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HEARTCODE PALS EXAM VERSION 1,2 AND
3 NEWEST 2025 ACTUAL EXAM COMPLETE
400 QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) |ALREADY
GRADED A+
HEARTCODE PALS EXAM VERSION 1
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.
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 1 / 4
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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
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
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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
What is the IV/IO dose of atropine for pediatric bradycardia? - ANSWER-0.02 mg/kg
What should your next steps be? - ANSWER--Maintains a patent airway -Apply cardiac monitor to identify rhythm and monitor pulse, blood pressure, and oximetry -Complete the initial and primary assessment
During the initial assessment, you find that the infant is unresponsive and has an HR of less than 60/min.
What should be your next action? - ANSWER-Begin CPR
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CPR has been ongoing and IV access has been established. A pulse and rhythm check are done. He has the rhythm.What intervention would be most appropriate at this time? - ANSWER-Administer epinephrine
What is the proper dosing for epinephrine (IV/IO) administration during CPR? - ANSWER--0.01 mg/kg IO/IV -Repeat every 3 to 5 minutes.
After 2 more minutes of CPR, you notice the patient is moving and his skin color improves. his vital signs are 114 RR 8/min and temperature 37.9 C (100.2 F). The infant is still slow to respond but is moving.
What should be the next steps for this patient? - ANSWER-- Continue oxygen -Obtain expert consultation -Support ABC's -Identify and treat underlying causes
What clinical findings may be presented in a child with a tachyarrhythmia? - ANSWER--Palpitations
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