HEARTCODE PALS EXAM 2026–2027 EXAM
QUESTIONS AND VERIFIED CORRECT
ANSWERS
What should be your next action? 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? ANSWER:
Administer epinephrine
What is the proper dosing for epinephrine (IV/IO)
administration during CPR? 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? 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? ANSWER: Palpitations
STUDOVA
, -Light-headedness
-Syncope
How is tachycardia defined in pediatric patients? ANSWER: A heart
rate that is fast compared with the normal heart rate for the child's
age
Where do tacharrhythmias originate? ANSWER: Atria or ventricles
How are tachycardia and tacharrhythmias classifed? ANSWER: By the
width of the QRS complex
What is initial treatment for pediatric bradycardia with
cardiopulmonary compromise? 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?
ANSWER: Begin CPR
What are the characteristics of ventricular tachycardia? 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
STUDOVA
, Why does sinus tachycardia typically develop? ANSWER: The body
needs increased cardiac output
What is characteristic feature of supraventricular tachycardia?
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? ANSWER: -
Increased vagal tone
-Cholinergic drug toxicity (orgranophosphates)
-Atrioventricular block due to primary bradycardia
What is heart rate is consistent with sinus tachycardia? ANSWER:
Infant: Less than 220/min
Child: Less than 180/min
What are the characteristics of atrial flutter? 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?
ANSWER: Symptoms of congenital heart disease
STUDOVA
QUESTIONS AND VERIFIED CORRECT
ANSWERS
What should be your next action? 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? ANSWER:
Administer epinephrine
What is the proper dosing for epinephrine (IV/IO)
administration during CPR? 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? 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? ANSWER: Palpitations
STUDOVA
, -Light-headedness
-Syncope
How is tachycardia defined in pediatric patients? ANSWER: A heart
rate that is fast compared with the normal heart rate for the child's
age
Where do tacharrhythmias originate? ANSWER: Atria or ventricles
How are tachycardia and tacharrhythmias classifed? ANSWER: By the
width of the QRS complex
What is initial treatment for pediatric bradycardia with
cardiopulmonary compromise? 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?
ANSWER: Begin CPR
What are the characteristics of ventricular tachycardia? 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
STUDOVA
, Why does sinus tachycardia typically develop? ANSWER: The body
needs increased cardiac output
What is characteristic feature of supraventricular tachycardia?
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? ANSWER: -
Increased vagal tone
-Cholinergic drug toxicity (orgranophosphates)
-Atrioventricular block due to primary bradycardia
What is heart rate is consistent with sinus tachycardia? ANSWER:
Infant: Less than 220/min
Child: Less than 180/min
What are the characteristics of atrial flutter? 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?
ANSWER: Symptoms of congenital heart disease
STUDOVA
