Pals Heartcode Exam 2025 Questions And
Answers
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
Answers
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
