ACLS 2024 CERTIFICATION WITH
COMPLETE AND UPDATED
SOLUTIONS
Your assessment of the patient begins with: You are working in the
radiology department as a registered nurse. A panicked secretary calls
you to the waiting room where you arrive to find a middle-aged man lying
supine on the floor. He appears cyanotic. His wife tells you that they were
talking and he suddenly got a funny look on his face and collapsed. He is a
diabetic but has no other medical conditions. He was here to have a
painful ankle imaged. You instruct the secretary to call for the cardiac
arrest team and to send the x-ray technician to retrieve the department
defibrillator.
2)You determine that he is breathing agonal, about two times per minute.
You are unsure if you feel a pulse or not. Your next step is to:
3) Compressions should be done: "depth and rate"; ANSWER -- 100–120
times per minute to a depth of between 2” and 2.4” (5–6cm).
4)You perform 30 compressions being sure that the chest has complete
recoil between each compression. Your next step is to:
immediately begin chest compressions
ANSWER -- Provide two breaths; ensuring chest rise with each
breath.
Your assessment of the patient begins with: You are working in the
radiology department as a registered nurse. A panicked secretary calls
you to the waiting room where you arrive to find a middle-aged man lying
supine on the floor. He appears cyanotic. His wife tells you that they were
talking and he suddenly got a funny look on his face and collapsed. He is a
diabetic but has no other medical conditions. He was here to have a
painful ankle imaged. You instruct the secretary to call for the cardiac
arrest team and to send the x-ray technician to retrieve the department
defibrillator.
1) Your assessment of the patient begins with: ANSWER -- Evaluating
level of consciousness, presence of normal breathing, and the
presence or absence of a pulse
5) The x-ray technician arrives with the monitor/defibrillator and attaches
it. The monitor reveals ventricular fibrillation. You should: ANSWER --
Immediately defibrillate the patient using the energy level
recommended by the defibrillator manufacturer.
, You are the charge nurse in the coronary care unit for the daylight shift.
Upon arrival you find a middle age male with CPR in progress by the
radiology staff. The monitor is in place and is showing ventricular
fibrillation. The radiology nurse informs you that the patient suddenly
collapsed while awaiting an x-ray. He has no history. She also informs you
that the patient was just defibrillated using 150 joules just as you arrived.
She is currently doing compressions that appear adequate.
1) The next step in the treatment of this patient (in addition to the
continuation of high-quality CPR) would be to: ANSWER -- establish IO or
IV access
2) An IV has been placed in the patient's arm. The first medication that
should be administered is: ANSWER -- epinephrine 1mg IV
3) Following the administration of any medication, you should: ANSWER --
Continue CPR for several cycles, followed by a rhythm check and
defibrillation, if indicated.
4) If the patient remains in ventricular fibrillation, the antiarrhythmic that
should be administered is: ANSWER -- Amiodarone 300mg IV.
Throughout the duration of the cardiac arrest, the compressor should be
changed:
a) Every two minutes.
b) Every ten minutes.
c) Whenever he/she says they cannot continue doing
compressions.
d) Every 30 seconds.
ANSWER -- Every two minutes.
Following the administration of any medication, you should:
A) Ventilate the patient 4–5 times to increase oxygen levels so
that the medication can work better.
B) Medications are not administered during cardiac arrest.
C) Stop CPR so that the medication can be circulated.
D) Continue CPR for several cycles, followed by a rhythm check
and defibrillation, if indicated.
ANSWER -- Continue CPR for several cycles, followed by a
rhythm check and defibrillation, if indicated.
You are called to the home of a 61-year-old male who began experiencing
substernal chest pain while shoveling snow. He rates the pain as 8 on a
scale of 1 - 10. He is slightly diaphoretic. His BP is 154/88. His pulse rate is
102. His pulse oximetry is 98% on room air. He has no past medical
history.
COMPLETE AND UPDATED
SOLUTIONS
Your assessment of the patient begins with: You are working in the
radiology department as a registered nurse. A panicked secretary calls
you to the waiting room where you arrive to find a middle-aged man lying
supine on the floor. He appears cyanotic. His wife tells you that they were
talking and he suddenly got a funny look on his face and collapsed. He is a
diabetic but has no other medical conditions. He was here to have a
painful ankle imaged. You instruct the secretary to call for the cardiac
arrest team and to send the x-ray technician to retrieve the department
defibrillator.
2)You determine that he is breathing agonal, about two times per minute.
You are unsure if you feel a pulse or not. Your next step is to:
3) Compressions should be done: "depth and rate"; ANSWER -- 100–120
times per minute to a depth of between 2” and 2.4” (5–6cm).
4)You perform 30 compressions being sure that the chest has complete
recoil between each compression. Your next step is to:
immediately begin chest compressions
ANSWER -- Provide two breaths; ensuring chest rise with each
breath.
Your assessment of the patient begins with: You are working in the
radiology department as a registered nurse. A panicked secretary calls
you to the waiting room where you arrive to find a middle-aged man lying
supine on the floor. He appears cyanotic. His wife tells you that they were
talking and he suddenly got a funny look on his face and collapsed. He is a
diabetic but has no other medical conditions. He was here to have a
painful ankle imaged. You instruct the secretary to call for the cardiac
arrest team and to send the x-ray technician to retrieve the department
defibrillator.
1) Your assessment of the patient begins with: ANSWER -- Evaluating
level of consciousness, presence of normal breathing, and the
presence or absence of a pulse
5) The x-ray technician arrives with the monitor/defibrillator and attaches
it. The monitor reveals ventricular fibrillation. You should: ANSWER --
Immediately defibrillate the patient using the energy level
recommended by the defibrillator manufacturer.
, You are the charge nurse in the coronary care unit for the daylight shift.
Upon arrival you find a middle age male with CPR in progress by the
radiology staff. The monitor is in place and is showing ventricular
fibrillation. The radiology nurse informs you that the patient suddenly
collapsed while awaiting an x-ray. He has no history. She also informs you
that the patient was just defibrillated using 150 joules just as you arrived.
She is currently doing compressions that appear adequate.
1) The next step in the treatment of this patient (in addition to the
continuation of high-quality CPR) would be to: ANSWER -- establish IO or
IV access
2) An IV has been placed in the patient's arm. The first medication that
should be administered is: ANSWER -- epinephrine 1mg IV
3) Following the administration of any medication, you should: ANSWER --
Continue CPR for several cycles, followed by a rhythm check and
defibrillation, if indicated.
4) If the patient remains in ventricular fibrillation, the antiarrhythmic that
should be administered is: ANSWER -- Amiodarone 300mg IV.
Throughout the duration of the cardiac arrest, the compressor should be
changed:
a) Every two minutes.
b) Every ten minutes.
c) Whenever he/she says they cannot continue doing
compressions.
d) Every 30 seconds.
ANSWER -- Every two minutes.
Following the administration of any medication, you should:
A) Ventilate the patient 4–5 times to increase oxygen levels so
that the medication can work better.
B) Medications are not administered during cardiac arrest.
C) Stop CPR so that the medication can be circulated.
D) Continue CPR for several cycles, followed by a rhythm check
and defibrillation, if indicated.
ANSWER -- Continue CPR for several cycles, followed by a
rhythm check and defibrillation, if indicated.
You are called to the home of a 61-year-old male who began experiencing
substernal chest pain while shoveling snow. He rates the pain as 8 on a
scale of 1 - 10. He is slightly diaphoretic. His BP is 154/88. His pulse rate is
102. His pulse oximetry is 98% on room air. He has no past medical
history.
