{"id":132814,"date":"2024-07-29T20:49:25","date_gmt":"2024-07-29T20:49:25","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=132814"},"modified":"2024-07-29T20:49:32","modified_gmt":"2024-07-29T20:49:32","slug":"2024-acls-complete-bundle-all-topic-final-exam-1-3-study-guide-1-3-exam-v1-v2-comprehensive-review-post-test-pretest-practice-questions-etc-questions-and-answers-included-passed","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2024\/07\/29\/2024-acls-complete-bundle-all-topic-final-exam-1-3-study-guide-1-3-exam-v1-v2-comprehensive-review-post-test-pretest-practice-questions-etc-questions-and-answers-included-passed\/","title":{"rendered":"2024 ACLS Complete Bundle ( ALL TOPIC ) ( Final Exam 1 &#8211; 3, Study Guide 1-3, Exam V1-V2, Comprehensive Review, Post Test, Pretest, Practice Questions, etc.. ) Questions and Answers Included | Passed | A Rated Guide | New Full Exam Actual"},"content":{"rendered":"\n<p>2024 ACLS Complete Bundle ( ALL TOPIC ) ( Final Exam 1 &#8211; 3, Study Guide 1-3, Exam V1-V2, Comprehensive Review, Post Test, Pretest, Practice Questions, etc.. ) Questions and Answers Included | Passed | A Rated Guide | New Full Exam Actual<\/p>\n\n\n\n<p>ACLS Pharmacology ( Updated 2024 )<br>Complete Questions &amp; Answers (Solved) 100% Correct<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li>You are caring for a 66-year-old man with a history of a large intracerebralhemorrhage 2<br>months ago. He is being evaluated for another acute stroke. The CT scan is negative for<br>hemorrhage. The patient is receiving oxygen via nasal cannula at 2 L\/min, and an IV has been<br>established. His blood pressureis 180\/100 mm Hg.Which drug do you anticipate giving to this<br>patient?<br>A. aspirin<br>B. glucose (D50)<br>C. nicardipine<br>D. rtPA<br>Answer: A. aspirin<\/li>\n\n\n\n<li>A patient with sinus bradycardia and a heart rate of 42\/min has diaphoresisand a blood<br>pressure of 80\/60 mm Hg.What is the initial dose of atropine?<br>A. 0.1 mg<br>B. 0.5 mg<br>C. 1 mg<br>D. 3 mg<br>Answer: B. 0.5 mg<\/li>\n\n\n\n<li>A patient with STEMI has ongoing chest discomfort. Heparin 4000 units IVbolus and a<br>heparin infusion of 1000 unit per hour are being administered.Thepatient did not take aspirin<br>because he has a history of gastritis, which was treated 5 years ago.What is your next action?<br>A. give aspirin 160 to 325 mg to chew<br>B. give clopidogrel 300 mg orally<br>C. give enteric-coated aspirin 75 mg orally<br>D. give enteric-coated aspirin 325 mg rectally<br>Answer: A. give aspirin 160 to 325 mg tochew<\/li>\n\n\n\n<li>A patient is in pulseless ventricular tachycardia.Two shocks and 1 dose ofepinephrine have<br>been given.Which drug should be given next?<br>A. adenosine 6 mg<br>B. amiodarone 300 mg<br>C. epinephrine 3 mg<br>D. lidocaine 0.5 mg\/kg<br>Answer: B. amiodarone 300 mg<\/li>\n\n\n\n<li>What is the indication for the us of magnesium in cardiac arrest?<br>A. ventricular tachycardia associated with a normal QTinterval<br>B. shock-refractory monomorphic ventricular tachycardia<br>C. pulseless ventricular tachycardia-associated torsadesde pointes<br>D. shock-refractory ventricular fibrillation<br>Answer: C. pulseless ventricular tachycardia-associated torsades de pointes<\/li>\n\n\n\n<li>In which situation does bradycardia require treatment?<br>A. 12-lead ECG showing a normal sinus rhythm<br>B. hypotension<br>C. diastolic blood pressure greater than 90 mm Hg<br>D. systolic blood pressure greater than 100 mm Hg<br>Answer: B. hypotension<\/li>\n\n\n\n<li>You arrive on the scene with the code team.High-quality CPR isin progress.An AED has<br>previously advised &#8220;no shock indicated.&#8221; A rhythm check now finds asystole. After resuming<br>high-quality compressions, which action do you take next?<br>A. call for a pulse check<br>B. establish IV or IO access<br>C. insert a laryngeal airway<br>D. perform endotracheal intubation<br>Answer: B. establish IV or IO access<\/li>\n\n\n\n<li>A patient has a rapid irregular wide-complex tachycardia. The ventricular rate is 138\/min.<br>He is asymptomatic, with a blood pressure of 110\/70 mm Hg.He has a history of angina.What<br>action is recommended next?<br>A. giving adenosine 6 mg IV bolus<br>B. giving lidocaine 1 to 1.5 mg IV bolus<br>C. performing synchronized cardioversion<br>D. seeking expert consultation<br>Answer: D.seeking expert consultation<\/li>\n\n\n\n<li>A patient is in refractory ventricular fibrillation. High-quality CPR is in progress. One dose<br>of epinephrine was given after the second shock. An antiarrhythmic drug was given<br>immediately after the third shock.You are theteam leader.Which medication do you order<br>next?<br>A. epinephrine 1 mg<br>get pdf at <a href=\"https:\/\/learnexams.com\/search\/study?query=hesi\" target=\"_blank\" rel=\"noopener\">https:\/\/learnexams.com\/search\/study?query=hesi<\/a><\/li>\n<\/ol>\n\n\n\n<p>ACLS Practical Application ( Updated 2024 )<br>Complete Questions &amp; Answers (Solved) 100% Correct<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li>You arrive on the scene to find CPR in progress. Nursing staff report the patient was<br>recovering from a pulmonary embolism and suddenly collapsed.Two shocks have been<br>delivered, and an IV has been initiated. What do you administer now?<br>A. atropine 0.5 mg IV<br>B. epinephrine 1 mg IV<br>C. endotracheal intubation<br>D. transcutaneous pacing<br>Answer: B. epinephrine 1 mg IV<\/li>\n\n\n\n<li>A 45-year-old woman with a history of palpitations develops light-headed-ness and<br>palpitations. She has received adenosine 6 mg IV for the rhythm shown here (SVT), without<br>conversion of the rhythm. She is n9ow extremelyapprehensive. Her blood pressure is 128\/70<br>mm Hg. What is the next appropriate intervention?<br>A. administer adenosine 12 mg IV<br>B. perform unsynchronized cardioversion<br>C. perform vagal maneuvers<br>D. perform synchronized cardioversion<br>Answer: A. administer adenosine 12 mg IV<\/li>\n\n\n\n<li>What is the recommended depth of chest compression for an adult victim?<br>A. at least 1.5 inches<br>B. at least 2 inches<br>C. at least 2.5 inches<br>D. at least 3 inches<br>Answer: B. at least 2 inches<\/li>\n\n\n\n<li>A patient&#8217;s 12-lead ECG istransmitted by the paramedics and shows a STE-MI.When the<br>patient arrives in the emergency department, the rhythm shownhere (ST elevation) is seen on<br>the cardiac monitor.The patient has resolutionof moderate (5\/10) chest pain after 3 doses of<br>sublingual nitroglycerin. Bloodpressure is 104\/70 mm Hg. Which intervention is most<br>important in reducingthis patient&#8217;s in-hospital and 30-day mortality rate?<br>A. application of transcutaneous pacemaker<br>B. atropine administration<br>C. nitroglycerin administration<br>D. reperfusion therapy<\/li>\n<\/ol>\n\n\n\n<p>Answer: D. reperfusion therapy<\/p>\n\n\n\n<ol start=\"5\" class=\"wp-block-list\">\n<li>A patient has been resuscitated from cardiac arrest. During post-ROSC treatment, the<br>patient becomes unresponsive, with the rhythm shown here(polymorphic ventricular<br>tachycardia). which action is indicated next?<br>A. give an immediate unsynchronized high-energy shock(defibrillation dose)<br>B. give lidocaine 1 to 1.5 mg\/kg IV<br>C. perform synchronized cardioversion<br>D. repeat amiodarone 300 mg IV<br>Answer: A. give an immediate unsynchronized high-energy shock (defibrillation dose)<\/li>\n\n\n\n<li>A patient becomes unresponsive. You are uncertain if a faint pulse is pre- sent.The rhythm<br>shown here is seen on the cardiac monitor. An IV is in place.Which action do you take next?<br>A. begin transcutaneous pacing<br>B. start high-quality CPR<br>C. administer atropine 1 mg<br>D. administer epinephrine 1 mg IV<br>Answer: B.start high-quality CPR<\/li>\n\n\n\n<li>Your patient is notresponsive and is not breathing. You can palpate a carotidpulse.Which<br>action do you take next?<br>A. apply an AED<br>B. obtain a 12-lead ECG<br>C. start an IV<br>D. start rescue breathing<br>Answer: D.start rescue breathing<\/li>\n\n\n\n<li>After initiation of CPR and 1 shock for ventricular fibrillation, this rhythm (ventricular<br>fibrillation) is present on the next rhythm check. A second shockis given, and chest<br>compressions are resumed immediately. An IV is in place,and no drugs have been given. Bagmask ventilations are producing visible chest rise.What is your next intervention?<br>A. administer 3 sequential (stacked) shocks at 360 J(monophasic defibrillator)<br>B. give amiodarone 300 mg IV \/ IO<br>C. give epinephrine 1 mg IV \/ IO<br>D. intubate and administer 100% oxygen<br>Answer: C. give epinephrine 1 mg IV \/ IO<br>get pdf at <a href=\"https:\/\/learnexams.com\/search\/study?query=hesi\" target=\"_blank\" rel=\"noopener\">https:\/\/learnexams.com\/search\/study?query=hesi<\/a><\/li>\n<\/ol>\n\n\n\n<p>ACLS AHA Exam ( Updated 2024 )<br>Complete Questions &amp; Answers (Solved) 100% Correct<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li>A patient has a rapid <em>irregular wide-complex tachycardia<\/em>;The ventricular rate is<br>138\/min.;<br>It is asymptomatic, with a BP of 110\/70 mmHG;He has a h\/o angina;<br>What action is recommended next?<br>Answer:<br>a) Giving Adenosine: 6 mg IV bolus;<br>b) Giving Lidocaine: 1.5 mg IV bolus;<br>c) Performing synchronized cardioversion;<br>d) *Seeking expert consultation *;<\/li>\n\n\n\n<li>What testsshould be performed for a patient with a suspected stroke within2 hours of<br>arrival?<br>Answer: non contrast CT scan of the head<\/li>\n\n\n\n<li>SVT types<br>Answer:<br>1) Atrial fibrillation (A-fib);<br>2) Paroxysmal Supraventricular Tachycardia (PSVT):<br>3) Atrial Flutter (A-flutter);<br>4) Wolff-Parkinson-White syndrome;<\/li>\n\n\n\n<li>The patient is in <em>cardiac arrest<\/em>.<br>High-quality chest compressions are being given. The patient is intubated, and an IV is being<br>started.The rhythm is <em>asystole<\/em>.<br>What is the first drug\/dose to administer?<br>Answer: <em>Epinephrine 1 mg IV\/IO<\/em><\/li>\n\n\n\n<li><em>Transcutaneous Pacing<\/em><br>Answer: Aka external pacing: is a temporary means of pacinga patient&#8217;s heart during a medical<br>emergency.<br>It is accomplished by <em>gradually delivering pulses<\/em> of electric current (<em>50-100 mA<\/em>)through<br>the patient&#8217;s chest until capture is reached (usually at a selected rate of 70),which stimulates the<br><em>heart to contract<\/em> at a regular pace.<\/li>\n\n\n\n<li>Which intervention is most appropriate for the treatment of a patient in<br><em>asystole<\/em>?<br>Answer: <em>Epinephrine<\/em><\/li>\n\n\n\n<li>A patient with sinus <em>bradycardia<\/em> and a heart rate of 42\/min is diaphoretic and with a<br>blood pressure of 80\/60 mm Hg.<\/li>\n<\/ol>\n\n\n\n<p>What is the <em>initial dose of atropine<\/em>?<br>Answer: <em>0.5 mg<\/em> of <em>Atropine<\/em><\/p>\n\n\n\n<ol start=\"8\" class=\"wp-block-list\">\n<li>A patient has sinus <em>bradycardia<\/em> with a heart rate of 36\/min. <em>Atropine<\/em> hasbeen<br>administered to a total dose of 3 mg. A <em>transcutaneous pacing<\/em> has failed to capture.The<br>patient is confused, and her BP is <em>88\/56 mmHg<\/em>.Whichtherapy is now indicated?<br>Answer: <em>Epinephrine infusion: 2-10 mcg\/min<\/em>.<\/li>\n\n\n\n<li>A monitored patient in the ICU developed a sudden onset of <em>regular narrow-complex tachycardia<\/em> at a rate of 220\/min.<br>The patient&#8217;s BP is 128\/88 mm Hg, the PETCO2 is 38 mm Hg, and the pulseoximetry reading<br>is 98%.<br>There is a vascular (IV) access in the left arm, and the patient has not beengiven any basic<br>active drugs.<br>A 12-lead ECG confirms <em>SVT<\/em> with no evidence of ischemia or infraction.The HR has not<br>responded to vagal maneuvers.<br>What is your next action?<br>Answer: Administer <em>adenosine 6 mg<\/em> IV push<\/li>\n\n\n\n<li>A patient with possible STEMI has ongoing chest discomfort.What is a<br><em>contraindication to nitrate<\/em> administration?<br>Answer: Use of a <em>phosphodiesteraseinhibitors<\/em> (eg.Viagra) within the previous 24 hours<\/li>\n\n\n\n<li>A patient isin <em>pulselessV-tach<\/em> (PEA).2 shocks and 1 dose of epinephrinehave been<br>given.<br>Which drug should be given next?<br>Answer: <em>Amiodarone 300 mg<\/em> (first dose)<\/li>\n\n\n\n<li>What isthe indication forthe use of <em>magnesium<\/em> in cardiac arrest?<br>Answer: Pulse-less V-tach associated with <em>Torsades des pointes<\/em><\/li>\n\n\n\n<li>Which is one way to minimize interruptions in chest compressions duringCPR?<br>Answer: Continue CPR while the defibrillator charges<\/li>\n\n\n\n<li>A 35-years-old woman has palpitations, light-headedness, and a stable<br><em>tachycardia<\/em>.<br>The monitor shows a <em>regular-narrow-monomorphic-complex QRS<\/em> at a rateof 180\/minutes.<br>Vagal maneuvers have not been effective in terminating the rhythm.An IV has been<br>established.<br>Which drug should be administered?<br>Answer: <em>Adenosine 6 mg<\/em> (first dose)<br>get pdf at <a href=\"https:\/\/learnexams.com\/search\/study?query=hesi\" target=\"_blank\" rel=\"noopener\">https:\/\/learnexams.com\/search\/study?query=hesi<\/a><\/li>\n<\/ol>\n\n\n\n<p>ACLS basics and STEMI ( Updated 2024 )<br>Complete Questions &amp; Answers (Solved) 100% Correct<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li>Physiologic ADULT pt criteria for determination of when to act:<br>Answer:<br>-AirwayCompromise<br>-RR &lt;6\/min -RR >30\/min<br>-HR &lt;40\/min -HR >140\/min<br>-SBP &lt;90<br>&#8211;<em>Symptomatic HTN<\/em><br>-Unexpected dec. in LOC<br>&#8211;<em>Unexplained Agitation<\/em><br>&#8211;<em>Seizure<\/em><br>-Significant dec. in Urine Output<\/li>\n\n\n\n<li>The purpose of the Rapid Response Team (RRT) or Medical Emergency Team (MET) is<br>to..<br>Answer: Improve pt outcomes by identifying and treating early clinicaldeterioration<\/li>\n\n\n\n<li>What are signs of clinical deterioration that would prompt the activation ofa rapid response<br>system?<br>Answer: Symptomatic HTN, Seizure, Unexplained Agitation<\/li>\n\n\n\n<li>4 elements of an integrated system of care:<br>Answer: Structure, Processes, System,and patient outcomes<\/li>\n\n\n\n<li>Element &#8220;Structure&#8221; includes what 3 things?<br>Answer: people, education, equipment<\/li>\n\n\n\n<li>Element &#8220;Process&#8221; includes what 3 things?<br>Answer: protocols, policies, procedures<\/li>\n\n\n\n<li>Element &#8220;System&#8221; includes what 3 things?<br>Answer: programs, organization, culture<\/li>\n\n\n\n<li>Element &#8220;Patient Outcome&#8221; includes what 3 things?<br>Answer: Satisfaction, safety,quality<\/li>\n\n\n\n<li>What isthe primary purpose oftheRRT or MET?<br>Answer: To improve patient outcomesby identifying and treating early clinical deterioration<\/li>\n\n\n\n<li>In-patient cardiac arrest is often preceded by?<br>Answer: Changes in the pt&#8217;s vitalsigns.<\/li>\n\n\n\n<li>What happens when teams rapidly assess and intervene when patients have abnormal<br>vital signs?<br>Answer: The number of in-hospital cardiac arrests decreases.<\/li>\n\n\n\n<li>The chain of Survival is a metaphor used to organize and describe:<br>Answer: the integrated set of time-sensitive coordinated actions necessary to maximize<br>survival<\/li>\n\n\n\n<li>Among others, which of the following factors has been associated withimproved survival<br>in pts with cardiac arrest?<br>Answer: immediate high-quality CPR<\/li>\n\n\n\n<li>TeamLeaderRole (focuses on comprehensive pt care)<br>Answer:<br>-organizesthe group<br>-Monitors individual performance of the team<br>-backs up team members<br>-trains and coaches<br>-facilitates understanding<br>-focuses on comprehensive pt care<br>-Places advanced airway<\/li>\n\n\n\n<li>CPR Coach (supports performance of high-quality BLS skills)<br>Answer:<br>-coordinatesinitiation of CPR<br>-Coaches to improve quality chest compressions<br>-coaches to improve high quality ventilations<br>-states guideline targets<br>-minimizes length of pauses in compressions<\/li>\n\n\n\n<li>which is the best example of a role of a team member?<br>Answer: Prepared to fulfilltheir role responsibilities<\/li>\n\n\n\n<li>To function effectively, a high performance team needs to focus on (4things):<br>Answer: Timing, Quality, Coordination, and Administration<\/li>\n\n\n\n<li>Timing explanation (5):<br>Answer:<br>-Time to first compression<br>-time of first shock<br>get pdf at <a href=\"https:\/\/learnexams.com\/search\/study?query=hesi\" target=\"_blank\" rel=\"noopener\">https:\/\/learnexams.com\/search\/study?query=hesi<\/a><\/li>\n<\/ol>\n\n\n\n<p>ACLS Drugs Dosages &amp; Uses ( Updated 2024 )<br>Complete Questions &amp; Answers (Solved) 100% Correct<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li>For poor perfusion with BradycardiaTreat with which first line treatment?-<br>Answer: Atropine 1mg IV<br>(repeat to a total of 3mg IV)<\/li>\n\n\n\n<li>For poor perfusion with Bradycardia Treat, if the first line of treatment is ineffective, what<br>should be provided and what med should be given?<br>Answer:<br>Transcutaneous pacing<br>Dopamine 5-20mcg\/kg\/minute infusionOR<br>Epinephrine 2-10mcg\/min infusion<\/li>\n\n\n\n<li>What is the first line drug for acute stable bradycardia and how do youadminister it?<br>Answer: Atropine given as 1mg IV q 3-5minutes (up to 3mg IV)<\/li>\n\n\n\n<li>Hoe does Atropine work?<br>Answer: Reverses the cholinergic-mediated decreases in theheart rate and AV node<br>conduction<\/li>\n\n\n\n<li>Which two AV block types will not respond to Atropine?<br>Answer: Mobitz type IIsecond-degree AV block and third-degree AV block<\/li>\n\n\n\n<li>What is the preferred treatment for Mobitz type II second-degree AV blockand third-degree<br>AV block?<br>Answer: TCP or B-adrenergic (dopamine, epinephrine) sup-port until transcutaneous pacing<br>can be achieved<\/li>\n\n\n\n<li>If only 0.5mg of IV Atropine is given what consequence could it have?<br>Answer: It canfurther lower the HR<\/li>\n\n\n\n<li>What can be used if bradycardia is unresponsive to Atropine?<br>Answer: B-adrenergicinfusions (dopamine or epinephrine)<\/li>\n\n\n\n<li>What must you consider before giving B-adrenergic infusions in bradycardia?<br>Answer: The pt&#8217;s BP\/intravascular volume status for hypovolemia<\/li>\n\n\n\n<li>What can be given for bradycardia when vasoconstriction is not desired?-<br>Answer: Dobutamine (b-adrenergic agonist)<\/li>\n\n\n\n<li>Epinephrine should be given at what dose\/rate for Bradycardia?<br>Answer: -2-10mcg\/min<\/li>\n\n\n\n<li>Dopamine should be given at what dose\/rate for Bradycardia?<br>Answer: -5-20mcg\/kg\/min<\/li>\n\n\n\n<li>How does Transcutaneous Pacing (TCP) work and when should it be used?<br>Answer: It delivers pacing impulses to the heart through skin via cutaneous electrodes.<br>for unstable bradycardia (hypotension, AMS, shock, ischemic chest pain)<\/li>\n\n\n\n<li>For light sedation within the RN scope of practice give which 3 things should be given<br>before TCP if the pt&#8217;s condition allows for it?