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HEARTCODE PALS TEST FINAL EXAM ACTUAL EXAM
2025 CURRENTLY TESTING COMPLETE EXAM
QUESTIONS WITH DETAILED VERIFIED ANSWERS
WITH RATIONALES (100% CORRECT ANSWERS)
/ALREADY GRADED A+/ LATEST EXAM!!!
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
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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
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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
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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
HEARTCODE PALS TEST FINAL EXAM ACTUAL EXAM
2025 CURRENTLY TESTING COMPLETE EXAM
QUESTIONS WITH DETAILED VERIFIED ANSWERS
WITH RATIONALES (100% CORRECT ANSWERS)
/ALREADY GRADED A+/ LATEST EXAM!!!
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
,2|Page
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
,3|Page
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
, 4|Page
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
