{"id":132822,"date":"2024-07-29T21:02:08","date_gmt":"2024-07-29T21:02:08","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=132822"},"modified":"2024-07-29T21:02:12","modified_gmt":"2024-07-29T21:02:12","slug":"acls-final-exam-1-3-updated-2024-complete-questions-answers-solved-100-correct","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2024\/07\/29\/acls-final-exam-1-3-updated-2024-complete-questions-answers-solved-100-correct\/","title":{"rendered":"ACLS Final Exam 1 – 3 ( Updated 2024 ) Complete Questions & Answers (Solved) 100% Correct"},"content":{"rendered":"\n

ACLS Final Exam 1 – 3 ( Updated 2024 ) Complete Questions & Answers (Solved) 100% Correct<\/p>\n\n\n\n

ACLS Final Exam 2 ( Updated 2024 )
Complete Questions & Answers (Solved) 100% Correct<\/p>\n\n\n\n

    \n
  1. A patient experiences cardiac arrest, and the resuscitation team initiates ventilations using a
    bag-valve-mask (BVM) resuscitator. The development ofwhich condition during the provision
    of care would lead the team to suspectthat improper BVM technique is being used?
    Hypertension
    Esophageal injury
    Pneumothorax
    Rib fracture
    Answer: Pneumothorax
    Complications can occur with the use of a BVM resuscitator due to improper technique.
    Delivering excessive volume or ventilating too fast creates excessive pressure that can damage
    the airways, lungs and other organs. Excessive volumecan lead to tension pneumothorax.<\/li>\n\n\n\n
  2. A person suddenly collapses while sitting in the sunroom of a healthcare facility. A
    healthcare provider observes the event and hurries over to assessthe situation.The healthcare
    provider performs which assessment first?
    Rapid assessment
    Basic life support assessment
    Secondary assessment
    Primary assessment
    Answer: Rapid assessment
    A systematic approach to assessment is necessary.The healthcare provider shouldfirst perform
    a rapid assessment. A rapid assessment is a visual survey to ensure safety, form an initial
    impression about the patient’s condition (including looking forlife-threatening bleeding), and
    determine the need for additional resources. This would be followed by a primary assessment
    and then a secondary assessment.<\/li>\n\n\n\n
  3. A patient is receiving ventilation support via bag-valve-mask (BVM) resus-citator.
    Capnography is established and a blood gas is obtained to evaluate the adequacy of the
    ventilations.Which arterial carbon dioxide (PaCO2) valuesignifies adequate ventilations?
    10 to 15 mmHg
    20 to 25 mmHg
    25 to 30 mmHg
    35 to 45 mmHg
    Answer: 35 to 45 mmHg<\/li>\n<\/ol>\n\n\n\n

    Arterial carbon dioxide (PaCO2) values in the range of 35 to 45 mmHg confirmadequacy of
    ventilation.<\/p>\n\n\n\n

      \n
    1. A resuscitation team is debriefing following a recent event. A patient expe-rienced cardiac
      arrest, and advanced life support was initiated. The patient required the placement of an
      advanced airway to maintain airway patency. Which statement indicates that the team
      performed high-quality CPR?
      “We initiated chest compressions at a rate of 100 to 110 per minute to a depthof 2.4 inches and
      then gave 1 ventilation every 10 seconds.”
      “We provided chest compressions at a rate of 100 to 120 compressions per minute while
      giving 1 ventilation every 6 seconds without pausing compressions.”
      “We provided chest compressions at a rate of 80 to 120 per minute to a depthof at least 2
      inches and gave 1 ventilation every 6 seconds without pausing compressions.”
      “We kept the rate of chest compressions to around 100 per minute but adjust- ed their depth to
      1.5 inches while giving 1 ventilation every 3 seconds withoutpausing compressions.”
      Answer: “We provided chest compressions at a rate of 100 to 120compressions per minute while
      giving 1 ventilation every 6 seconds without pausingcompressions.”
      When an advanced airway has been placed in a patient who is in cardiac arrest, compressions
      should be delivered continuously (100 to 120 per minute) with nopauses for ventilations.<\/li>\n\n\n\n
    2. Assessment of a patient reveals an ETCO2 level of 55 mmHg and an arterialoxygen
      saturation (SaO2) level of 88%. The provider would interpret these findings as indicative of
      which condition?
      Respiratory failure
      Respiratory arrest
      Cardiac arrest
      Respiratory distress
      Answer: Respiratory failure
      An SaO2 level of less than 90% (PaO2 of less than 50 mmHg) accompanied byETCO2 values
      greater than 50 mmHg is indicative of respiratory failure.<\/li>\n\n\n\n
    3. A responsive patient is choking.What method should the provider use firstto clear the
      obstructed airway?
      Back blows
      Abdominal thrusts
      Magill forceps extraction
      Chest compressions
      Answer: Back blows
      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

