Heartcode PALS/ 112 Questions & Correct
Answers
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)
Page 1 of 20
,-Increasing tachycardia
The patient still has a blood pressure of 58/38 mm Hg. Her condition would be
classified as ___________ shock. - Answer: Hypotensive
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
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
Page 2 of 20
, 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
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
Page 3 of 20
Answers
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)
Page 1 of 20
,-Increasing tachycardia
The patient still has a blood pressure of 58/38 mm Hg. Her condition would be
classified as ___________ shock. - Answer: Hypotensive
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
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
Page 2 of 20
, 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
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
Page 3 of 20
