ACLS Practice Questions With Advanced Correct Answers.

Rate of chest compressions for adults - correct answer 100-120 compressions per minute Ratio of compressions to breaths in adults - correct answer 30:2 Rate of bag valve mask ventilation for adults in respiratory arrest - correct answer Once every 5-6 seconds or 10-12 times per minute Treatments for hypotension following cardiac arrest - correct answer IV dopamine infusion, IV epinephrine infusion IV Ringer's lactate, IV normal saline *The leader in team resuscitation must be able to perform all the skills if needed.* - correct answer Recommended ED door-to-balloon inflation time for a STEMI patient - correct answer No longer than 90 minutes Ways to estimate effectiveness of CPR - correct answer Arterial diastolic blood pressure, quantitative waveform capnography, central venous oxygen saturation Best drug used for narrow complex supraventricular tachycardia - correct answer Adenosine Drug used for pulseless electrical activity - correct answer Epinephrine Sequence of basic life support - correct answer Compressions, airway, breathing (CAB) Initial dose of adenosine for treatment of supraventricular tachycardia - correct answer 6 mg IV Heart rate at which tachycardia usually becomes symptomatic - correct answer 150 bpm Longest duration for pulse check - correct answer 10 seconds Recommended initial dosage of atropine for symptomatic bradycardia - correct answer 0.5 mg IV Recommended dose of oxygen during CPR - correct answer 100% Goal for initiation of fibrinolytic therapy in stroke patients - correct answer Within 1 hour of ED arrival Common reversible causes of cardiac arrest ("H's and T's") - correct answer Hypotension, hypoxia, hypothermia, hydrogen ions (acidosis), hypo-/hyperkalemia Tension pneumothorax, tamponade, thrombosis (coronary), thrombosis (pulmonary), toxins Best option for treatment of STEMI diagnosed in ambulance via 12-lead ECG - correct answer Transport to PCI-capable hospital Components of Cincinnati Prehospital Stroke Scale (CPSS) - correct answer Facial droop, arm drift, speech abnormality Asystole should be treated with all of the following EXCEPT: CPR Ventilations Defibrillation Epinephrine - correct answer Asystole should be treated with all of the following EXCEPT: CPR Ventilations *Defibrillation* Epinephrine Appropriate response to an AED that is having problems analyzing rhythm - correct answer Continue chest compressions Which of the following is treated with synchronized shocks? Unstable atrial fibrillation Sinus tachycardia VT without a pulse VF - correct answer Which of the following is treated with synchronized shocks? *Unstable atrial fibrillation* Sinus tachycardia VT without a pulse VF Dose for procainamide - correct answer 20-50 mg/min Drug that should be given to all acute coronary syndrome (ACS) patients - correct answer Aspirin Concentration of maintenance amiodarone drip - correct answer 900 mg amiodarone in 500 mL D5W (1.8 mg/mL) EMS dispatchers who recognize ACS symptoms should instruct patients to: - correct answer Take aspirin Longest acceptable delay in chest compressions - correct answer 10 seconds Persistent hypotension in a patient paced at an adjusted rate of 75/minute - correct answer Other underlying cause for hypotension Effective resuscitation requires an integrated response known as: - correct answer A system of care Intervention that may be helpful in cardiac arrest patient with hypokalemia - correct answer Magnesium sulfate Appropriate tidal volume with bag valve mask ventilation - correct answer 600 mL Goal for PCI after arrival to hospital - correct answer 90 minutes Most common cause of upper airway obstruction in unconscious patient - correct answer Loss of tone in throat muscles ABCD of BLS primary survey - correct answer Airway, breathing, circulation, defibrillation ABCD of ACLS secondary survey - correct answer Airway, breathing, circulation, differential diagnosis Risks associated with hyperventilation - correct answer Increased intrathoracic pressure, leading to decreased venous return/cardiac output Target oxygen saturation - correct answer 90% Most commonly used method for providing positive-pressure ventilation - correct answer Bag-mask ventilation *A rigid catheter type is more effective than a soft catheter type when suctioning the oropharynx.* - correct answer Energy setting for monophasic defibrillator - correct answer 360 J Two most easily reversible causes of PEA - correct answer Hypoxia and hypoglycemia Cardiac arrest rhythm associated with no discernible electrical activity on ECG - correct answer Asystole Which of the following is not a recommended agent to be administered to patients under evaluation for ACS? Morphine Epinephrine