      obstruction.<\/p>\n\n\n\n

        \n
      1. A patient arrives at the emergency department complaining of shortnessof breath. The
        patient has a long history of chronic obstructive pulmonary disease. Assessment reveals
        respiratory failure.Which action would be theinitial priority to address the respiratory failure?
        Establishment of vascular access
        Delivery of supplemental oxygen via nasal cannula
        Assisted ventilation with BVM resuscitator
        Initiation of capnography
        Answer: Assisted ventilation with BVM resuscitator
        Patients who cannot ventilate adequately despite an open airway or who have insufficient
        respiratory effort require assisted ventilation initially provided via a BVMresuscitator.<\/li>\n\n\n\n
      2. A 20-year-old man with respiratory depression is brought to the emergencydepartment by
        his parents. Opioid overdose is suspected, and an initial doseof naloxone is administered at 10
        p.m. The patient does not respond to this initial dose. The team would expect to administer a
        second dose after how many minutes?
        2 minutes
        4 minutes
        6 minutes
        8 minutes
        Answer: 2 minutes
        The dose of naloxone may be repeated after 2 to 3 minutes.<\/li>\n\n\n\n
      3. Assessment of a patient in the emergency department reveals that the patient is
        experiencing respiratory compromise. From the assessment, the team identifies that the patient
        is in the earliest stage of this condition.Whichstage would this be?
        Respiratory distress
        Respiratory failure
        Respiratory arrest
        Respiratory acidosis
        Answer: Respiratory distress
        Respiratory compromise occurs along a continuum, beginning with respiratorydistress,
        progressing to respiratory failure and then to respiratory arrest.
        get pdf at https:\/\/learnexams.com\/search\/study?query=hesi<\/a><\/li>\n<\/ol>\n\n\n\n

        ACLS Final Exam 3 ( Updated 2024 )
        Complete Questions & Answers (Solved) 100% Correct<\/p>\n\n\n\n

          \n
        1. A patient admitted to the ED with signs & symptoms of stroke. The stroke team should
          complete a comprehensive neurologic assessment and obtainbrain imaging results within what
          time frame?
          Answer: With in 20 mins<\/li>\n\n\n\n
        2. A person suddenly collapses while sitting in the sunroom of a healthcare facility.A healthcare
          provider observesthe event and hurries over to assess thesituation. The healthcare provider
          performs which assessment first?
          Answer: Rapid assessment<\/li>\n\n\n\n
        3. A patient is receiving ventilation support via BVM resuscitator. Capnography is
          established & a blood gas is obtained to evaluate the adequacy of the ventilations.Which PaO2
          value signifies adequate ventilations?
          Answer: 35 – 45 mmHg<\/li>\n\n\n\n
        4. A patient experiences cardiac arrest & the resuscitation team initiates ventilations using a
          BVM resuscitator. The development of which condition during the provision care would lead
          the team to suspect that improper BVMtechnique is being used?
          Answer: Pneumothorax<\/li>\n\n\n\n
        5. A resuscitation team is debriefing following a recent event. A patient experienced cardiac
          arrest & ALS wasinitiated.The patient required the placementof an advanced airway to
          maintain airway latency. Which statement indicatesthat the team performed high quality CPR?
          Answer: We provided chest compressions ata rate of 100-120 compressions\/minute while
          giving 1 ventilation Q 6secs. without pausing compressions.<\/li>\n\n\n\n
        6. Assessment of a patient reveals an ETCO2 level of 55mmHg & an SaO2 level of 88%.The
          provider would interpret these findings asindicative of whichcondition?
          Answer: Respiratory failure<\/li>\n\n\n\n
        7. A responsive patient is choking.What method should the provider use firstto clear the
          obstructed airway?
          Answer: Back blows<\/li>\n\n\n\n
        8. A patient arrives at the ED complaining of SOB. The patient has a long history of COPD.
          Assessment reveals respiratory failure.Which action wouldbe the initial priority to addressthe
          respiratory failure?
          Answer: Assisted ventilation withBVM resuscitator<\/li>\n\n\n\n
        9. A 20YO man with respiratory depression is brought to the ED by his parents. Opioid OD is
          suspected & an initial dose of naloxone is administered at 10pm.The patient doesn’t not respond<\/li>\n<\/ol>\n\n\n\n

          to this initial dose. The team would expect to administer a second dose after how many
          minutes?
          Answer: 2 minutes<\/p>\n\n\n\n

