ACLS PROMED EVALUATION ANSWERS AND
QUESTIONS SET A+
✔✔Seek expert consultation - ✔✔Following resuscitation with CPR and a single shock,
you observe this rhythm while preparing the patient for transport. Your patient is stable,
and blood pressure is 120/80 mg Hg. She is apprehensive but has no symptoms other
than palpitations. At this time you would?
✔✔Prepare to give epinephrine 1 mg IV. - ✔✔Following imitation of CPR and 1 shock
for VF, this rhythm is present on the next rhythm check. A second shock is give, and
chest compressions are resumed immediately. An IV is in place, and no drugs have
been given. Bag-mask ventilations are producing visible chest rise. What is your next
order?
✔✔Continue monitoring and seek expert consultation. - ✔✔A patient presents with the
above rhythm and reports an irregular heartbeat. She has no other symptoms. Her
medical history is significant for a myocardial infarction 7 years ago. Blood pressure is
110/70 mm Hg. What would you do at this time
✔✔Give a single shock. - ✔✔You are monitoring a patient with chest discomfort who
suddenly becomes unresponsive. You observe the following rhythm on the cardiac
monitor. A defibrillator is present. What is your first action?
✔✔1 to 2 L of normal saline - ✔✔A patient has been resuscitated from cardiac arrest
and is being prepared for transport. She is intubated and is receiving 100% oxygen.
Blood pressure is 80/60 mm Hg. During the resuscitation, she received 2 doses of
epinephrine 1 mg and 1 dose of aminodarone 300 mg IV. You now observe the above
rhythm on the cardiac monitor. The rhythm abnormality is becoming more frequent and
increasing in number. You should order:
✔✔Atropine 0.5 mg IV - ✔✔You arrive on the scene to find a 56-year-old diabetic
woman with dizziness. She is pale and diaphoretic. Her blood pressure is 80/60 mm Hg.
The cardiac monitor documents the rhythm above. She is receiving oxygen at 4 L/min
by nasal cannula, and an IV has been established. Your next order is:
, ✔✔Continue monitoring the patient and seek expert consultation. - ✔✔You are
evaluating a patient with chest discomfort lasting 15 minutes during transportation to the
emergency department. He is receiving oxygen, and 2 sublingual nitroglycerin tablets
have relieved his chest discomfort. He reports no other symptoms but appears anxious.
Blood pressure is 130/70 mg Hg. You observe the above rhythm on the monitor. What
is your next action?
✔✔Repeat adenosine 12 mg IV. - ✔✔A 45-year-old woman with a history of palpitations
develops light-headedness and palpitations. She has received adenosine 6 mg IV for
the rhythm shown above without conversion of the rhythm. She is now extremely
apprehensive. Blood pressure is 108/70 mm Hg. What is the next appropriate
intervention?
✔✔Resume high-quality chest compressions. - ✔✔A patient was in refractory
ventricular fibrillation. A shock has just been administered. Your team looks to you for
instructions. Your immediate next order is:
✔✔Sublingual nitroglycerin 0.4 mg - ✔✔A patient in the emergency department
develops recurrent chest discomfort (8/10) suspicious for ischemia. His monitored
rhythm becomes irregular as seen above. Oxygen is being administered by nasal
cannula at 4 L/min, and an IV line is in place. Blood pressure is 160/96 mm Hg. There
are no allergies or contraindications to any medication. You would first order:
✔✔Administer adenosine 6 mg; seek expert consultation - ✔✔You are monitoring a
patient. He suddenly has the above persistent rhythm. You ask about symptoms, and
he reports that he has mild palpitations, but otherwise he is clinically stable with
unchanged vital signs. What is your next action?
✔✔Give an immediate unsynchronized high-energy shock (defibrillation dose). -
✔✔This patient has been resuscitated from cardiac arrest. During the resuscitation,
amiodarone 300 mg was administered. The patient developed severe chest discomfort
with diaphoresis. He is now unresponsive. What is the next indicated action?
✔✔Reperfusion therapy - ✔✔A patient's 12-lead ECG was transmitted by the
paramedics and showed an acute MI. The above findings are seen on a rhythm strip
when a monitor is placed in the emergency department. The patient had resolution of
moderate (5/10) chest pain with 3 does of sublingual nitroglycerin. Blood pressure is
104/70 mm Hg. Which intervention below is most important, reducing in-hospital and
30-day mortality?
✔✔Perform vagal maneuvers - ✔✔A 35-year-old woman presents to the emergency
department with a chief complaint of palpations. She has no chest discomfort, shortness
of breath, or light-headedness. Which of the following is indicated first?
