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Pals Heartcode 2025 revision test latest, Exams of Nursing

Cheyney University of PennsylvaniaNursing

Pals Heartcode 2025 revision test latest

Typology: Exams

2025/2026

Available from 05/26/2026

tizian-mwangi
tizian-mwangi 🇺🇸

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Pals Heartcode 2025 revision test latest
1. Where can you check a pulse on an infant and child?:
infant - brachial
child - femoral
2. What are signs of increased respiratory effort that can lead to
fatigue and
respiratory failure? Select all that apply
nasal flaring
unlabored
breathing apnea
seesaw respirations
retractions
head bobbing: nasal flaring
seesaw respirations
retractions
head
bobbing
3.
Determine the respiratory rate by counting the number
of times the chest rises in
seconds and multiplying
by
.: 30
2
4.
Tachypnea is often
the first sign of respiratory
in infants:
distress
5.
Hypotension fro children 1 to 10 years of age is a systolic blood
pressure of less than
40mmHg + 2 x age in
years 50mmHg + 2 x
age in years 60mmHg
+ 2 x age in years
pf3
pf4
pf5
pf8
pf9
pfa
pfd

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Pals Heartcode 2025 revision test latest

  1. Where can you check a pulse on an infant and child?: infant - brachial child - femoral
  2. What are signs of increased respiratory effort that can lead to fatigue and respiratory failure? Select all that apply nasal flaring unlabored breathing apnea seesaw respirations retractions head bobbing: nasal flaring seesaw respirations retractions head bobbing
  3. Determine the respiratory rate by counting the number of times the chest rises in seconds and multiplying by .: 30 2
  4. Tachypnea is often the first sign of respiratory in infants: distress
  5. Hypotension fro children 1 to 10 years of age is a systolic blood pressure of less than 40mmHg + 2 x age in years 50mmHg + 2 x age in years 60mmHg
  • 2 x age in years

70mmHg + 2 x age in years: 70mmHg + 2 x age in years

  1. What sequence is used when care for a seriously ill or injured child to help determine the best treatment or intervention? The sequence: Evaluate Identify Intervene
  2. Automated blood pressure cuffs may provide readings when the child is in shock.: inaccurately high
  3. The primary assessment included the ABCDE approach. What does it as- sess?: Airway, breathing, circulation, disability, exposure
  4. What does a prolonged capillary refill time indicate?: low cardiac output
  5. is usually high-pitched breathing during inspiration, whereas is usually during expiration: Stridor wheezing
  6. Normal capillary refill time is seconds or less: 2
  7. What pulses should be assessed to monitor systemic perfusion in a child?- : Peripheral and central
  8. What do weak central pulses indicate a need for immediate intervention to prevent?: Cardiac arrest
  9. When oxygenation delivery to the extremities becomes inadequate, the and are the first to exhibit designs.: Hands Feet
  10. What should be used to assess skin temperature?: the back of the hand
  11. What is the preferred technique for infant compressions when there are 2 or more rescuers present?: 2 thumb-encircling hands technique
  12. If pupils to not in response to light consider increased

Hemoglobin Concentration

  1. What dictates the timing of diagnostic assessments?: clinical situation
  2. Which component of effective high-performance teams is represented by the use of real-time feedback devices?: Quality
  3. Crackles happen during and grunting happens during : in- spiration expiration
  4. What is an advantage of effective teamwork?: division of tasks
  5. What is the best example of the team leader role?: models excellent team behavior
  6. What is the best example of a team member role?: committed to success
  7. What is the primary purpose of the CPR coach on a resuscitation team?: im- prove cpr quality
  8. How can the CPR coach improve CPR quality in a resuscitation event?: coach to midrange targets
  9. Which high performance team member has the responsibility for assigning roles (positions)?: team leader
  10. What element of team dynamics describes when a team member needs to correct actions?: constructive intervention
  11. Which of the following describe how to communicate?: closed-loop communications clear messaging
  12. Which resuscitation strategy will result in an improved chest compression fraction?: hovering over the chest during compression pauses
  13. What is one way to increase chest compression fraction during a code?: - Charging the defibrillator 15 seconds before a rhythm check
  14. A chest compression fraction of at least is recommended, and a goal of is often achievable with good teamwork: 60% 80%
  1. What is chest compression fraction?: proportion of time that compressions are performed
  2. For an unwitnessed cardiac arrest, what should you do after determining unresponsiveness and there is no breathing or pulse?: perform high-quality CPR for 2 mins
  3. What is the definition of oxygen saturation?: the amount of oxygen bound to hemoglobin
  4. Children develop hypoxemia and tissue hypoxia more quickly than adults because of their?: higher metabolic rate
  5. In infants and toddlers, the young and epiglottis, relative to those of an adult are : large
  6. How can normal spontaneous breathing be characterized?: quiet unlabored inspi- ration
  7. Increased WOB can be associated with airway resistance and/or lung compliance.: increased decreased
  8. What happens when airway resistance increases?: WOB increases
  9. Which of the following describes laminar or normal airflow?: low airway resistance and a small driving pressure
  10. what is the role of the diaphragm contraction during normal breathing in infants?: pulls the ribs slightly inward
  11. which is a characteristic of muscle weakness?: seesaw breathing
  12. Which of the following is true about airway resistance?: when airway resistance increases, work of breathing increases
  13. During spontaneous breathing, what are the inspiratory muscles attempt- ing to do?: increase intrathoracic volume
  14. Which of these factors can override brainstem control of breathing in an infant?: breath holding
  15. what do central chemoreceptors respond to?: hydrogen ions in the cerebrospinal fluid
  16. why may excessive ventilation during CPR be harmful?: - it increases