<br>Answer:<br>-Parenteralnarcotic<br>-Parenteral benzodiazepine<br>-Chronotropic infusion<\/li>\n\n\n\n<li>How much of a safety margin (energy above the dose at which consistent capture is<br>observed) should you allow when using the transcutaneous pace-maker?<br>Answer: 2 mA<\/li>\n\n\n\n<li>The HR that takes on clinical significance and is more likely to contributeto arrhythmia in<br>tachycardia is what rate?<br>Answer: 150\/min or greater<\/li>\n\n\n\n<li>What are the 7 rhythms associated with unstable tachycardia?<br>Answer:<\/li>\n\n\n\n<li>SinusTachycardia<\/li>\n\n\n\n<li>Atrial fibrillation<\/li>\n\n\n\n<li>Atrial Flutter<\/li>\n\n\n\n<li>Superventricular Tachycardia (SVT)<\/li>\n\n\n\n<li>Monomorphic Ventricular Tachycardia (giant shark teeth-looking)<\/li>\n\n\n\n<li>Polymorphic Ventricular Tachycardia (Mutiple random shark teeth-looking)<\/li>\n\n\n\n<li>Wide-complex tachycardia of uncertain type<\/li>\n\n\n\n<li>What is the first line treatment for unstable tachycardia?<br>Answer: Immediate Synchronized Cardioversion<\/li>\n\n\n\n<li>ifthe QRS complex is&#8212;&#8212;&#8212;&#8212;- seconds or greater, consider expert consultation.-<br>Answer: 0.12 seconds<\/li>\n\n\n\n<li>If the width of the ORs complex is 0.12 or less treat with what two things?-<br>Answer: Vagal maneuvers and Adenosine<br>get pdf at <a href=\"https:\/\/learnexams.com\/search\/study?query=hesi\" target=\"_blank\" rel=\"noopener\">https:\/\/learnexams.com\/search\/study?query=hesi<\/a><\/li>\n<\/ol>\n\n\n\n<p>ACLS Exam ( Updated 2024 )<br>Complete Questions &amp; Answers (Solved) 100% Correct<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li>Which of the following choices represents appropriate treatment of anasystolic patient?<br>Answer: Administration of atropine<\/li>\n\n\n\n<li>Each cycle of CPR consists of 30 and two .<br>Answer: -compressions and ventilations<\/li>\n\n\n\n<li>Bradycardia in a normal adult patient is defined as:<br>Answer: a resting heart rate lessthan 60 beats per minute<\/li>\n\n\n\n<li>Sinus tachycardia originates in the:<br>Answer: Sinoatrial node<\/li>\n\n\n\n<li>Which of the following represents a true statement regarding the NPA andOPA?<br>Answer: An NPA can be used on a semi-conscious or conscious patient, while an OPA can<br>only be used on an unconscious patient.<\/li>\n\n\n\n<li>In the management of an acute stroke patient, the goal is for the patient to arrive in the<br>Emergency Department (ED) within of the onset of<br>signsand symptoms.<br>Answer: ten minutes<\/li>\n\n\n\n<li>Stable tachycardia is defined as:<br>Answer: a heart rate faster than 100 beats per minute(bpm)<\/li>\n\n\n\n<li>Begin use ofTCP on a bradycardic patient with inadequate perfusion:<br>Answer: ifatropine is ineffective or patient is exhibiting severe or degrading symptoms<\/li>\n\n\n\n<li>Vasopressin can be substituted for:<br>Answer: both the first dose of epinephrine and thesecond dose of epinephrine<\/li>\n\n\n\n<li>When treating an acute stroke patient, you must immediately create immediate IV access.<br>Answer: True<\/li>\n\n\n\n<li>Which of the following should be considered in the IV access of an asystolic patient?<br>Answer: never interrupt CPR<\/li>\n\n\n\n<li>Which of the following choices representsthe two types of defibrillation?-<br>Answer: Biphasic and monophasic<\/li>\n\n\n\n<li>Which of the following does NOT represent unstable tachycardia?<br>Answer: Ventricular escape rhythm<\/li>\n\n\n\n<li>clear the patient before delivering a shock:<br>Answer: Always<\/li>\n\n\n\n<li>Which of the following represents a true statement about sinus tachycardia?<br>Answer: Sinus tachycardia may result from hypovolemia<\/li>\n\n\n\n<li>Chest pain that is indicative of myocardial ischemia may be accompaniedby nausea.<br>Answer: True<\/li>\n\n\n\n<li>Patients with symptomatic bradycardia and may<br>quicklydegrade into cardiac arrest:<br>Answer: poor perfusion<\/li>\n\n\n\n<li>Hypotension may indicate that the patient is unstable.<br>Answer: True<\/li>\n\n\n\n<li>After defibrillation, CPR may be necessary.<br>Answer: True<\/li>\n\n\n\n<li>A sinus rhythm originates in the:<br>Answer: sinoatrial node<\/li>\n\n\n\n<li>The QRS complex on an ECG represents the:<br>Answer: contraction of the ventricles<\/li>\n\n\n\n<li>Myocardial ischemia is caused by:<br>Answer: insufficient oxygen\/blood supply<\/li>\n\n\n\n<li>Use of the child AED pads is necessary if the patient is:<br>Answer: 8 years of age oryounger<\/li>\n\n\n\n<li>Which of the following choices is NOT considered to be an underlyingcause of PEA?<br>Answer: Hyperglycemia<\/li>\n\n\n\n<li>In the treatment of an acute stroke patient, the speed of response maydetermine patient<br>outcome and survival.<br>Answer: True<\/li>\n\n\n\n<li>Lidocaine can be used for post-resuscitation therapy.<br>Answer: True<br>get pdf at <a href=\"https:\/\/learnexams.com\/search\/study?query=hesi\" target=\"_blank\" rel=\"noopener\">https:\/\/learnexams.com\/search\/study?query=hesi<\/a><\/li>\n<\/ol>\n\n\n\n<p>ACLS Final Exam 2 ( Updated 2024 )<br>Complete Questions &amp; Answers (Solved) 100% Correct<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li>A patient experiences cardiac arrest, and the resuscitation team initiates ventilations using a<br>bag-valve-mask (BVM) resuscitator. The development ofwhich condition during the provision<br>of care would lead the team to suspectthat improper BVM technique is being used?<br>Hypertension<br>Esophageal injury<br>Pneumothorax<br>Rib fracture<br>Answer: Pneumothorax<br>Complications can occur with the use of a BVM resuscitator due to improper technique.<br>Delivering excessive volume or ventilating too fast creates excessive pressure that can damage<br>the airways, lungs and other organs. Excessive volumecan lead to tension pneumothorax.<\/li>\n\n\n\n<li>A person suddenly collapses while sitting in the sunroom of a healthcare facility. A<br>healthcare provider observes the event and hurries over to assessthe situation.The healthcare<br>provider performs which assessment first?<br>Rapid assessment<br>Basic life support assessment<br>Secondary assessment<br>Primary assessment<br>Answer: Rapid assessment<br>A systematic approach to assessment is necessary.The healthcare provider shouldfirst perform<br>a rapid assessment. A rapid assessment is a visual survey to ensure safety, form an initial<br>impression about the patient&#8217;s condition (including looking forlife-threatening bleeding), and<br>determine the need for additional resources. This would be followed by a primary assessment<br>and then a secondary assessment.<\/li>\n\n\n\n<li>A patient is receiving ventilation support via bag-valve-mask (BVM) resus-citator.<br>Capnography is established and a blood gas is obtained to evaluate the adequacy of the<br>ventilations.Which arterial carbon dioxide (PaCO2) valuesignifies adequate ventilations?<br>10 to 15 mmHg<br>20 to 25 mmHg<br>25 to 30 mmHg<br>35 to 45 mmHg<br>Answer: 35 to 45 mmHg<\/li>\n<\/ol>\n\n\n\n<p>Arterial carbon dioxide (PaCO2) values in the range of 35 to 45 mmHg confirmadequacy of<br>ventilation.<\/p>\n\n\n\n<ol start=\"4\" class=\"wp-block-list\">\n<li>A resuscitation team is debriefing following a recent event. A patient expe-rienced cardiac<br>arrest, and advanced life support was initiated. The patient required the placement of an<br>advanced airway to maintain airway patency. Which statement indicates that the team<br>performed high-quality CPR?<br>&#8220;We initiated chest compressions at a rate of 100 to 110 per minute to a depthof 2.4 inches and<br>then gave 1 ventilation every 10 seconds.&#8221;<br>&#8220;We provided chest compressions at a rate of 100 to 120 compressions per minute while<br>giving 1 ventilation every 6 seconds without pausing compressions.&#8221;<br>&#8220;We provided chest compressions at a rate of 80 to 120 per minute to a depthof at least 2<br>inches and gave 1 ventilation every 6 seconds without pausing compressions.&#8221;<br>&#8220;We kept the rate of chest compressions to around 100 per minute but adjust- ed their depth to<br>1.5 inches while giving 1 ventilation every 3 seconds withoutpausing compressions.&#8221;<br>Answer: &#8220;We provided chest compressions at a rate of 100 to 120compressions per minute while<br>giving 1 ventilation every 6 seconds without pausingcompressions.&#8221;<br>When an advanced airway has been placed in a patient who is in cardiac arrest, compressions<br>should be delivered continuously (100 to 120 per minute) with nopauses for ventilations.<\/li>\n\n\n\n<li>Assessment of a patient reveals an ETCO2 level of 55 mmHg and an arterialoxygen<br>saturation (SaO2) level of 88%. The provider would interpret these findings as indicative of<br>which condition?<br>Respiratory failure<br>Respiratory arrest<br>Cardiac arrest<br>Respiratory distress<br>Answer: Respiratory failure<br>An SaO2 level of less than 90% (PaO2 of less than 50 mmHg) accompanied byETCO2 values<br>greater than 50 mmHg is indicative of respiratory failure.<\/li>\n\n\n\n<li>A responsive patient is choking.What method should the provider use firstto clear the<br>obstructed airway?<br>Back blows<br>Abdominal thrusts<br>Magill forceps extraction<br>Chest compressions<br>Answer: Back blows<br>To clear an obstructed airway in a responsive adult, first provide up to 5 back blowsto clear the<\/li>\n<\/ol>\n\n\n\n<p>obstruction.<\/p>\n\n\n\n<ol start=\"7\" class=\"wp-block-list\">\n<li>A patient arrives at the emergency department complaining of shortnessof breath. The<br>patient has a long history of chronic obstructive pulmonary disease. Assessment reveals<br>respiratory failure.Which action would be theinitial priority to address the respiratory failure?<br>Establishment of vascular access<br>Delivery of supplemental oxygen via nasal cannula<br>Assisted ventilation with BVM resuscitator<br>Initiation of capnography<br>Answer: Assisted ventilation with BVM resuscitator<br>Patients who cannot ventilate adequately despite an open airway or who have insufficient<br>respiratory effort require assisted ventilation initially provided via a BVMresuscitator.<\/li>\n\n\n\n<li>A 20-year-old man with respiratory depression is brought to the emergencydepartment by<br>his parents. Opioid overdose is suspected, and an initial doseof naloxone is administered at 10<br>p.m. The patient does not respond to this initial dose. The team would expect to administer a<br>second dose after how many minutes?<br>2 minutes<br>4 minutes<br>6 minutes<br>8 minutes<br>Answer: 2 minutes<br>The dose of naloxone may be repeated after 2 to 3 minutes.<\/li>\n\n\n\n<li>Assessment of a patient in the emergency department reveals that the patient is<br>experiencing respiratory compromise. From the assessment, the team identifies that the patient<br>is in the earliest stage of this condition.Whichstage would this be?<br>Respiratory distress<br>Respiratory failure<br>Respiratory arrest<br>Respiratory acidosis<br>Answer: Respiratory distress<br>Respiratory compromise occurs along a continuum, beginning with respiratorydistress,<br>progressing to respiratory failure and then to respiratory arrest.<br>get pdf at<a href=\" https:\/\/learnexams.com\/search\/study?query=hesi\"> https:\/\/learnexams.com\/search\/study?query=hesi<\/a><\/li>\n<\/ol>\n\n\n\n<p>ACLS Final Exam 3 ( Updated 2024 )<br>Complete Questions &amp; Answers (Solved) 100% Correct<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li>A patient admitted to the ED with signs &amp; symptoms of stroke. The stroke team should<br>complete a comprehensive neurologic assessment and obtainbrain imaging results within what<br>time frame?<br>Answer: With in 20 mins<\/li>\n\n\n\n<li>A person suddenly collapses while sitting in the sunroom of a healthcare facility.A healthcare<br>provider observesthe event and hurries over to assess thesituation. The healthcare provider<br>performs which assessment first?<br>Answer: Rapid assessment<\/li>\n\n\n\n<li>A patient is receiving ventilation support via BVM resuscitator. Capnography is<br>established &amp; a blood gas is obtained to evaluate the adequacy of the ventilations.Which PaO2<br>value signifies adequate ventilations?<br>Answer: 35 &#8211; 45 mmHg<\/li>\n\n\n\n<li>A patient experiences cardiac arrest &amp; the resuscitation team initiates ventilations using a<br>BVM resuscitator. The development of which condition during the provision care would lead<br>the team to suspect that improper BVMtechnique is being used?<br>Answer: Pneumothorax<\/li>\n\n\n\n<li>A resuscitation team is debriefing following a recent event. A patient experienced cardiac<br>arrest &amp; ALS wasinitiated.The patient required the placementof an advanced airway to<br>maintain airway latency. Which statement indicatesthat the team performed high quality CPR?<br>Answer: We provided chest compressions ata rate of 100-120 compressions\/minute while<br>giving 1 ventilation Q 6secs. without pausing compressions.<\/li>\n\n\n\n<li>Assessment of a patient reveals an ETCO2 level of 55mmHg &amp; an SaO2 level of 88%.The<br>provider would interpret these findings asindicative of whichcondition?<br>Answer: Respiratory failure<\/li>\n\n\n\n<li>A responsive patient is choking.What method should the provider use firstto clear the<br>obstructed airway?<br>Answer: Back blows<\/li>\n\n\n\n<li>A patient arrives at the ED complaining of SOB. The patient has a long history of COPD.<br>Assessment reveals respiratory failure.Which action wouldbe the initial priority to addressthe<br>respiratory failure?<br>Answer: Assisted ventilation withBVM resuscitator<\/li>\n\n\n\n<li>A 20YO man with respiratory depression is brought to the ED by his parents. Opioid OD is<br>suspected &amp; an initial dose of naloxone is administered at 10pm.The patient doesn&#8217;t not respond<\/li>\n<\/ol>\n\n\n\n<p>to this initial dose. The team would expect to administer a second dose after how many<br>minutes?<br>Answer: 2 minutes<\/p>\n\n\n\n<ol start=\"10\" class=\"wp-block-list\">\n<li>Assessment of a patient in the ED reveals that the patient is experiencingrespiratory<br>compromise. From the assessment, the team identifies that the patient is in the earliest stage of<br>this condition.Which stage would this be?<br>Answer: Respiratory distress<\/li>\n\n\n\n<li>The following capnogram is from a patient experiencing respiratory dis-tress. At which<br>point in the waveform would the patient&#8217;s ETCO2 level be measured?<br>Answer: D<\/li>\n\n\n\n<li>A patient is experiencing respiratory distress secondary to extinction of COPD.The<br>patient beginsto exhibitsigns &amp;symptoms of worsening respiratory function and experiences<br>respiratory arrest.The team intervenes,deliveringventilations via BVM resuscitator. The team<br>should provide ventilations at a rate of 1 ventilation:<br>Answer: Every 6 seconds<\/li>\n\n\n\n<li>A patient enters the ED in respiratory compromise.The team is monitoringthe patient using<br>capnography and ID&#8217;s the ETCO2 levels are initially 33mmHg and later 40mmHg. From these<br>readings, the team identifies that the patient is progressing in what stage of respiratory<br>compromise?<br>Answer: Respiratory distress<\/li>\n\n\n\n<li>A patient is in cardiac arrest.The underlying cause is thought to be opioidtoxicity. Which<br>statement accurately describes the use of naloxone for this patient?<br>Answer: Naloxone should be administered ASAP but is not a priority over high quality CPR<br>&amp; AED use.<\/li>\n\n\n\n<li>A patient in the telemetry unit is receiving continuous cardiac monitoring.<br>The patient has a history of MI.The patient&#8217;s ECG rhythm strip is shown<br>in the following figure.The provider interprets this strip as indicating whicharrhythmia?<br>Answer: Third degree AV block<\/li>\n\n\n\n<li>A patient with dyspnea, inadequate BP &amp; a change in mentalstatus arrivesat the ED. The<br>healthcare team completes the necessary assessment &amp; be- gins to care for the patient,<br>including initiating cardiac monitoring and pulseoximetry; providing supplemental oxygen<br>and ensuring adequate ventilation;and obtaining vascular access. The team reviews the<br>patients EKG strip as shown. Which agent would the team most likely administer?<br>Answer: Atropine 1 mg Q3-5 minutes<\/li>\n\n\n\n<li>A patient comes to the ED complaining of palpations and SOB. Cardiac monitoring is<br>initiated and reveals the following EKG.The provider interpretsthis as which arrhythmia?<br>get pdf at<a href=\" https:\/\/learnexams.com\/search\/study?query=hesi\"> https:\/\/learnexams.com\/search\/study?query=hesi<\/a><\/li>\n<\/ol>\n\n\n\n<p>ACLS Final Exam ( Updated 2024 )<br>Complete Questions &amp; Answers (Solved) 100% Correct<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li>A patient with suspected acute coronary syndromes (ACS) is placed on a cardiac monitor.<br>The patient is complaining of dyspnea and is given supple- mental oxygen.The provider<br>determines that the oxygen is effective based onwhich SaO2 level?<br>Answer: When a patient presents with potential ACS, the patientshouldhave oxygen<br>administered to maintain an SaO2 of at least 94%.<\/li>\n\n\n\n<li>A patient experiences cardiac arrest, and the resuscitation team initiates ventilations using a<br>bag-valve-mask (BVM) resuscitator. The development of which condition during the<br>provision of care would lead the team to suspectthat improper BVM technique is being used?<br>Answer: Complications can occur with theuse of a BVM resuscitator due to improper<br>technique. Delivering excessive volumeor ventilating too fast creates excessive pressure that can<br>damage the airways, lungsand other organs. Excessive volume can lead to tension<br>pneumothorax.<\/li>\n\n\n\n<li>Assessment of a patient reveals an ETCO2 level of 55 mmHg and an arterialoxygen<br>saturation (SaO2) level of 88%. The provider would interpret these findings as indicative of<br>which condition?<br>Answer: An SaO2 level of less than 90% (PaO2 of less than 50 mmHg) accompanied by<br>ETCO2 values greater than 50 mmHg is indicative of respiratory failure.<\/li>\n\n\n\n<li>A healthcare provider initiates ventilations to ensure adequate breathing and oxygenation.<br>While ventilations are being performed, capnography is established to evaluate the adequacy of<br>the ventilations.The healthcare providerdetermines that ventilations are adequate based on<br>which end-tidal carbon dioxide (ETCO2) value?<br>Answer: End-tidal carbon dioxide values in the range of 35 to 45mmHg confirm adequacy of<br>ventilation.<\/li>\n\n\n\n<li>A patient comes to the emergency department complaining of palpitationsand &#8220;some<br>shortness of breath.&#8221; Cardiac monitoring is initiated and reveals the following ECG rhythm<br>strip.The provider interprets this strip as indicatingwhich arrhythmia?