Heartcode PALS |2025|COMPLETE
EXAM SET (questions and verified
answers) FREQUENTLY MOST
TESTED QUESTIONS |already graded
A+|100% passed!!
/. 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
EXAM SET (questions and verified
answers) FREQUENTLY MOST
TESTED QUESTIONS |already graded
A+|100% passed!!
/. 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
