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Heartcode PALS Exam Questions and Answers (2026/2027 Update)
Heartcode PALS Exam Questions and
Answers
(2026/2027 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
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