Acls final exam Question And
Answers
A .patient .admitted .to .the .ED .with .signs .& .symptoms .of .stroke. .The .stroke .team .should .complete .a .
comprehensive .neurologic .assessment .and .obtain .brain .imaging .results .within .what .time .frame? .- .
(correct .answer) .-With .in .20 .mins
A .person .suddenly .collapses .while .sitting .in .the .sunroom .of .a .healthcare .facility. .A .healthcare .provi
der .observes .the .event .and .hurries .over .to .assess .the .situation. .The .healthcare .provider .performs .w
hich .assessment .first? .- .(correct .answer) .-Rapid .assessment
A .patient .is .receiving .ventilation .support .via .BVM .resuscitator. .Capnography .is .established .& .a .bloo
d .gas .is .obtained .to .evaluate .the .adequacy .of .the .ventilations. .Which .PaO2 .value .signifies .adequate
.ventilations? .- .(correct .answer) .-35 .- .45 .mmHg
A .patient .experiences .cardiac .arrest .& .the .resuscitation .team .initiates .ventilations .using .a .BVM .resu
scitator. .The .development .of .which .condition .during .the .provision .care .would .lead .the .team .to .susp
ect .that .improper .BVM .technique .is .being .used? .- .(correct .answer) .-Pneumothorax
A .resuscitation .team .is .debriefing .following .a .recent .event. .A .patient .experienced .cardiac .arrest .& .A
LS .was .initiated. .The .patient .required .the .placement .of .an .advanced .airway .to .maintain .airway .late
ncy. .Which .statement .indicates .that .the .team .performed .high .quality .CPR? .- .(correct .answer) .-
We .provided .chest .compressions .at .a .rate .of .100-
120 .compressions/minute .while .giving .1 .ventilation .Q .6secs. .without .pausing .compressions.
Assessment .of .a .patient .reveals .an .ETCO2 .level .of .55mmHg .& .an .SaO2 .level .of .88%. .The .provider .w
ould .interpret .these .findings .as .indicative .of .which .condition? .- .(correct .answer) .-Respiratory .failure
A .responsive .patient .is .choking. .What .method .should .the .provider .use .first .to .clear .the .obstructed .
airway? .- .(correct .answer) .-Back .blows
A .patient .arrives .at .the .ED .complaining .of .SOB. .The .patient .has .a .long .history .of .COPD. .Assessment
.reveals .respiratory .failure. .Which .action .would .be .the .initial .priority .to .address .the .respiratory .failu
re? .- .(correct .answer) .-Assisted .ventilation .with .BVM .resuscitator
, A .20YO .man .with .respiratory .depression .is .brought .to .the .ED .by .his .parents. .Opioid .OD .is .suspecte
d .& .an .initial .dose .of .naloxone .is .administered .at .10pm. .The .patient .doesn't .not .respond .to .this .ini
tial .dose. .The .team .would .expect .to .administer .a .second .dose .after .how .many .minutes? .- .
(correct .answer) .-2 .minutes
Assessment .of .a .patient .in .the .ED .reveals .that .the .patient .is .experiencing .respiratory .compromise. .F
rom .the .assessment, .the .team .identifies .that .the .patient .is .in .the .earliest .stage .of .this .condition. .W
hich .stage .would .this .be? .- .(correct .answer) .-Respiratory .distress
The .following .capnogram .is .from .a .patient .experiencing .respiratory .distress. .At .which .point .in .the .w
aveform .would .the .patient's .ETCO2 .level .be .measured? .- .(correct .answer) .-D
A .patient .is .experiencing .respiratory .distress .secondary .to .extinction .of .COPD. .The .patient .begins .to
.exhibit .signs .& .symptoms .of .worsening .respiratory .function .and .experiences .respiratory .arrest. .The .
team .intervenes, .delivering .ventilations .via .BVM .resuscitator. .The .team .should .provide .ventilations .a
t .a .rate .of .1 .ventilation: .- .(correct .answer) .-Every .6 .seconds
A .patient .enters .the .ED .in .respiratory .compromise. .The .team .is .monitoring .the .patient .using .capnog
raphy .and .ID's .the .ETCO2 .levels .are .initially .33mmHg .and .later .40mmHg. .From .these .readings, .the .t
eam .identifies .that .the .patient .is .progressing .in .what .stage .of .respiratory .compromise? .- .
