PALS HEARTCODE 2025 EXAM, PRACTICE EXAM AND
STUDY GUIDE NEWEST 140 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES (VERIFIED
ANSWERS) |ALREADY GRADED A+
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
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
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
-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
What are the initial assessment findings for septic shock? - answer--Fever
-Hypothermia
-Normal, elevated or decreased WBC
For septic shock, how soon should fluid resuscitation begin? - answer-Within 10 to
15 minutes after recognizing shock
What is the recommendation for fluid bolus of isotonic crystalloids in cardiogenic
shock? - answer-5 to 10 mL/kg over 10 to 20 minutes
STUDY GUIDE NEWEST 140 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES (VERIFIED
ANSWERS) |ALREADY GRADED A+
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
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
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
-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
What are the initial assessment findings for septic shock? - answer--Fever
-Hypothermia
-Normal, elevated or decreased WBC
For septic shock, how soon should fluid resuscitation begin? - answer-Within 10 to
15 minutes after recognizing shock
What is the recommendation for fluid bolus of isotonic crystalloids in cardiogenic
shock? - answer-5 to 10 mL/kg over 10 to 20 minutes
