1/9/25, 9:19 AM 2025 Update/Heartcode PALS 2025 Update COMPREHENSIVE FREQUENTLY TESTED QUESTIONS and verified answers WI…
2025 Update/Heartcode PALS 2025 Update
COMPREHENSIVE FREQUENTLY TESTED
QUESTIONS and verified answers WITH
RATIONALES|100% accurate answers | already
graded A+
Terms in this set (112)
The infant is placed on -Monitor and support ABCs
the ambulance stretcher -Establish IV/IO access
and responds with a -Monitor heart rate, blood pressure, and pulse
groan when stimulated oximetry
and has a temperature of -Call for assistance if needed
36.3 C (97.3 F)
When you evaluate the -Hypotension (late sign)
patient, you find the -Increasing tachycardia
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?
The patient still has a Hypotensive
blood pressure of 58/38
mm Hg. Her condition
would be classified as
___________ shock.
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,1/9/25, 9:19 AM 2025 Update/Heartcode PALS 2025 Update COMPREHENSIVE FREQUENTLY TESTED QUESTIONS and verified answers WI…
What should be included -Rapid fluid bolus administration
in the initial treatment for -Establishing IV/IO access
this patient?
The mother does not Measure her by using color-coded length-based
recall the infant's most tape
recent weight. What is the
most appropriate way to
rapidly determine her
weight and calculate
correct medication?
You measure the infant to Normal saline 20 mL/kg
be 7 kg and prepare to
administer a fluid bolus
of what type?
What is the most A syringe and 3-way stopcock
appropriate method of
delivering rapid fluid
boluses to this patient?
After the first fluid bolus Deliver a second fluid bolus of 20 mL/kg and
is administered, the child reassess
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?
When should vasoactive If the child remains hypotensive and poorly
therapy be considered perfused despite rapid bolus fluid administration
be considered in
managing distributive
shock?
https://quizlet.com/991065641/2025-updateheartcode-pals-2025-update-comprehensive-frequently-tested-questions-and-verified-answers-with-r… 2/16
, 1/9/25, 9:19 AM 2025 Update/Heartcode PALS 2025 Update COMPREHENSIVE FREQUENTLY TESTED QUESTIONS and verified answers WI…
How does the clinical Distributive shock has more variable presentation
presentation of than that of hypovolemic shock
distributive shock
compare with
hypovolemic shock?
For general shock For general shock management, administer an
management, administer isotonic crytalloid bolus of 20 mL/kg over 5 to 20
an isotonic crytalloid minutes
bolus of __ mL/kg over __
to __ minutes
What signs distinguish -Angioedema (swelling of the face, lips and tongue)
anaphylactic shock from -Urticaria (hives)
other types of shock? -Respiratory distress with stridor, wheezing or both
in a child with IM epinephrine
anaphylactic shock, what
is the most appropriate
initial treatment?
How soon after exposure Seconds to minutes
do symptoms typically
occur in anaphylactic
shock?
-Temp
What should you -Heart rate
evaluate to recognize -Systemic perfusion
septic shock? -Blood pressure
-Clinical signs of end-organ perfusion
When should antibiotics Within the first hour
be administered in septic
shock?
What are the initial -Fever
assessment findings for -Hypothermia
septic shock? -Normal, elevated or decreased WBC
For septic shock, how Within 10 to 15 minutes after recognizing shock
soon should fluid
resuscitation begin?
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2025 Update/Heartcode PALS 2025 Update
COMPREHENSIVE FREQUENTLY TESTED
QUESTIONS and verified answers WITH
RATIONALES|100% accurate answers | already
graded A+
Terms in this set (112)
The infant is placed on -Monitor and support ABCs
the ambulance stretcher -Establish IV/IO access
and responds with a -Monitor heart rate, blood pressure, and pulse
groan when stimulated oximetry
and has a temperature of -Call for assistance if needed
36.3 C (97.3 F)
When you evaluate the -Hypotension (late sign)
patient, you find the -Increasing tachycardia
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?
The patient still has a Hypotensive
blood pressure of 58/38
mm Hg. Her condition
would be classified as
___________ shock.
https://quizlet.com/991065641/2025-updateheartcode-pals-2025-update-comprehensive-frequently-tested-questions-and-verified-answers-with-r… 1/16
,1/9/25, 9:19 AM 2025 Update/Heartcode PALS 2025 Update COMPREHENSIVE FREQUENTLY TESTED QUESTIONS and verified answers WI…
What should be included -Rapid fluid bolus administration
in the initial treatment for -Establishing IV/IO access
this patient?
The mother does not Measure her by using color-coded length-based
recall the infant's most tape
recent weight. What is the
most appropriate way to
rapidly determine her
weight and calculate
correct medication?
You measure the infant to Normal saline 20 mL/kg
be 7 kg and prepare to
administer a fluid bolus
of what type?
What is the most A syringe and 3-way stopcock
appropriate method of
delivering rapid fluid
boluses to this patient?
After the first fluid bolus Deliver a second fluid bolus of 20 mL/kg and
is administered, the child reassess
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?
When should vasoactive If the child remains hypotensive and poorly
therapy be considered perfused despite rapid bolus fluid administration
be considered in
managing distributive
shock?
https://quizlet.com/991065641/2025-updateheartcode-pals-2025-update-comprehensive-frequently-tested-questions-and-verified-answers-with-r… 2/16
, 1/9/25, 9:19 AM 2025 Update/Heartcode PALS 2025 Update COMPREHENSIVE FREQUENTLY TESTED QUESTIONS and verified answers WI…
How does the clinical Distributive shock has more variable presentation
presentation of than that of hypovolemic shock
distributive shock
compare with
hypovolemic shock?
For general shock For general shock management, administer an
management, administer isotonic crytalloid bolus of 20 mL/kg over 5 to 20
an isotonic crytalloid minutes
bolus of __ mL/kg over __
to __ minutes
What signs distinguish -Angioedema (swelling of the face, lips and tongue)
anaphylactic shock from -Urticaria (hives)
other types of shock? -Respiratory distress with stridor, wheezing or both
in a child with IM epinephrine
anaphylactic shock, what
is the most appropriate
initial treatment?
How soon after exposure Seconds to minutes
do symptoms typically
occur in anaphylactic
shock?
-Temp
What should you -Heart rate
evaluate to recognize -Systemic perfusion
septic shock? -Blood pressure
-Clinical signs of end-organ perfusion
When should antibiotics Within the first hour
be administered in septic
shock?
What are the initial -Fever
assessment findings for -Hypothermia
septic shock? -Normal, elevated or decreased WBC
For septic shock, how Within 10 to 15 minutes after recognizing shock
soon should fluid
resuscitation begin?
https://quizlet.com/991065641/2025-updateheartcode-pals-2025-update-comprehensive-frequently-tested-questions-and-verified-answers-with-r… 3/16
