ACLS EXAM 2020 QUESTIONS WITH CORRECT ANSWERS RATED A+

Which of these tests should be performed for a pt with suspected stroke as early as possible but no more than 20 min after hospital arrival? - Noncontrast CT scan of head Which best describes this rhythm? - Monomorphic Vent Tach Which is an acceptable method of selecting an appropriately sized oropharyngeal airway? - Measure from the corner of the mouth to the angle of mandible You are caring for a pt with a suspected stroke whose symptoms started 2 hours ago. The CT scan was normal, with no signs of hemorrhage. The pt does not have any contraindications to fibrinolytic therapy. Which treatment is best for this pt? - Give fibrinolytic therapy as soon as possible and consider endovascular therapy Which is the recommended next step after a defibrillation attempt? - Resume CPR, starting with chest compressions Which of the following signs is a likely indicator of cardiac arrest in an unresponsive pt? - Agonal gasps You are evaluating a 58YO man with chest discomfort. His BP is 92/50 mmHG, his HR is 92/min, his nonlabored RR is 14/min, and his pulse ox is 97%. Which assessment step is most important now? - Obtaining a 12-lead ECG During post-cardiac arrest care, which is the recommended duration of targeted temperature management after reaching the correct temperature range? - At least 24 hours Your rescue team arrives to find a 59YO man lying on the kitchen floor. You determine that he is unresponsive. What is the next step in your assessment and management of this pt? - Check the pt's breathing and pulse (SET) A 45YO man had coronary stents placed 2 days ago. Today he is in severe distress and is reporting "crushing" chest discomfort. Pale, diaphoretic, cool to touch, weak radial pulse, BP 64/40 mmHg, RR 28/min, 89% RA. VTach changed to VFib. On the basis of this pt's initial presentation, which condition do you suspect led to the cardiac arrest? - Acute Coronary Syndrome (SET) A 45YO man had coronary stents placed 2 days ago. Today he is in severe distress and is reporting "crushing" chest discomfort. Pale, diaphoretic, cool to touch, weak radial pulse, BP 64/40 mmHg, RR 28/min, 89% RA. VTach changed to VFib. In addition to defibrillation, which intervention should be performed immediately? - Chest compressions (SET) A 45YO man had coronary stents placed 2 days ago. Today he is in severe distress and is reporting "crushing" chest discomfort. Pale, diaphoretic, cool to touch, weak radial pulse, BP 64/40 mmHg, RR 28/min, 89% RA. VTach changed to VFib. Despite 2 defib attempts, the pt remains in VFib. Which drug and dose should you administer FIRST to this pt? - Epi 1mg (SET) A 45YO man had coronary stents placed 2 days ago. Today he is in severe distress and is reporting "crushing" chest discomfort. Pale, diaphoretic, cool to touch, weak radial pulse, BP 64/40 mmHg, RR 28/min, 89% RA. VTach changed to VFib. Despite the drug provided above and continued CPR, the pt remains in VFib. Which other drug should be administered NEXT? - Lido 1 to 1.5mg/kg (SET) A 45YO man had coronary stents placed 2 days ago. Today he is in severe distress and is reporting "crushing" chest discomfort. Pale, diaphoretic, cool to touch, weak radial pulse, BP 64/40 mmHg, RR 28/min, 89% RA. VTach changed to VFib. The pt has ROSC and is not able to follow commands. Which immediate post-cardiac arrest care intervention do you choose for this pt? - Initiate targeted temperature management (SET) A 45YO man had coronary stents placed 2 days ago. Today he is in severe distress and is reporting "crushing" chest discomfort. Pale, diaphoretic, cool to touch, weak radial pulse, BP 64/40 mmHg, RR 28/min, 89% RA. VTach changed to VFib. Which would you have done first if the pt had not gone into VFib? - Performed synchronized cardioversion How can you increase chest compression fraction during a code? - Charge the defib 15s before conducting a rhythm check A team member is unable to perform an assigned task because it is beyond the team member's scope of practice. Which action should the team member take? - Ask for a new task or role In addition to clinical assessment, which is the most reliable method to confirm and monitor correct placement of the ET tube? - Continuous waveform capnography Your pt is in cardiac arrest and has been intubated. To assess CPR quality, which should you do? - Monitor the pt's PETCO2