PALS Heart-Code Exam Questions With Accurate 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) - accurate answers--
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? - accurate answers--Hypotension (late sign)
-Increasing tachycardia
The patient still has a blood pressure of 58/38 mm Hg. Her condition would
be classified as ___________ shock. - accurate answers-Hypotensive
What should be included in the initial treatment for this patient? - accurate
answers--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? - accurate answers-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? - accurate answers-Normal saline 20 mL/kg
What is the most appropriate method of delivering rapid fluid boluses to this
patient? - accurate answers-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? - accurate answers-Deliver a second
fluid bolus of 20 mL/kg and reassess
, When should vasoactive therapy be considered be considered in managing
distributive shock? - accurate answers-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? - accurate answers-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 - accurate answers-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? -
accurate answers--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? - accurate answers-IM epinephrine
How soon after exposure do symptoms typically occur in anaphylactic shock?
- accurate answers-Seconds to minutes
What should you evaluate to recognize septic shock? - accurate answers--
Temp
-Heart rate
-Systemic perfusion
-Blood pressure
-Clinical signs of end-organ perfusion
When should antibiotics be administered in septic shock? - accurate answers-
Within the first hour
What are the initial assessment findings for septic shock? - accurate answers--
Fever
-Hypothermia
-Normal, elevated or decreased WBC
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) - accurate answers--
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? - accurate answers--Hypotension (late sign)
-Increasing tachycardia
The patient still has a blood pressure of 58/38 mm Hg. Her condition would
be classified as ___________ shock. - accurate answers-Hypotensive
What should be included in the initial treatment for this patient? - accurate
answers--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? - accurate answers-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? - accurate answers-Normal saline 20 mL/kg
What is the most appropriate method of delivering rapid fluid boluses to this
patient? - accurate answers-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? - accurate answers-Deliver a second
fluid bolus of 20 mL/kg and reassess
, When should vasoactive therapy be considered be considered in managing
distributive shock? - accurate answers-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? - accurate answers-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 - accurate answers-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? -
accurate answers--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? - accurate answers-IM epinephrine
How soon after exposure do symptoms typically occur in anaphylactic shock?
- accurate answers-Seconds to minutes
What should you evaluate to recognize septic shock? - accurate answers--
Temp
-Heart rate
-Systemic perfusion
-Blood pressure
-Clinical signs of end-organ perfusion
When should antibiotics be administered in septic shock? - accurate answers-
Within the first hour
What are the initial assessment findings for septic shock? - accurate answers--
Fever
-Hypothermia
-Normal, elevated or decreased WBC
