ALS3 EXAM SCRIPT COMPLETE
QUESTIONS AND ANSWERS
◉A patient has experienced return of spontaneous 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? Answer: Tension Pneumothorax
◉A patient with suspected stroke arrives at the emergency department.
The patient is diagnosed with acute ischemic stroke and is a candidate
for fibrinolytic therapy. To achieve the best outcomes, this therapy
should be initiated within what time frame? Answer: Within 1 hour of
patient's arrival.
◉A patient in the telemetry unit is receiving continuous cardiac
monitoring. The patient has a history of myocardial infarction. The
patient's ECG rhythm strip is shown in the following figure. The
provider interprets this strip as indicating which arrhythmia? Answer:
Third-degree AV block
, ◉A 28-year-old pregnant patient who resides in transitional housing
presents to the emergency department with complaints of feeling
feverish and very faint. The patient tells the emergency nurse that she
does not know when she became pregnant. Upon palpation, the fundus is
not at or above the umbilicus. The patient's condition quickly
deteriorates and she goes into cardiac arrest. If available and able to be
used without impeding or delaying the resuscitation effort, what
diagnostic tool could be used to guide decision-making in the care of
this patient? Answer: Point-of-care ultrasound
◉Cardiac monitoring indicates that a patient has a ventricular
tachyarrhythmia. The patient has a pulse and is not showing any signs of
hemodynamic compromise. A 12-lead ECG reveals an irregular rhythm
with QRS complexes greater than 0.12 second in duration. Which action
would be appropriate at this time? Answer: Consider an antiarrhythmic
medication
◉A responsive patient is choking. What method should the provider use
first to clear the obstructed airway? Answer: Back blows
◉What is the priority intervention for a patient with a narrow-complex
tachycardia (160 bpm) and a blood pressure of 72/48 mmHg? Answer:
Perform immediate synchronized cardioversion
◉A patient is admitted to the emergency department with signs and
symptoms of stroke. The stroke team should complete a comprehensive
QUESTIONS AND ANSWERS
◉A patient has experienced return of spontaneous 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? Answer: Tension Pneumothorax
◉A patient with suspected stroke arrives at the emergency department.
The patient is diagnosed with acute ischemic stroke and is a candidate
for fibrinolytic therapy. To achieve the best outcomes, this therapy
should be initiated within what time frame? Answer: Within 1 hour of
patient's arrival.
◉A patient in the telemetry unit is receiving continuous cardiac
monitoring. The patient has a history of myocardial infarction. The
patient's ECG rhythm strip is shown in the following figure. The
provider interprets this strip as indicating which arrhythmia? Answer:
Third-degree AV block
, ◉A 28-year-old pregnant patient who resides in transitional housing
presents to the emergency department with complaints of feeling
feverish and very faint. The patient tells the emergency nurse that she
does not know when she became pregnant. Upon palpation, the fundus is
not at or above the umbilicus. The patient's condition quickly
deteriorates and she goes into cardiac arrest. If available and able to be
used without impeding or delaying the resuscitation effort, what
diagnostic tool could be used to guide decision-making in the care of
this patient? Answer: Point-of-care ultrasound
◉Cardiac monitoring indicates that a patient has a ventricular
tachyarrhythmia. The patient has a pulse and is not showing any signs of
hemodynamic compromise. A 12-lead ECG reveals an irregular rhythm
with QRS complexes greater than 0.12 second in duration. Which action
would be appropriate at this time? Answer: Consider an antiarrhythmic
medication
◉A responsive patient is choking. What method should the provider use
first to clear the obstructed airway? Answer: Back blows
◉What is the priority intervention for a patient with a narrow-complex
tachycardia (160 bpm) and a blood pressure of 72/48 mmHg? Answer:
Perform immediate synchronized cardioversion
◉A patient is admitted to the emergency department with signs and
symptoms of stroke. The stroke team should complete a comprehensive
