PALS HEARTCODE EXAM WITH
CORRECT ACTUAL QUESTIONS
MERGED WITH CORRECT COMPLETE
SOLUTIONS || ALREADY GRADED A+
|| 2026-2027 LATEST UPDATE!!!
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 crystalloid
bolus of __ mL/kg over __ to __ minutes - ANSWER-For general shock
management, administer an isotonic crystalloid 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
CORRECT ACTUAL QUESTIONS
MERGED WITH CORRECT COMPLETE
SOLUTIONS || ALREADY GRADED A+
|| 2026-2027 LATEST UPDATE!!!
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 crystalloid
bolus of __ mL/kg over __ to __ minutes - ANSWER-For general shock
management, administer an isotonic crystalloid 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
