ALS ACLS - Red Cross Final Exam
A patient with dyspnea and a change in mental status Atropine 1 mg every 3 to 5 minutes
arrives at the emergency department. The healthcare
team completes the necessary assessments and begins
to care for the patient, including initiating cardiac
monitoring, pulse oximetry, supplemental oxygen and
vascular access. The team reviews the patient's ECG
rhythm strip, as shown in the following figure. Which
agent would the team most likely administer?
A patient with bradycardia and signs of Epinephrine or dopamine infusion
hemodynamic compromise does not respond to Transcutaneous pacing
atropine. Which interventions could the healthcare
provider use next?
The resuscitation team suspects that hyperkalemia is the Wide-complex ventricular rhythm and tall, peaked T waves
cause of cardiac arrest in a patient brought to the
emergency department. Which finding on a 12-lead ECG
would confirm this suspicion?
A patient's ECG reveals a tachyarrhythmia. The patient is 1. "I've had a terrible cold with a horrible cough and today I developed a fever."
hemodynamically stable and has a heart rate ranging 2. "I've been so anxious lately because I just lost my job."
from 120 to 135 beats per minute. Based on the findings 3. "I've been vomiting for the past 2 days from a gastrointestinal bug."
of the secondary assessment, which statement(s) by the
patient would the team interpret as a possible
contributing cause?
A patient’s ECG reveals a narrow QRS complex with Vagal maneuvers
a regular rhythm, indicating a narrow-complex
supraventricular tachyarrhythmia. The patient is not
showing signs of hemodynamic compromise. Which
intervention would be initiated first if it does not
delay other interventions?
A patient in the telemetry unit is stable. Cardiac Synchronized cardioversion
monitoring indicates the patient has ventricular
tachycardia with a pulse. Further assessment reveals
that the corrected QT interval is greater than 0.46
seconds. Which treatment would be appropriate at this
time?
An ECG strip of a patient in the emergency department Absence of discrete P waves and presence of irregularly irregular QRS
reveals the following rhythm. Which feature would the complexes
healthcare provider interpret as indicating atrial
fibrillation?
A patient is brought into the emergency department. The Ventricular tachycardia
patient does not have a pulse. The cardiac monitor
shows the following rhythm. The team interprets this as
which condition?
A patient with acute renal failure experiences cardiac Hyperkalemia
arrest. Just before the cardiac arrest, the patient's ECG
showed peaked T waves. What might be causing the
patient's cardiac arrest?
A member of the resuscitation team is preparing to 120 to 200 joules
defibrillate a patient in cardiac arrest using a biphasic
defibrillator. The team member would set the energy
dose according to the manufacturer's recommendations,
which is usually:
A member of the resuscitation team is preparing to 10 to 20 mL
administer medications intravenously to a patient in
cardiac arrest. The team member follows each
medication administration with a bolus of fluid. How
much would the team member give?
, ALS ACLS - Red Cross Final Exam
A 30-year-old patient has been brought to the emergency Electrocution
department in full cardiac arrest. The cardiac monitor
shows the following rhythm. Interpretation of this rhythm
would suggest which of the following as a possible
precipitating factor?
Cardiac monitoring of a patient in cardiac arrest reveals Administer 1 shock.
ventricular fibrillation. In addition to high quality CPR,
what intervention should be a priority for the team?
A patient has experienced return of spontaneous Tension pneumothorax
circulation (ROSC) after cardiac arrest. The healthcare
team is conducting a secondary assessment to
determine the possible cause of the patient's cardiac
arrest. Before the arrest, the patient exhibited jugular
venous distension, cyanosis, apnea and hyperresonance
on percussion. The patient was also difficult to ventilate
during the response. The team would most likely suspect
which condition as the cause?