            \n
          1. Assessment of a patient in the ED reveals that the patient is experiencingrespiratory
            compromise. From the assessment, the team identifies that the patient is in the earliest stage of
            this condition.Which stage would this be?
            Answer: Respiratory distress<\/li>\n\n\n\n
          2. The following capnogram is from a patient experiencing respiratory dis-tress. At which
            point in the waveform would the patient’s ETCO2 level be measured?
            Answer: D<\/li>\n\n\n\n
          3. A patient is experiencing respiratory distress secondary to extinction of COPD.The
            patient beginsto exhibitsigns &symptoms of worsening respiratory function and experiences
            respiratory arrest.The team intervenes,deliveringventilations via BVM resuscitator. The team
            should provide ventilations at a rate of 1 ventilation:
            Answer: Every 6 seconds<\/li>\n\n\n\n
          4. A patient enters the ED in respiratory compromise.The team is monitoringthe patient using
            capnography and ID’s the ETCO2 levels are initially 33mmHg and later 40mmHg. From these
            readings, the team identifies that the patient is progressing in what stage of respiratory
            compromise?
            Answer: Respiratory distress<\/li>\n\n\n\n
          5. A patient is in cardiac arrest.The underlying cause is thought to be opioidtoxicity. Which
            statement accurately describes the use of naloxone for this patient?
            Answer: Naloxone should be administered ASAP but is not a priority over high quality CPR
            & AED use.<\/li>\n\n\n\n
          6. A patient in the telemetry unit is receiving continuous cardiac monitoring.
            The patient has a history of MI.The patient’s ECG rhythm strip is shown
            in the following figure.The provider interprets this strip as indicating whicharrhythmia?
            Answer: Third degree AV block<\/li>\n\n\n\n
          7. A patient with dyspnea, inadequate BP & a change in mentalstatus arrivesat the ED. The
            healthcare team completes the necessary assessment & be- gins to care for the patient,
            including initiating cardiac monitoring and pulseoximetry; providing supplemental oxygen
            and ensuring adequate ventilation;and obtaining vascular access. The team reviews the
            patients EKG strip as shown. Which agent would the team most likely administer?
            Answer: Atropine 1 mg Q3-5 minutes<\/li>\n\n\n\n
          8. A patient comes to the ED complaining of palpations and SOB. Cardiac monitoring is
            initiated and reveals the following EKG.The provider interpretsthis as which arrhythmia?
            get pdf at             https:\/\/learnexams.com\/search\/study?query=hesi<\/a><\/li>\n<\/ol>\n\n\n\n

            ACLS Final Exam ( Updated 2024 )
            Complete Questions & Answers (Solved) 100% Correct<\/p>\n\n\n\n

              \n
            1. A patient with suspected acute coronary syndromes (ACS) is placed on a cardiac monitor.
              The patient is complaining of dyspnea and is given supple- mental oxygen.The provider
              determines that the oxygen is effective based onwhich SaO2 level?
              Answer: When a patient presents with potential ACS, the patientshouldhave oxygen
              administered to maintain an SaO2 of at least 94%.<\/li>\n\n\n\n
            2. A patient experiences cardiac arrest, and the resuscitation team initiates ventilations using a
              bag-valve-mask (BVM) resuscitator. The development of which condition during the
              provision of care would lead the team to suspectthat improper BVM technique is being used?
              Answer: Complications can occur with theuse of a BVM resuscitator due to improper
              technique. Delivering excessive volumeor ventilating too fast creates excessive pressure that can
              damage the airways, lungsand other organs. Excessive volume can lead to tension
              pneumothorax.<\/li>\n\n\n\n
            3. Assessment of a patient reveals an ETCO2 level of 55 mmHg and an arterialoxygen
              saturation (SaO2) level of 88%. The provider would interpret these findings as indicative of
              which condition?
              Answer: An SaO2 level of less than 90% (PaO2 of less than 50 mmHg) accompanied by
              ETCO2 values greater than 50 mmHg is indicative of respiratory failure.<\/li>\n\n\n\n
            4. A healthcare provider initiates ventilations to ensure adequate breathing and oxygenation.
              While ventilations are being performed, capnography is established to evaluate the adequacy of
              the ventilations.The healthcare providerdetermines that ventilations are adequate based on
              which end-tidal carbon dioxide (ETCO2) value?
              Answer: End-tidal carbon dioxide values in the range of 35 to 45mmHg confirm adequacy of
              ventilation.<\/li>\n\n\n\n
            5. A patient comes to the emergency department complaining of palpitationsand “some
              shortness of breath.” Cardiac monitoring is initiated and reveals the following ECG rhythm
              strip.The provider interprets this strip as indicatingwhich arrhythmia?
              Answer: In atrial flutter, atrial contraction occurs atsuch a rapid rate thatdiscrete P waves
              separated by a flat baseline cannot be seen on the strip. Instead,the baseline continually rises
              and falls, producing the “flutter” waves.In leads II andIII, the flutter waves may be quite
              prominent, creating a “sawtooth” pattern.Becauseof the volume of atrial impulses, the AV
              node allows only some of the impulses to passthrough to the ventricles.In atrial flutter, a 2:1
              ratio isthe most common (i.e., forevery two flutter waves, only one impulse passes through the
              AV node to generatea QRS complex). Ratios of 3:1 and 4:1 are also frequently seen.<\/li>\n\n\n\n
            6. A person suddenly collapses while sitting in the sunroom of a healthcare
              facility. A healthcare provider observes the event and hurries over to assessthe situation. The
              healthcare provider performs which assessment first?
              Answer: A systematic approach to assessment is necessary. The healthcare provider should<\/li>\n<\/ol>\n\n\n\n

