PALS HEARTCODE 2026 WITH ACTUAL
EXAM QUESTIONS AND CORRECT
ANSWERS VERIFIED 100%
What signs distinguish anaphylactic shock from other types of
shock? Correct Answer -Angioedema (swelling of the face, lips
and tongue)
-Urticaria (hives)
-Respiratory distress with stridor, wheezing or both
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) Correct 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?
Correct 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. Correct
Answer Hypotensive
What should be included in the initial treatment for this patient?
Correct 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? Correct 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? Correct Answer Normal saline 20 mL/kg
What is the most appropriate method of delivering rapid fluid
boluses to this patient? Correct 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? Correct Answer Deliver a
second fluid bolus of 20 mL/kg and reassess
When should vasoactive therapy be considered be considered in
managing distributive shock? Correct 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? Correct Answer 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 Correct Answer For
general shock management, administer an isotonic crytalloid
bolus of 20 mL/kg over 5 to 20 minutes
in a child with anaphylactic shock, what is the most appropriate
initial treatment? Correct Answer IM epinephrine
How soon after exposure do symptoms typically occur in
anaphylactic shock? Correct Answer Seconds to minutes
, What should you evaluate to recognize septic shock? Correct
Answer -Temp
-Heart rate
-Systemic perfusion
-Blood pressure
-Clinical signs of end-organ perfusion
When should antibiotics be administered in septic shock? Correct
Answer Within the first hour
What are the initial assessment findings for septic shock? Correct
Answer -Fever
-Hypothermia
-Normal, elevated or decreased WBC
For septic shock, how soon should fluid resuscitation begin?
Correct Answer Within 10 to 15 minutes after recognizing shock
What is the recommendation for fluid bolus of isotonic crystalloids
in cardiogenic shock? Correct Answer 5 to 10 mL/kg over 10 to 20
minutes
What is the focus of the initial management of distributive shock?
Correct Answer -Correcting hypovolemia
EXAM QUESTIONS AND CORRECT
ANSWERS VERIFIED 100%
What signs distinguish anaphylactic shock from other types of
shock? Correct Answer -Angioedema (swelling of the face, lips
and tongue)
-Urticaria (hives)
-Respiratory distress with stridor, wheezing or both
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) Correct 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?
Correct 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. Correct
Answer Hypotensive
What should be included in the initial treatment for this patient?
Correct 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? Correct 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? Correct Answer Normal saline 20 mL/kg
What is the most appropriate method of delivering rapid fluid
boluses to this patient? Correct 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? Correct Answer Deliver a
second fluid bolus of 20 mL/kg and reassess
When should vasoactive therapy be considered be considered in
managing distributive shock? Correct 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? Correct Answer 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 Correct Answer For
general shock management, administer an isotonic crytalloid
bolus of 20 mL/kg over 5 to 20 minutes
in a child with anaphylactic shock, what is the most appropriate
initial treatment? Correct Answer IM epinephrine
How soon after exposure do symptoms typically occur in
anaphylactic shock? Correct Answer Seconds to minutes
, What should you evaluate to recognize septic shock? Correct
Answer -Temp
-Heart rate
-Systemic perfusion
-Blood pressure
-Clinical signs of end-organ perfusion
When should antibiotics be administered in septic shock? Correct
Answer Within the first hour
What are the initial assessment findings for septic shock? Correct
Answer -Fever
-Hypothermia
-Normal, elevated or decreased WBC
For septic shock, how soon should fluid resuscitation begin?
Correct Answer Within 10 to 15 minutes after recognizing shock
What is the recommendation for fluid bolus of isotonic crystalloids
in cardiogenic shock? Correct Answer 5 to 10 mL/kg over 10 to 20
minutes
What is the focus of the initial management of distributive shock?
Correct Answer -Correcting hypovolemia
