HEARTCODE PALS EXAM (2025
UPDATE) |GUARANTEED 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✔✔yanchy -Rapid fluid bolus administration
salvy
[COMPANY NAME]
,-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
UPDATE) |GUARANTEED 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✔✔yanchy -Rapid fluid bolus administration
salvy
[COMPANY NAME]
,-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
