ACLS Written Exam 1 Latest -

ACLS Written Exam 1 (Latest -

Actual Questions and Answers 100% Correct

• You find an unresponsive pt. who is not breathing. After

activating the emergency response system, you determine there is no pulse. What is your next action?

Answer: Start chest compressions of at least 100 per min.

• You are evaluating a 58-year-old man with chest pain. The blood

pressure is 92/50 mm Hg, the heart rate is 92/min, the nonlabored respiratory rate is 14 breaths/min, and the pulse oximetry reading is 97%. What assessment step is most important now?

Answer: Obtaining a 12 lead ECG.

• What is the preferred method of access for epi administration

during cardiac arrest in most pts?

Answer: Peripheral IV

• An AED does not promptly analyze a rythm. What is your next

step?

Answer: Begin chest compressions.

• You have completed 2 minutes of CPR. The ECG monitor

displays the lead II rhythm below, and the patient has no pulse.Another member of your team resumes chest compressions, and an IV is in place. What management step is your next priority?

Answer: Administer 1mg of epinephrine

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• During a pause in CPR, you see this lead II ECG rhythm on the

monitor. The patient has no pulse. What is the next action?

Answer: Resume compressions

• What is a common but sometimes fatal mistake in cardiac arrest

manage ment?

Answer: Prolonged interruptions in chest compressions.

• Which action is a componant of high-quality chest comressions?

Answer: Allowing complete chest recoil

• Which action increases the chance of successful conversion of

ventricular fibrillation?

Answer: Providing quality compressions immediately before a

defibrillation attempt.

• Which situation BEST describes pulseless electrical activity?

Answer: Sinus rythm without a pulse

• What is the BEST strategy for performing high-quality CPR on

a patient with an advanced airway in place?

Answer: Provide continuous chest compressions without pauses

and 10 ventilations per minute.

• Three minutes after witnessing a cardiac arrest, one member of

your team inserts an endotracheal tube while another performs continuous chest compressions. During subsequent ventilation, you notice the presence of a waveform on the capnography screen and a PETCO2 level of 8 mm Hg. What is the significance of this finding? 2 / 3

Answer: Chest compressions may not be effective.

• The use of quantitative capnography in intubated patients

Answer: allows for monitoring of CPR quality.

• For the past 25 minutes, an EMS crew has attempted

resuscitation of a patient who originally presented in ventricular fibrillation. After the first shock, the ECG screen displayed asystole, which has persisted despite 2 doses of epinephrine, a fluid bolus, and high-quality CPR. What is your next treatment?

Answer: Consider terminating resuscitive efforts after consulting

medical control.

• Which is a safe and effective practice within the defibrillation

sequence?-

Answer: Be sure oxygen is not blowing over the patient's chest

during the shock.

• During your assessment, your patient suddenly loses

consciousness. After calling for help and determining that the patient is not breathing, you are unsure whether the patient has a pulse. What is your next action?

Answer: Begin chest compressions.

• What is an advantage of using hands-free defibrillation pads

instead of defibrillation paddles?

Answer: Hands-free pads allow for a more rapid defibrillation.

• What action is recommended to help minimize interruptions in

chest compressions during CPR?Answer: Continue CPR while charging the defibrillator.

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