<br>Answer: In atrial flutter, atrial contraction occurs atsuch a rapid rate thatdiscrete P waves<br>separated by a flat baseline cannot be seen on the strip. Instead,the baseline continually rises<br>and falls, producing the &#8220;flutter&#8221; waves.In leads II andIII, the flutter waves may be quite<br>prominent, creating a &#8220;sawtooth&#8221; pattern.Becauseof the volume of atrial impulses, the AV<br>node allows only some of the impulses to passthrough to the ventricles.In atrial flutter, a 2:1<br>ratio isthe most common (i.e., forevery two flutter waves, only one impulse passes through the<br>AV node to generatea QRS complex). Ratios of 3:1 and 4:1 are also frequently seen.<\/li>\n\n\n\n<li>A person suddenly collapses while sitting in the sunroom of a healthcare<br>facility. A healthcare provider observes the event and hurries over to assessthe situation. The<br>healthcare provider performs which assessment first?<br>Answer: A systematic approach to assessment is necessary. The healthcare provider should<\/li>\n<\/ol>\n\n\n\n<p>first perform a rapid assessment. A rapid assessment is a quick visual survey to<br>ensure safety, to form an initial impression about the patient&#8217;s condition, and to check for<br>responsiveness, breathing and a pulse if the patient appears to be unresponsive.This would be<br>followed by a primary assessment and then a secondary assessment.<\/p>\n\n\n\n<ol start=\"7\" class=\"wp-block-list\">\n<li>A 35-year-old female patient&#8217;s ECG is consistent with STEMI. The ECG reveals a new STsegment elevation at the J point in leads V2 and V3 of at least which size?<br>Answer: New ST-segment elevation at the J point in leads V2 and V3 ofat least 0.15 mV (1.5<br>mm) in women 40 years or younger is considered diagnosticof STEMI.<\/li>\n\n\n\n<li>An ECG strip of a patient in the emergency department revealsthe followingrhythm. Which<br>feature would the healthcare provider interpret as indicating atrial fibrillation?<br>Answer: The two key features of atrial fibrillation on ECG are the absenceof discrete P waves<br>and the presence of irregularly irregular QRS complexes.<\/li>\n\n\n\n<li>A patient presents to the emergency department with mild to moderate re-current chest<br>pain,without any nausea or vomiting.A 12-lead ECG is obtainedand shows ST-segment<br>depression with transient T-wave elevation indicativeof NSTE-ACS.Cardiac enzyme levels are<br>obtained and are not elevated.Thesefindings suggest which condition?<br>Answer: A patient who presents with ECG findings consistent with NSTE-ACS and does not<br>have elevated cardiac serum markersistobe considered as having unstable angina.<\/li>\n\n\n\n<li>A healthcare provider is establishing cardiac monitoring using a five-electrode system.The<br>healthcare provider demonstrates proper use of the systemby placing the green electrode in<br>which location?<br>Answer: In a five-electrode cardiac monitoring system, the green electrode should be placed<br>on the lower right abdomen.<\/li>\n\n\n\n<li>A resuscitation team is debriefing following a recent event. A patient experienced cardiac<br>arrest, and advanced cardiac life support was initiated. The patient required the placement of<br>an advanced airway to maintain air- way patency.Which statement indicates that the team<br>performed high-qualityCPR?<br>Answer: When an advanced airway has been placed in a patient who is in cardiac arrest,<br>compressions and ventilations are delivered continuously with no interruptions.One provider<br>delivers 1 ventilation every 6 seconds, while the second providerperforms compressions at a<br>rate of 100 to 120 compressions per minute.<\/li>\n\n\n\n<li>A patient&#8217;s capnogram reveals the following waveform. Which segment would the<br>healthcare provider interpret as reflecting the beginning of exhalation?<br>Answer: The A-B segment is the respiratory baseline that represents the beginningof<br>exhalation.<\/li>\n\n\n\n<li>A patient arrives at the emergency department complaining of shortnessof breath. The<br>patient has a long history of chronic obstructive pulmonary disease. Assessment reveals<br>respiratory failure.Which action would be the<br>get pdf at <a href=\"https:\/\/learnexams.com\/search\/study?query=hesi\" target=\"_blank\" rel=\"noopener\">https:\/\/learnexams.com\/search\/study?query=hesi<\/a><\/li>\n<\/ol>\n\n\n\n<p>ACLS Final Test ( Updated 2024 )<br>Complete Questions &amp; Answers (Solved) 100% Correct<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li>1. Which type of atrioventricular block best describes this rhythm?<br>Answer: C)Second-degree type II<\/li>\n\n\n\n<li>2. Your patient is in cardiac arrest and has been intubated.To assess CPRquality, which<br>should you do?<br>Answer: A) Monitor the patient&#8217;s PETCO2<\/li>\n\n\n\n<li>3. Which facility is the most appropriate EMS destination for a patient with sudden cardiac<br>who achieved return of spontaneous circulation in thefield?<br>Answer: D) Coronary reperfusion-capable medical center<\/li>\n\n\n\n<li>4. Which of the following signs is a likely indicator of cardiac arrest in anunresponsive<br>patient?<br>Answer: C) Agonal gasps<\/li>\n\n\n\n<li>5. Which type of atrioventricular block best describes this rhythm?<br>Answer: B)Second-degree atrioventricular block type I<\/li>\n\n\n\n<li>6. To properly ventilate a patient with a perfusing rhythm, how often do yousqueeze the<br>bag?<br>Answer: B) Once every 5 to 6 seconds.<\/li>\n\n\n\n<li>7. In addition to clinical assessment, which is the most reliable method to confirm and<br>monitor correct placement of an endotracheal tube?<br>Answer: C) Continuous waveform capnography<\/li>\n\n\n\n<li>8. You are caring for a patient with a suspected stroke whose symptoms started 2 hours<br>ago. The CT scan was normal, with no signs of hemorrhage. The patient does not have any<br>contraindications to fibrinolytic therapy.Whichtreatment is the best for this patient?<br>Answer: B) Start fibrinolytic therapy as soon as possible.<\/li>\n\n\n\n<li>9. Which best describes this rhythm?<br>Answer: D) Third-degree atrioventricular block.<ol start=\"10\"><li>What is the recommended range from which a temperature should be selected and<br>maintained constantly to achieve targeted temperature management after cardiac arrest?<br>Answer: C) 32 to 36 Degrees Celsius<\/li><\/ol><ol start=\"11\"><li>Which is the recommended first intravenous dose of amiodarone for a patient with<br>refractory ventricular fibrillation?<br>Answer: D) 300 mg<\/li><\/ol><ol start=\"12\"><li>What is the primary of a medical emergency team or rapid responseteam?<br>Answer: B) Improving patient outcomes by identifying and treating early clinical<br>deterioration.<\/li><\/ol><ol start=\"13\"><li>What is the recommended next step after a defibrillation attempt?<br>Answer: D)Resume CPR, starting with chest compressions<\/li><\/ol><ol start=\"14\"><li>EMS providers are treating a patient with suspected stroke. Accordingto the Adult<br>Suspected Stroke Algorithm, which critical action performed by the EMS team will expedite<br>this patient&#8217;s care on arrival and reduce the time to treatment?<br>Answer: A) Alert the hospital.<\/li><\/ol><ol start=\"15\"><li>A responder is caring for a patient with a history of congestive heartfailure.The<br>patient is experiencing shortness of breath, a blood pressure of 68\/50 mmHg, and a heart rate<br>of 190\/min.The patient&#8217;s lead II ECG is displayed here.Which best characterizes this patient&#8217;s<br>rhythm?<br>Answer: D) Unstablesupraventricular tachycardia<\/li><\/ol><ol start=\"16\"><li>Your rescue team arrives to find a 59-year-old man lying on the kitchenfloor. You<br>determine that he is unresponsive. Which is the next step in your assessment and management<br>of this patient?<br>Answer: B) Check the patient&#8217;s breathingand pulse.<\/li><\/ol><ol start=\"17\"><li>Which best describes the length of time it should take to perform apulse check during<br>the BLS assessment?<br>Answer: B) 5 to 10 seconds<\/li><\/ol><ol start=\"18\"><li>You instruct a team member to give 1 mg Atropine IV.Which is the bestexample of<br>closed-loop communication?<br>Answer: C) I&#8217;ll draw up 1 mg of Atropine.<\/li><\/ol><ol start=\"19\"><li>What is an effect of excessive ventilation?<br>Answer: A) Decreased cardiac output.<\/li><\/ol>\n<ol start=\"20\" class=\"wp-block-list\">\n<li>If a team member is about to make a mistake during a resuscitation attempt, which<br>best describes the action that the team leader or other teammembers should take?<br>Answer: C) Address the team members immediately.<\/li>\n<\/ol>\n<\/li>\n\n\n\n<li>21.Which best describesthisrhythm?<br>Answer: A) Monomorphic ventriculartachycardia.\n<ol start=\"22\" class=\"wp-block-list\">\n<li>For STEMI patient, which best describes the recommended maximum goal time for<br>emergency department door-to-balloon inflation time for percutaneous coronary intervention?<br>Answer: D) 90 minutes.<br>get pdf at<a href=\" https:\/\/learnexams.com\/search\/study?query=hesi\"> https:\/\/learnexams.com\/search\/study?query=hesi<\/a><\/li>\n<\/ol>\n<\/li>\n<\/ol>\n\n\n\n<p>ACLS Final Test ( Updated 2024 )<br>Complete Questions &amp; Answers (Solved) 100% Correct<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li>Cardiac monitoring of a patient in cardiac arrest reveals ventricular fibrillation. In addition<br>to high-quality CPR,what intervention should be a priority forthe team?<br>Select the correct answer to this question.<br>Defibrillation.<br>Insert an advanced airway.<br>Initiate capnography.<br>Perform a pulse check.<br>Answer: Defibrillation.<\/li>\n\n\n\n<li>A patient with suspected stroke arrives at the emergency department. Thepatient is<br>diagnosed with acute ischemic stroke and is a candidate for fibrinolytic therapy.To achieve the<br>best outcomes, this therapy should be initiatedwithin what time frame?<br>Within 30 minutes of the patient&#8217;s arrival<br>Within 1 hour of the patient&#8217;s arrival<br>Within 2 hours of the patient&#8217;s arrival<br>Within 3 hours of the patient&#8217;s arrival<br>Answer: Within 1 hour of the patient&#8217;s arrival<br>For patients with ischemic stroke who meet the eligibility criteria, fibrinolytic therapyis the<br>first-line treatment. Administration of IV recombinant tissue plasminogen activator (rtPA)<br>within 1 hour of the patient&#8217;s arrival and within 3 hours of the onsetof signs and symptoms is<br>optimal.<\/li>\n\n\n\n<li>A 35-year-old female patient&#8217;s ECG is consistent with STEMI. The ECG reveals a new STsegment elevation at the J point in leadsV2 andV3 of at leastwhich size?<br>0.10 mV<br>0.15 mV<br>0.2 mV<br>0.25 mV<br>Answer: 0.15 mV<\/li>\n\n\n\n<li>A 28-year-old pregnant patient who residesin transitional housing presentsto the emergency<br>department with complaints of feeling feverish and very faint.The patient tells the emergency<br>nurse that she does not know when shebecame pregnant.Upon palpation,the fundusis not at or<br>above the umbilicus.The patient&#8217;s condition quickly deteriorates and she goes into cardiac<br>arrest.If available and able to be used without impeding or delaying the resuscitationeffort,what<\/li>\n<\/ol>\n\n\n\n<p>diagnostic tool could be used to guide decision-making in the care of this patient?<br>Abdominal radiograph<br>Fetal monitoring<br>Point-of-care ultrasound<br>Fetal echocardiogram<br>Answer: Point-of-care ultrasound<br>Gestational age is an important consideration when determining the approach to a pregnant<br>patient in cardiac arrest. If the gestational age is not known and point-of-care ultrasound is<br>available and able to be performed without impeding ordelaying the resuscitation effort, it can<br>be used to quickly estimate gestational ageand guide decision-making.<\/p>\n\n\n\n<ol start=\"5\" class=\"wp-block-list\">\n<li>An ECG strip of a patient in the emergency department revealsthe followingrhythm. Which<br>feature would the healthcare provider interpret as indicating atrial fibrillation?<br>Presence of flutter waves and sawtooth patterns<br>Narrow QRS complex with PP interval constant or slightly irregular<br>Absence of discrete P waves and presence of irregularly irregular QRS complexes<br>Presence of wide QRS complexes that are bizarrely and consistently shapedAnswer: Absence of discrete P waves and presence of irregularly irregular QRS complexes<\/li>\n\n\n\n<li>A patient experiences cardiac arrest, and the resuscitation team initiates ventilations using a<br>bag-valve-mask (BVM) resuscitator. The development ofwhich condition during the provision<br>of care would lead the team to suspectthat improper BVM technique is being used?<br>Pneumothorax<br>Hypertension<br>Esophageal injury<br>Rib fracture<br>Answer: Pneumothorax<\/li>\n\n\n\n<li>Which statements accurately reflect the recommendations for post-cardiacarrest patient<br>care?<br>Select all correct options that apply.<br>Perfusion should be assessed and maintained to ensure the best outcome for the post-cardiac<br>arrest patient.<br>Arterial blood gases may be used to guide ventilation and oxygenation in the<br>post-cardiac arrest patient.<br>Targeted temperature management (TTM)should not be initiated in a post-cardiac arrest patient<br>who is receiving mechanical circulatory support.<br>get pdf at <a href=\"https:\/\/learnexams.com\/search\/study?query=hesi\" target=\"_blank\" rel=\"noopener\">https:\/\/learnexams.com\/search\/study?query=hesi<\/a><\/li>\n<\/ol>\n\n\n\n<p>ACLS Healthcare Provider ( Updated 2024 )<br>Complete Questions &amp; Answers (Solved) 100% Correct<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li>Within the first 10 minutes, on the basis of the patient showing symptomssuggestive of<br>myocardial ischemia, what will your first actions include (if notcompleted by EMS before<br>arrival)?<br>o Obtain a 12-lead electrocardiogram (ECG)<br>o Administer a blood thinner<br>o Administer aspirin and establish IV access<br>o Activate the ST-segment elevation myocardial infarction (STEMI) team<br>o If SPO2 is less than 90%, start oxygen<br>o Assess airway, breathing, and circulation (ABCs)<br>o Administer epinephrine 1 mg IV<br>o Consider nitroglycerin, morphine and a P2Y inhibitor<br>Answer:<br>o Obtain a 12-leadelectrocardiogram (ECG)<br>o Administer aspirin and establish IV access<br>o Activate the ST-segment elevation myocardial infarction (STEMI) team<br>o If SPO2 is less than 90%, start oxygen<br>o Assess airway, breathing, and circulation (ABCs)<br>o Consider nitroglycerin, morphine and a P2Y inhibitor<\/li>\n\n\n\n<li>His initial vital signs are HR 120\/min, BP 135\/88 mm Hg, RR 23\/min, SpO287%, and<br>temperature 37.3C. When considering oxygen saturation, what is your course of action?<br>o Intubate the patient immediately<br>o Administer albuterol nebulizer<br>o Do not start oxygen<br>o Start oxygen at 4L\/min via nasal cannula<br>Answer: o Start oxygen at 4L\/min via nasalcannula<\/li>\n\n\n\n<li>What additional question help you determine next steps?<br>o Do you take any medication?<br>o Do you have any allergies?<br>o When was the last time you went to the doctor?<br>o When did the symptoms start?<br>o Have you had any recent falls?<br>Answer:<br>o Do you take any medication?<br>o Do you have any allergies?<br>o When did the symptoms start?<\/li>\n\n\n\n<li>Your patient continues to say that he has chest discomfort.What treatmentcan you repeat as<br>long as it is not contradicted by vital signs?<br>o Morphine sublingual every 1 to 3 minutes<br>o Morphine IV every 1 to 3 minutes<br>o Nitroglycerine sublingual or translingual every 3 to 5 minutes<br>o Nitroglycerine every 1 to 3 minutes<br>Answer: o Nitroglycerine sublingual or translingualevery 3 to 5 minutes<\/li>\n\n\n\n<li>What is your interpretation of the patient&#8217;s ECG tracing?<br>o Anterior ST-segment elevation of myocardial infarction (STEMI)<br>o Ventricular tachycardia<br>o Posterior ST-segment elevation myocardial infarction (STEMI)<br>o Normal sinus rhythm with premature ventricular contractions<br>Answer: o AnteriorST-segment elevation of myocardial infarction (STEMI)<\/li>\n\n\n\n<li>With the diagnosis of STEMI, what is the most probable treatment?<br>o Release to home<br>o Admission to an intensive car unit<br>o Admission for observation<br>o Admission for PCI or fibrinolysis<br>Answer: o Admission for PCI or fibrinolysis<\/li>\n\n\n\n<li>What is your goal for PCI when treating this patient?<br>o Door-to-balloon inflation time of 30 minutes<br>o First medical contact-to-balloon inflation time of 90 minutes<br>o Door-to-needle time of 90 minutes<br>o First medical contact-to-needle time of 30 minutes<br>Answer: o First medical con-tact-to-balloon inflation time of 90 minutes<\/li>\n\n\n\n<li>The patient&#8217;s vital signs show HR 92\/min, RR 14\/min, BP 130\/86 mm Hg, SpO2 97%, and<br>atrial fibrillation on the monitor. What additional assessmentand stabilization activities should<br>be completed with the first 10 minutes afterthe patient&#8217;s arrival?<br>o Establish IV access<br>o Order an emergent CT scan or MRI of the brain and review patient history<br>o Monitor for worsening symptoms<br>o Activate the stroke team<br>o Complete neurologic screening<br>o Check glucose<br>o Administer O2<br>Answer:<br>o Establish IV access<br>o Order an emergent CT scan or MRI of the brain and review patient history<br>get pdf at <a href=\"https:\/\/learnexams.com\/search\/study?query=hesi\" target=\"_blank\" rel=\"noopener\">https:\/\/learnexams.com\/search\/study?query=hesi<\/a><\/li>\n<\/ol>\n\n\n\n<p>ACLS Heartcode ( Updated 2024 )<br>Complete Questions &amp; Answers (Solved) 100% Correct<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li>in cardiac arrest when do you first introduce medical intervention? whichdrug?<br>Answer:<br>after 2 rounds of CPR\/shock<br>after 2nd shock give 1 mg epinephrine every 3-5 minutes<\/li>\n\n\n\n<li>when do you introduce amiodarone during cardiac arrest?<br>Answer:<br>after the 3rdshock give 300 mg bolus of amiodarone<br>if second dose is needed give 150mg as second dose<\/li>\n\n\n\n<li>what rhythms are shockable in cardiac arrest<br>Answer: VFVT<\/li>\n\n\n\n<li>what rhythms are not shockable in cardiac arrest<br>Answer: asystolePEA<\/li>\n\n\n\n<li>if you are in an unshockable rhythm arrest when do you give epi<br>Answer: 1mg epievery 3-5 minutes after 1st round of CPR<\/li>\n\n\n\n<li>what do you do after return of spontaneous circulation<br>Answer: maintain O2 sat at94%<br>treat hypotension (fluids vasopressor)12 lead EKG<br>if in coma consider hypothermia<br>if not in coma and ekg shows STEMI or AMI consider re-perfusion<\/li>\n\n\n\n<li>what are the 5 h&#8217;s and 5 t&#8217;s<br>Answer: hypovolemiahypoxia<br>hydrogen ion (acidosis)hypo\/hyperkalemia hypothermia<br>tension pneumothoraxtamponade, cardiac toxins<br>thrombosis, pulmonarythrombosis, coronary<\/li>\n\n\n\n<li>how do you treat non-symptomatic bradycardia<br>Answer: monitor and observe<\/li>\n\n\n\n<li>what constitutes symptomatic bradycardia<br>Answer: hypotensionaltered mental status<br>signs of shockchest pain<br>acute heart failure<\/li>\n\n\n\n<li>how do you treat symptomatic bradycardia<br>Answer:<\/li>\n\n\n\n<li>give 0.5mg atropine every 3-5mins to max of 3mg<br>if that doesn&#8217;t work try one of the following:<br>transcutaneous pacing<br>2-10mcg\/kg \/ minute dopamine infusion<br>2-10mcg\/minute epinephrine infusion<\/li>\n\n\n\n<li>what is considered a tachycardia requiring treatment<br>Answer: over 150 per minute<\/li>\n\n\n\n<li>when do you consider cardioversion<br>Answer: if persistent tachycardia is causing:hypotension<br>altered mental statussigns of shock<br>chest pain<br>acute heart failure<\/li>\n\n\n\n<li>if persistent tachycardia does not present with symptoms what do youneed to consider<br>Answer: wide QRS?