1|Page
HEARTCODE PALS EXAM VERSION 1,2 AND 3 LATEST 2025 ACTUAL
EXAM WITH COMPLETE EXAM QUESTIONS AND CORRECT
DETAILED ANSWERS (100% VERIFIED ANSWERS) |ALREADY
GRADED A+| ||PROFESSOR VERIFIED||
Where should the needle be inserted for proper needle
decompression? - ANSWER-Right side of the chest, over the third
rib (second intercostal space) in the midclavicular line
Needle decompression is performed on the patient. As the
needle is inserted, there is a rush of air coming from the hub
of the needle. Vital signs are reassessed and are now Hr
134/min, BP 70/40 mm Hg and SpO2 82%. The patient still has
labored breathing. Her SpO2 does not go above 82%; lung
sounds are more present but are still diminished on the right
side.
Which of the following interventions is the most incorporate to do
next? - ANSWER-Performs a thoracostomy for chest tube
placement
,2|Page
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? -
ANSWER-Obtain a chest x-ray
What is the leading cause of symptomatic bradycardia in
children? - ANSWER-Tissue hypoxia
How is bradycardia defined in pediatric patients? - ANSWER-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? - ANSWER-Congenital or
acquired heart conditions
Whenever a child has an abnormal heart rate of rhythm, what
must be done quickly? - ANSWER-Determine if the arrhythmia is
causing hemodynamic instability or other signs of deterioration.
,3|Page
What is the priority in initially managing arrhythmias? - ANSWER-
Support the airway, breathing and circulation
What are the causes of secondary bradycardia? - ANSWER--
Hypoxia
-Acidosis
-Hypotension
-Hypothermia
-Drugs
What are the electrocardiographic characteristics of bradycardia?
- ANSWER--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? - ANSWER-None
of the atrial impulses conduct to the ventricles
, 4|Page
What is a FIRST-degree atrioventricular block - ANSWER-A
prolonged PR interval representing slowed conduction through
the atrioventricular node
Why do children with cardiac tamponade improve temporarily with
fluid administration? - ANSWER-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? - ANSWER-0.01 mg/kg IV/IO
In which patients would bradycardia be an expected finding and
not be considered problematic? - ANSWER--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
HEARTCODE PALS EXAM VERSION 1,2 AND 3 LATEST 2025 ACTUAL
EXAM WITH COMPLETE EXAM QUESTIONS AND CORRECT
DETAILED ANSWERS (100% VERIFIED ANSWERS) |ALREADY
GRADED A+| ||PROFESSOR VERIFIED||
Where should the needle be inserted for proper needle
decompression? - ANSWER-Right side of the chest, over the third
rib (second intercostal space) in the midclavicular line
Needle decompression is performed on the patient. As the
needle is inserted, there is a rush of air coming from the hub
of the needle. Vital signs are reassessed and are now Hr
134/min, BP 70/40 mm Hg and SpO2 82%. The patient still has
labored breathing. Her SpO2 does not go above 82%; lung
sounds are more present but are still diminished on the right
side.
Which of the following interventions is the most incorporate to do
next? - ANSWER-Performs a thoracostomy for chest tube
placement
,2|Page
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? -
ANSWER-Obtain a chest x-ray
What is the leading cause of symptomatic bradycardia in
children? - ANSWER-Tissue hypoxia
How is bradycardia defined in pediatric patients? - ANSWER-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? - ANSWER-Congenital or
acquired heart conditions
Whenever a child has an abnormal heart rate of rhythm, what
must be done quickly? - ANSWER-Determine if the arrhythmia is
causing hemodynamic instability or other signs of deterioration.
,3|Page
What is the priority in initially managing arrhythmias? - ANSWER-
Support the airway, breathing and circulation
What are the causes of secondary bradycardia? - ANSWER--
Hypoxia
-Acidosis
-Hypotension
-Hypothermia
-Drugs
What are the electrocardiographic characteristics of bradycardia?
- ANSWER--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? - ANSWER-None
of the atrial impulses conduct to the ventricles
, 4|Page
What is a FIRST-degree atrioventricular block - ANSWER-A
prolonged PR interval representing slowed conduction through
the atrioventricular node
Why do children with cardiac tamponade improve temporarily with
fluid administration? - ANSWER-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? - ANSWER-0.01 mg/kg IV/IO
In which patients would bradycardia be an expected finding and
not be considered problematic? - ANSWER--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
