhythm.
What intervention would be most appropriate at this time?
CORRECT ANSWER Administer epinephrine
What is the proper dosing for epinephrine (IV/IO)
administration during CPR? CORRECT ANSWER -0.01
mg/kg IO/IV -Repeat every 3 to 5 minutes.
After 2 more minutes of CPR, you notice the patient is moving and
his skin color improves. his vital signs are 114 RR 8/min and
temperature 37.9 C (100.2 F). The infant is still slow to respond but
is moving.
What should be the next steps for this patient? CORRECT ANSWER -
Continue oxygen
-Obtain expert consultation
-Support ABC's
-Identify and treat underlying causes
What clinical findings may be presented in a child with a
tachyarrhythmia? CORRECT ANSWER Palpitations
,-Light-headedness
-Syncope
How is tachycardia defined in pediatric patients? CORRECT
ANSWER A heart rate that is fast compared with the normal heart
rate for the child's age
Where do tacharrhythmias originate? CORRECT ANSWER Atria or
ventricles
How are tachycardia and tacharrhythmias classifed? CORRECT
ANSWER By the width of the QRS complex
What is initial treatment for pediatric bradycardia with
cardiopulmonary compromise? CORRECT ANSWER Provide bag-
mask ventilation with 100% oxygen
if bradycardia persists after initial treatment and the heart rate
remains less than 60/min, what action should be taken next?
CORRECT ANSWER Begin CPR
What are the characteristics of ventricular tachycardia? CORRECT
ANSWER -It is a wide QRS complex generated within the ventricles
-The rapid rate may deteriorate into pulseless ventricular
tachycardia or ventricular fibrillation
-A rapid rate compromises ventricular filling
, Why does sinus tachycardia typically develop? CORRECT ANSWER
The body needs increased cardiac output
What is characteristic feature of supraventricular tachycardia?
CORRECT ANSWER An abrupt increase in heart rate that does not
vary with activity
In what conditions is atropine preferred over epinephrine as the
first-choice treatment of symptomatic bradycardia? CORRECT
ANSWER -Increased vagal tone
-Cholinergic drug toxicity (orgranophosphates)
-Atrioventricular block due to primary bradycardia
What is heart rate is consistent with sinus tachycardia? CORRECT
ANSWER Infant: Less than 220/min
Child: Less than 180/min
What are the characteristics of atrial flutter? CORRECT ANSWER -
Atrial rate can exceed 300/min and ventricular rate is slow
-Can develop in children with congenital heart disease
-A narrow-complex tacharrhythmia
What history is consistent with supraventricular tachycardia?
CORRECT ANSWER Symptoms of congenital heart disease
