PALS HEARTCODE 2025 QUESTIONS WITH THE LATEST
AND UPDATED SCORE.
1) What are the 4 indicators of the AVPU scale that are used to determine
_ _ _ _ _ _ _ _ _ _ _ _ _ _
responsiveness? -- Correct Answer ✔✔ Alert _ _ _ _ _
Responds to pain _ _ _
Unresponsive
Responds to voice _ _
2) Where can you check a pulse on an infant and child? -- Correct Answer ✔✔ infant -
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
brachial
child - femoral _ _
3) What is the most accurate definition of shock? -- Correct Answer ✔✔ inadequate
_ _ _ _ _ _ _ _ _ _ _ _ _
tissue perfusion
_
4) What should you do before suctioning a child who has upper airway obstruction? --
_ _ _ _ _ _ _ _ _ _ _ _ _ _
Correct Answer ✔✔ determine the underlying cause of the obstruction
_ _ _ _ _ _ _ _ _
5) If cardiac output is compromised, signed of poor perfusion will be _____ even if
_ _ _ _ _ _ _ _ _ _ _ _ _ _
blood pressure is normal -- Correct Answer ✔✔ present
_ _ _ _ _ _ _ _
6) Low blood pressure in children is defined as systolic blood pressure less than
_ _ _ _ _ _ _ _ _ _ _ _ _
______ percentile for age -- Correct Answer ✔✔ fifth
_ _ _ _ _ _ _ _
7) For general shock management, administer an isotonic crystalloid bolus of __ mL/kg
_ _ _ _ _ _ _ _ _ _ _ _
over __ to __min -- Correct Answer ✔✔ 20 ml , 5-20min
_ _ _ _ _ _ _ _ _ _ _
8) Determine the respiratory rate by counting the number of times the chest rises in
_ _ _ _ _ _ _ _ _ _ _ _ _ _
_____ seconds and multiplying by _____. -- Correct Answer ✔✔ 30, 2
_ _ _ _ _ _ _ _ _ _ _
, 9) Tachypnea is often the first sign of respiratory ______ in infants -- Correct Answer
_ _ _ _ _ _ _ _ _ _ _ _ _ _
✔✔ distress _
10) Hypotension for children 1 to 10 years of age is a systolic blood pressure of less than
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
40mmHg + 2 x age in years _ _ _ _ _ _
50mmHg + 2 x age in years _ _ _ _ _ _
60mmHg + 2 x age in years _ _ _ _ _ _
70mmHg + 2 x age in years -- Correct Answer ✔✔ 70mmHg + 2 x age in
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
years
11) What sequence is used when care for a seriously ill or injured child to help determine
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _
_the best treatment or intervention? The __________ ___________
_ _ _ _ _ _ _
____________ sequence -- Correct Answer ✔✔ Evaluate Identify Intervene _ _ _ _ _ _ _ _
12) Automated blood pressure cuffs may provide _________ ________ readings when
_ _ _ _ _ _ _ _ _ _
the child is in shock. -- Correct Answer ✔✔ inaccurately high
_ _ _ _ _ _ _ _ _ _
13) The primary assessment included the ABCDE approach. What does it assess? --
_ _ _ _ _ _ _ _ _ _ _ _
Correct Answer ✔✔ Airway, breathing, circulation, disability, exposure
_ _ _ _ _ _ _
14) What does a prolonged capillary refill time indicate? -- Correct Answer ✔✔ low
_ _ _ _ _ _ _ _ _ _ _ _ _
cardiac output _
15) ________ is usually high-pitched breathing during inspiration, whereas
_ _ _ _ _ _ _ _
___________ is usually during expiration -- Correct Answer ✔✔ Stridor, wheezing
_ _ _ _ _ _ _ _ _ _
16) Normal capillary refill time is _____ seconds or less -- Correct Answer ✔✔ 2
_ _ _ _ _ _ _ _ _ _ _ _ _
17) What pulses should be assessed to monitor systemic perfusion in a child? -- Correct
_ _ _ _ _ _ _ _ _ _ _ _ _ _
Answer ✔✔ Peripheral and central
_ _ _ _
18) What do weak central pulses indicate a need for immediate intervention to prevent? -
_ _ _ _ _ _ _ _ _ _ _ _ _
- Correct Answer ✔✔ Cardiac arrest
_ _ _ _ _
AND UPDATED SCORE.
