Heartcode PALS Exam| Questions and Verified Answers| 100% Correct| Grade A (2023/ 2024 Update)

Heartcode PALS Exam| Questions and

Verified Answers| 100% Correct| Grade A

(2023/ 2024 Update)

Q: When should vasoactive therapy be considered be considered in managing distributive

shock?

Answer:

If the child remains hypotensive and poorly perfused despite rapid bolus fluid administration

Q: How does the clinical presentation of distributive shock compare with hypovolemic shock?

Answer:

Distributive shock has more variable presentation than that of hypovolemic shock

Q: For general shock management, administer an isotonic crytalloid bolus of __ mL/kg over __

to __ minutes

Answer:

For general shock management, administer an isotonic crytalloid bolus of 20 mL/kg over 5 to 20

minutes

Q: What signs distinguish anaphylactic shock from other types of shock?

Answer:

-Angioedema (swelling of the face, lips and tongue)

-Urticaria (hives)

-Respiratory distress with stridor, wheezing or both

Q: in a child with anaphylactic shock, what is the most appropriate initial treatment?

Answer:

IM epinephrine

Q: How soon after exposure do symptoms typically occur in anaphylactic shock?

Answer:

Seconds to minutes

Q: What should you evaluate to recognize septic shock?

Answer:

-Temp

-Heart rate

-Systemic perfusion

-Blood pressure

-Clinical signs of end-organ perfusion

Q: When should antibiotics be administered in septic shock?

Answer:

Within the first hour

Q: What are the initial assessment findings for septic shock?

Answer:

-Fever

-Hypothermia

-Normal, elevated or decreased WBC

Q: For septic shock, how soon should fluid resuscitation begin?

Answer:

Within 10 to 15 minutes after recognizing shock

Q: What is the recommendation for fluid bolus of isotonic crystalloids in cardiogenic shock?

Answer:

5 to 10 mL/kg over 10 to 20 minutes

Q: What is the focus of the initial management of distributive shock?

Answer:

-Correcting hypovolemia

-Filling expanded dilated vascular space

-Expanding intravascular volume

Q: What are causes of obstructive shock?

Answer:

-Pulmonary embolus

-Tension pneumothorax

-Congenital heart defects

-Cardiac tamponade

Q: What signs are present as obstructive shock progresses?

Answer:

-Increased respiratory effort

-Cyanosis

-Signs of vascular congestion