<br>greater than 0.12 seconds<\/li>\n\n\n\n<li>If persistent tachycardia without symptoms DOES have a wide QRS whatto do you do?<br>Answer: IV access and 12 lead if available<br>6mg adenosine followed by NS flush only IF regular and monomorphicconsider antiarrhythmic infusion:<\/li>\n<\/ol>\n\n\n\n<ul class=\"wp-block-list\">\n<li>20-50mg\/min procainamide (max 17mg\/kg)<\/li>\n\n\n\n<li>150mg amiodarone over 10 minutes<\/li>\n\n\n\n<li>100mg sotalol over 5 minutes<\/li>\n<\/ul>\n\n\n\n<ol class=\"wp-block-list\">\n<li>which anti-arrhythmic drugs can be used if prolonged QT<br>Answer: only amiodarone<br>150mg over 10 minutes, repeat if VT occurs<br>follow by maintenance infusion 1mg\/min for first 6 hours<\/li>\n\n\n\n<li>if persistent tachycardia withoutsymptoms and without wide QRS what doyou do<br>Answer: IV access and 12 lead EKG if available<br>vagal maneuvers<\/li>\n<\/ol>\n\n\n\n<p>6mg adenosine followed by NS flush only IF regularBeta blocker or calcium channel blocker<\/p>\n\n\n\n<ol start=\"17\" class=\"wp-block-list\">\n<li>patient comes in with symptoms of ACS what do you do first<br>Answer:<br>chew 325mgaspirin<br>O2<br>nitro morphine<br>get 12 lead EKGIV access<\/li>\n\n\n\n<li>IF ACS patient has EKG showing ST elevation and symptoms are lessthan12 hours then<br>what<br>Answer: re-perfusion<br>door to balloon 90 minutesdoor to needle 30 minutes<\/li>\n\n\n\n<li>If ACS patient has EKG showing non ST elevation MI or high risk unstableangina then<br>what<br>Answer: early invasive strategy?<br>adjunctive treatment?<br>-nitroglycerin<br>-heparin<br>-beta blockers<br>-clopidogrel<br>-glycoprotein IIb \/ IIIa inhibitor<\/li>\n\n\n\n<li>what are the contraindications to fibrinolytics in ACS treatment<br>Answer:<br>systolic >180<br>diastolic > 100<br>right arm left arm systolic difference > 15<br>history of structural central nervous system diseaserecent head\/facial trauma<br>stroke more than 3 hours or less then 3 months agorecent trauma, surgery or bleed<br>any history of intracranial hemorrhage bleeding, clotting problem or on blood thinnersserious<br>systemic disease<\/li>\n\n\n\n<li>adenosine<br>Answer: used in tachy<br>6mg bolus followed by 20mL normal saline<br>12mg can be used after 1-2 minutes  <\/li>\n\n\n\n<li><br><\/li>\n<\/ol>\n\n\n\n<p>get pdf at <em><a href=\"https:\/\/learnexams.com\/search\/study?query=hesi\" target=\"_blank\" rel=\"noopener\">https:\/\/learnexams.com\/search\/study?query=hesi<\/a><\/em><\/p>\n\n\n\n<p>ACLS Post Test ( Updated 2024 )<br>Complete Questions &amp; Answers (Solved) 100% Correct<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li>You are caring for a patient with a suspected stroke whose symptoms started 2 hours ago.<br>The CT was normal with no sign of hemorrhage.Thepatient does not have any<br>contraindications to fibrinolytic therapy.Whichtreatment is best?<br>a. start fibrinolytic therapy ASAP<br>b. hold fibrinolytic therapy for 24 hours<br>c. order an echo before fibrinolytic administration<br>d. wait for MRI result<br>Answer: a.start fibrinolytic therapy ASAP<\/li>\n\n\n\n<li>For STEMI pt, maximum goal time for ED door-to-balloon-inflation time forPCI?<br>a. 150 mins<br>b. 180 mins<br>c. 120 mins<br>d. 90 mins<br>Answer: 90 mins<\/li>\n\n\n\n<li>Which is the recommended oral dose of ASA for a pt w\/ suspected ACS?<br>a. 81 mg<br>b. 325-650 mg<br>c. 160-325 mg<br>d. 40 mg<br>Answer: 160-325 mg<\/li>\n\n\n\n<li>chest compressions during for adult rate<br>Answer: 100-120\/min<\/li>\n\n\n\n<li>effect of excessive ventilation<br>a. decresed cardiac output<br>b. decreased intrathoracic pressure<br>c. increased perfusion pressure<br>d. increased venous return<br>Answer: decreased cardiac output<\/li>\n\n\n\n<li>temperature to achieve targeted temperature management after cardiacarrest<br>Answer: 32-36C<\/li>\n\n\n\n<li>3 mins into cardiac arrest resuscitation attempt, one member of your teaminserts an<br>endotracheal tube while another performs chest compressions. Capnography shows a<\/li>\n<\/ol>\n\n\n\n<p>persistent waveform &amp; a PETCO2 of 8mmHg. What is the significance of the finding?<br>a. chest compression may not be effective<br>b. The endotrachael tube is in the esophagus<br>c. the team is ventilating the patient too often<br>d. the patient meets the criteria for termination of efforts<br>Answer: a. chest compressionmay not be effective<\/p>\n\n\n\n<ol start=\"8\" class=\"wp-block-list\">\n<li>Your patient is in cardiac arrest and has been intubated. to assess CPRquality, you should<br>Answer: monitor the patient&#8217;s PETCO2<\/li>\n\n\n\n<li>In addition to clinical assessment, which is the most reliable method to confirm &amp; monitor<br>correct placement of an endotracheal tube?<br>Answer: continouswaveform capnography<\/li>\n\n\n\n<li>A 45M had coronary artery stents placed 2 days ago.Today he is in severedistress and<br>reporting &#8220;crushing&#8221; chest discomfort. He is pale, diphoretic, and cool to the touch. His radial<br>pulse is very weak, blood pressure is 64\/40,respiratory is 28 bpm\/min and O2 set is 89% on<br>room air.<br>Answer: answer hasto do withacute coronary syndrome<\/li>\n\n\n\n<li>A 45M had coronary artery stents placed 2 days ago.Today he is in severedistress and<br>reporting &#8220;crushing&#8221; chest discomfort. He is pale, diphoretic, and cool to the touch. His radial<br>pulse is very weak, blood pressure is 64\/40,respiratory is 28 bpm\/min and O2 set is 89% on<br>room air. When applied, the cardiac monitor initially showed ventricular tachycardia, which<br>then quickly changed to ventricular fibrillation.What do we do?<br>a. chest compression<br>b. vasoactive meds<br>c. vascular access<br>d. advanced airway<br>Answer: a. chest compression<\/li>\n\n\n\n<li>A 45M had coronary artery stents placed 2 days ago.Today he is in severedistress and<br>reporting &#8220;crushing&#8221; chest discomfort. He is pale, diphoretic, and cool to the touch. His radial<br>pulse is very weak, blood pressure is 64\/40,respiratory is 28 bpm\/min and O2 set is 89% on<br>room air. Despite 2 defib attempt, the patient remains in V-fib.Which drug &amp; dose should be<br>given?<br>a. lidocaine 1 mg\/kg<br>b. amiodarone 300mg<br>c. epi 1mg<br>d. atropine 1 mg<br>Answer: epi 1 mg<br>get pdf at <a href=\"https:\/\/learnexams.com\/search\/study?query=hesi\" target=\"_blank\" rel=\"noopener\">https:\/\/learnexams.com\/search\/study?query=hesi<\/a><\/li>\n<\/ol>\n\n\n\n<p>ACLS Practice Exam ( Updated 2024 )<br>Complete Questions &amp; Answers (Solved) 100% Correct<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li>You find an unresponsive pt. who is not breathing. After activating the emergency<br>response system, you determine there is no pulse.What is yournext action?<br>Answer: Start chest compressions of at least 100 per min.<\/li>\n\n\n\n<li>You are evaluating a 58-year-old man with chest pain. The blood pressure is 92\/50 mm Hg,<br>the heart rate is 92\/min, the nonlabored respiratory rate is 14breaths\/min, and the pulse<br>oximetry reading is 97%.What assessment step ismost important now?<br>Answer: Obtaining a 12 lead ECG.<\/li>\n\n\n\n<li>What isthe preferred method of accessfor epi administration during cardiacarrest in most pts?<br>Answer: Peripheral IV<\/li>\n\n\n\n<li>An AED does not promptly analyze a rythm.What is your next step?<br>Answer: Beginchest compressions.<\/li>\n\n\n\n<li>You have completed 2 minutes of CPR.The ECG monitor displays the leadII rhythm<br>below, and the patient has no pulse. Another member of your teamresumes chest<br>compressions, and an IV is in place. What management stepis your next priority?<br>Answer: Administer 1mg of epinephrine<\/li>\n\n\n\n<li>During a pause in CPR, you see this lead II ECG rhythm on the monitor.Thepatient has no<br>pulse.What is the next action?<br>Answer: Resume compressions<\/li>\n\n\n\n<li>What is a common but sometimes fatal mistake in cardiac arrest management?<br>Answer: Prolonged interruptions in chest compressions.<\/li>\n\n\n\n<li>Which action is a componant of high-quality chest compressions?<br>Answer: Allowingcomplete chest recoil<\/li>\n\n\n\n<li>Which action increases the chance of successful conversion of ventricularfibrillation?<br>Answer: Providing quality compressions immediately before a defibrillation attempt.<\/li>\n\n\n\n<li>Which situation BEST describes pulseless electrical activity?<br>Answer: Sinus rythmwithout a pulse<\/li>\n\n\n\n<li>What is the BEST strategy for performing high-quality CPR on a patientwith an<br>advanced airway in place?<br>Answer: Provide continuous chest compressions without pauses and 10 ventilations per<br>minute.<\/li>\n\n\n\n<li>Three minutes after witnessing a cardiac arrest, one member of your team inserts an<br>endotracheal tube while another performs continuous chestcompressions. During subsequent<br>ventilation, you notice the presence of a waveform on the capnography screen and a PETCO2<br>level of 8 mm Hg.Whatis the significance of this finding?<br>Answer: Chest compressions may not be effective.<\/li>\n\n\n\n<li>The use of quantitative capnography in intubated patients<br>Answer: allows for monitoring of CPR quality.<\/li>\n\n\n\n<li>For the past 25 minutes, an EMS crew has attempted resuscitation of a patient who<br>originally presented in ventricular fibrillation.Afterthe firstshock,the ECG screen displayed<br>asystole, which has persisted despite 2 doses of epinephrine, a fluid bolus, and high-quality<br>CPR.What is your next treatment?-<br>Answer: Consider terminating resuscitive efforts after consulting medical control.<\/li>\n\n\n\n<li>Which is a safe and effective practice within the defibrillation sequence?-<br>Answer: Be sure oxygen is not blowing over the patient&#8217;s chest during the shock.<\/li>\n\n\n\n<li>During your assessment, your patient suddenly loses consciousness. After calling for<br>help and determining that the patient is not breathing, you are unsure whether the patient has a<br>pulse.What is your next action?<br>Answer: Beginchest compressions.<\/li>\n\n\n\n<li>What is an advantage of using hands-free defibrillation pads instead ofdefibrillation<br>paddles?<br>Answer: Hands-free pads allow for a more rapid defibrillation.<\/li>\n\n\n\n<li>What action is recommended to help minimize interruptions in chest com-pressions during<br>CPR?<br>Answer: Continue CPR while charging the defibrillator.<\/li>\n\n\n\n<li>Which action is included in the BLS survey?<br>Answer: Early defibrillation<\/li>\n\n\n\n<li>Which drug and dose are recommended for the management of a patientin refractory<br>ventricular fibrillation?<br>Answer: Amioderone 300mg<\/li>\n\n\n\n<li>What is the appropriate interval for an interruption in chest compressions?<br>Answer: 10 seconds or less<\/li>\n\n\n\n<li>Which of the following is a sign of effective CPR?<br>Answer: PETCO2 e10 mm Hg<br>get pdf at <a href=\"https:\/\/learnexams.com\/search\/study?query=hesi\" target=\"_blank\" rel=\"noopener\">https:\/\/learnexams.com\/search\/study?query=hesi<\/a><\/li>\n<\/ol>\n\n\n\n<p>ACLS Practice Questions 2 ( Updated 2024 )<br>Complete Questions &amp; Answers (Solved) 100% Correct<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li>Rate of chest compressions for adults<br>Answer: 100-120 compressions per minute<\/li>\n\n\n\n<li>Ratio of compressions to breaths in adults<br>Answer: 30:2<\/li>\n\n\n\n<li>Rate of bag valve mask ventilation for adults in respiratory arrest<br>Answer: Onceevery 5-6 seconds or 10-12 times per minute<\/li>\n\n\n\n<li>Treatmentsfor hypotension following cardiac arrest<br>Answer:<br>IV dopamine infusion, IVepinephrine infusion<br>IV Ringer&#8217;s lactate, IV normal saline<\/li>\n\n\n\n<li>Recommended ED door-to-balloon inflation time for a STEMI patient<br>Answer: Nolonger than 90 minutes<\/li>\n\n\n\n<li>Waysto estimate effectiveness of CPR<br>Answer: Arterial diastolic blood pressure, quantitative waveform capnography, central venous<br>oxygen saturation<\/li>\n\n\n\n<li>Best drug used for narrow complex supraventriculartachycardia<br>Answer: Adenosine<\/li>\n\n\n\n<li>Drug used for pulseless electrical activity<br>Answer: Epinephrine<\/li>\n\n\n\n<li>Sequence of basic life support<br>Answer: Compressions, airway, breathing (CAB)<\/li>\n\n\n\n<li>Initial dose of adenosine for treatment of supraventricular tachycardia<br>Answer: 6mg IV<\/li>\n\n\n\n<li>Heart rate at which tachycardia usually becomes symptomatic<br>Answer: 150 bpm<\/li>\n\n\n\n<li>Longest duration for pulse check<br>Answer: 10 seconds<\/li>\n\n\n\n<li>Recommended initial dosage of atropine forsymptomatic bradycardia<br>Answer: 0.5mg IV<\/li>\n\n\n\n<li>Recommended dose of oxygen during CPR<br>Answer: 100%<\/li>\n\n\n\n<li>Goal for initiation of fibrinolytic therapy in stroke patients<br>Answer: Within 1 hour ofED arrival<\/li>\n\n\n\n<li>Common reversible causes of cardiac arrest (&#8220;H&#8217;s andT&#8217;s&#8221;)<br>Answer: Hypotension,hypoxia, hypothermia, hydrogen ions (acidosis), hypo-\/hyperkalemia<br>Tension pneumothorax, tamponade, thrombosis (coronary), thrombosis (pulmonary), toxins<\/li>\n\n\n\n<li>Best option for treatment of STEMI diagnosed in ambulance via 12-leadECG<br>Answer: Transport to PCI-capable hospital<\/li>\n\n\n\n<li>Components of Cincinnati Prehospital Stroke Scale (CPSS)<br>Answer: Facial droop,arm drift, speech abnormality<\/li>\n\n\n\n<li>Asystole should be treated with all of the following EXCEPT<br>Answer:<br>CPR<br>Ventilations<br>Defibrillation<br>Epinephrine: Asystole should be treated with all of the following<br>EXCEPT:<br>CPR<br>Ventilations<br><em>Defibrillation<\/em>Epinephrine<\/li>\n\n\n\n<li>Appropriate response to an AED that is having problems analyzing rhythmAnswer: Continue chest compressions<\/li>\n\n\n\n<li>Which of the following is treated with synchronized shocks?<br>Unstable atrial fibrillation<br>Sinus tachycardia<br>VT without a pulse<br>VF: Which of the following is treated with synchronized shocks?<\/li>\n<\/ol>\n\n\n\n<p>get pdf at <a href=\"https:\/\/learnexams.com\/search\/study?query=hesi\" target=\"_blank\" rel=\"noopener\">https:\/\/learnexams.com\/search\/study?query=hesi<\/a><\/p>\n\n\n\n<p>ACLS Practice Questions ( Updated 2024 )<br>Complete Questions &amp; Answers (Solved) 100% Correct<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li>What element of a system of care is represented by properly functioningresuscitation<br>equipment?<br>System<br>Structure<br>Process<br>Patient outcome<br>Answer: Structure<\/li>\n\n\n\n<li>What is the first link in the out-of-hospital cardiac arrest (OHCA) chain ofsurvival?<br>Activation of emergency response<br>Defibrillation<br>Advanced resuscitation<br>High-quality CPR<br>Answer: Activation of emergency response<\/li>\n\n\n\n<li>What are signs of clinical deterioration that would prompt the activation ofrapid response<br>system?<br>Symptomatic hypertension<br>Seizure<br>Unexplained agitation<br>Diastolic blood pressure greater than 60 mm Hg or less than 100 mm Hg<br>Answer: &#8211;<br>Symptomatic hypertension<br>Seizure<br>Unexplained agitation<\/li>\n\n\n\n<li>What is the primary purpose of a rapid response team (RRT) or medicalemergency team<br>(MET)?<br>To provide diagnostic consultation to emergency department patients<br>To improve care for patients admitted to critical care units<br>To improve patient outcomes by identifying and treating early clinical deterioration<br>To provide online consultation to emergency medical services personnel inthe field<br>Answer: To improve patient outcomes by identifying and treating early clinical deterioration<\/li>\n\n\n\n<li>What happens when teamsrapidly assess and intervene when patients haveabnormal vital<br>signs?<br>Morbidity and mortality rates are maintained<br>The number of out of hospital cardiac arrest increases<br>The number of in hospital cardiac arrest decreases<br>Morbidity and mortality rates increase<br>Answer: The number of in hospital cardiac arrestdecreases<\/li>\n\n\n\n<li>In addition to decreased IHCA, what are some other benefits of implementing a rapid<br>response system? Select all that apply<br>Decreased ICU length of stay<br>Decreased emergency department admissions<br>Increased ICU admissions<br>Increased Hospital Length of Stay Decreased in total hospital length of stay:<\/li>\n\n\n\n<li>Which is the main advantage of effective teamwork?<br>Early defibrillation<br>Division of tasks<br>Mastery or resuscitation skills<br>Immediate CPR<br>Answer: Division of tasks<\/li>\n\n\n\n<li>Which is the best example of a role of the team leader?<br>Proficient at endotracheal intubation<br>Does not over ventilate the patient<br>Performs within scope of practice<br>Models excellent team behavior<br>Answer: Models excellent team behavior<\/li>\n\n\n\n<li>Which is the best example of a role of a team member?<br>Monitors individual team members<br>Helps train future team leaders<br>Focuses on comprehensive patient care<br>Prepared to fulfill their role responsibilities<br>Answer: Prepared to fulfill their role responsibilities<\/li>\n\n\n\n<li>What is the primary purpose of the CPR coach on a resuscitation team?<br>Recording CPR data<br>Resolving team conflicts<br>Increasing CPR quality<br>Giving encouragement<br>Answer: Increasing CPR quality<\/li>\n\n\n\n<li>What are the 6 positions for high performance teams in resuscitation?<br>Answer: &#8211; Team leader Airway Timer\/recorder<br>Compressor (rotate every 2 minutes)Monitor\/defibrillator\/cpr coach IV\/IO\/Medications<\/li>\n\n\n\n<li>Which member of the high performance team has the responsibility forassigning roles<br>(positions)?<br>Compressor<br>Time\/recorder<br>Airway<br>Team leader<br>Answer: Team leader<\/li>\n\n\n\n<li>Which high performance team member is part of the resuscitation triangle?<br>Timer\/recorder<br>Monitor\/defibrillator\/Cpr coach<br>IV\/IO\/medications<br>Team leader<br>Answer: Monitor\/defibrillator\/cpr coach<\/li>\n\n\n\n<li>Which is an example of knowledge sharing by a team leader?<br>Changing a treatment strategy when supported by new information<br>Maintaining an ongoing record of treatments<br>Asking for suggestions about interventions<br>Asking the compressor to decrease or increase rate<br>Answer: Asking for suggestionsabout interventions<\/li>\n\n\n\n<li>Which is an example of summarizing and reevaluating?