1) What are the 4 indicators of the AVPU scale that are used to determine
_ _ _ _ _ _ _ _ _ _ _ _ _ _
responsiveness? -- Correct Answer ✔✔ Alert _ _ _ _ _
Responds to pain _ _ _
Unresponsive
Responds to voice _ _
2) Where can you check a pulse on an infant and child? -- Correct Answer ✔✔ infant -
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
brachial
child - femoral _ _
3) What is the most accurate definition of shock? -- Correct Answer ✔✔ inadequate
_ _ _ _ _ _ _ _ _ _ _ _ _
tissue perfusion
_
4) What should you do before suctioning a child who has upper airway obstruction? --
_ _ _ _ _ _ _ _ _ _ _ _ _ _
Correct Answer ✔✔ determine the underlying cause of the obstruction
_ _ _ _ _ _ _ _ _
5) If cardiac output is compromised, signed of poor perfusion will be _____ even if
_ _ _ _ _ _ _ _ _ _ _ _ _ _
blood pressure is normal -- Correct Answer ✔✔ present
_ _ _ _ _ _ _ _
6) Low blood pressure in children is defined as systolic blood pressure less than
_ _ _ _ _ _ _ _ _ _ _ _ _
______ percentile for age -- Correct Answer ✔✔ fifth
_ _ _ _ _ _ _ _
7) For general shock management, administer an isotonic crystalloid bolus of __ mL/kg
_ _ _ _ _ _ _ _ _ _ _ _
over __ to __min -- Correct Answer ✔✔ 20 ml , 5-20min
_ _ _ _ _ _ _ _ _ _ _
8) Determine the respiratory rate by counting the number of times the chest rises in
_ _ _ _ _ _ _ _ _ _ _ _ _ _
_____ seconds and multiplying by _____. -- Correct Answer ✔✔ 30, 2
_ _ _ _ _ _ _ _ _ _ _
, 9) Tachypnea is often the first sign of respiratory ______ in infants -- Correct Answer
_ _ _ _ _ _ _ _ _ _ _ _ _ _
✔✔ distress _
10) Hypotension for children 1 to 10 years of age is a systolic blood pressure of less than
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
40mmHg + 2 x age in years _ _ _ _ _ _
50mmHg + 2 x age in years _ _ _ _ _ _
60mmHg + 2 x age in years _ _ _ _ _ _
70mmHg + 2 x age in years -- Correct Answer ✔✔ 70mmHg + 2 x age in
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
years
11) What sequence is used when care for a seriously ill or injured child to help determine
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _
_the best treatment or intervention? The __________ ___________
_ _ _ _ _ _ _
____________ sequence -- Correct Answer ✔✔ Evaluate Identify Intervene _ _ _ _ _ _ _ _
12) Automated blood pressure cuffs may provide _________ ________ readings when
_ _ _ _ _ _ _ _ _ _
the child is in shock. -- Correct Answer ✔✔ inaccurately high
_ _ _ _ _ _ _ _ _ _
13) The primary assessment included the ABCDE approach. What does it assess? --
_ _ _ _ _ _ _ _ _ _ _ _
Correct Answer ✔✔ Airway, breathing, circulation, disability, exposure
_ _ _ _ _ _ _
14) What does a prolonged capillary refill time indicate? -- Correct Answer ✔✔ low
_ _ _ _ _ _ _ _ _ _ _ _ _
cardiac output _
15) ________ is usually high-pitched breathing during inspiration, whereas
_ _ _ _ _ _ _ _
___________ is usually during expiration -- Correct Answer ✔✔ Stridor, wheezing
_ _ _ _ _ _ _ _ _ _
16) Normal capillary refill time is _____ seconds or less -- Correct Answer ✔✔ 2
_ _ _ _ _ _ _ _ _ _ _ _ _
17) What pulses should be assessed to monitor systemic perfusion in a child? -- Correct
_ _ _ _ _ _ _ _ _ _ _ _ _ _
Answer ✔✔ Peripheral and central
_ _ _ _
18) What do weak central pulses indicate a need for immediate intervention to prevent? -
_ _ _ _ _ _ _ _ _ _ _ _ _
- Correct Answer ✔✔ Cardiac arrest
_ _ _ _ _