A patient in cardiac arrest experiences return of 1. SaO2 90%
spontaneous circulation. As part of post-cardiac arrest 2. PaCO2 48 mmHg
care, the patient is receiving mechanical ventilation at 3. ETCO2 55 mmHg
the initial rate 10 breaths/min and a fraction of inspired
oxygen (FiO2) of 0.30. Which finding(s) would indicate
the need for change in the ventilator settings to optimize
the patient's ventilation and oxygenation?
After cardiac arrest and successful resuscitation, the 1. Applying cooling blankets to the patient's body
patient has a return of spontaneous circulation. The 2. Giving an ice-cold IV fluid bolus
patient is unable to follow verbal commands. Targeted 3. Using an endovascular catheter
temperature management is initiated. Which method(s)
would be appropriate for the resuscitation team to use?
A 40-year-old patient in the waiting room of the primary Activate the emergency medical services system.
care provider's office approaches a staff member and
says, "I'm having really severe, crushing chest pain that
is moving to both my arms." The patient is diaphoretic
and dyspneic. Which action would be appropriate for the
staff member to take?
A patient with suspected acute coronary syndromes 93%
(ACS) is placed on a cardiac monitor. The patient is
complaining of dyspnea and is given supplemental
oxygen. The provider determines that the oxygen is
effective based on which SaO2 level?
A 35-year-old female patient's ECG is consistent with 0.15 mV
STEMI. The ECG reveals a new ST-segment elevation at
the J point in leads V2 and V3 of at least which size?
A patient with STEMI is experiencing chest pain that is 90 mmHg
refractory to sublingual nitroglycerin. Intravenous
nitroglycerin is prescribed. When administering this
medication, it would be titrated to maintain which systolic
blood pressure?
A patient experiencing STEMI comes to the emergency Within 90 min of the pt's first medical contact so 11pm.
department of a large medical center at 9:30 p.m. The
patient states that the symptoms started about 8 p.m.
After confirming the diagnosis and initiating care, the
healthcare team schedules the patient for percutaneous
coronary intervention (PCI). The facility is capable of
administering PCI. To achieve the best outcomes,
therapy should be administered to this patient by which
time?
A patient with dyspnea and a change in mental status Atropine 1 mg every 3 to 5 minutes
arrives at the emergency department. The healthcare
team completes the necessary assessments and begins
to care for the patient, including initiating cardiac
monitoring, pulse oximetry, supplemental oxygen and
vascular access. The team reviews the patient's ECG
rhythm strip, as shown in the following figure. Which
agent would the team most likely administer?
A patient with bradycardia and signs of Epinephrine or dopamine infusion
hemodynamic compromise does not respond to Transcutaneous pacing
atropine. Which interventions could the healthcare
provider use next?
The resuscitation team suspects that hyperkalemia is the Wide-complex ventricular rhythm and tall, peaked T waves
cause of cardiac arrest in a patient brought to the
emergency department. Which finding on a 12-lead ECG
would confirm this suspicion?
A patient's ECG reveals a tachyarrhythmia. The patient is 1. "I've had a terrible cold with a horrible cough and today I developed a fever."
hemodynamically stable and has a heart rate ranging 2. "I've been so anxious lately because I just lost my job."
from 120 to 135 beats per minute. Based on the findings 3. "I've been vomiting for the past 2 days from a gastrointestinal bug."
of the secondary assessment, which statement(s) by the
patient would the team interpret as a possible
contributing cause?
A patient’s ECG reveals a narrow QRS complex with Vagal maneuvers
a regular rhythm, indicating a narrow-complex
supraventricular tachyarrhythmia. The patient is not
showing signs of hemodynamic compromise. Which
intervention would be initiated first if it does not
delay other interventions?
A patient in the telemetry unit is stable. Cardiac Synchronized cardioversion
monitoring indicates the patient has ventricular
tachycardia with a pulse. Further assessment reveals
that the corrected QT interval is greater than 0.46
seconds. Which treatment would be appropriate at this
time?