<br>&#8220;1mg of epinephrine given&#8221;<br>Questioning a colleague who is about to make a mistake&#8221;Compressions are at a good rate&#8221;<br>Increasing monitoring if the patients condition deteriorates<br>get pdf at <a href=\"https:\/\/learnexams.com\/search\/study?query=hesi\" target=\"_blank\" rel=\"noopener\">https:\/\/learnexams.com\/search\/study?query=hesi<\/a><\/li>\n<\/ol>\n\n\n\n<p>ACLS Practice Exam ( Updated 2024 )<br>Complete Questions &amp; Answers (Solved) 100% Correct<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li>Some clues for PEA caused by acidosis (hydrogen ion) would be allof the below except:<br>clues for PEA caused by acidosis (hydrogen ion) wouldbe all of the below <em>except:<\/em><\/li>\n\n\n\n<li>recent trauma<\/li>\n\n\n\n<li>history of diabetes<\/li>\n\n\n\n<li>renal failure<\/li>\n\n\n\n<li>smaller-amplitude QRS complexes<br>Answer: 1 (Recent trauma, think about H&#8217;s and T&#8217;s)<\/li>\n\n\n\n<li>Recommended treatment to reverse PEA caused by acidosis is:<\/li>\n\n\n\n<li>adequate ventilation<\/li>\n\n\n\n<li>sodium bicarbonate<\/li>\n\n\n\n<li>normal saline bolus<\/li>\n\n\n\n<li>both 1 and 2<br>Answer: 2 (Providing adequate ventilation and administration of socium bicarbonate both can<br>help reverse PEA related to acidosis)<\/li>\n\n\n\n<li>PEA caused by HYPERkalemia may present with which of the followingrhythm changes?<\/li>\n\n\n\n<li>narrow QRS complex,smaller P-waves, andT- waves taller and peaked<\/li>\n\n\n\n<li>wide QRS complex, taller P-waves, andT-waves taller and peaked<\/li>\n\n\n\n<li>wide QRS complex, smaller P-waves, andT-waves taller and peaked<\/li>\n\n\n\n<li>narrow QRS complex,smaller P-waves, andT-waves smaller and rounded<br>Answer: 3(All of the following ECG changes can be seen in the patient with PEA caused by<br>hyperkalemia: T waves that are taller and peaked, P waves that become smaller, Widened<br>QRS, Sine-wave PEA (PEA rhythm has a sign-wave appearance)<\/li>\n\n\n\n<li>Patients that you might more commonly see with PEA caused by HYPER-kalemia are all<br>the following <em>except<\/em> which one?<\/li>\n\n\n\n<li>renal failure<\/li>\n\n\n\n<li>diabetes<\/li>\n\n\n\n<li>elderly<\/li>\n\n\n\n<li>dialysisrecipient<br>Answer: 3 (Elderly, Any condition that involvesrenal function can placea patient at a higher<br>risk for hyperkalemia. Renal failure, diabetes, recent dialysis, dialysis fistulas, and certain<br>medications can put patients at risk for hyperkalemia)<\/li>\n\n\n\n<li>Reversing HYPERkalemia is done using which of the following medications?<\/li>\n\n\n\n<li>sodium bicarbonate<\/li>\n\n\n\n<li>glucose and insulin<\/li>\n\n\n\n<li>albuterol<\/li>\n\n\n\n<li>any of the above<br>Answer: 4 (CPR &amp; ECC Guidelines: Part 10 Special Circumstances, Hyperkalemia (11.2.1)<br>These three medications shift potassium intracellularly andenhance potassium elimination)<\/li>\n\n\n\n<li>PEA caused by HYPOkalemia may present with which if the following symptoms?<\/li>\n\n\n\n<li>flattenedT-waves, prominent U waves, wide QRS, prolonged QT<\/li>\n\n\n\n<li>peakedT-waves, prominent U waves, narrow QRS, prolonged QT<\/li>\n\n\n\n<li>flattenedT-waves, prominent U waves, narrow QRS,shortened QT<\/li>\n\n\n\n<li>peaked T-waves, non-visible U waves, wide QRS, prolonged QT<br>Answer: 1 ( All of the following ECG changes can be seen with hypokalemia induced PEA:<br>FlattenedT-waves, prominent U waves, Wide QRS, prolonged QT, or wide complex<br>tachycardia)<\/li>\n\n\n\n<li>Patients that you might more commonly see with PEA caused by HY-POkalemia are:<\/li>\n\n\n\n<li>diabetic patients<\/li>\n\n\n\n<li>patients using diuretics<\/li>\n\n\n\n<li>patients with chest pain<\/li>\n\n\n\n<li>all ofthe above<br>Answer: 2 (patients using diuretics.Many diureticsincrease the excretionof potassium which<br>can increase the risk of hypokalemia.)<\/li>\n\n\n\n<li>A clue that PEA could be caused by drug overdose &#8220;Toxins&#8221; is:<\/li>\n\n\n\n<li>narrow QRS complex<\/li>\n\n\n\n<li>prolonged QT interval<\/li>\n\n\n\n<li>tachycardia<\/li>\n\n\n\n<li>tracheal deviation<br>Answer: 2 (prolonged QT. Various effects can be seen on an ECG with drug overdose, but the<br>most common ECG change is the prolongation of theQT interval.)<\/li>\n\n\n\n<li>(True or False)<br>In patients with PEA\/cardiac arrest and without known pulmonary embolism(PE), routine<br>fibrinolytic treatment given during CPR shows no benefit and is not recommended.<br>Answer: True (Special Circumstances of Resuscitation Pulmonary<br>Embolism: &#8220;routine fibrinolytic treatment given during CPR shows no benefit and is not<br>recommended.&#8221; also &#8220;In patients with cardiac arrest due to presumed or known pulmonary<\/li>\n<\/ol>\n\n\n\n<p>embolism, it is reasonable to administer fibrinolytics.&#8221;)<\/p>\n\n\n\n<ol start=\"10\" class=\"wp-block-list\">\n<li>Reversing PEA caused byTamponade is performed by:<\/li>\n\n\n\n<li>chest tube placement<\/li>\n\n\n\n<li>emergency surgery<\/li>\n\n\n\n<li>pericardiocentesis<\/li>\n\n\n\n<li>needle decompression<br>Answer: 3 (pericardiocentesis. Cardiac tamponade is a condition in which an accumulation of<br>fluid within the pericardium creates excessive pressure, which then prevents the heart from<br>filling normally with blood. This can critically decrease the amount of blood that is pumped<br>from the heart, which can belethal.The removal of the excess fluid reverses this dangerous<br>process.)<\/li>\n\n\n\n<li>Tension pneumothroax which can be a cause of PEA may be recognizedby all of the<br>following symptoms <em>except:<\/em><\/li>\n\n\n\n<li>unequal breath sounds<\/li>\n\n\n\n<li>neck vein distension<\/li>\n\n\n\n<li>wide QRS complex on ECG<\/li>\n\n\n\n<li>tracheal deviation<br>Answer: 3 (Major symptoms of PEA associated with tension pneumothorax include unequal<br>breath sounds, difficulty with ventilation and neck vein distention.Most common seen during<br>CPR will be difficulty with ventilation.This willalso more commonly be associated with chest<br>trauma.)<\/li>\n\n\n\n<li>The &#8220;T&#8221; in PEA representing Acute MI or massive pulmonary embolismstands for .<\/li>\n\n\n\n<li>tamponade<\/li>\n\n\n\n<li>thrombosis<\/li>\n\n\n\n<li>thoracic<\/li>\n\n\n\n<li>tension pneumothorax<br>Answer: 2 (thrombosis. )<\/li>\n\n\n\n<li>PulmonaryThrombosis (massive pulmonary embolism) induced PEA maymanifest itself<br>with which symptoms?<\/li>\n\n\n\n<li>no pulse with CPR<\/li>\n\n\n\n<li>distended neck veins<\/li>\n\n\n\n<li>narrow QRS complex on ECG<\/li>\n\n\n\n<li>all of the above<br>Answer: 4 (All of the above)<br>get pdf at <a href=\"https:\/\/learnexams.com\/search\/study?query=hesi\" target=\"_blank\" rel=\"noopener\">https:\/\/learnexams.com\/search\/study?query=hesi<\/a><\/li>\n<\/ol>\n\n\n\n<p>ACLS Pre-Course Self-Assessment ( Updated 2024 )<br>Complete Questions &amp; Answers (Solved) 100% Correct<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li>A monitored patient in the ICU developed a sudden onset of narrow-com-plex tachycardia<br>at a rate of 220\/min. The patient&#8217;s blood pressure is 128\/58 mm Hg, the PETCO2 is 38 mm<br>Hg, and the pulse oximetry reading is 98%. There is vascular access in the left arm, and the<br>patient has not been given any vasoactive drugs. A 12-lead ECG confirms a supraventricular<br>tachycardiawith no evidence of ischemia or infarction. The heart rate has not respondedto<br>vagal maneuvers.What is your next action?<br>Administer amiodarone 300 mg IV push<br>Administer adenosine 6 mg IV push<br>Perform synchronized cardioversion at 200 J<br>Perform synchronized cardioversion at 50 J<br>Answer: Administer adenosine 6 mg IV push<\/li>\n\n\n\n<li>You are caring for a 66-year-old man with a history of a large intracerebralhemorrhage 2<br>months ago. He is being evaluated for another acute stroke. The CT scan is negative for<br>hemorrhage. The patient is receiving oxygen via nasal cannula at 2 L\/min, and an IV has been<br>established. His blood pressureis 180\/100 mm Hg.Which drug do you anticipate giving to this<br>patient?<br>Aspirinrt<br>PA<br>Glucose (D50)<br>Nicardipine<br>Answer: Aspirin<\/li>\n\n\n\n<li>A patient isin pulseless ventricular tachycardia.Two shocks and 1 dose ofepinephrine have<br>been given.Which drug should be given next?<br>Epinephrine 3 mg<br>Lidocaine 0.5 mg\/kg<br>Amiodarone 300 mg<br>Adenosine 6 mg<br>Answer: Amiodarone 300 mg<\/li>\n\n\n\n<li>A patient with possible STEMI has ongoing chest discomfort.What is acontraindication<br>to nitrate administration?<br>Heart rate less than 90\/min<br>Use of a phosphodiesterase inhibitor within the previous 24 hours<br>Anterior wall myocardial infarction<\/li>\n<\/ol>\n\n\n\n<p>Systolic blood pressure greater than 180 mm Hg<br>Answer: Use of a phosphodiesteraseinhibitor within the previous 24 hours<\/p>\n\n\n\n<ol start=\"5\" class=\"wp-block-list\">\n<li>A patient is in cardiac arrest. High-quality chest compressions are beinggiven. The patient<br>is intubated, and an IV has been started. The rhythm is asystole.What is the first drug\/dose to<br>administer?<br>Dopamine 2 to 20 mcg\/kg per minute IV\/IO<br>Atropine 1 mg IV\/IO<br>Epinephrine 1 mg IV\/IO<br>Atropine 0.5 mg IV\/IO<br>Answer: Epinephrine 1 mg IV\/IO<\/li>\n\n\n\n<li>A patient is in refractory ventricular fibrillation. High-quality CPR is in progress. One<br>dose of epinephrine was given after the second shock. An antiarrhythmic drug was given<br>immediately after the third shock.You are theteam leader.Which medication do you order<br>next?<br>Epinephrine 1 mg<br>A second dose of the antiarrhythmic drug<br>Epinephrine 3 mg<br>Sodium bicarbonate 50 mEq<br>Answer: Epinephrine 1 mg<\/li>\n\n\n\n<li>Which intervention is most appropriate for the treatment of a patient inasystole?<br>Atropine<br>Transcutaneous pacing<br>Defibrillation<br>Epinephrine<br>Answer: Epinephrine<\/li>\n\n\n\n<li>A patient with sinus bradycardia and a heart rate of 42\/min has diaphoresisand a blood<br>pressure of 80\/60 mm Hg.What is the initial dose of atropine?<br>0.1 mg<br>1 mg<br>3 mg<br>0.5 mg<br>Answer: 1 mg<\/li>\n\n\n\n<li>A patient with STEMI has ongoing chest discomfort. Heparin 4000 units IVbolus and a<br>heparin infusion of 1000 units per hour are being administered. The patient did not take<br>aspirin because he has a history of gastritis, which was treated 5 years ago.What is your next<br>get pdf at <a href=\"https:\/\/learnexams.com\/search\/study?query=hesi\" target=\"_blank\" rel=\"noopener\">https:\/\/learnexams.com\/search\/study?query=hesi<\/a><\/li>\n<\/ol>\n\n\n\n<p>ACLS Precourse Work ( Updated 2024 )<br>Complete Questions &amp; Answers (Solved) 100% Correct<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li>Lesson1: system of care. Which quality improvement component of systems of care best<br>describes the capture and review of data related to resuscitation education, processes, and<br>outcomes?<br>Answer: Measurement<\/li>\n\n\n\n<li>Lesson1: system of care. Which one of the following is an interdependentcomponent of<br>systems of care?<br>Answer: Structure<\/li>\n\n\n\n<li>Lesson2: Science of Resuscitation. What is an effect of excessive ventilation?<br>Answer: decreased CO<\/li>\n\n\n\n<li>Lesson2: Science of Resuscitation.Which is the maximum interval youshould allow for an<br>interruption in chest compressions?<br>Answer: 10 s<\/li>\n\n\n\n<li>Lesson2: Science of Resuscitation. Which is the recommended next stepafter a<br>defibrillation attempt?<br>Answer: Resume CPR, starting with chest compressions<\/li>\n\n\n\n<li>Lesson2: Science of Resuscitation. How does complete chest recoil con-tribute to effective<br>CPR?<br>Answer: Allows maximum blood return to the heart<\/li>\n\n\n\n<li>Lesson3: Systematic Approach. What is an advantage of a systematic approach to patient<br>assessment?<br>Answer: Reduces the chances of missing important signsand symptoms<\/li>\n\n\n\n<li>Lesson3: Systematic Approach. What is the first step in the systematicapproach to patient<br>assessment?<br>Answer: Initial impression<\/li>\n\n\n\n<li>Lesson3: Systematic Approach. Which action is part of the Secondary Assessment of a<br>conscious patient? Which action is part of the Secondary Assessment of a conscious patient?<br>Answer: Formulate a differential diagnosis<\/li>\n\n\n\n<li>Lesson3: Systematic Approach. Which is one of the H&#8217;s and T&#8217;s that rep- resent a<br>potentially reversible cause of cardiac arrest and other emergency cardiopulmonary<br>conditions?<br>Answer: Hypothermia<\/li>\n\n\n\n<li>Lesson4:CPR Coach. What should be the primary focus of the CPR Coachon a<br>resuscitation team?<br>Answer: To ensure high-quality CPR<\/li>\n\n\n\n<li>Lesson4:CPR Coach. The CPR Coach role can be blended into which ofthefollowing<br>roles?<br>Answer: The monitor\/defibrillator<\/li>\n\n\n\n<li>Lesson4: CPR Coach. Which of the following is a responsibility of the CPRCoach?<br>Answer: Coordinating compressor switches<\/li>\n\n\n\n<li>Lesson 5:High Quality BLS Part 1.What isthe recommended compressionrate for highquality CPR?<br>Answer: 100 to 120<\/li>\n\n\n\n<li>Lesson 5: High Quality BLS Part 1.Which best describes the length of timeit should take to<br>perform a pulse check during the BLS Assessment?<br>Answer: 5-10 seconds<\/li>\n\n\n\n<li>Lesson 5: High Quality BLS Part 1.Which is a component of high-qualityCPR?<br>Answer: Compression depth of at least 2 inches<\/li>\n\n\n\n<li>Lesson 5: High Quality BLS Part 1.Which component of high-quality CPRdirectly affects<br>chest compression fraction?<br>Answer: Interruptions<\/li>\n\n\n\n<li>Lesson6: Airway Management. pg 103.To properly ventilate a patient witha perfusing<br>rhythm, how often do you squeeze the bag?<br>Answer: Once every 6 seconds<\/li>\n\n\n\n<li>Lesson6: Airway Management. pg 103.Which is an acceptable method of selecting an<br>appropriately sized oropharyngeal airway?<br>Answer: Measure from thecorner of the mouth to the angle of the mandible<\/li>\n\n\n\n<li>Lesson6: Airway Management. pg 103. Which action is likely to cause air to enter the<br>victim&#8217;s stomach (gastric inflation) during bag-mask ventilation?-<br>Answer: Ventilating too quickly<\/li>\n\n\n\n<li>Lesson6: Airway Management. pg 103. In addition to clinical assessment, which is the<br>most reliable method to confirm and monitor correct placementof an endotracheal tube?<br>Answer: Continuous waveform capnography<\/li>\n\n\n\n<li>Lesson 7: Recognition: Signs of Clinical Deterioration. pgs27-28.What arethe 3 signs of<br>clinical deterioration that would cause activation of a rapid response system?<br>get pdf at <a href=\"https:\/\/learnexams.com\/search\/study?query=hesi\" target=\"_blank\" rel=\"noopener\">https:\/\/learnexams.com\/search\/study?query=hesi<\/a><\/li>\n<\/ol>\n\n\n\n<p>ACLS Pretest ( Updated 2024 )<br>Complete Questions &amp; Answers (Solved) 100% Correct<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li>Please identify the rhythm by selecting the bestsingle answer.<br>Answer: SinusBrady-cardia<\/li>\n\n\n\n<li>Please identify the rhythm by selecting the best single answer.<br>Answer: Reentrysupraventricular tachycardia<\/li>\n\n\n\n<li>Please identify the rhythm by selecting the best single answer.<br>Answer: Second-degree AV block (Mobitz II block)<\/li>\n\n\n\n<li>Please identify the rhythm by selecting the best single answer.<br>Answer: Agonalrhythm\/asystole<\/li>\n\n\n\n<li>Please identify the rhythm by selecting the bestsingle answer.<br>Answer: Third-DegreeAV block<\/li>\n\n\n\n<li>Please identify the rhythm by selecting the best single answer.<br>Answer: Monomorphic Ventricular Tachycardia<\/li>\n\n\n\n<li>Please identify the rhythm by selecting the bestsingle answer.<br>Answer: SinusTachy-cardia<\/li>\n\n\n\n<li>Please identify the rhythm by selecting the bestsingle answer.<br>Answer: SinusBrady-cardia<\/li>\n\n\n\n<li>Please identify the rhythm by selecting the best single answer.<br>Answer: Atrial Fibrillation<\/li>\n\n\n\n<li>Please identify the rhythm by selecting the best single answer.<br>Answer: CourseVentricular Fibrillation<\/li>\n\n\n\n<li>Please identify the rhythm by selecting the best single answer.<br>Answer: Polymorphic Ventricular Tachycardia<\/li>\n\n\n\n<li>Please identify the rhythm by selecting the bestsingle answer.<br>Answer: Second-degree AV block (Mobitz I Wenchebach)<\/li>\n\n\n\n<li>Please identify the rhythm by selecting the best single answer.<br>Answer: NormalSinus Rhythm<\/li>\n\n\n\n<li>Please identify the rhythm by selecting the best single answer.<br>Answer: Pulselesselectrical activity<\/li>\n\n\n\n<li>Please identify the rhythm by selecting the best single answer.<br>Answer: CourseVentricular Fibrillation<\/li>\n\n\n\n<li>Please identify the rhythm by selecting the best single answer.<br>Answer: Reentrysupraventricular tachycardia<\/li>\n\n\n\n<li>Please identify the rhythm by selecting the best single answer.<br>Answer: Fine Ventricular Fibrillation<\/li>\n\n\n\n<li>Please identify the rhythmby selecting the bestsingle answer.<br>Answer: Atrial Flutter<\/li>\n\n\n\n<li>Please identify the rhythm by selecting the bestsingle answer.<br>Answer: Second-degree AV block (Mobitz II block)<\/li>\n\n\n\n<li>Please identify the rhythm by selecting the best single answer.<br>Answer: Reentrysupraventricular tachycardia<\/li>\n\n\n\n<li>A 57-year-old woman has palpitations, chest discomfort, and tachycardia.The monitor<br>shows a regular wide-complex QRS at a rate of 180\/min. She becomes diaphoretic, and her<br>blood pressure is 80\/60 mm Hg.The next actionis to:<br>Answer: Perform immediate electrical cardioversion<\/li>\n\n\n\n<li>A patient with a possible acute coronary syndrome has ongoing chest discomfort<br>unresponsive to 3 sublingual nitroglycerin tablets. There are no contraindications, and 4 mg of<br>morphine sulfate was administered. Shortly afterward, blood pressure falls to 88\/60 mm Hg,<br>and the patient has increasedchest discomfort.You should:<br>Answer: Give normal Saline 250 mL to 500 ml fluid bolus<\/li>\n\n\n\n<li>A patient is in pulseless ventricular tachycardia.Two shocks and 1 doseof epinephrine<br>have been given. Which is the next drug\/dose to anticipate administering?<br>Answer: Amiodarone 300 mg<\/li>\n\n\n\n<li>A patient is in refractory ventricular fibrillation and has received multiple appropriate<br>defibrillation shocks, epinephrine 1 mg IV twice, and an initial dose of 300 mg amidarone IV.<br>The patient is intubated. A second does of amiodarone is now called for.The recommended<br>second dose of amiodaroneis<br>Answer: 150 mg IV push<\/li>\n\n\n\n<li>A 35-year-old woman has palpitations, light-headiness, and a stable tachy- cardia. The<br>monitor shows a regular narrow-complex QRS at a rate of 180\/min.Vagal maneuvers have not<br>been effective in terminated the rhythm. An IV has been established. What drug should be<br>administered IV?