              first perform a rapid assessment. A rapid assessment is a quick visual survey to
              ensure safety, to form an initial impression about the patient’s condition, and to check for
              responsiveness, breathing and a pulse if the patient appears to be unresponsive.This would be
              followed by a primary assessment and then a secondary assessment.<\/p>\n\n\n\n

                \n
              1. A 35-year-old female patient’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?
                Answer: New ST-segment elevation at the J point in leads V2 and V3 ofat least 0.15 mV (1.5
                mm) in women 40 years or younger is considered diagnosticof STEMI.<\/li>\n\n\n\n
              2. An ECG strip of a patient in the emergency department revealsthe followingrhythm. Which
                feature would the healthcare provider interpret as indicating atrial fibrillation?
                Answer: The two key features of atrial fibrillation on ECG are the absenceof discrete P waves
                and the presence of irregularly irregular QRS complexes.<\/li>\n\n\n\n
              3. A patient presents to the emergency department with mild to moderate re-current chest
                pain,without any nausea or vomiting.A 12-lead ECG is obtainedand shows ST-segment
                depression with transient T-wave elevation indicativeof NSTE-ACS.Cardiac enzyme levels are
                obtained and are not elevated.Thesefindings suggest which condition?
                Answer: A patient who presents with ECG findings consistent with NSTE-ACS and does not
                have elevated cardiac serum markersistobe considered as having unstable angina.<\/li>\n\n\n\n
              4. A healthcare provider is establishing cardiac monitoring using a five-electrode system.The
                healthcare provider demonstrates proper use of the systemby placing the green electrode in
                which location?
                Answer: In a five-electrode cardiac monitoring system, the green electrode should be placed
                on the lower right abdomen.<\/li>\n\n\n\n
              5. A resuscitation team is debriefing following a recent event. A patient experienced cardiac
                arrest, and advanced cardiac life support was initiated. The patient required the placement of
                an advanced airway to maintain air- way patency.Which statement indicates that the team
                performed high-qualityCPR?
                Answer: When an advanced airway has been placed in a patient who is in cardiac arrest,
                compressions and ventilations are delivered continuously with no interruptions.One provider
                delivers 1 ventilation every 6 seconds, while the second providerperforms compressions at a
                rate of 100 to 120 compressions per minute.<\/li>\n\n\n\n
              6. A patient’s capnogram reveals the following waveform. Which segment would the
                healthcare provider interpret as reflecting the beginning of exhalation?
                Answer: The A-B segment is the respiratory baseline that represents the beginningof
                exhalation.<\/li>\n\n\n\n
              7. A patient arrives at the emergency department complaining of shortnessof breath. The
                patient has a long history of chronic obstructive pulmonary disease. Assessment reveals
                respiratory failure.Which action would be the
                get pdf at                 https:\/\/learnexams.com\/search\/study?query=hesi<\/a><\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"

                ACLS Final Exam 1 – 3 ( Updated 2024 ) Complete Questions & Answers (Solved) 100% Correct ACLS Final Exam 2 ( Updated 2024 )Complete Questions & Answers (Solved) 100% Correct Arterial carbon dioxide (PaCO2) values in the range of 35 to 45 mmHg confirmadequacy ofventilation. obstruction. ACLS Final Exam 3 ( Updated 2024 )Complete […]<\/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-132822","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/132822","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=132822"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/132822\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=132822"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=132822"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=132822"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}