©THEBRIGHT EXAM SOLUTIONS
11/06/2024 10:41 AM
Heartcode PALS Exam Questions And
Answers 100% Pass
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
, ©THEBRIGHT EXAM SOLUTIONS
11/06/2024 10:41 AM
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
11/06/2024 10:41 AM
Heartcode PALS Exam Questions And
Answers 100% Pass
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
, ©THEBRIGHT EXAM SOLUTIONS
11/06/2024 10:41 AM
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