<br>Answer: Adenosine 6 mg<br>get pdf at <a href=\"https:\/\/learnexams.com\/search\/study?query=hesi\" target=\"_blank\" rel=\"noopener\">https:\/\/learnexams.com\/search\/study?query=hesi<\/a><\/li>\n<\/ol>\n\n\n\n<p>ACLS Quiz ( Updated 2024 )<br>Complete Questions &amp; Answers (Solved) 100% Correct<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li>Which are the elements of a system of care?<br>Answer: Structure, processes, system,patient outcome<\/li>\n\n\n\n<li>What element of a system of care is represented by properly functioningresuscitation<br>equipment?<br>Answer: Structure<\/li>\n\n\n\n<li>Among others, which factor has been associated with improved survival inpatients with<br>cardiac arrest?<br>Answer: Immediate high- quality CPR<\/li>\n\n\n\n<li>What is the first link in the out-of-hospital cardiac arrest (OHCA) chain ofsurvival?<br>Answer: Activation of emergency response<\/li>\n\n\n\n<li>What are signs of clinical deterioration that would prompt the activation ofa rapid response<br>system?<br>Answer: Systemic hypertension, unexplained agitation,seizure<\/li>\n\n\n\n<li>What is the primary purpose of a rapid response team (RRT) or medical emergency team<br>(MET)?<br>Answer: To improve patient outcomes by identifying and treatingearly clinical deterioration<\/li>\n\n\n\n<li>What happens when teamsrapidly assess and intervene when patients haveabnormal vital<br>signs?<br>Answer: The number of in-hospital cardiac- arrest decreases<\/li>\n\n\n\n<li>In addition to decreased IHCA, what are some other benefits of implementing a rapid<br>response system?<br>Answer: Decrease ICU length of stay, decreased in total hospital length of stay<\/li>\n\n\n\n<li>Which component of effective high-performance teams is represented bythe use of realtime feedback devices?<br>Answer: Quality<\/li>\n\n\n\n<li>What is the main advantage of effective teamwork?<br>Answer: Division of tasks<\/li>\n\n\n\n<li>Which is the best example of a role of the team leader?<br>Answer: Models excellentteam behavior<\/li>\n\n\n\n<li>Which is the best example of a role of a team member?<br>Answer: Prepared to fulfilltheir role responsibilities<\/li>\n\n\n\n<li>What is primary purpose of the CPR coach on a resuscitation team?<br>Answer: In-creasing CPR quality<\/li>\n\n\n\n<li>Which member of the high-performance team has the responsibility forassigning roles<br>(positions)?<br>Answer: Team leader<\/li>\n\n\n\n<li>Which high-performance team member is part of the resuscitation triangle?<br>Answer: Monitor\/ defibrillator\/ CPR coach<\/li>\n\n\n\n<li>Which is an example of knowledge sharing by a team leader?<br>Answer: Asking forsuggestions about interventions<\/li>\n\n\n\n<li>Which is an example ofsummarizing and reevaluating?<br>Answer: Increasing monitoring of the patient&#8217;s condition deteriorates<\/li>\n\n\n\n<li>Which is a step of closed-loop communication?<br>Answer: Confirming task completionbefore assigning another task<\/li>\n\n\n\n<li>Which are examples of mutualrespect?<br>Answer:<br>\u00b7 Acknowledging correctly completedtasks in a positive way<br>\u00b7 Ensuring that only 1 person talks at a time<\/li>\n\n\n\n<li>What are the components of high-quality CPR?<br>Answer:<br>\u00b7 Compression depth of atleast 2 inches (5cm)<br>\u00b7 Complete chest recoil after each compression<br>\u00b7 Interruptions limited \u00a3 10 seconds<br>\u00b7 Switching compressions every 2 minutes<br>\u00b7 Avoiding excessive ventilation<\/li>\n\n\n\n<li>Which of the following defines chest compression fraction (CCF)?<br>Answer: CCF=actual chest compression time\/<br>Total code time<\/li>\n\n\n\n<li>During CPR, chest compression fraction (CCF) should be at least &#8212; andideally greater<br>than 80%.<br>Answer: 60%<\/li>\n\n\n\n<li>How do interruptions in chest compressions negatively impact survivalafter cardiac<br>arrest?<br>Answer: Decrease coronary perfusion pressure<\/li>\n\n\n\n<li>Coronary perfusion pressure (CPP) equals aortic &#8212;- pressure minus rightatrial diastolic<br>pressure.<br>Answer: diastolic<\/li>\n\n\n\n<li>What is the only intervention that can restore on organize rhythm inpatients with<br>ventricular fibrillation (VF)?<br>Answer: Early and effective defibrillation<\/li>\n\n\n\n<li>How quickly does the chance of survival describe for every minute ofdefibrillation delay<br>in patients with ventricular fibrillation (VF) who do notreceive bystander CPR?<br>Answer: 7-10%<\/li>\n\n\n\n<li>What is the advantage of a systematic approach to patient assessment?<br>Answer: -Reduces the chances of missing important signs and symptoms<\/li>\n\n\n\n<li>What is the first step in the systematic approach to patient assessment?-<br>Answer: Initial impression<\/li>\n\n\n\n<li>What is the maximum amount of time you should simultaneously perform the pulse and<br>breathing checks?<br>Answer: 10 seconds<\/li>\n\n\n\n<li>The BLS Assessment is a systematic approach to BLS for trained health- care providers.<br>This approach stresses:<br>Answer: Early CPR and defibrillation<\/li>\n\n\n\n<li>While you performing the BLS Assessment, you initiate high-quality CPR and assist<br>ventilation with a bag-mask device.The AED does not recommenda shock.Which action in the<br>Primary Assessment should you perform first?-<br>Answer: Determine if the patient&#8217;s airway is patent<\/li>\n\n\n\n<li>The initial assessment reveals a conscious patent. The patient&#8217;s airway is patent, and an<br>advanced airway is not indicated. Which action is the Primary Assessment should perform<br>next?<br>Answer: Administer oxygen as needed<\/li>\n\n\n\n<li>Which action is part of the Secondary Assessment of conscious patient?-<br>Answer: Formulate a differential diagnosis<br>get pdf at <a href=\"https:\/\/learnexams.com\/search\/study?query=hesi\" target=\"_blank\" rel=\"noopener\">https:\/\/learnexams.com\/search\/study?query=hesi<\/a><\/li>\n<\/ol>\n\n\n\n<p>ACLS Respiratory Emergencies ( Updated 2024 )<br>Complete Questions &amp; Answers (Solved) 100% Correct<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li>What does capnography measure?<br>Answer: Carbon dioxide in expired air<\/li>\n\n\n\n<li>What is the normal range for the ETCO2 value?<br>Answer: 35-45 mmHg<\/li>\n\n\n\n<li>Which signs of possible respiratory compromise would be noted during therapid<br>assessment?<br>Answer:<br>Difficulty speaking in complete sentences<br>Tripod positioning<br>Agitation<\/li>\n\n\n\n<li>Which actions should be performed as part of the primary assessment of apatient with<br>apparent respiratory compromise?<br>Answer:<br>Establish pulse oximetry<br>Establish capnography<br>Establish vascular access<\/li>\n\n\n\n<li>When caring for a patient with respiratory compromise, what are the goalsof the secondary<br>assessment?<br>Answer:<br>To possibly discern underlying causes of the respiratory compromise<br>To further evaluate the severity of the patient&#8217;s condition<\/li>\n\n\n\n<li>Which diagnostic tests may be ordered when evaluating a patient withrespiratory<br>compromise?<br>Answer: Chest radiograph<\/li>\n\n\n\n<li>What interventions would be appropriate at this time?<br>Answer:<br>Administer supple-mental oxygen.<br>Prepare to suction<\/li>\n\n\n\n<li>What primary assessment data should the team gather at this time?:<br>Answer<br>Lungsounds<br>Capnography<br>get pdf at <a href=\"https:\/\/learnexams.com\/search\/study?query=hesi\" target=\"_blank\" rel=\"noopener\">https:\/\/learnexams.com\/search\/study?query=hesi<\/a><\/li>\n<\/ol>\n\n\n\n<p>ACLS Review 2 ( Updated 2024 )<br>Complete Questions &amp; Answers (Solved) 100% Correct<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li>You find an unresponsive pt. who is not breathing. After activating the emergency<br>response system, you determine there is no pulse.What is yournext action?<br>Answer: Start chest compressions of at least 100 per min.<\/li>\n\n\n\n<li>You are evaluating a 58-year-old man with chest pain. The blood pressure is 92\/50 mm Hg,<br>the heart rate is 92\/min, the nonlabored respiratory rate is 14breaths\/min, and the pulse<br>oximetry reading is 97%.What assessment step ismost important now?<br>Answer: Obtaining a 12 lead ECG.<\/li>\n\n\n\n<li>What isthe preferred method of accessfor epi administration during cardiacarrest in most pts?<br>Answer: Peripheral IV<\/li>\n\n\n\n<li>An AED does not promptly analyze a rythm.What is your next step?<br>Answer: Beginchest compressions.<\/li>\n\n\n\n<li>You have completed 2 minutes of CPR.The ECG monitor displays the leadII rhythm<br>below, and the patient has no pulse. Another member of your teamresumes chest<br>compressions, and an IV is in place. What management stepis your next priority?<br>Answer: Administer 1mg of epinephrine<\/li>\n\n\n\n<li>During a pause in CPR, you see this lead II ECG rhythm on the monitor.Thepatient has no<br>pulse.What is the next action?<br>Answer: Resume compressions<\/li>\n\n\n\n<li>What is a common but sometimes fatal mistake in cardiac arrest management?<br>Answer: Prolonged interruptions in chest compressions.<\/li>\n\n\n\n<li>Which action is a componant of high-quality chest comressions?<br>Answer: Allowingcomplete chest recoil<\/li>\n\n\n\n<li>Which action increases the chance of successful conversion of ventricularfibrillation?<br>Answer: Providing quality compressions immediately before a defibrillation attempt.<\/li>\n\n\n\n<li>Which situation BEST describes pulseless electrical activity?<br>Answer: Sinus rythmwithout a pulse<\/li>\n\n\n\n<li>What is the BEST strategy for performing high-quality CPR on a patientwith an<br>advanced airway in place?<br>Answer: Provide continuous chest compressions without pauses and 10 ventilations per<br>minute.<\/li>\n\n\n\n<li>Three minutes after witnessing a cardiac arrest, one member of your team inserts an<br>endotracheal tube while another performs continuous chestcompressions. During subsequent<br>ventilation, you notice the presence of a waveform on the capnography screen and a PETCO2<br>level of 8 mm Hg.Whatis the significance of this finding?<br>Answer: Chest compressions may not be effective.<\/li>\n\n\n\n<li>The use of quantitative capnography in intubated patients<br>Answer: allows for monitoring of CPR quality.<\/li>\n\n\n\n<li>For the past 25 minutes, an EMS crew has attempted resuscitation of a patient who<br>originally presented in ventricular fibrillation.Afterthe firstshock,the ECG screen displayed<br>asystole, which has persisted despite 2 doses of<br>epinephrine, a fluid bolus, and high-qualityCPR.What is your next treatment?-<br>Answer: Consider terminating resuscitive efforts after consulting medical control.<\/li>\n\n\n\n<li>Which is a safe and effective practice within the defibrillation sequence?-<br>Answer: Be sure oxygen is not blowing over the patient&#8217;s chest during the shock.<\/li>\n\n\n\n<li>During your assessment, your patient suddenly loses consciousness. After calling for<br>help and determining that the patient is not breathing, you are unsure whether the patient has a<br>pulse.What is your next action?<br>Answer: Beginchest compressions.<\/li>\n\n\n\n<li>What is an advantage of using hands-free defibrillation pads instead ofdefibrillation<br>paddles?<br>Answer: Hands-free pads allow for a more rapid defibrillation.<\/li>\n\n\n\n<li>What action is recommended to help minimize interruptions in chest com-pressions during<br>CPR?<br>Answer: Continue CPR while charging the defibrillator.<\/li>\n\n\n\n<li>Which action is included in the BLS survey?<br>Answer: Early defibrillation<\/li>\n\n\n\n<li>Which drug and dose are recommended for the management of a patientin refractory<br>ventricular fibrillation?<br>Answer: Amiodarone 300mg<\/li>\n\n\n\n<li>What is the appropriate interval for an interruption in chest compressions?<br>Answer: 10 seconds or less<\/li>\n\n\n\n<li>Which of the following is a sign of effective CPR?<br>Answer: PETCO2 e10 mm Hg<br>get pdf at <a href=\"https:\/\/learnexams.com\/search\/study?query=hesi\" target=\"_blank\" rel=\"noopener\">https:\/\/learnexams.com\/search\/study?query=hesi<\/a><\/li>\n<\/ol>\n\n\n\n<p>ACLS Review Questions ( Updated 2024 )<br>Complete Questions &amp; Answers (Solved) 100% Correct<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li>What is the primary purpose of the CPR coach on a resuscitation team?<br>Answer: -increasing CPR quality<\/li>\n\n\n\n<li>What is the most common type of stroke?<br>Answer: ischemic stroke<\/li>\n\n\n\n<li>What is a contraindication to the administration of aspirin for the management of a pt with<br>acute coronary syndromes?<br>Answer: recent gastrointestinal bleeding<\/li>\n\n\n\n<li>What blood component is acted upon by aspirin administration during themanagement of a<br>pt with ACS?<br>Answer: platelets<\/li>\n\n\n\n<li>What is the most appropriate destination for pts with suspected acuteischemic stroke?<br>Answer: certified stroke center<\/li>\n\n\n\n<li>A 49-year-old man arrives at the emergency department with chest discom- fort. He states<br>that he was working in the garden this morning when his cheststarted hurting. The last episode<br>lasted about 25 minutes, and he was sweaty.The chest discomfort is not relieved with rest.<br>Within the first 10 minutes, on the basis of the pt showing symptoms suggestive of MI, what<br>will your first actions include (if not completed by EMS beforearrival)?<br>Answer:<br>If SpO2 is less than 90%, start oxygen<br>Obtain a 12-lead EKG<br>Administer aspirin and establish IV access<br>Assess ABCs<br>Consider nitroglycerin, morphine, and a P2Y inhibitor<br>Activate the STEMI team<\/li>\n\n\n\n<li>His initial VS are HR 120\/min, BP 135\/88 mmHg, RR 23\/min, SpO2 87%, andtemperature<br>37.3 degrees C.<br>When considering oxygen saturation, what is your course of action?<\/li>\n<\/ol>\n\n\n\n<p>Start oxygen at 4L\/min via nasal cannula<br>Do not start oxygen<br>Intubate pt immediately<br>Administer albuterol nebulizer<br>Answer: Start oxygen at 4L\/min via nasal cannula<\/p>\n\n\n\n<ol start=\"8\" class=\"wp-block-list\">\n<li>What additional questions help you determine next steps?<br>Answer:<br>When did thesymptoms start?<br>Do you have any allergies?<br>Do you take any medication?<\/li>\n\n\n\n<li>Your pt continues to say that he has chest discomfort.<br>What treatment can you repeat as long as it is not contraindicated by vitalsigns?<br>Nitroglycerin IV every 1 to 3 mins Morphine sublingual every 1 to 3 mins<br>Nitroglycerin sublingual or translingual every 3 to 5 mins<br>Morphine IV every 1 to 3 mins<br>Answer: Nitroglycerin sublingual or translingual every 3 to5 mins<\/li>\n\n\n\n<li>What is your interpretation of the pt&#8217;s EKG tracing?<br>Answer: Anterior STEMI<\/li>\n\n\n\n<li>With the diagnosis of STEMI, what is the most probable treatment?<br>Admission for observation Admission for PCI or fibrinolysisAdmission to ICU<br>Release to home<br>Answer: Admission for PCI or fibrinolysis<\/li>\n\n\n\n<li>What is your goal for PCI when treating this patient?<br>First medical contact-to-balloon inflation time of 90 mins<br>First medical contact-to-needle time of 30 mins<br>Door-to-needle time of 90 mins<br>Door-to-balloon inflation time of 30 mins<br>Answer: First medical contact-to-balloon inflation time of 90 mins<\/li>\n\n\n\n<li>Among others, which of the following factors has been associated withimproved survival<br>in pts with cardiac arrest?<br>Immediate high-quality CPR<br>Presence of 2 or more rescuers<br>Compression-only CPR<br>get pdf at<a href=\" https:\/\/learnexams.com\/search\/study?query=hesi\"> https:\/\/learnexams.com\/search\/study?query=hesi<\/a><\/li>\n<\/ol>\n\n\n\n<p>ACLS Exam Review ( Updated 2024 )<br>Complete Questions &amp; Answers (Solved) 100% Correct<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li>What are the 6 principles behind AHA&#8217;s definition of &#8220;High-Quality CPR&#8221;. (ie.What needs<br>to be done to achieve &#8220;high-quality&#8221; CPR?): High-quality CPRmeans<br>Answer:<\/li>\n<\/ol>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Rate of at least 100 chest compressions\/minute.<\/li>\n\n\n\n<li>Compression depth of at least 2&#8243; in the adult victim.<\/li>\n\n\n\n<li>Complete chest recoil after each chest compression.<\/li>\n\n\n\n<li>Minimizing interruption in compressions.<\/li>\n\n\n\n<li>Switching providers every 2 minutes (5 cycles of CPR).<\/li>\n\n\n\n<li>Avoiding excessive ventilations.<\/li>\n<\/ul>\n\n\n\n<ol class=\"wp-block-list\">\n<li>What does the AHA suggest as a target for CPP (coronary perfusion pressure) to increase<br>the chances of SROC (spont. return of circulation)?<br>Answer: It is recommended that the CPP be 10mm\/Hg to give the best chances for achieving<br>SROC.<br>This requires &#8220;high-quality CPR&#8221;.<\/li>\n\n\n\n<li>An end-tidal CO2 reading of will not achieve ROSC according to<br>the AHA.<br>Answer: A PETCO2 reading of 10mm Hg or less indicates poor or inadequate CPP (coronary<br>perfusion pressure) because chest compressions are not providingadequate circulation to the<br>lungs to eliminate CO2.<\/li>\n\n\n\n<li>An intra-arterialrelaxation pressure of &lt; indicatesineffective<br>compressions.<br>Answer: Intra-arterial relaxation pressures of &lt; 20mmHg correlate with poor CPP (coronary<br>perfusion pressure) and ineffective compressions.<\/li>\n\n\n\n<li>The recommended sternal compression depth for an adult during resuscitation is inches.<br>Answer: The recommended sternal compression depth for an adultduring resuscitation is 2<br>inches.<br>Keep in mind, there needs to be complete chest recoil or CPP will remain sub-optimal.<\/li>\n\n\n\n<li>AHA recommends that, during resuscitation, the tidal volumes for adults be between and<br>mmHg.<br>Answer: Adult Vt&#8217;s should be between 500 &#8211; 600mmHg which correlates to about 1\/2 the<br>squeeze of an adult ambubag.<\/li>\n\n\n\n<li>What 4 negative consequences of excessive ventilation does the AHAemphasize?<br>Answer: Excessive ventilation can cause:<\/li>\n<\/ol>\n\n\n\n<ul class=\"wp-block-list\">\n<li>gastric inflation<\/li>\n\n\n\n<li>increased intrathoracic pressures<\/li>\n\n\n\n<li>decreased venous return<\/li>\n\n\n\n<li>overall lower survival<\/li>\n<\/ul>\n\n\n\n<ol class=\"wp-block-list\">\n<li>What are the 5 &#8220;critical concepts&#8221; for BLS according to the AHA?<br>Answer: The criticalconcepts are:<\/li>\n<\/ol>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Push hard and fast (100+\/min)<\/li>\n\n\n\n<li>Allow complete chest recoil<\/li>\n\n\n\n<li>Minimize interruptions in compressions<\/li>\n\n\n\n<li>Switch providers Q 2 minutes<\/li>\n\n\n\n<li>Avoid excessive ventilations<br>get pdf at <a href=\"https:\/\/learnexams.com\/search\/study?query=hesi\" target=\"_blank\" rel=\"noopener\">https:\/\/learnexams.com\/search\/study?query=hesi<\/a><\/li>\n<\/ul>\n\n\n\n<p>ACLS Study Cards ( Updated 2024 )<br>Complete Questions &amp; Answers (Solved) 100% Correct<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li>Primary Survey<br>Answer: ABCD<br>A-airway<br>B-breathing<br>C-circulation<br>D-defibrilation<\/li>\n\n\n\n<li>Secondary Survey<br>Answer: IAID<br>I-intabate (if resp. arrest or can&#8217;t get good venitlaiton)<br>A-access airway<br>I-IV\/IO access for Drugs<br>D-differential diagnosis (H&#8217;s &amp; T&#8217;s)<\/li>\n\n\n\n<li>What do you do with a non responsive patient?