Heartcode PALS Exam Questions and
Answers Graded A+
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
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,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
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, 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
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
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
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Answers Graded A+
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
©COPYRIGHT 2025, ALL RIGHTS RESERVED 1
,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
©COPYRIGHT 2025, ALL RIGHTS RESERVED 2
, 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
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
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
©COPYRIGHT 2025, ALL RIGHTS RESERVED 3
