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Exam (elaborations)

NCCHC HeartCode PALS Final Test Review 2025 (Qns & Ans).

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NCCHC HeartCode PALS Final Test Review 2025 (Qns & Ans).NCCHC HeartCode PALS Final Test Review 2025 (Qns & Ans).

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Uploaded on
April 17, 2025
Number of pages
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Written in
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HeartCode PALS

Final Test Review (Qns & Ans)

2025



1. Chest Compression Rate


A 6‐year‐old child in cardiac arrest is being resuscitated. What is
the recommended chest compression rate for pediatric patients
during high-quality CPR?
A) 80–90 compressions per minute
B) 100–120 compressions per minute
C) 130–140 compressions per minute
D) 60–80 compressions per minute


ANS : B

©2025

, Rationale: Current guidelines recommend a chest compression
rate of 100–120 per minute for pediatric resuscitation. This rate
maximizes coronary perfusion pressure and optimizes outcomes.


---


2. Compression Depth


In a pediatric resuscitation, what is the recommended chest
compression depth?
A) Approximately 1 inch (2.5 cm)
B) Approximately 1.5 inches (4 cm) for infants; one-third of the
anterior–posterior chest diameter for children
C) Approximately 3 inches (7.5 cm) for all ages
D) Approximately 2 inches (5 cm) for all children


ANS : B
Rationale: For infants, a compression depth of about 1.5 inches
(4 cm) is recommended; for children, compressions should be
approximately one-third the anterior–posterior chest diameter.
This guideline ensures sufficient cardiac output without causing
injury.



©2025

,---


3. Minimizing Interruptions


Which practice is most critical during CPR to improve
resuscitation quality?
A) Frequently pausing for rhythm checks every minute
B) Minimizing interruptions to chest compressions
C) Interrupting compressions to re-assess the airway
D) Alternating compression and ventilation on every cycle


ANS : B
Rationale: High-quality CPR depends on continuous chest
compressions with minimal interruptions to maintain coronary
and cerebral perfusion. Pauses—even for assessments—should be
as brief as possible (<10 seconds).


---


4. Rescuer Fatigue Management



©2025

, How frequently should rescuers switch roles during continuous
CPR to maintain optimal compression quality?
A) Every 30 seconds
B) Every 1 minute
C) Every 2 minutes
D) Every 5 minutes


ANS : C
Rationale: Rescuers should alternate roles approximately every
2 minutes to prevent fatigue and ensure that compression depth
and rate remain consistent throughout the resuscitation effort.


---


5. Advanced Airway Ventilation


Once an advanced airway (e.g., endotracheal tube) is in place
during pediatric resuscitation, what is the recommended
ventilation strategy?
A) Pause compressions for each breath
B) Deliver 1 breath every 6 seconds with synchronized
compressions

©2025

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