(correct .answer) .-Respiratory .distress
A .patient .is .in .cardiac .arrest. .The .underlying .cause .is .thought .to .be .opioid .toxicity. .Which .statement
.accurately .describes .the .use .of .naloxone .for .this .patient? .- .(correct .answer) .-
Naloxone .should .be .administered .ASAP .but .is .not .a .priority .over .high .quality .CPR .& .AED .use.
A .patient .in .the .telemetry .unit .is .receiving .continuous .cardiac .monitoring. .The .patient .has .a .history .
of .MI. .The .patient's .ECG .rhythm .strip .is .shown .in .the .following .figure. .The .provider .interprets .this .s
trip .as .indicating .which .arrhythmia? .- .(correct .answer) .-Third .degree .AV .block
A .patient .with .dyspnea, .inadequate .BP .& .a .change .in .mental .status .arrives .at .the .ED. .The .healthcar
e .team .completes .the .necessary .assessment .& .begins .to .care .for .the .patient, .including .initiating .car
diac .monitoring .and .pulse .oximetry; .providing .supplemental .oxygen .and .ensuring .adequate .ventilati
on; .and .obtaining .vascular .access. .The .team .reviews .the .patients .EKG .strip .as .shown. .Which .agent .
would .the .team .most .likely .administer? .- .(correct .answer) .-Atropine .1 .mg .Q .3-5 .minutes
A .patient .comes .to .the .ED .complaining .of .palpations .and .SOB. .Cardiac .monitoring .is .initiated .and .re
veals .the .following .EKG. .The .provider .interprets .this .as .which .arrhythmia? .- .(correct .answer) .-
Atrial .Flutter
The .EKG .of .a .patient .who .arrived .in .the .ED .complaining .of .dizziness, .syncope .and .SOB .reveals .sinus
.bradycardia. .When .reviewing .the .patients .medication .history, .the .HCP .identifies .which .agents .as .a .
potential .cause? .- .(correct .answer) .-Metoprolol
Verapamil
Answers
A .patient .admitted .to .the .ED .with .signs .& .symptoms .of .stroke. .The .stroke .team .should .complete .a .
comprehensive .neurologic .assessment .and .obtain .brain .imaging .results .within .what .time .frame? .- .
(correct .answer) .-With .in .20 .mins
A .person .suddenly .collapses .while .sitting .in .the .sunroom .of .a .healthcare .facility. .A .healthcare .provi
der .observes .the .event .and .hurries .over .to .assess .the .situation. .The .healthcare .provider .performs .w
hich .assessment .first? .- .(correct .answer) .-Rapid .assessment
A .patient .is .receiving .ventilation .support .via .BVM .resuscitator. .Capnography .is .established .& .a .bloo
d .gas .is .obtained .to .evaluate .the .adequacy .of .the .ventilations. .Which .PaO2 .value .signifies .adequate
.ventilations? .- .(correct .answer) .-35 .- .45 .mmHg
A .patient .experiences .cardiac .arrest .& .the .resuscitation .team .initiates .ventilations .using .a .BVM .resu
scitator. .The .development .of .which .condition .during .the .provision .care .would .lead .the .team .to .susp
ect .that .improper .BVM .technique .is .being .used? .- .(correct .answer) .-Pneumothorax
A .resuscitation .team .is .debriefing .following .a .recent .event. .A .patient .experienced .cardiac .arrest .& .A
LS .was .initiated. .The .patient .required .the .placement .of .an .advanced .airway .to .maintain .airway .late
ncy. .Which .statement .indicates .that .the .team .performed .high .quality .CPR? .- .(correct .answer) .-
We .provided .chest .compressions .at .a .rate .of .100-
120 .compressions/minute .while .giving .1 .ventilation .Q .6secs. .without .pausing .compressions.
