HEARTCODE PALS EXAM ALL VERSIONS
NEWEST 2025 ACTUAL EXAM COMPLETE
QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) |ALREADY GRADED A+
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? - RIGHT ANSWER
-Continue oxygen
-Obtain expert consultation
-Support ABC's
-Identify and treat underlying causes
After synchronized cardioversion of 6 J, the patient remains in a supraventricular tachycardia. A
second synchronized cardioversion. What is the recommended energy selection? - RIGHT
ANSWER -12 J
After the chest tube is inserted, the patient's breathing and oxygenation are improved. Her vital
signs are HR 98/min, BP 108/72 mm Hg, RR 18/min, SpO2 98%. How should proper chest tube
placement be confirmed? - RIGHT ANSWER -Obtain a chest x-ray
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? - RIGHT ANSWER -Deliver a second fluid bolus
of 20 mL/kg and reassess
After you attempt a vagal maneuver , the infrant's vital signs are HR 261/min, BP 72/50, RR
46/mm, SpO2 96% and he is crying. A 12 lead ECG is taken. What actions should be taken next?
(IMG_8684) - RIGHT ANSWER -Administer adenosine
,Ausculating the patient's lungs demonstrates clear lung sounds on the left but absent lung
sounds on the right. What is the most likely diagnosis for this patient? - RIGHT ANSWER -Tension
pneumothorax
Based on the child's blood pressure, what type of shock is the patient in? - RIGHT ANSWER
-Hypotensive
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? - RIGHT
ANSWER -Administer epinephrine
During the initial assessment, you find that the infant is unresponsive and has an HR of less than
60/min. What should be your next action? - RIGHT ANSWER -Begin CPR
For general shock management, administer an isotonic crytalloid bolus of __ mL/kg over __ to __
minutes - RIGHT ANSWER -For general shock management, administer an isotonic crytalloid
bolus of 20 mL/kg over 5 to 20 minutes
For septic shock, how soon should fluid resuscitation begin? - RIGHT ANSWER -Within 10 to 15
minutes after recognizing shock
For stable patients with a regular wide complex, and monomorphic tachycardia consider: -
RIGHT ANSWER -Adenosine
How are tachycardia and tacharrhythmias classifed? - RIGHT ANSWER -By the width of the QRS
complex
How do you know if a needle decompression is successful? - RIGHT ANSWER -There is gush of air
when the needle is placed
, How does the clinical presentation of distributive shock compare with hypovolemic shock? -
RIGHT ANSWER -Distributive shock has more variable presentation than that of hypovolemic
shock
How is bradycardia defined in pediatric patients? - RIGHT ANSWER -A heart rate that is slow in
comparison with a normal heart rate range for the child's age, level of activity and clinical
condition.
How is tachycardia defined in pediatric patients? - RIGHT ANSWER -A heart rate that is fast
compared with the normal heart rate for the child's age
How should appropriate endotracheal tube placement be confirmed? - RIGHT ANSWER
-End-tidal carbon dioxide or capnography
How should sinus tachycardia be treated? - RIGHT ANSWER -By treating the underlying cause
How soon after exposure do symptoms typically occur in anaphylactic shock? - RIGHT ANSWER
-Seconds to minutes
Identify this rhythm (IMG_8654) - RIGHT ANSWER -Supraventricular tachycardia
If amiodarone or procainamide does not terminate the rapid rhythm, why should adenosine be
considered? - RIGHT ANSWER - A wide-complex tachycardia could be supraventricular
tachycardia with aberrant ventricular conduction
if bradycardia persists after initial treatment and the heart rate remains less than 60/min, what
action should be taken next? - RIGHT ANSWER -Begin CPR
NEWEST 2025 ACTUAL EXAM COMPLETE
QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) |ALREADY GRADED A+
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? - RIGHT ANSWER
-Continue oxygen
-Obtain expert consultation
-Support ABC's
-Identify and treat underlying causes
After synchronized cardioversion of 6 J, the patient remains in a supraventricular tachycardia. A
second synchronized cardioversion. What is the recommended energy selection? - RIGHT
ANSWER -12 J
After the chest tube is inserted, the patient's breathing and oxygenation are improved. Her vital
signs are HR 98/min, BP 108/72 mm Hg, RR 18/min, SpO2 98%. How should proper chest tube
placement be confirmed? - RIGHT ANSWER -Obtain a chest x-ray
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? - RIGHT ANSWER -Deliver a second fluid bolus
of 20 mL/kg and reassess
After you attempt a vagal maneuver , the infrant's vital signs are HR 261/min, BP 72/50, RR
46/mm, SpO2 96% and he is crying. A 12 lead ECG is taken. What actions should be taken next?
(IMG_8684) - RIGHT ANSWER -Administer adenosine
,Ausculating the patient's lungs demonstrates clear lung sounds on the left but absent lung
sounds on the right. What is the most likely diagnosis for this patient? - RIGHT ANSWER -Tension
pneumothorax
Based on the child's blood pressure, what type of shock is the patient in? - RIGHT ANSWER
-Hypotensive
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? - RIGHT
ANSWER -Administer epinephrine
During the initial assessment, you find that the infant is unresponsive and has an HR of less than
60/min. What should be your next action? - RIGHT ANSWER -Begin CPR
For general shock management, administer an isotonic crytalloid bolus of __ mL/kg over __ to __
minutes - RIGHT ANSWER -For general shock management, administer an isotonic crytalloid
bolus of 20 mL/kg over 5 to 20 minutes
For septic shock, how soon should fluid resuscitation begin? - RIGHT ANSWER -Within 10 to 15
minutes after recognizing shock
For stable patients with a regular wide complex, and monomorphic tachycardia consider: -
RIGHT ANSWER -Adenosine
How are tachycardia and tacharrhythmias classifed? - RIGHT ANSWER -By the width of the QRS
complex
How do you know if a needle decompression is successful? - RIGHT ANSWER -There is gush of air
when the needle is placed
, How does the clinical presentation of distributive shock compare with hypovolemic shock? -
RIGHT ANSWER -Distributive shock has more variable presentation than that of hypovolemic
shock
How is bradycardia defined in pediatric patients? - RIGHT ANSWER -A heart rate that is slow in
comparison with a normal heart rate range for the child's age, level of activity and clinical
condition.
How is tachycardia defined in pediatric patients? - RIGHT ANSWER -A heart rate that is fast
compared with the normal heart rate for the child's age
How should appropriate endotracheal tube placement be confirmed? - RIGHT ANSWER
-End-tidal carbon dioxide or capnography
How should sinus tachycardia be treated? - RIGHT ANSWER -By treating the underlying cause
How soon after exposure do symptoms typically occur in anaphylactic shock? - RIGHT ANSWER
-Seconds to minutes
Identify this rhythm (IMG_8654) - RIGHT ANSWER -Supraventricular tachycardia
If amiodarone or procainamide does not terminate the rapid rhythm, why should adenosine be
considered? - RIGHT ANSWER - A wide-complex tachycardia could be supraventricular
tachycardia with aberrant ventricular conduction
if bradycardia persists after initial treatment and the heart rate remains less than 60/min, what
action should be taken next? - RIGHT ANSWER -Begin CPR