QUESTIONS SET A+
✔✔Seek expert consultation - ✔✔Following resuscitation with CPR and a single shock,
you observe this rhythm while preparing the patient for transport. Your patient is stable,
and blood pressure is 120/80 mg Hg. She is apprehensive but has no symptoms other
than palpitations. At this time you would?
✔✔Prepare to give epinephrine 1 mg IV. - ✔✔Following imitation of CPR and 1 shock
for VF, this rhythm is present on the next rhythm check. A second shock is give, and
chest compressions are resumed immediately. An IV is in place, and no drugs have
been given. Bag-mask ventilations are producing visible chest rise. What is your next
order?
✔✔Continue monitoring and seek expert consultation. - ✔✔A patient presents with the
above rhythm and reports an irregular heartbeat. She has no other symptoms. Her
medical history is significant for a myocardial infarction 7 years ago. Blood pressure is
110/70 mm Hg. What would you do at this time
✔✔Give a single shock. - ✔✔You are monitoring a patient with chest discomfort who
suddenly becomes unresponsive. You observe the following rhythm on the cardiac
monitor. A defibrillator is present. What is your first action?
✔✔1 to 2 L of normal saline - ✔✔A patient has been resuscitated from cardiac arrest
and is being prepared for transport. She is intubated and is receiving 100% oxygen.
Blood pressure is 80/60 mm Hg. During the resuscitation, she received 2 doses of
epinephrine 1 mg and 1 dose of aminodarone 300 mg IV. You now observe the above
rhythm on the cardiac monitor. The rhythm abnormality is becoming more frequent and
increasing in number. You should order:
✔✔Atropine 0.5 mg IV - ✔✔You arrive on the scene to find a 56-year-old diabetic
woman with dizziness. She is pale and diaphoretic. Her blood pressure is 80/60 mm Hg.
The cardiac monitor documents the rhythm above. She is receiving oxygen at 4 L/min
by nasal cannula, and an IV has been established. Your next order is:
, ✔✔Continue monitoring the patient and seek expert consultation. - ✔✔You are
evaluating a patient with chest discomfort lasting 15 minutes during transportation to the
emergency department. He is receiving oxygen, and 2 sublingual nitroglycerin tablets
have relieved his chest discomfort. He reports no other symptoms but appears anxious.
Blood pressure is 130/70 mg Hg. You observe the above rhythm on the monitor. What
is your next action?
✔✔Repeat adenosine 12 mg IV. - ✔✔A 45-year-old woman with a history of palpitations
develops light-headedness and palpitations. She has received adenosine 6 mg IV for
the rhythm shown above without conversion of the rhythm. She is now extremely
apprehensive. Blood pressure is 108/70 mm Hg. What is the next appropriate
intervention?
✔✔Resume high-quality chest compressions. - ✔✔A patient was in refractory
ventricular fibrillation. A shock has just been administered. Your team looks to you for
instructions. Your immediate next order is:
✔✔Sublingual nitroglycerin 0.4 mg - ✔✔A patient in the emergency department
develops recurrent chest discomfort (8/10) suspicious for ischemia. His monitored
rhythm becomes irregular as seen above. Oxygen is being administered by nasal
cannula at 4 L/min, and an IV line is in place. Blood pressure is 160/96 mm Hg. There
are no allergies or contraindications to any medication. You would first order:
✔✔Administer adenosine 6 mg; seek expert consultation - ✔✔You are monitoring a
patient. He suddenly has the above persistent rhythm. You ask about symptoms, and
he reports that he has mild palpitations, but otherwise he is clinically stable with
unchanged vital signs. What is your next action?
✔✔Give an immediate unsynchronized high-energy shock (defibrillation dose). -
✔✔This patient has been resuscitated from cardiac arrest. During the resuscitation,
amiodarone 300 mg was administered. The patient developed severe chest discomfort
with diaphoresis. He is now unresponsive. What is the next indicated action?
✔✔Reperfusion therapy - ✔✔A patient's 12-lead ECG was transmitted by the
paramedics and showed an acute MI. The above findings are seen on a rhythm strip
when a monitor is placed in the emergency department. The patient had resolution of
moderate (5/10) chest pain with 3 does of sublingual nitroglycerin. Blood pressure is
104/70 mm Hg. Which intervention below is most important, reducing in-hospital and
30-day mortality?
✔✔Perform vagal maneuvers - ✔✔A 35-year-old woman presents to the emergency
department with a chief complaint of palpations. She has no chest discomfort, shortness
of breath, or light-headedness. Which of the following is indicated first?
