ACLS Actual Exam With

ACLS Actual Exam With Correct Questions and Answers /

Which of these tests should be performed for a pt with suspected stroke as early as possible but no more than 20 min after hospital arrival? -correct answerNoncontrast CT scan of head

Which best describes this rhythm? -correct answerMonomorphic Vent Tach

Which is an acceptable method of selecting an appropriately sized oropharyngeal airway? -correct answerMeasure from the corner of the mouth to the angle of mandible

You are caring for a pt with a suspected stroke whose symptoms started 2 hours ago.The CT scan was normal, with no signs of hemorrhage. The pt does not have any contraindications to fibrinolytic therapy. Which treatment is best for this pt? -correct answerGive fibrinolytic therapy as soon as possible and consider endovascular therapy

Which is the recommended next step after a defibrillation attempt? -correct answerResume CPR, starting with chest compressions

Which of the following signs is a likely indicator of cardiac arrest in an unresponsive pt?-correct answerAgonal gasps

You are evaluating a 58YO man with chest discomfort. His BP is 92/50 mmHG, his HR is 92/min, his nonlabored RR is 14/min, and his pulse ox is 97%. Which assessment step is most important now? -correct answerObtaining a 12-lead ECG

During post-cardiac arrest care, which is the recommended duration of targeted temperature management after reaching the correct temperature range? -correct answerAt least 24 hours

Your rescue team arrives to find a 59YO man lying on the kitchen floor. You determine that he is unresponsive. What is the next step in your assessment and management of this pt? -correct answerCheck the pt's breathing and pulse

(SET) A 45YO man had coronary stents placed 2 days ago. Today he is in severe distress and is reporting "crushing" chest discomfort. Pale, diaphoretic, cool to touch, weak radial pulse, BP 64/40 mmHg, RR 28/min, 89% RA. VTach changed to VFib.

On the basis of this pt's initial presentation, which condition do you suspect led to the cardiac arrest? -correct answerAcute Coronary Syndrome

(SET) A 45YO man had coronary stents placed 2 days ago. Today he is in severe distress and is reporting "crushing" chest discomfort. Pale, diaphoretic, cool to touch, weak radial pulse, BP 64/40 mmHg, RR 28/min, 89% RA. VTach changed to VFib.

In addition to defibrillation, which intervention should be performed immediately? - correct answerChest compressions

(SET) A 45YO man had coronary stents placed 2 days ago. Today he is in severe distress and is reporting "crushing" chest discomfort. Pale, diaphoretic, cool to touch, weak radial pulse, BP 64/40 mmHg, RR 28/min, 89% RA. VTach changed to VFib.

Despite 2 defib attempts, the pt remains in VFib. Which drug and dose should you administer FIRST to this pt? -correct answerEpi 1mg

(SET) A 45YO man had coronary stents placed 2 days ago. Today he is in severe distress and is reporting "crushing" chest discomfort. Pale, diaphoretic, cool to touch, weak radial pulse, BP 64/40 mmHg, RR 28/min, 89% RA. VTach changed to VFib.

Despite the drug provided above and continued CPR, the pt remains in VFib. Which other drug should be administered NEXT? -correct answerLido 1 to 1.5mg/kg

(SET) A 45YO man had coronary stents placed 2 days ago. Today he is in severe distress and is reporting "crushing" chest discomfort. Pale, diaphoretic, cool to touch, weak radial pulse, BP 64/40 mmHg, RR 28/min, 89% RA. VTach changed to VFib.

The pt has ROSC and is not able to follow commands. Which immediate post-cardiac arrest care intervention do you choose for this pt? -correct answerInitiate targeted temperature management

(SET) A 45YO man had coronary stents placed 2 days ago. Today he is in severe distress and is reporting "crushing" chest discomfort. Pale, diaphoretic, cool to touch, weak radial pulse, BP 64/40 mmHg, RR 28/min, 89% RA. VTach changed to VFib.