respiratory distress (not respiratory failure)?: ability to maintain a patent airway

  1. What steps should be taken as a part of initial management of a child in respiratory distress?: Monitor O2 by pulse ox Monitor hr, rhythm, and bpSupport open airway
  2. Which are ideal characteristic of face masks for ventilation?: covers mouth & nose has soft rim transparent
  3. What is the rationale for using a transparent mask?: allows you to see the color of the childs lips
  4. What is the function of the nonrebreathing outlet valve of a self-inflating bag: prevents retreating of carbon dioxide
  5. Which of the following is required to appropriately ventilate a child with a flow-inflating bag?: tidal volume needs to be delivered at the correct rate.
  6. What should be checked to ensure proper function of a bag mask system?- : Oxygen Tubing is connected to the device and oxygen source Pop ott valve can be closed
  7. How is the sniffing position achieved in an infant or a child?: Ensure the external ear canal is anterior to the shoulder
  8. Where may padding be needed under a child 2 years and older to maintain an patent airway?: the occiput
  9. What actions are appropriate when providing 1 person bag mask ventila- tion?: Perform a head tilt, insert and oral airway, and squeeze the bag until chest rise
  10. What does the E-C clamp technique include?: using the third, fourth & fifth fingers of one hand along the jaw to lift it forward using the thumb and index finger of the same hand to hold the face mask
  11. When may a 2-person bag-max technique be preferable?: when making a seal is diflcult

when there is significant airway resistance

10 / 13 retractions at rest. What are appropriate initial interventions?: consider dexamethasone administer O2 & nebulized epinepherine

11 / 13

  1. Which diagnosis may present with upper airway obstruction?: foreign body obstruction epiglottitis croup
  2. When may pulse oximetry be inaccurate?: the displayed heart rate does not correlate with the child's heart rate
  3. An 8 month old boy is brought to the hospital by his parents. He has a hoarse cry and barking cough. His mother says that during the night, her son had difficulty breathing, which has progressively worsened throughout the day. The infant most likely has what type of respiratory emergency?: upper airway obstruction
  4. According to the systematic approach algorithm, what are the correct as- sessments to perform during the evaluation phase?: initial, primary, secondary
  5. The infant is responsive and is breathing. What is an initial measure that you can perform to maintain his airway?: Sit him up
  6. What are the components of breathing assessment?: lung and airway sounds chest expansion and air movement oxygen saturation respiratory rate respiratory ettort
  7. When calculating the tube size based on the child's age, to avoid injury to the subglottic area, you should use an endotracheal tube that is:: half a size smaller than predicted for the child
  8. Which anatomical features may contribute to upper airway obstruction in infants?: large tongue large occiput
  9. When monitoring pulse oximetry in a child, what finding would prompt immediate evaluation of the child?: there is a decrease in oxygen saturation
  10. What are the common causes of lower airway obstruction?: bronchiolitis asthma

13 / 13

  1. What are the characteristics of shock?: decreased level of consciousness inadequate peripheral perfusion decreased end-organ perfusion
  2. Which type of respiratory problem is most likely in a child with an altered level of consciousness and variable respiratory rate?: disordered control of breathing
  3. What is the most accurate definition of shock?: inadequate tissue perfusion
  4. What should you do before suctioning a child who has upper airway obstruction?: determine the underlying cause of the obstruction
  5. If cardiac output is compromised, signed of poor perfusion will be even if blood pressure is normal: present
  6. Low blood pressure in children is defined as systolic blood pressure less than percentile for age: fifth
  7. For general shock management, administer an isotonic crystalloid bolus of mL/kg over to min: 20 ml 5-20min