<br>Answer: 1st survey, then secondsurvey<\/li>\n\n\n\n<li>Med Administration<br>Answer:<br>-IV access: large bore 18 g<br>-Site: AC<br>-always flush after med admin<\/li>\n\n\n\n<li>What do you do if AED determines non-shockable rhythm?<br>Answer: continue chestcompressions<\/li>\n\n\n\n<li>What is PEA?<br>Answer: Pulseless electrical activity<br>(ECG shows activity but there is no pulse felt in patient)<\/li>\n\n\n\n<li>ACLS Survey<br>Answer: ABCD<br>A-airway<br>B-breathing<br>C-circulation<br>D-defibrilation<\/li>\n\n\n\n<li>ACLS Airway Survey<br>Answer:<\/li>\n<\/ol>\n\n\n\n<p>SUPPLEMENTAL OXYGEN when indicated:<br>-100% for cardiac arrest<br>-titrate others to achieve &gt;94% O2 sats<br>MONITOR VENTILATION EFFECTIVENESS by:<br>-chest rise\/fall<br>-cyanosis<br>-O2 sats<br>-waveform capnography<br>AVOID EXCESSIVE VENTILATION<\/p>\n\n\n\n<ol start=\"9\" class=\"wp-block-list\">\n<li>How many ventilations do you provide when patient is in cardiac arrest? With an advanced<br>airway? In respiratory arrest only?<br>Answer: 2 ventilations every 30compressions<br>if advanced airway: 1 every 6-8 secondsif respiratory arrest: 1 every 5-6 seconds<\/li>\n\n\n\n<li>What do you do with a non-responsive patient?<br>Answer:<\/li>\n\n\n\n<li>Shout for help\/Activatethe Emergency Response System (get AED)<\/li>\n\n\n\n<li>Check for Pulse<\/li>\n\n\n\n<li>Start CPR<\/li>\n\n\n\n<li>What do you do for a patient who is stable and has chest pain?<br>Answer:<br>Moni-tor-support ABC<br>Be prepared to give CPR &amp; Defib<br>Admin Aspirin (O2-sats&lt;94%, Nitro, Morphine if needed)<br>Get 12 lead ECG<\/li>\n\n\n\n<li>Cases NOT to give Nitro<br>Answer:<br>hypotension (SBP &lt; 90)<br>bradycardia (&lt; 50\/min)<br>tachycardia<\/li>\n\n\n\n<li>Nitro Administration<br>Answer: 1 tablet (or spray dose) every 3-5 minup to total of 3 doses<\/li>\n\n\n\n<li>H&#8217;s<br>Answer:<br>Hypovolemia<br>Hypoxia<br>Hypothermia<br>Hyper\/Hypokalemia<br>get pdf at <a href=\"https:\/\/learnexams.com\/search\/study?query=hesi\" target=\"_blank\" rel=\"noopener\">https:\/\/learnexams.com\/search\/study?query=hesi<\/a><\/li>\n<\/ol>\n\n\n\n<p>ACLS Study Guide ( Updated 2024 )<br>Complete Questions &amp; Answers (Solved) 100% Correct<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li>A 68-year-old woman presents with light-headedness, nausea, and chest discomfort. Your<br>assessment finds her awake and responsive but ill-appearing, pale, and goodly disphorttie. Her<br>radial is weak, thready, and fast.You areunable to obtain a blood pressure. She has no obvious<br>dependent edema, andher neck veins are flat.Herlung sounds are equal,with moderate rales<br>presentbilaterally.The cardiac monitor shows the rhythm seen here.<br>After your initial assessment of this patient, which intervention should beperformed next?<br>Answer: Synchronized cardioversion<\/li>\n\n\n\n<li>Which type of atrioventricular (AV) block best describes this rhythm?<br>Answer: Second degree type II<\/li>\n\n\n\n<li>Your patient is in cardiac arrest and has been intubated.To assess CPRquality, which should<br>you do?<br>Answer: Monitor the patient&#8217;s PetCO2<\/li>\n\n\n\n<li>Which facility is the most appropriate EMS destination for a patient with sudden cardiac<br>arrest who achieved return a spontaneous circulation in thefield?<br>Answer: Coronary reperfusion-capable medical center<\/li>\n\n\n\n<li>Which of the following signs is a likely indicator of cardiac arrest in anunresponsive<br>patient?<br>Answer: Agonal gasps<\/li>\n\n\n\n<li>Which type of atrioventricular (AV) block best describes this rhythm?<br>Answer: Second degree atrioventricular (AV) block type I<\/li>\n\n\n\n<li>To properly ventilate a patient with a perfusing rhythm, how often do yousqueeze the bag?<br>Answer: Once every 5 to 6 seconds<\/li>\n\n\n\n<li>In addition to clinical assessment, which is the most reliable method to con-firm and monitor<br>correct placement of an endotracheal (ET) tube?<br>Answer: Continuouswaveform capnography<\/li>\n\n\n\n<li>You are caring for a patient with a suspected stroke whose symptoms started 2 hours ago.<br>The CT scan was normal, with no signs of hemorrhage. The patient does not have any<br>contraindications to fibrinolytic therapy.Whichtreatment approach is best for this patient?<br>Answer: Start fibrinolytic therapy as soon aspossible<\/li>\n\n\n\n<li>Which best describes this rhythm?<br>Answer: Third-degree atrioventricular block<\/li>\n\n\n\n<li>What is the recommended range from which a temperature should be selected and<br>maintained constantly to achieve targeted management aftercardiac arrest?<br>Answer: 32 degrees celsius to 36 degrees Celsius<\/li>\n\n\n\n<li>Which is the recommended first intravenous (IV) dose of amiodarone for apatient with<br>refractory ventricular fibrillation?<br>Answer: 300mg<\/li>\n\n\n\n<li>Which is the primary purpose of a medical emergency team or rapid response team?<br>Answer: Improving patient outcomes by identifying and treating early clinicaldeterioration<\/li>\n\n\n\n<li>Which is the recommended next step after a defibrillation attempt?<br>Answer: Resume CPR, starting with chest compressions<\/li>\n\n\n\n<li>EMS providers are treating a patient with suspected stroke. According tothe Adult<br>Suspected Stroke Algorithm, which critical action performed by theEMS team will expedite<br>this patient&#8217;s care on arrival and reduce the time to treatment?<br>Answer: Alert the hospital<\/li>\n\n\n\n<li>A responder is caring for a patient with a history of congestive heart failure(CHF).The<br>patient is experiencing shortness of breath, a blood pressure (BP) of 68\/50 mmHg, and a heart<br>rate of 190\/min.The patient&#8217;s lead II ECG is displayed here.Which best characterizes this<br>patient&#8217;s rhythm?<br>Answer: Unstablesupraventricular tachycardia (SVT)<\/li>\n\n\n\n<li>Your rescue team arrives to find a 59-year-old man lying on the kitchen floor. You<br>determine that he is unresponsive. Which is the next step in your assessment and management<br>of this patient?<br>Answer: Check the patient&#8217;s breathing andpulse<\/li>\n\n\n\n<li>Which best describes the length of time it should take to perform a pulsecheck during the<br>BLS Assessment?<br>Answer: 5 to 10 seconds<\/li>\n\n\n\n<li>You instruct a team member to give 0.5 mg atropine IV.Which response isan example of<br>closed-loop communication?<br>Answer: &#8220;I&#8217;ll draw up 0.5 mg of atropine.&#8221;<\/li>\n\n\n\n<li>What is an effect of excessive ventilation?<br>Answer: Decreased cardiac output<\/li>\n\n\n\n<li>If a team member is about to make a mistake during a resuscitation attempt, which best<br>describes the action that the team leader or other teammembers should take?<br>Answer: Address the team member immediately<br>get pdf at <a href=\"https:\/\/learnexams.com\/search\/study?query=hesi\" target=\"_blank\" rel=\"noopener\">https:\/\/learnexams.com\/search\/study?query=hesi<\/a><\/li>\n<\/ol>\n\n\n\n<p>ACLS Test 2 ( Updated 2024 )<br>Complete Questions &amp; Answers (Solved) 100% Correct<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li>You find an unresponsive pt. who is not breathing. After activating the emergency<br>response system, you determine there is no pulse.What is yournext action?<br>Answer: Start chest compressions of at least 100 per min.<\/li>\n\n\n\n<li>You are evaluating a 58 year old man with chest pain. The BP is 92\/50 and a heart rate of<br>92\/min, non-labored respiratory rate is 14 breaths\/min and thepulse O2 is 97%. What<br>assessment step is most important now?<br>Answer: Obtaining a12 lead ECG.<\/li>\n\n\n\n<li>What isthe preferred method of accessfor epi administration during cardiacarrest in most pts?<br>Answer: Peripheral IV<\/li>\n\n\n\n<li>An AED does not promptly analyze a rythm.What is your next step?<br>Answer: Beginchest compressions.<\/li>\n\n\n\n<li>You have completed 2 min of CPR.The ECG monitor displays the lead below(PEA) and the<br>pt. has no pulse. You partner resumes chest compressions and an IV is in place. What<br>management step is your next priority?<br>Answer: Administer 1mgof epinepherine<\/li>\n\n\n\n<li>During a pause in CPR, you see a narrow complex rythm on the monitor.Thept. has no pulse.<br>What is the next action?<br>Answer: Resume compressions<\/li>\n\n\n\n<li>What is acommon but sometimes fatal mistake in cardiac arrest management?<br>Answer: Prolonged interruptions in chest compressions.<\/li>\n\n\n\n<li>Which action is a componant of high-quality chest compressions?<br>Answer: Allowingcomplete chest recoil<\/li>\n\n\n\n<li>Which action increases the chance of successful conversion of ventricularfibrillation?<br>Answer: Providing quality compressions immediately before a defibrillation attempt.<\/li>\n\n\n\n<li>Which situation BEST describes PEA?<br>Answer: Sinus rythm without a pulse<\/li>\n\n\n\n<li>What is the best strategy for perfoming high-quality CPR on a pt.with an advanced<br>airway in place?<br>Answer: Provide continuous chest compressions withoutpauses and 10 ventilations per<br>minute.<\/li>\n\n\n\n<li>3 min after witnessing a cardiac arrest, one member of your team inserts an ET tube<br>while another performs continuous chest compressions. During subsequent bentilation, you<br>notice the presence of a wavefom on thecapnogrophy screen and a PETCO2 of 8 mm Hg.<br>What is the significance of this finding?<br>Answer: Chest compressions may not be effective.<\/li>\n\n\n\n<li>The use of quantitative capnography in intubated pt&#8217;s does what?<br>Answer: Allows-for monitoring CPR quality<\/li>\n\n\n\n<li>For the past 25 min, EMS crews have attemptedresuscitation of a pt who originally<br>presented withV-FIB. After the 1st shock, the ECG screen displayedasystole which has<br>persisted despite 2 doses of epi, a fluid bolus, and high quality CPR.What is your next<br>treatment?<br>Answer: Consider terminating resuscitiveefforts after consulting medical control.<\/li>\n\n\n\n<li>Which is a safe and effective practice within the defibrillation sequence?-<br>Answer: Be sure O2 is NOT blowing over the pt&#8217;s chest during shock.<\/li>\n\n\n\n<li>During your assessment, your pt suddenly loses consciousness. After calling for help and<br>determining that the pt. is not breathing, you are unsurewhether the pt. has a pulse. What is<br>your next action?<br>Answer: Begin chest compressions.<\/li>\n\n\n\n<li>What is an advantage of using hands-free d-fib pads instead of d-fibpaddles?<br>Answer: Hands-free allows for more rapid d-fib.<\/li>\n\n\n\n<li>What action is recommended to help minimize interruptions in chest com-pressions during<br>CPR?<br>Answer: Continue CPR while charging the defibrillator.<\/li>\n\n\n\n<li>Which action is included in the BLS survey?<br>Answer: Early defibrillation<\/li>\n\n\n\n<li>Which drug and dose are recommended for the management of a pt. inrefractory V-FIB?<br>Answer: Amioderone 300mg<\/li>\n\n\n\n<li>What isthe appropriate intervalfor an interruption in chest compressions?-<br>Answer: 10 seconds or less<\/li>\n\n\n\n<li>Which of the following is a sign of effective CPR?<br>Answer: PETCO2 = or > 10mmHg<\/li>\n\n\n\n<li>What is the primary purpose of a medical emergency team or rapid response team?<br>Answer: Identifying and treating early clinical deterioration.<br>get pdf at <a href=\"https:\/\/learnexams.com\/search\/study?query=hesi\" target=\"_blank\" rel=\"noopener\">https:\/\/learnexams.com\/search\/study?query=hesi<\/a><\/li>\n<\/ol>\n\n\n\n<p>ACLS Test ( Updated 2024 )<br>Complete Questions &amp; Answers (Solved) 100% Correct<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li>Which quality improvement component of systems of care best describesthe capture and<br>review of data related to resuscitation education, processes,and outcomes?<br>Answer: Measurement<\/li>\n\n\n\n<li>Which one of the following is an interdependent component of systems ofcare?<br>Answer: Structure<\/li>\n\n\n\n<li>Which is the max interval you should allow for an interruption in chestcompressions<br>Answer: 10 seconds<\/li>\n\n\n\n<li>What is an effect of excessive ventilation?<br>Answer: Decreased cardiac output<\/li>\n\n\n\n<li>What is the recommended next step after a defibrillation attempt?<br>Answer: ResumeCPR, starting with chest compressions<\/li>\n\n\n\n<li>How does complete chest recoil contribute to effective CPR?<br>Answer: Allows maxi-mum blood return to the heart<\/li>\n\n\n\n<li>What is an advantage of a systematic approach to patient assessment?<br>Answer: -Reduces the changes of missing important signs and symptoms<\/li>\n\n\n\n<li>What is the first step in the systematic approach to patient assesssment?-<br>Answer: Initial impression<\/li>\n\n\n\n<li>Which action is part of the secondary assessment of a conscious patient?-<br>Answer: Formulate a differential diagnosis<\/li>\n\n\n\n<li>Which is one of the H&#8217;s and T&#8217;s that represent a potentially reversible cause of cardiac<br>arrest and other emergency cardiopulmonary conditions?<br>Answer: -Hypothermia<\/li>\n\n\n\n<li>What should be the primary focus of the CPR Coach on a resuscitationteam?<br>Answer: To ensure high quality CPR<\/li>\n\n\n\n<li>TheCPRCoachRole can be blended into which ofthe following roles?<br>Answer: Themonitor\/defibrillator<\/li>\n\n\n\n<li>Which of the following is a responsibility of the CPR coach?<br>Answer: Coordinatingcompressor switches<\/li>\n<\/ol>\n\n\n\n<p>get pdf at <a href=\"https:\/\/learnexams.com\/search\/study?query=hesi\" target=\"_blank\" rel=\"noopener\">https:\/\/learnexams.com\/search\/study?query=hesi<\/a><\/p>\n\n\n\n<p>AHA ACLS Written Test ( Updated 2024 )<br>Complete Questions &amp; Answers (Solved) 100% Correct<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li>You find an unresponsive pt. who is not breathing. After activating the emergency<br>response system, you determine there is no pulse.What is yournext action?<br>Answer: Start chest compressions of at least 100 per min.<\/li>\n\n\n\n<li>You are evaluating a 58 year old man with chest pain. The BP is 92\/50 and a heart rate of<br>92\/min, non-labored respiratory rate is 14 breaths\/min and thepulse O2 is 97%. What<br>assessment step is most important now?<br>Answer: Obtaining a12 lead ECG.<\/li>\n\n\n\n<li>What isthe preferred method of accessfor epi administration during cardiacarrest in most pts?<br>Answer: Peripheral IV<\/li>\n\n\n\n<li>An AED does not promptly analyze a rythm.What is your next step?<br>Answer: Beginchest compressions.<\/li>\n\n\n\n<li>You have completed 2 min of CPR.The ECG monitor displays the lead below(PEA) and the<br>pt. has no pulse. You partner resumes chest compressions and an IV is in place. What<br>management step is your next priority?<br>Answer: Administer 1mgof epinepherine<\/li>\n\n\n\n<li>During a pause in CPR, you see a narrow complex rythm on the monitor.Thept. has no pulse.<br>What is the next action?<br>Answer: Resume compressions<\/li>\n\n\n\n<li>What is acommon but sometimes fatal mistake in cardiac arrest management?<br>Answer: Prolonged interruptions in chest compressions.<\/li>\n\n\n\n<li>Which action is a componant of high-quality chest comressions?<br>Answer: Allowingcomplete chest recoil<\/li>\n\n\n\n<li>Which action increases the chance of successful conversion of ventricularfibrillation?<br>Answer: Providing quality compressions immediately before a defibrillation attempt.<\/li>\n\n\n\n<li>Which situation BEST describes PEA?<br>Answer: Sinus rythm without a pulse<\/li>\n\n\n\n<li>What is the best strategy for perfoming high-quality CPR on a pt.with an advanced<br>airway in place?<br>Answer: Provide continuous chest compressions without pauses and 10 ventilations per<br>minute.<\/li>\n\n\n\n<li>3 min after witnessing a cardiac arrest, one memeber of your team inserts an ET tube<br>while another performs continuous chest comressions. During subsequent bentilation, you<br>notice the presence of a wavefom on thecapnogrophy screen and a PETCO2 of 8 mm Hg.<br>What is the significance of this finding?<br>Answer: Chest compressions may not be effective.<\/li>\n\n\n\n<li>The use of quantitative capnography in intubated pt&#8217;s does what?<br>Answer: Allows-for monitoring CPR quality<\/li>\n\n\n\n<li>For the past 25 min, EMS crews have attemptedresuscitation of a pt who originally<br>presented withV-FIB. After the 1st shock, the ECG screen displayedasystole which has<br>persisted despite 2 doses of epi, a fluid bolus, and high quality CPR.What is your next<br>treatment?<br>Answer: Consider terminating resuscitiveefforts after consulting medical control.<\/li>\n\n\n\n<li>Which is a safe and effective practice within the defibrillation sequence?-<br>Answer: Be sure O2 is NOT blowing over the pt&#8217;s chest during shock.<\/li>\n\n\n\n<li>During your assessment, your pt suddenly loses consciousness. After calling for help and<br>determining that the pt. is not breathing, you are unsurewhether the pt. has a pulse. What is<br>your next action?<br>Answer: Begin chest compressions.<\/li>\n\n\n\n<li>What is an advantage of using hands-free d-fib pads instead of d-fibpaddles?<br>Answer: Hands-free allows for more rapid d-fib.<\/li>\n\n\n\n<li>What action is recommended to help minimize interruptions in chest com-pressions during<br>CPR?<br>Answer: Continue CPR while charging the defibrillator.<\/li>\n\n\n\n<li>Which action is included in the BLS survey?<br>Answer: Early defibrillation<\/li>\n\n\n\n<li>Which drug and dose are recommended for the management of a pt. inrefractory V-FIB?<br>Answer: Amioderone 300mg<\/li>\n\n\n\n<li>What isthe appropriate intervalfor an interruption in chest compressions?-<br>Answer: 10 seconds or less<\/li>\n\n\n\n<li>Which of the following is a sign of effective CPR?<br>Answer: PETCO2 = or > 10mmHg<\/li>\n\n\n\n<li>What is the primary purpose of a medical emergency team or rapid response team?<br>Answer: Identifying and treating early clinical deterioration.<\/li>\n<\/ol>\n\n\n\n<p>get pdf at <a href=\"https:\/\/learnexams.com\/search\/study?query=hesi\" target=\"_blank\" rel=\"noopener\">https:\/\/learnexams.com\/search\/study?query=hesi<\/a><\/p>\n\n\n\n<p>American Red Cross ACLS Final ( Updated 2024 )<br>Complete Questions &amp; Answers (Solved) 100% Correct<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li>A patient is in cardiac arrest.The cardiac monitor shows asystole. In addition to providing<br>continuous high-quality CPR, what is the other priorityintervention for this patient?<br>Answer: Administering epinephrine as early as possible<\/li>\n\n\n\n<li>A patient has experienced return of spontaneous circulation (ROSC) after cardiac arrest.