FREE AND STUDY GAMES ABOUT ACLS EXAM QUESTIONS

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FREE AND STUDY GAMES ABOUT ACLS EXAM QUESTIONS

Actual Qs and Ans Expert-Verified Explanation

This Exam contains:

-Guarantee passing score -168 Questions and Answers -format set of multiple-choice -Expert-Verified Explanation Question 1: The major ECG rhythms classified as bradycardia include:

Answer:

Sinus Bradycardia, First-degree AV block, Second-degree AV block, Type I -Wenckenbach/Mobitz I, Type II -Mobitz II, Third-degree AV block complete block

Question 2: What to do within 24 hrs of tPA? (2)

Answer:

Once fibrinolytic therapy has been started, the patient should not receive any other type of anticoagulant therapy for 24 hours. Ideally, the patient should receive a repeat head CT scan after 24 hours to ensure the patient has no intracranial bleeding.

Question 3: Tachycardia Meds (7)

Answer:

Adenosine, Diltiazem, Beta Blockers, Amiodarone, Digoxin, Verapamil, Magnesium

Question 4: Insulin for Strokes?

Answer:

Evidence shows hyperglycemia worsens outcomes, Control of hyperglycemia with insulin improves survival rates. In light of this, AHA now recommends considering the use of intravenous or subcutaneous insulin to control blood glucose level in stroke victims.

Question 5: The ACLS Survey uses the ABCD model (C&D)

Answer:

(C) Circulation: Obtain IV access, attach ECG leads, identify and monitor arrhythmias, giving fluids if needed, and use defibrillation if appropriate.(D) Differential diagnosis: Look for reversible causes and contributing factors for the emergency.

Question 6: Aflutter treatment

Answer:

Early cardioversion.Drugs are not used to manage unstable tachy. Aflutter sensitive to cardiovert lower energy shock (than afib). 20-50J is usu. enough. AHA recommends an initial shock dose 0f 50-100 J for cardioverting unstable atrial flutter.

Question 7: Acute Stroke Meds (5)

Answer:

tPA, Glucose D50, Labetalol, Nitroprusside, Nicardipine Question 8: The most common causes of tachycardia that should be treated outside of the ACLS tachycardia algorithm (4)

Answer:

dehydration, hypoxia, fever, and sepsis.

Question 9: The most common cause in emergency situations is

Answer:

Hypovolemia. others to consider are H's and T's.

Question 10: Second Degree Heart Block (Type

1) Also called Mobitz 1 or Wenckebach treatment

Answer:

Although second degree heart block type-1 is not clinically significant for ACLS, recognition of the major AV blocks is important because treatment decisions are based on the type of block present.

Question 11: How to treat PEA

Answer:

PEA is treated by assessing and correcting the underlying cause. 6 H's and 6 T's of ACLS.When an underlying cause for pulseless electrical activity cannot be determined, PEA should be treated in the same fashion as asystole

Question 12: Tension Pneumothorax - Signs (7)

Answer:

ECG signs include narrow QRS complexes and slow heart rate. Physical signs include JVD, tracheal deviation, unequal breath sounds, difficulty with ventilation, and no pulse felt with CPR.

Question 13: Airway Skills

Answer:

Head-tilt chin lift and mouth-to-barrier device resuscitation.

Question 14: 5 T's - Name - When to use

Answer:

Toxins, Tamponade(cardiac),Tension pneumothorax, Thrombosis (coronary and pulmonary), [Trauma].major contributing factors to pulseless arrest including PEA, Asystole, Ventricular Fibrillation, and Ventricular Tachycardia

Question 15: Stable SVT Treatment

Answer:

Vagal Maneuvers

Question 16: post-cardiac arrest care Ventilation Optimization

Answer:

Oxygen should be titrated to maintain an arterial oxygen saturation of ? 94%. Quantitative waveform capnography can be used to regulate and titrate ventilation rates during the post-arrest phase.Question 17: The fist question that should be asked when initiating the ACLS tachycardia

algorithm is:

Answer:

"Is the patient stable or unstable?" The answer to this question will determine which path of the tachycardia algorithm is executed.

Question 18: 5 H's - Name - When to use

Answer:

Hypovolemia, Hypoxia, Hydrogen ion (acidosis), Hyper-/hypokalemia, Hypothermia [Hypoglycemia].major contributing factors to pulseless arrest including PEA, Asystole, Ventricular Fibrillation, and Ventricular Tachycardia

Question 19: Opening Airway - most common airway obstruction - how to fix

Answer:

The most common cause of airway obstruction is the loss of tone in the throat muscles - tongue can fall back & obstruct the airway. This can be prevented with head tilt-chin lift. For suspected spinal injury, use jaw thrust maneuver to maintain c-spine

Question 20: The most common indications for synchronized cardioversion are

Answer:

unstable atrial fibrillation, atrial flutter, atrial tachycardia, and supraventricular tachycardias. If medications fail in the stable patient with the before mentioned arrhythmias, synchronized cardioversion will most likely be indicated.

Question 21: ETCO2 in ROSC

Answer:

When ROSC occurs, There will be a significant increase in the ETCO2. (35-45 mmHg) This increase represents drastic improvement in blood flow (more CO2 being dumped in the lungs by the circulation) which indicates circulation.

Question 22: What is Defibrillation?

Answer:

Unsynchronized cardioversion is a HIGH ENERGY shock which is delivered as soon as the shock button is pushed on a defibrillator. The shock falls anywhere within the cardiac cycle (QRS complex).

Question 23: tPA bolus? Infusion?

Answer:

rtPA is given IV 0.9 mg/kg with a maximum of 90 mg and is infused over 60 minutes with 10% of the total dose administered as an initial intravenous bolus over 1 minute.

Question 24: Unstable tachycardia treatment

Answer:

For the patient with unstable tachycardia due to a tachyarrhythmia, immediate cardioversion is recommended. Drugs are not used to manage unstable tachycardia. The appropriate voltage for cardioverting unstable atrial fibrillation is 120-200 J.