Which would you have done first if the pt had not gone into VFib? -correct answerPerformed synchronized cardioversion

How can you increase chest compression fraction during a code? -correct answerCharge the defib 15s before conducting a rhythm check

A team member is unable to perform an assigned task because it is beyond the team member's scope of practice. Which action should the team member take? -correct answerAsk for a new task or role

In addition to clinical assessment, which is the most reliable method to confirm and monitor correct placement of the ET tube? -correct answerContinuous waveform capnography

Your pt is in cardiac arrest and has been intubated. To assess CPR quality, which should you do? -correct answerMonitor the pt's PETCO2

Three minutes into a cardiac arrest resuscitation attempt, one member of your team inserts an ET tube while another performs chest compressions. Capnography shows a persistent waveform and a PETCO2 of 8mmHg. Which is the significance of this finding? -correct answerChest compressions may not be effective

If a team member is about to make a mistake during a resuscitation attempt, which best describes the action that the Team Leader or other team members should take? - correct answerAddress the team member immediately

A pt in stable narrow-complex tachycardia with a peripheral IV in place is refractory to the first dose of adenosine. Which dose would you administer next? -correct answer12mg

Which is the primary purpose of a medical emergency team or rapid response team? - correct answerImproving pt outcomes by identifying and treating early clinical deterioration

A pt is being resuscitated in a very noisy environment. A team member thinks he heard an order for 500mg of amiodarone IV. Which is the best response from the team member? -correct answer"I have an order to give 500mg of amiodarone. Is this correct?"

Which is the recommended oral dose of aspirin for a pt with a suspected acute coronary syndrome? -correct answer162-325mg

What is the minimal SBP one should attempt to achieve with fluid administration or vasoactive agents in a hypotensive post-cardiac arrest pt who achieves spontaneous circulation? -correct answer90 mmHg

What should be the primary focus of the CPR Coach on a resuscitation team? -correct answerTo ensure high-quality CPR

(SET) A 68YO woman presents with light-headedness, nausea and chest discomfort.Your assessment finds her awake and responsive but appearing ill, pale and grossly diaphoretic. Weak, thready, fast radial pulse. Unable to obtain BP. No obvious dependent edema, flat neck veins. Her lung sounds are equal, with moderate rales bilaterally.

On the basis of this pt's initial assessment, which ACLS algorithm should you follow? - correct answerAdult Tachycardia With a Pulse

(SET) A 68YO woman presents with light-headedness, nausea and chest discomfort.Your assessment finds her awake and responsive but appearing ill, pale and grossly diaphoretic. Weak, thready, fast radial pulse. Unable to obtain BP. No obvious dependent edema, flat neck veins. Her lung sounds are equal, with moderate rales bilaterally.

The pt's pulse ox shows a reading of 84% on room air. Which initial action should you take? -correct answerApply oxygen

(SET) A 68YO woman presents with light-headedness, nausea and chest discomfort.Your assessment finds her awake and responsive but appearing ill, pale and grossly diaphoretic. Weak, thready, fast radial pulse. Unable to obtain BP. No obvious dependent edema, flat neck veins. Her lung sounds are equal, with moderate rales bilaterally.

After your initial assessment of this pt, which intervention should be performed next? - correct answerSynchronized cardioversion

(SET) A 68YO woman presents with light-headedness, nausea and chest discomfort.Your assessment finds her awake and responsive but appearing ill, pale and grossly diaphoretic. Weak, thready, fast radial pulse. Unable to obtain BP. No obvious dependent edema, flat neck veins. Her lung sounds are equal, with moderate rales bilaterally.

If the pt became apneic and pulseless but the rhythm remained the same, which would take the highest priority? -correct answerPerform defibrillation

You instruct a team member to give 1mg atropine IV. Which response is an example of closed-loop communication? -correct answer"I'll draw up 1mg of atropine."