<br>The healthcare team is conducting a secondary assessment to determine the possible cause of<br>the patient&#8217;s cardiac arrest. Before the arrest, the patient exhibited jugular venous distension,<br>cyanosis, apnea and hyperresonance on percussion. The patient was also difficult to ventilate<br>during the response.The team would most likely suspect which condition asthe cause?<br>Answer: Tension Pneumothorax<\/li>\n\n\n\n<li>A patient with suspected stroke arrives at the emergency department. Thepatient is<br>diagnosed with acute ischemic stroke and is a candidate for fibrinolytic therapy.To achieve the<br>best outcomes, this therapy should be initiatedwithin what time frame?<br>Answer: Within 1 hour of patient&#8217;s arrival.<\/li>\n\n\n\n<li>A patient in the telemetry unit is receiving continuous cardiac monitoring.The patient has a<br>history of myocardial infarction. The patient&#8217;s ECG rhythmstrip is shown in the following<br>figure. The provider interprets this strip as indicating which arrhythmia?<br>Answer: Third-degree AV block<\/li>\n\n\n\n<li>A 28-year-old pregnant patient who residesin transitional housing presentsto the emergency<br>department with complaints of feeling feverish and very faint.The patient tells the emergency<br>nurse that she does not know when shebecame pregnant.Upon palpation,the fundusis not at or<br>above the umbilicus.The patient&#8217;s condition quickly deteriorates and she goes into cardiac<br>arrest.If available and able to be used without impeding or delaying the resuscitationeffort,what<br>diagnostic tool could be used to guide decision-making in the careof this patient?<br>Answer: Point-of-care ultrasound<\/li>\n\n\n\n<li>Cardiac monitoring indicates that a patient has a ventricular tachyarrhythmia. The patient<br>has a pulse and is not showing any signs of hemodynamic compromise. A 12-lead ECG<br>reveals an irregular rhythm with QRS complexesgreater than 0.12 second in duration. Which<br>action would be appropriate at this time?<br>Answer: Consider an antiarrhythmic medication<\/li>\n\n\n\n<li>A responsive patient is choking.What method should the provider use firstto clear the<br>obstructed airway?<br>Answer: Back blows<\/li>\n\n\n\n<li>What is the priority intervention for a patient with a narrow-complex tachy-cardia (160<br>bpm) and a blood pressure of 72\/48 mmHg?<br>Answer: Perform immediate synchronized cardioversion<\/li>\n\n\n\n<li>A patient is admitted to the emergency department with signs and symptoms of stroke. The<br>stroke team should complete a comprehensive neurologic assessment and obtain brain imaging<br>results within what time frame?<br>Answer: Within20 minutes<\/li>\n\n\n\n<li>Cardiac monitoring of a patient in cardiac arrest reveals ventricular fibrillation. In<br>addition to high-quality CPR, what intervention should be a priorityfor the team?<br>Answer: Defibrillation.<\/li>\n\n\n\n<li>A patient with suspected acute coronary syndromes (ACS) has a pulseoximetry reading of<br>86% and is given supplemental oxygen. The provider determines that the supplemental<br>oxygen dose is correct based on whichSaO2 level?<br>Answer: 93%<\/li>\n\n\n\n<li>After cardiac arrest and successful resuscitation, the patient has a returnof spontaneous<br>circulation.The patient is unable to follow verbal commands.Targeted temperature<br>management is initiated. Which method(s) would be appropriate for the resuscitation team to<br>use?<br>Answer:<br>-Applying cooling blankets to thepatient&#8217;s body<br>-Using an endovascular catheter<br>-Giving an ice-cold IV fluid bolus<\/li>\n\n\n\n<li>A patient comesto the emergency department complaining of palpitationsand &#8220;some<br>shortness of breath.&#8221; Cardiac monitoring is initiated and reveals the following ECG rhythm<br>strip.The provider interprets this strip as indicatingwhich arrhythmia?<br>Answer: Atrial flutter<\/li>\n\n\n\n<li>A 35-year-old female patient&#8217;s ECG is consistent with STEMI. The ECG reveals a new<br>ST-segment elevation at the J point in leadsV2 andV3 of at leastwhich size?<br>Answer: 0.15 mV<\/li>\n\n\n\n<li>The following capnogram is from a patient experiencing respiratory dis-tress. At which<br>point in the waveform would the patient&#8217;s ETCO2 level be measured?<br>Answer: D<\/li>\n\n\n\n<li>For a patient with third-degree atrioventricular (AV) block and a blood pressure of 70\/48<br>mmHg, what interventions should be considered?<br>Answer:<br>-Initiatea dopamine infusion<br>-Administer atropine<br>-Initiate transcutaneous pacing<br>get pdf at <a href=\"https:\/\/learnexams.com\/search\/study?query=hesi\" target=\"_blank\" rel=\"noopener\">https:\/\/learnexams.com\/search\/study?query=hesi<\/a><\/li>\n<\/ol>\n\n\n\n<p>ACLS Final Exam ( Updated 2024 )<br>Complete Questions &amp; Answers (Solved) 100% Correct<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li>A patient experiences cardiac arrest, and the resuscitation team initiates ventilations using a<br>bag-valve-mask (BVM) resuscitator. The development ofwhich condition during the provision<br>of care would lead the team to suspectthat improper BVM technique is being used?<br>Select the correct answer to this question.<br>Rib fracture<br>Esophageal injury<br>Pneumothorax<br>Hypertension<br>Answer: Pneumothorax<\/li>\n\n\n\n<li>1 A member of the resuscitation team is preparing to administer medications intravenously<br>to a patient in cardiac arrest.The team member followseach medication administration with a<br>bolus of fluid. How much would the team member give?<br>Select the correct answer to this question.<br>5 to 10 mL<br>10 to 20 mL<br>20 to 30 mL<br>30 to 40 mL<br>Answer: When administering medications during a cardiac arrest, all medications<br>administrated through the IV or intraosseous infusion route should be followed by a 10- to 20-<br>mL fluid bolus.<\/li>\n\n\n\n<li>The resuscitation team suspects that hyperkalemia is the cause of cardiac arrest in a patient<br>brought to the emergency department. Which finding on a 12-lead ECG would confirm this<br>suspicion?<br>Wide-complex ventricular rhythm and tall, peakedT waves<br>ST-segment changes,T-wave inversion<br>Flat T waves, prominent U waves and possibly prolonged QT intervals<br>Narrow-complex ventricular tachycardia<br>Answer: Wide-complex ventricular rhythm andtall, peaked T waves<br>In hyperkalemia the patient&#8217;s 12-lead ECG rhythm strip will show wide-complexventricular<br>rhythm and tall, peaked T waves.<\/li>\n\n\n\n<li>A patient with an ischemic stroke arrives at the emergency department at 2 a.m.The<br>patient&#8217;s symptoms started about 12:30 a.m. After completing thenecessary assessments, the<br>healthcare team diagnoses an ischemic stroke,and the patient is determined to be a candidate<br>for fibrinolytic therapy. To achieve the best outcomes, the team should initiate therapy for this<br>patient no later than by which time?<\/li>\n<\/ol>\n\n\n\n<p>Select the correct answer to this question.<br>3:00 a.m.<br>5:30 a.m.<br>6:00 a.m.<br>8:30 a.m.<br>Answer: 1<br>3:00 a.m.<\/p>\n\n\n\n<ol start=\"5\" class=\"wp-block-list\">\n<li>A resuscitation team is debriefing following a recent event. A patient experienced cardiac<br>arrest, and advanced cardiac life support was initiated. The patient required the placement of<br>an advanced airway to maintain airway patency. Which statement indicates that the team<br>performed high-quality CPR?Select the correct answer to this question.<br>&#8220;We kept the rate of chest compressions to around 100 per minute but adjust-ed their depth to<br>1.5 inches while giving 1 ventilation every 3 seconds.&#8221;<br>&#8220;We delivered chest compressions at a rate of 80 to 100 per minute to a depthof at least 2<br>inches and gave 1 ventilation every 6 seconds.&#8221;<br>&#8220;We initiated chest compressions at a rate of 100 to 110 per minute to a depthof 2.4 inches and<br>then gave 1 ventilation every 10 seconds.&#8221;<br>&#8220;We delivered 1 ventilation every 6 seconds and chest compressions at a rateof 100 to 120<br>compressions per minute.&#8221;<br>Answer: 4<br>&#8220;We delivered 1 ventilation every 6 seconds and chest compressions at a rate of 100to 120<br>compressions per minute.&#8221;<\/li>\n\n\n\n<li>A patient with a suspected stroke arrives at the emergency department at 7:10 p.m. The<br>stroke team ensures that a comprehensive neurologic assessment using the National Institutes<br>of Health Stroke Scale (NIHSS) is completedand that brain imaging is performed by which<br>time?<br>7:20 p.m.<br>7:30 p.m.<br>7:40 p.m.<br>7:50 p.m.<br>Answer: 2<br>Within 20 minutes of the patient&#8217;s arrival, a comprehensive neurologic assessmentshould be<br>completed and brain imaging should be performed.That would be 7:30<br>get pdf at <a href=\"https:\/\/learnexams.com\/search\/study?query=hesi\" target=\"_blank\" rel=\"noopener\">https:\/\/learnexams.com\/search\/study?query=hesi<\/a><\/li>\n<\/ol>\n\n\n\n<p>HESI Case Study ACLS ( Updated 2024 )<br>Complete Questions &amp; Answers (Solved) 100% Correct<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li>The nurse is aware that the older adult client is at an increased risk for surgical<br>complications due to normal physiological functions and comorbidities.Which risk factors<br>place the older adult client at increased risk for surgical complications?<br>Answer: Decreased respiratory muscle strength<\/li>\n\n\n\n<li>Upon completing the client&#8217;s assessment, the nurse determines that theclient has which<br>surgical risk factors? (Select all that apply.)<br>Answer:<br>Metoprolol<br>Poor appetite<br>Diabetes mellitus<br>Albumin 3.0 g\/dL<\/li>\n\n\n\n<li>What is the priority preoperative nursing action to prevent postoperativeatelectasis?<br>Answer: Instruct on incentive spirometer use<\/li>\n\n\n\n<li>Which is the likely reason for the elevated serum creatinine in the absenceof kidney<br>disease?<br>Answer: dehydration<\/li>\n\n\n\n<li>The nurse is caring for the client who has just been extubated.What shouldthe nurse do first,<br>afterthe client is extubated?<br>Answer: Administersupplemental oxygen<\/li>\n\n\n\n<li>One hour has passed since the client was extubated.Which nursing actionstake priority at<br>this time? (select all that apply)<br>Answer: Monitor respiratory rate Assess cardiac rhythm<\/li>\n\n\n\n<li>Based on the nurse&#8217;s assessment,which isthe priority nursing action?<br>Answer: Ad-minister morphine<\/li>\n\n\n\n<li>Upon reviewing the remaining postoperative prescriptions and comparingwith preoperative<br>prescriptions, the nurse realizes that the metformin doses are different. What is the nurse&#8217;s<br>priority action?<br>Answer: Contact the HCP for clarification<\/li>\n\n\n\n<li>The client&#8217;s spouse inquires about the client&#8217;s blood sugar because she has never seen it that<br>high. and she reports that the client isn&#8217;t even eating.Whatis the nurse&#8217;s best response?<br>Answer: &#8220;Stress can increase blood sugar&#8221;<\/li>\n<\/ol>\n\n\n\n<p>HESI Case Study ACLS ( Updated 2024 )<br>Complete Questions &amp; Answers (Solved) 100% Correct<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li>The nurse is aware that the older adult client is at an increased risk for surgical<br>complications due to normal physiological functions and comorbidities.Which risk factors<br>place the older adult client at increased risk for surgical complications?<br>Answer: Decreased respiratory muscle strength<\/li>\n\n\n\n<li>Upon completing the client&#8217;s assessment, the nurse determines that theclient has which<br>surgical risk factors? (Select all that apply.)<br>Answer:<br>Metoprolol<br>Poor appetite<br>Diabetes mellitus<br>Albumin 3.0 g\/dL<\/li>\n\n\n\n<li>What is the priority preoperative nursing action to prevent postoperativeatelectasis?<br>Answer: Instruct on incentive spirometer use<\/li>\n\n\n\n<li>Which is the likely reason for the elevated serum creatinine in the absenceof kidney<br>disease?<br>Answer: dehydration<\/li>\n\n\n\n<li>The nurse is caring for the client who has just been extubated.What shouldthe nurse do first,<br>afterthe client is extubated?<br>Answer: Administersupplemental oxygen<\/li>\n\n\n\n<li>One hour has passed since the client was extubated.Which nursing actionstake priority at<br>this time? (select all that apply)<br>Answer: Monitor respiratory rate Assess cardiac rhythm<\/li>\n\n\n\n<li>Based on the nurse&#8217;s assessment,which isthe priority nursing action?<br>Answer: Ad-minister morphine<\/li>\n\n\n\n<li>Upon reviewing the remaining postoperative prescriptions and comparingwith preoperative<br>prescriptions, the nurse realizes that the metformin doses are different. What is the nurse&#8217;s<br>priority action?<br>Answer: Contact the HCP for clarification<\/li>\n\n\n\n<li>The client&#8217;s spouse inquires about the client&#8217;s blood sugar because she has never seen it that<br>high. and she reports that the client isn&#8217;t even eating.Whatis the nurse&#8217;s best response?<br>Answer: &#8220;Stress can increase blood sugar&#8221;<br>get pdf at <a href=\"https:\/\/learnexams.com\/search\/study?query=hesi\" target=\"_blank\" rel=\"noopener\">https:\/\/learnexams.com\/search\/study?query=hesi<\/a><\/li>\n<\/ol>\n\n\n\n<p>ACLS Peds ( Updated 2024 )<br>Complete Questions &amp; Answers (Solved) 100% Correct<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li>A pediatric nurse is preparing to deliver chest compressions to a child in cardiac arrest. In<br>which location should the nurse&#8217;s hands be placed?<br>Answer: Centerof the chest on the lower half of the sternum<\/li>\n\n\n\n<li>While conducting a rapid assessment, the healthcare provider notes the patient appears<br>unresponsive.What isthe provider&#8217;s next initial action?<br>Answer: checkfor responsiveness<\/li>\n\n\n\n<li>The pediatric clinical team is caring for a pediatric patient in cardiac arrest.During the<br>resuscitation, the team leader notes changes in the patient&#8217;s ECGrhythm and physical<br>appearance. After quickly evaluating these new findings,the leader determines a new course of<br>action. Which technique is the leader demonstrating?<br>Answer: critical thinking<\/li>\n\n\n\n<li>A provider is using a BVM to administer ventilations during CPR. The provider should<br>make sure that each ventilation has which characteristics?<br>Answer: -Lasts about 1 second and delivers an appropriate volume to make the chest beginto<br>rise<\/li>\n\n\n\n<li>After participating in a resuscitation event in which the pediatric patient did not survive,<br>you are feeling very stressed and having difficulty with dailyactivities.What is the best action<br>to help you cope with the stress?<br>Answer: Considera referral to a qualified mental health professional.<\/li>\n\n\n\n<li>While performing CPR on a 7-month-old infant, the team leader reminds the compressor to<br>maintain appropriate chest compression depth. The team member understands compressions<br>should be delivered at about which depth?<br>Answer: -1.5<\/li>\n\n\n\n<li>Two providers are performing CPR on a pediatric patient in cardiac arrest. Which chest<br>compression rate is correct?<br>Answer: 100-120<\/li>\n\n\n\n<li>Two healthcare providers are performing CPR on a child.The providerscorrectly deliver<br>compressions and ventilations at which rate?<br>Answer: 15:2<\/li>\n\n\n\n<li>Both the Pediatric In-Hospital Cardiac Chain of Survival and the PediatricOut-of-Hospital<br>Cardiac Chain of Survival include a link emphasizing the importance of continued followedup during the recovery process. True or False?<br>Answer: T<\/li>\n\n\n\n<li>The provider would use pediatric AED pads for which children?<br>Answer: 8 andunder and 55lbs and under<\/li>\n\n\n\n<li>Pediatric In-Hospital Cardiac Chain of Survival<br>Answer: 6 links<\/li>\n\n\n\n<li>While performing a rapid assessment on a child, the nurse notes skin mottling and lifethreatening bleeding.Which action should the nurse takefirst?<br>Answer: attempt to stop the bleeding<\/li>\n\n\n\n<li>During CPR in a cardiac arrest situation, the pediatric patient was success-fully intubated<br>with an endotracheal tube.At which rate should the respiratorytherapist deliver ventilations?<br>Answer: 1 breath every 2-3 seconds<\/li>\n\n\n\n<li>During a resuscitation event,the teamleaderinstructsthe medication teammember to<br>prepare IV epinephrine. The medication member prepares medication and approaches the<br>patient for administration. Following closed-loopcommunication, which is the best action by<br>the team leader to perform prior to the administration of medication?<br>Answer: Ask for feedback to ensure the medicationmember received the message.<\/li>\n\n\n\n<li>The healthcare provider uses which acronym when completing the PALSprimary<br>assessment on a pediatric patient?<br>Answer: ABCDE<\/li>\n\n\n\n<li>Which characteristics contribute to an effective, high-performance PALSteam?<br>Answer:<br>The team practices mock codes together regularly.<br>The team holds debriefing sessions after each resuscitation event.<\/li>\n\n\n\n<li>A 5-year-old patient is brought to the emergency department with a temperature of<br>102.4\u00b0 F and a cough. Upon assessment, the healthcare providerobserves decreased breath<br>sounds and localized crackles and tachycardia. The provider suspects these findings most<br>likely indicate which disorder?<br>Answer: -PNA<\/li>\n\n\n\n<li>The healthcare provider suspects impending respiratory failure in a recently admitted<br>school-aged child. Which new assessment finding would thehealthcare provider most likely<br>observe?<br>Answer: Respiratory rate change from 25 to 11breaths per minute<\/li>\n\n\n\n<li>A 7-year-old patient is brought to the emergency department with difficultybreathing and<br>angioedema.The parent states, &#8220;My child is allergic to peanuts,but ate some during lunch<br>today!&#8221; Which medication should the healthcare provider prepare first?<br>Answer: epi<br>get pdf at <a href=\"https:\/\/learnexams.com\/search\/study?query=hesi\" target=\"_blank\" rel=\"noopener\">https:\/\/learnexams.com\/search\/study?query=hesi<\/a><\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"<p>2024 ACLS Complete Bundle ( ALL TOPIC ) ( Final Exam 1 &#8211; 3, Study Guide 1-3, Exam V1-V2, Comprehensive Review, Post Test, Pretest, Practice Questions, etc.. ) Questions and Answers Included | Passed | A Rated Guide | New Full Exam Actual ACLS Pharmacology ( Updated 2024 )Complete Questions &amp; Answers (Solved) 100% Correct [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[25],"tags":[],"class_list":["post-132814","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/132814","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=132814"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/132814\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=132814"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=132814"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=132814"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}