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ACLS POST TEST
Actual Questions and Answers Expert-Verified Explanation
This ACLS Post Test contains:
❖ The Test has passing score of 90% ❖ 50 Questions and Answers ❖ Format Set of Multiple-choice ❖ Expert-Verified Explanation ❖ Verified with Trusted Textbooks
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**1. You are caring for a patient with a suspected stroke whose symptoms started 2 hours ago. The CT was normal with no sign of hemorrhage. The patient does not have any contraindications to fibrinolytic therapy. Which treatment is best?**
- Start fibrinolytic therapy ASAP
- Hold fibrinolytic therapy for 24 hours
- Order an echo before fibrinolytic administration
- Wait for MRI result
**Answer: A. Start fibrinolytic therapy ASAP**
**Expert Explanation:** The patient presents with symptoms of an acute
ischemic stroke (AIS), and the CT scan has ruled out hemorrhagic stroke.The current guidelines suggest initiating fibrinolytic therapy within 3 to 4.5 hours of symptom onset for eligible patients without contraindications.Given that the CT is normal and there are no contraindications, administering fibrinolytics is appropriate to restore blood flow and minimize brain damage.
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**2. For a STEMI patient, what is the maximum goal time for ED door-to- balloon inflation time for PCI?**
- 150 mins
- 180 mins
- 120 mins
- 90 mins
**Answer: D. 90 mins** 2 / 3
**Expert Explanation:** The American College of Cardiology and the
American Heart Association set a goal of 90 minutes for door-to-balloon time in patients with ST-elevation myocardial infarction (STEMI). This is crucial to ensure timely reperfusion therapy to minimize myocardial damage and improve survival outcomes.
**3. Which best describes the rhythm shown on the monitor?**
**Answer:** Monomorphic ventricular tachycardia
**Expert Explanation:** Monomorphic VT is characterized by uniform QRS
complexes on the monitor display, confirming consistent electrical activity originating from the same ectopic foci.
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**4. What is the chest compression rate for adults?**
**Answer: 100-120/min**
**Expert Explanation:** Current guidelines recommend a chest compression
rate of 100-120 compressions per minute during cardiopulmonary resuscitation (CPR) for adults to maintain adequate cerebral and coronary perfusion during cardiac arrest.
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**5. What is the effect of excessive ventilation during CPR?**
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