AHA ACLS WRITTEN TEST EXAM SET 5
UPDATED ACTUAL QUESTIONS AND CORRECT
ANSWERS
⩥ What tests should be performed for a patient with a suspected stroke
within 2 hours of arrival? Answer: non contrast CT scan of the head
⩥ SVT types Answer: 1) Atrial fibrillation (A-fib);
2) Paroxysmal Supraventricular Tachycardia (PSVT):
3) Atrial Flutter (A-flutter);
4) Wolff-Parkinson-White syndrome;
⩥ The patient is in *cardiac arrest*.
High-quality chest compressions are being given.
The patient is intubated, and an IV is being started.
The rhythm is *asystole*.
What is the first drug/dose to administer? Answer: *Epinephrine 1 mg
IV/IO*
⩥ *Transcutaneous Pacing* Answer: Aka external pacing: is a
temporary means of pacing a patient's heart during a medical emergency.
,It is accomplished by *gradually delivering pulses* of electric current
(*50-100 mA*) through the patient's chest until capture is reached
(usually at a selected rate of 70), which stimulates the *heart to contract*
at a regular pace.
⩥ Which intervention is most appropriate for the treatment of a patient
in *asystole*? Answer: *Epinephrine*
⩥ A patient with sinus *bradycardia* and a heart rate of 42/min is
diaphoretic and with a blood pressure of 80/60 mm Hg.
What is the *initial dose of atropine*? Answer: *0.5 mg* of *Atropine*
⩥ A patient has sinus *bradycardia* with a heart rate of 36/min.
*Atropine* has been administered to a total dose of 3 mg. A
*transcutaneous pacing* has failed to capture. The patient is confused,
and her BP is *88/56 mmHg*. Which therapy is now indicated? Answer:
*Epinephrine infusion: 2-10 mcg/min*.
⩥ A monitored patient in the ICU developed a sudden onset of *regular
narrow-complex tachycardia* at a rate of 220/min.
The patient's BP is 128/88 mm Hg, the PETCO2 is 38 mm Hg, and the
pulse oximetry reading is 98%.
There is a vascular (IV) access in the left arm, and the patient has not
been given any basic active drugs.
, A 12-lead ECG confirms *SVT* with no evidence of ischemia or
infraction.
The HR has not responded to vagal maneuvers.
What is your next action? Answer: Administer *adenosine 6 mg* IV
push
⩥ A patient with possible STEMI has ongoing chest discomfort. What is
a *contraindication to nitrate* administration? Answer: Use of a
*phosphodiesterase inhibitors* (eg. Viagra) within the previous 24 hours
⩥ A patient is in *pulseless V-tach* (PEA). 2 shocks and 1 dose of
epinephrine have been given.
Which drug should be given next? Answer: *Amiodarone 300 mg* (first
dose)
⩥ What is the indication for the use of *magnesium* in cardiac arrest?
Answer: Pulseless V-tach associated with *Torsades des pointes*
⩥ Which is one way to minimize interruptions in chest compressions
during CPR? Answer: Continue CPR while the defibrillator charges
⩥ A 35-years-old woman has palpitations, light-headedness, and a stable
*tachycardia*.
The monitor shows a *regular-narrow-monomorphic-complex QRS* at a
rate of 180/minutes.
UPDATED ACTUAL QUESTIONS AND CORRECT
ANSWERS
⩥ What tests should be performed for a patient with a suspected stroke
within 2 hours of arrival? Answer: non contrast CT scan of the head
⩥ SVT types Answer: 1) Atrial fibrillation (A-fib);
2) Paroxysmal Supraventricular Tachycardia (PSVT):
3) Atrial Flutter (A-flutter);
4) Wolff-Parkinson-White syndrome;
⩥ The patient is in *cardiac arrest*.
High-quality chest compressions are being given.
The patient is intubated, and an IV is being started.
The rhythm is *asystole*.
What is the first drug/dose to administer? Answer: *Epinephrine 1 mg
IV/IO*
⩥ *Transcutaneous Pacing* Answer: Aka external pacing: is a
temporary means of pacing a patient's heart during a medical emergency.
,It is accomplished by *gradually delivering pulses* of electric current
(*50-100 mA*) through the patient's chest until capture is reached
(usually at a selected rate of 70), which stimulates the *heart to contract*
at a regular pace.
⩥ Which intervention is most appropriate for the treatment of a patient
in *asystole*? Answer: *Epinephrine*
⩥ A patient with sinus *bradycardia* and a heart rate of 42/min is
diaphoretic and with a blood pressure of 80/60 mm Hg.
What is the *initial dose of atropine*? Answer: *0.5 mg* of *Atropine*
⩥ A patient has sinus *bradycardia* with a heart rate of 36/min.
*Atropine* has been administered to a total dose of 3 mg. A
*transcutaneous pacing* has failed to capture. The patient is confused,
and her BP is *88/56 mmHg*. Which therapy is now indicated? Answer:
*Epinephrine infusion: 2-10 mcg/min*.
⩥ A monitored patient in the ICU developed a sudden onset of *regular
narrow-complex tachycardia* at a rate of 220/min.
The patient's BP is 128/88 mm Hg, the PETCO2 is 38 mm Hg, and the
pulse oximetry reading is 98%.
There is a vascular (IV) access in the left arm, and the patient has not
been given any basic active drugs.
, A 12-lead ECG confirms *SVT* with no evidence of ischemia or
infraction.
The HR has not responded to vagal maneuvers.
What is your next action? Answer: Administer *adenosine 6 mg* IV
push
⩥ A patient with possible STEMI has ongoing chest discomfort. What is
a *contraindication to nitrate* administration? Answer: Use of a
*phosphodiesterase inhibitors* (eg. Viagra) within the previous 24 hours
⩥ A patient is in *pulseless V-tach* (PEA). 2 shocks and 1 dose of
epinephrine have been given.
Which drug should be given next? Answer: *Amiodarone 300 mg* (first
dose)
⩥ What is the indication for the use of *magnesium* in cardiac arrest?
Answer: Pulseless V-tach associated with *Torsades des pointes*
⩥ Which is one way to minimize interruptions in chest compressions
during CPR? Answer: Continue CPR while the defibrillator charges
⩥ A 35-years-old woman has palpitations, light-headedness, and a stable
*tachycardia*.
The monitor shows a *regular-narrow-monomorphic-complex QRS* at a
rate of 180/minutes.