An ECG strip of a patient in the emergency department Absence of discrete P waves and presence of irregularly irregular QRS
reveals the following rhythm. Which feature would the complexes
healthcare provider interpret as indicating atrial
fibrillation?
A patient is brought into the emergency department. The Ventricular tachycardia
patient does not have a pulse. The cardiac monitor
shows the following rhythm. The team interprets this as
which condition?
A patient with acute renal failure experiences cardiac Hyperkalemia
arrest. Just before the cardiac arrest, the patient's ECG
showed peaked T waves. What might be causing the
patient's cardiac arrest?
A member of the resuscitation team is preparing to 120 to 200 joules
defibrillate a patient in cardiac arrest using a biphasic
defibrillator. The team member would set the energy
dose according to the manufacturer's recommendations,
which is usually:
A member of the resuscitation team is preparing to 10 to 20 mL
administer medications intravenously to a patient in
cardiac arrest. The team member follows each
medication administration with a bolus of fluid. How
much would the team member give?
, ALS ACLS - Red Cross Final Exam
A 30-year-old patient has been brought to the emergency Electrocution
department in full cardiac arrest. The cardiac monitor
shows the following rhythm. Interpretation of this rhythm
would suggest which of the following as a possible
precipitating factor?
Cardiac monitoring of a patient in cardiac arrest reveals Administer 1 shock.
ventricular fibrillation. In addition to high quality CPR,
what intervention should be a priority for the team?
A patient has experienced return of spontaneous Tension pneumothorax
circulation (ROSC) after cardiac arrest. The healthcare
team is conducting a secondary assessment to
determine the possible cause of the patient's cardiac
arrest. Before the arrest, the patient exhibited jugular
venous distension, cyanosis, apnea and hyperresonance
on percussion. The patient was also difficult to ventilate
during the response. The team would most likely suspect
which condition as the cause?
A patient in cardiac arrest experiences return of 1. SaO2 90%
spontaneous circulation. As part of post-cardiac arrest 2. PaCO2 48 mmHg
care, the patient is receiving mechanical ventilation at 3. ETCO2 55 mmHg
the initial rate 10 breaths/min and a fraction of inspired
oxygen (FiO2) of 0.30. Which finding(s) would indicate
the need for change in the ventilator settings to optimize
the patient's ventilation and oxygenation?
After cardiac arrest and successful resuscitation, the 1. Applying cooling blankets to the patient's body
patient has a return of spontaneous circulation. The 2. Giving an ice-cold IV fluid bolus
patient is unable to follow verbal commands. Targeted 3. Using an endovascular catheter
temperature management is initiated. Which method(s)
would be appropriate for the resuscitation team to use?
A 40-year-old patient in the waiting room of the primary Activate the emergency medical services system.
care provider's office approaches a staff member and
says, "I'm having really severe, crushing chest pain that
is moving to both my arms." The patient is diaphoretic
and dyspneic. Which action would be appropriate for the
staff member to take?
A patient with suspected acute coronary syndromes 93%
(ACS) is placed on a cardiac monitor. The patient is
complaining of dyspnea and is given supplemental
oxygen. The provider determines that the oxygen is
effective based on which SaO2 level?
A 35-year-old female patient's ECG is consistent with 0.15 mV
STEMI. The ECG reveals a new ST-segment elevation at
the J point in leads V2 and V3 of at least which size?
A patient with STEMI is experiencing chest pain that is 90 mmHg
refractory to sublingual nitroglycerin. Intravenous
nitroglycerin is prescribed. When administering this
medication, it would be titrated to maintain which systolic
blood pressure?
A patient experiencing STEMI comes to the emergency Within 90 min of the pt's first medical contact so 11pm.
department of a large medical center at 9:30 p.m. The
patient states that the symptoms started about 8 p.m.
After confirming the diagnosis and initiating care, the
healthcare team schedules the patient for percutaneous
coronary intervention (PCI). The facility is capable of
administering PCI. To achieve the best outcomes,
therapy should be administered to this patient by which
time?
