ACLS Final Exam Questions and Answers 2024

What is the priority intervention for a patient with a narrow-complex tachycardia (160 BPM) and a blood pressure of 72/48 mmHg? A. Perform immediate synchronized cardio version B. Administer amiodarone, 150 mg IV over 10 minutes C. Perform carotid massage D. Administer adenosine, 6 mg via rapid IV push - A. Perform immediate synchronized cardio version Recommended for a aptient with signs of hemodynamic compromise and a superventricualr tachycardia. A vagal maneuver, such as carotid massage, is recommended for a aptient with a narrow-complex tachycardia if the rhythm is regular and there are no signs and syptoms of hemodynaic compromise. A patient enters the emergency department in respiratory compromise. The team is monitoring the patient using capnography and identifies that ETCO2 levels are initially 33 mmHg and alter 40 mmHg. From these readings, the team identifies that the patient is progressing in what stage of respiratory compromise? A. Respiratory distress B. Respiratory arrest C. Respiratory failure D. Respiratory acidosis - A. Respiratory Distress The ECG rhythm strip of a patient who arrived in the emergency department complaining of dizziness, syncope and shortness of breath reveals sinusbradycardia. When reviewing the patients medical history, the healthcare provider identifies which agent(s) as a potential cause of the patient's current condition? A. Metoprolol B. Verapamil C. Digoxin D. Quinapril E. Losartan - A. Metoprolol B. Verapail C. Digoxin Which statements accurately reflect the recommendations for post-cardiac arrest neuroprognostication? A. Status epilepticus can be used to accurately predict a poor neurologic outcome B. Decision making related to the continuation or withdrawal of life-sustaining treatments should be delayed until 72 hours after ROSC and following return of normothermia C. Post-cardiac arrest neuroprognostication should be multimodal D. Brain imaging studies do not provide useful information for predicting neurologic outcome in the post-cardiac arrest patient - B & C Which areas are evaluated using the National Institute of Health Stroke Scale (NIHSS)? A. Hearing B. Visual functionC. Facial palsy D. Level of consciousness E. Language deficits - B, C, D, E What is the correct technique for performing left uterine displacement (LUD) for a pregnant patient in cardiac arrest whose fungus is at or above the umbilicus? - Position yourself at the patients left side. Reach across the patient, place both hands on the right side of the uterus and pull the uterus to the left and up Assessment of a patient reveals an ETCO2 level of 55 mmHg and an arterial oxygen saturation (SaO2) level of 88%. The provider would interpret these findings as indicative of which condition? A. Cardiac arrest B. Respiratory Distress C. Respiratory Arrest D. Respiratory Failure - D A patient with dyspnea, inadequate blood pressure and a change in mental status arrives at the emergency department. The healthcare team completes the necessary assessments and begins to care for the patient, including initiating cardiac monitoring and pulse oximetry; providing supplemental oxygen and ensuring adequate ventilation; and obtaining vascular access. The team reviews the patient's eCG rhythm strip (slow). Which agent would the team most likely administer? A. Dopamine 5-10 mcg/min B. Amiodarone 150 mg over 10 minutes C. Epinephrine 2-10 mcg/min D. Atropine 1 mg every 3-5 minutes - DA patient is experiencing respiratory distress secondary to an exacerbation of COPD. The patient begins to exhibit signs and symptoms of worsening respiratory function and experiences respiratory arrest. The team intervenes, delivering ventilations via BVM resuscitator. The team should provide ventilations at a rate of 1 ventilation: A. Every 3 seconds B. Every 6 seconds C. Every 8 seconds D. Every 10 seconds - B