PALS HEARTCODE EXAM QUESTIONS AND ANSWERS LATEST
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Which of the following interventions is the most incorporate to do next? - CORRECT ANSWERS
Performs a thoracostomy for chest tube placement
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? - CORRECT ANSWERS Obtain a chest x-
ray
What is the leading cause of symptomatic bradycardia in children? - CORRECT ANSWERS Tissue
hypoxia
How is bradycardia defined in pediatric patients? - CORRECT ANSWERS 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.
What causes primary bradycardia? - CORRECT ANSWERS Congenital or acquired heart
conditions
Whenever a child has an abnormal heart rate of rhythm, what must be done quickly? - CORRECT
ANSWERS Determine if the arrhythmia is causing hemodynamic instability or other signs of
deterioration.
What is the priority in initially managing arrhythmias? - CORRECT ANSWERS Support the airway,
breathing and circulation
What are the causes of secondary bradycardia? - CORRECT ANSWERS -Hypoxia
-Acidosis
-Hypotension
,PALS HEARTCODE EXAM QUESTIONS AND ANSWERS LATEST
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ANSWERS 100% CORRECT DETAILED BEST GRADED A+ FOR
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-Hypothermia
-Drugs
What are the electrocardiographic characteristics of bradycardia? - CORRECT ANSWERS -Heart
rate slow compared with normal heart rate for age
-P wave and QRS complex may be unrelrated
-QRS complex may be narrow or wide
What is a THIRD-degree atrioventricular block? - CORRECT ANSWERS None of the atrial
impulses conduct to the ventricles
What is a FIRST-degree atrioventricular block - CORRECT ANSWERS A prolonged PR interval
representing slowed conduction through the atrioventricular node
Why do children with cardiac tamponade improve temporarily with fluid administration? - CORRECT
ANSWERS Fluids augment cardiac and tissue perfusion until pericardial drainage can be performed
What is the initial dose of epinephrine in the treatment of symptomatic bradycardia? - CORRECT
ANSWERS 0.01 mg/kg IV/IO
In which patients would bradycardia be an expected finding and not be considered problematic? -
CORRECT ANSWERS -A healthy child who is sleeping
This is due to reduced metabolic demand
-A well-conditioned athlete
This is due to high stroke volume and increased vagal tone
What is the IV/IO dose of atropine for pediatric bradycardia? - CORRECT ANSWERS 0.02 mg/kg
, PALS HEARTCODE EXAM QUESTIONS AND ANSWERS LATEST
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ANSWERS 100% CORRECT DETAILED BEST GRADED A+ FOR
PASS
What should your next steps be? - CORRECT ANSWERS -Maintains a patent airway
-Apply cardiac monitor to identify rhythm and monitor pulse, blood pressure, and oximetry
-Complete the initial and primary assessment
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? - CORRECT ANSWERS Begin CPR
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? - CORRECT ANSWERS Administer
epinephrine
What is the proper dosing for epinephrine (IV/IO) administration during CPR? - CORRECT
ANSWERS -0.01 mg/kg IO/IV
-Repeat every 3 to 5 minutes.
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? - CORRECT ANSWERS -Continue oxygen
-Obtain expert consultation
-Support ABC's
-Identify and treat underlying causes
DOWNLOADED 2025/2026 A COMPLETE SOLUTION ALL
ANSWERS 100% CORRECT DETAILED BEST GRADED A+ FOR
PASS
Which of the following interventions is the most incorporate to do next? - CORRECT ANSWERS
Performs a thoracostomy for chest tube placement
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? - CORRECT ANSWERS Obtain a chest x-
ray
What is the leading cause of symptomatic bradycardia in children? - CORRECT ANSWERS Tissue
hypoxia
How is bradycardia defined in pediatric patients? - CORRECT ANSWERS 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.
What causes primary bradycardia? - CORRECT ANSWERS Congenital or acquired heart
conditions
Whenever a child has an abnormal heart rate of rhythm, what must be done quickly? - CORRECT
ANSWERS Determine if the arrhythmia is causing hemodynamic instability or other signs of
deterioration.
What is the priority in initially managing arrhythmias? - CORRECT ANSWERS Support the airway,
breathing and circulation
What are the causes of secondary bradycardia? - CORRECT ANSWERS -Hypoxia
-Acidosis
-Hypotension
,PALS HEARTCODE EXAM QUESTIONS AND ANSWERS LATEST
DOWNLOADED 2025/2026 A COMPLETE SOLUTION ALL
ANSWERS 100% CORRECT DETAILED BEST GRADED A+ FOR
PASS
-Hypothermia
-Drugs
What are the electrocardiographic characteristics of bradycardia? - CORRECT ANSWERS -Heart
rate slow compared with normal heart rate for age
-P wave and QRS complex may be unrelrated
-QRS complex may be narrow or wide
What is a THIRD-degree atrioventricular block? - CORRECT ANSWERS None of the atrial
impulses conduct to the ventricles
What is a FIRST-degree atrioventricular block - CORRECT ANSWERS A prolonged PR interval
representing slowed conduction through the atrioventricular node
Why do children with cardiac tamponade improve temporarily with fluid administration? - CORRECT
ANSWERS Fluids augment cardiac and tissue perfusion until pericardial drainage can be performed
What is the initial dose of epinephrine in the treatment of symptomatic bradycardia? - CORRECT
ANSWERS 0.01 mg/kg IV/IO
In which patients would bradycardia be an expected finding and not be considered problematic? -
CORRECT ANSWERS -A healthy child who is sleeping
This is due to reduced metabolic demand
-A well-conditioned athlete
This is due to high stroke volume and increased vagal tone
What is the IV/IO dose of atropine for pediatric bradycardia? - CORRECT ANSWERS 0.02 mg/kg
, PALS HEARTCODE EXAM QUESTIONS AND ANSWERS LATEST
DOWNLOADED 2025/2026 A COMPLETE SOLUTION ALL
ANSWERS 100% CORRECT DETAILED BEST GRADED A+ FOR
PASS
What should your next steps be? - CORRECT ANSWERS -Maintains a patent airway
-Apply cardiac monitor to identify rhythm and monitor pulse, blood pressure, and oximetry
-Complete the initial and primary assessment
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? - CORRECT ANSWERS Begin CPR
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? - CORRECT ANSWERS Administer
epinephrine
What is the proper dosing for epinephrine (IV/IO) administration during CPR? - CORRECT
ANSWERS -0.01 mg/kg IO/IV
-Repeat every 3 to 5 minutes.
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? - CORRECT ANSWERS -Continue oxygen
-Obtain expert consultation
-Support ABC's
-Identify and treat underlying causes