Assessment .of .a .patient .reveals .an .ETCO2 .level .of .55mmHg .& .an .SaO2 .level .of .88%. .The .provider .w
ould .interpret .these .findings .as .indicative .of .which .condition? .- .(correct .answer) .-Respiratory .failure
A .responsive .patient .is .choking. .What .method .should .the .provider .use .first .to .clear .the .obstructed .
airway? .- .(correct .answer) .-Back .blows
A .patient .arrives .at .the .ED .complaining .of .SOB. .The .patient .has .a .long .history .of .COPD. .Assessment
.reveals .respiratory .failure. .Which .action .would .be .the .initial .priority .to .address .the .respiratory .failu
re? .- .(correct .answer) .-Assisted .ventilation .with .BVM .resuscitator
, A .20YO .man .with .respiratory .depression .is .brought .to .the .ED .by .his .parents. .Opioid .OD .is .suspecte
d .& .an .initial .dose .of .naloxone .is .administered .at .10pm. .The .patient .doesn't .not .respond .to .this .ini
tial .dose. .The .team .would .expect .to .administer .a .second .dose .after .how .many .minutes? .- .
(correct .answer) .-2 .minutes
Assessment .of .a .patient .in .the .ED .reveals .that .the .patient .is .experiencing .respiratory .compromise. .F
rom .the .assessment, .the .team .identifies .that .the .patient .is .in .the .earliest .stage .of .this .condition. .W
hich .stage .would .this .be? .- .(correct .answer) .-Respiratory .distress
The .following .capnogram .is .from .a .patient .experiencing .respiratory .distress. .At .which .point .in .the .w
aveform .would .the .patient's .ETCO2 .level .be .measured? .- .(correct .answer) .-D
A .patient .is .experiencing .respiratory .distress .secondary .to .extinction .of .COPD. .The .patient .begins .to
.exhibit .signs .& .symptoms .of .worsening .respiratory .function .and .experiences .respiratory .arrest. .The .
team .intervenes, .delivering .ventilations .via .BVM .resuscitator. .The .team .should .provide .ventilations .a
t .a .rate .of .1 .ventilation: .- .(correct .answer) .-Every .6 .seconds
A .patient .enters .the .ED .in .respiratory .compromise. .The .team .is .monitoring .the .patient .using .capnog
raphy .and .ID's .the .ETCO2 .levels .are .initially .33mmHg .and .later .40mmHg. .From .these .readings, .the .t
eam .identifies .that .the .patient .is .progressing .in .what .stage .of .respiratory .compromise? .- .
(correct .answer) .-Respiratory .distress
A .patient .is .in .cardiac .arrest. .The .underlying .cause .is .thought .to .be .opioid .toxicity. .Which .statement
.accurately .describes .the .use .of .naloxone .for .this .patient? .- .(correct .answer) .-
Naloxone .should .be .administered .ASAP .but .is .not .a .priority .over .high .quality .CPR .& .AED .use.
A .patient .in .the .telemetry .unit .is .receiving .continuous .cardiac .monitoring. .The .patient .has .a .history .
of .MI. .The .patient's .ECG .rhythm .strip .is .shown .in .the .following .figure. .The .provider .interprets .this .s
trip .as .indicating .which .arrhythmia? .- .(correct .answer) .-Third .degree .AV .block
A .patient .with .dyspnea, .inadequate .BP .& .a .change .in .mental .status .arrives .at .the .ED. .The .healthcar
e .team .completes .the .necessary .assessment .& .begins .to .care .for .the .patient, .including .initiating .car
diac .monitoring .and .pulse .oximetry; .providing .supplemental .oxygen .and .ensuring .adequate .ventilati
on; .and .obtaining .vascular .access. .The .team .reviews .the .patients .EKG .strip .as .shown. .Which .agent .
would .the .team .most .likely .administer? .- .(correct .answer) .-Atropine .1 .mg .Q .3-5 .minutes
A .patient .comes .to .the .ED .complaining .of .palpations .and .SOB. .Cardiac .monitoring .is .initiated .and .re
veals .the .following .EKG. .The .provider .interprets .this .as .which .arrhythmia? .- .(correct .answer) .-
Atrial .Flutter
The .EKG .of .a .patient .who .arrived .in .the .ED .complaining .of .dizziness, .syncope .and .SOB .reveals .sinus
.bradycardia. .When .reviewing .the .patients .medication .history, .the .HCP .identifies .which .agents .as .a .
potential .cause? .- .(correct .answer) .-Metoprolol
Verapamil
