PALS HEARTCODE EXAM | LATEST
QUESTIONS WITH CORRECT
ANSWERS
COMPLETE STUDY GUIDE
What should be included in the initial treatment for this
patient? - ANSWER--Rapid fluid bolus administration
-Establishing IV/IO access
The mother does not recall the infant's most recent weight.
What is the most appropriate way to rapidly determine her
weight and calculate correct medication? - ANSWER-
Measure her by using color-coded length-based tape
You measure the infant to be 7 kg and prepare to administer a
fluid bolus of what type? - ANSWER-Normal saline 20
mL/kg
What is the most appropriate method of delivering rapid fluid
boluses to this patient? - ANSWER-A syringe and 3-way
stopcock
Page | 1
,The infant is placed on the ambulance stretcher and responds
with a groan when stimulated and has a temperature of 36.3 C
(97.3 F) - ANSWER--Monitor and support ABCs
-Establish IV/IO access
-Monitor heart rate, blood pressure, and pulse oximetry
-Call for assistance if needed
When you evaluate the patient, you find the lungs are clear,
skin is cool and mottled, glucose is 97 mg/dL and capillary
refill time is 5 seconds. What are the warning signs that the
patient is progressing from compensated shock to
hypotensive shock? - ANSWER--Hypotension (late sign)
-Increasing tachycardia
The patient still has a blood pressure of 58/38 mm Hg. Her
condition would be classified as shock. -
ANSWER-Hypotensive
After the first fluid bolus is administered, the child is
reassessed and her vital signs are HR 167, BP 58/44 mm
,Hg, RR 56/min and SpO2 92%. Her skin is still cool and
pale and she is still lethargic and weak.
What should be the next intervention? - ANSWER-Deliver a
second fluid bolus of 20 mL/kg and reassess
When should vasoactive therapy be considered be considered
in managing distributive shock? - ANSWER-If the child
remains hypotensive and poorly perfused despite rapid bolus
fluid administration
How does the clinical presentation of distributive shock
compare with hypovolemic shock? - ANSWER-
Distributive shock has more variable presentation than
that of hypovolemic shock
For general shock management, administer an isotonic
crytalloid bolus of mL/kg over to minutes - ANSWER- For
general shock management, administer an isotonic crytalloid
bolus of 20 mL/kg over 5 to 20 minutes
Page | 3
, What signs distinguish anaphylactic shock from other types of
shock? - ANSWER--Angioedema (swelling of the face, lips
and tongue)
-Urticaria (hives)
-Respiratory distress with stridor, wheezing or both
in a child with anaphylactic shock, what is the most
appropriate initial treatment? - ANSWER-IM epinephrine
How soon after exposure do symptoms typically occur in
anaphylactic shock? - ANSWER-Seconds to minutes
What should you evaluate to recognize septic shock? -
ANSWER--Temp
-Heart rate
-Systemic perfusion
-Blood pressure
-Clinical signs of end-organ perfusion
When should antibiotics be administered in septic shock? -
ANSWER-Within the first hour
QUESTIONS WITH CORRECT
ANSWERS
COMPLETE STUDY GUIDE
What should be included in the initial treatment for this
patient? - ANSWER--Rapid fluid bolus administration
-Establishing IV/IO access
The mother does not recall the infant's most recent weight.
What is the most appropriate way to rapidly determine her
weight and calculate correct medication? - ANSWER-
Measure her by using color-coded length-based tape
You measure the infant to be 7 kg and prepare to administer a
fluid bolus of what type? - ANSWER-Normal saline 20
mL/kg
What is the most appropriate method of delivering rapid fluid
boluses to this patient? - ANSWER-A syringe and 3-way
stopcock
Page | 1
,The infant is placed on the ambulance stretcher and responds
with a groan when stimulated and has a temperature of 36.3 C
(97.3 F) - ANSWER--Monitor and support ABCs
-Establish IV/IO access
-Monitor heart rate, blood pressure, and pulse oximetry
-Call for assistance if needed
When you evaluate the patient, you find the lungs are clear,
skin is cool and mottled, glucose is 97 mg/dL and capillary
refill time is 5 seconds. What are the warning signs that the
patient is progressing from compensated shock to
hypotensive shock? - ANSWER--Hypotension (late sign)
-Increasing tachycardia
The patient still has a blood pressure of 58/38 mm Hg. Her
condition would be classified as shock. -
ANSWER-Hypotensive
After the first fluid bolus is administered, the child is
reassessed and her vital signs are HR 167, BP 58/44 mm
,Hg, RR 56/min and SpO2 92%. Her skin is still cool and
pale and she is still lethargic and weak.
What should be the next intervention? - ANSWER-Deliver a
second fluid bolus of 20 mL/kg and reassess
When should vasoactive therapy be considered be considered
in managing distributive shock? - ANSWER-If the child
remains hypotensive and poorly perfused despite rapid bolus
fluid administration
How does the clinical presentation of distributive shock
compare with hypovolemic shock? - ANSWER-
Distributive shock has more variable presentation than
that of hypovolemic shock
For general shock management, administer an isotonic
crytalloid bolus of mL/kg over to minutes - ANSWER- For
general shock management, administer an isotonic crytalloid
bolus of 20 mL/kg over 5 to 20 minutes
Page | 3
, What signs distinguish anaphylactic shock from other types of
shock? - ANSWER--Angioedema (swelling of the face, lips
and tongue)
-Urticaria (hives)
-Respiratory distress with stridor, wheezing or both
in a child with anaphylactic shock, what is the most
appropriate initial treatment? - ANSWER-IM epinephrine
How soon after exposure do symptoms typically occur in
anaphylactic shock? - ANSWER-Seconds to minutes
What should you evaluate to recognize septic shock? -
ANSWER--Temp
-Heart rate
-Systemic perfusion
-Blood pressure
-Clinical signs of end-organ perfusion
When should antibiotics be administered in septic shock? -
ANSWER-Within the first hour
