{"id":132824,"date":"2024-07-29T21:04:44","date_gmt":"2024-07-29T21:04:44","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=132824"},"modified":"2024-07-29T21:04:47","modified_gmt":"2024-07-29T21:04:47","slug":"acls-exam-review-with-review-questions-updated-2024-complete-questions-answers-solved-100-correct","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2024\/07\/29\/acls-exam-review-with-review-questions-updated-2024-complete-questions-answers-solved-100-correct\/","title":{"rendered":"ACLS Exam Review with Review Questions ( Updated 2024 ) Complete Questions &amp; Answers (Solved) 100% Correct"},"content":{"rendered":"\n<p>ACLS Exam Review with Review Questions ( Updated 2024 ) Complete Questions &amp; Answers (Solved) 100% Correct<\/p>\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<\/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 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\" target=\"_blank\" rel=\"noopener\">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","protected":false},"excerpt":{"rendered":"<p>ACLS Exam Review with Review Questions ( Updated 2024 ) Complete Questions &amp; Answers (Solved) 100% Correct ACLS Review 2 ( Updated 2024 )Complete Questions &amp; Answers (Solved) 100% Correct get pdf at https:\/\/learnexams.com\/search\/study?query=hesi ACLS Review Questions ( Updated 2024 )Complete Questions &amp; Answers (Solved) 100% Correct Start oxygen at 4L\/min via nasal cannulaDo not [&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 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