ACLS Written Final Exam New Latest Version
Best Studying Material with All Questions,
Exams of Nursing ALREADY GRADED A
A patient presents to the emergency department with new onset of dizziness and fatigue. On
examination, the patient's heart rate is 35/min, the blood pressure is 70/50 mm Hg, the
respiratory rate is 22 breaths/min, and the oxygen saturation is 95%. What is the appropriate first
medication? - ANSWER>>Atropine 0.5mg
A patient with dizziness and shortness of breath with a sinus bradycardia of 40/min. The initial
atropine dose was ineffective, and your monitor/defibrillator is not equipped with a
transcutaneous pacemaker. What is the appropriate dose of dopamine for this patient? -
ANSWER>>2 to 10 mcg/kg per minute
A patient has sudden onset of dizziness. The patient's heart rate is 180/min, blood pressure is
110/70 mm Hg, respiratory rate is 18 breaths/min, and pulse oximetry reading is 98% on room
air. The lead II ECG is shown below: - ANSWER>>Vagal manuever.
A monitored patient in the ICU developed a sudden onset of narrow-complex tachycardia at a
rate of 220/min. The patient's blood pressure is 128/58 mm Hg, the PETCO2 is 38 mm Hg, and
the pulse oximetry reading is 98%. There is vascular access at the left internal jugular vein, and
the patient has not been given any vasoactive drugs. A 12-lead ECG confirms a supraventricular
tachycardia with no evidence of ischemia or infarction. The heart rate has not responded to vagal
maneuvers. What is the next recommended intervention? - ANSWER>>Adenosine 6mg IV push
You find an unresponsive pt. who is not breathing. After activating the emergency response
system, you determine there is no pulse. What is your next action? - ANSWER>>Start chest
compressions of at least 100 per min.
You are evaluating a 58-year-old man with chest pain. The blood pressure is 92/50 mm Hg, the
heart rate is 92/min, the nonlabored respiratory rate is 14 breaths/min, and the pulse oximetry
, reading is 97%. What assessment step is most important now? - ANSWER>>Obtaining a 12 lead
ECG.
What is the preferred method of access for epi administration during cardiac arrest in most pts? -
ANSWER>>Peripheral IV
An AED does not promptly analyze a rythm. What is your next step? - ANSWER>>Begin chest
compressions.
You have completed 2 minutes of CPR. The ECG monitor displays the lead II rhythm below, and
the patient has no pulse. Another member of your team resumes chest compressions, and an IV
is in place. What management step is your next priority? - ANSWER>>Administer 1mg of
epinephrine
During a pause in CPR, you see this lead II ECG rhythm on the monitor. The patient has no pulse.
What is the next action? - ANSWER>>Resume compressions
What is a common but sometimes fatal mistake in cardiac arrest management? -
ANSWER>>Prolonged interruptions in chest compressions.
Which action is a componant of high-quality chest comressions? - ANSWER>>Allowing complete
chest recoil
Which action increases the chance of successful conversion of ventricular fibrillation? -
ANSWER>>Providing quality compressions immediately before a defibrillation attempt.
Which situation BEST describes pulseless electrical activity? - ANSWER>>Sinus rythm without a
pulse
What is the BEST strategy for performing high-quality CPR on a patient with an advanced airway
in place? - ANSWER>>Provide continuous chest compressions without pauses and 10
ventilations per minute.
Best Studying Material with All Questions,
Exams of Nursing ALREADY GRADED A
A patient presents to the emergency department with new onset of dizziness and fatigue. On
examination, the patient's heart rate is 35/min, the blood pressure is 70/50 mm Hg, the
respiratory rate is 22 breaths/min, and the oxygen saturation is 95%. What is the appropriate first
medication? - ANSWER>>Atropine 0.5mg
A patient with dizziness and shortness of breath with a sinus bradycardia of 40/min. The initial
atropine dose was ineffective, and your monitor/defibrillator is not equipped with a
transcutaneous pacemaker. What is the appropriate dose of dopamine for this patient? -
ANSWER>>2 to 10 mcg/kg per minute
A patient has sudden onset of dizziness. The patient's heart rate is 180/min, blood pressure is
110/70 mm Hg, respiratory rate is 18 breaths/min, and pulse oximetry reading is 98% on room
air. The lead II ECG is shown below: - ANSWER>>Vagal manuever.
A monitored patient in the ICU developed a sudden onset of narrow-complex tachycardia at a
rate of 220/min. The patient's blood pressure is 128/58 mm Hg, the PETCO2 is 38 mm Hg, and
the pulse oximetry reading is 98%. There is vascular access at the left internal jugular vein, and
the patient has not been given any vasoactive drugs. A 12-lead ECG confirms a supraventricular
tachycardia with no evidence of ischemia or infarction. The heart rate has not responded to vagal
maneuvers. What is the next recommended intervention? - ANSWER>>Adenosine 6mg IV push
You find an unresponsive pt. who is not breathing. After activating the emergency response
system, you determine there is no pulse. What is your next action? - ANSWER>>Start chest
compressions of at least 100 per min.
You are evaluating a 58-year-old man with chest pain. The blood pressure is 92/50 mm Hg, the
heart rate is 92/min, the nonlabored respiratory rate is 14 breaths/min, and the pulse oximetry
, reading is 97%. What assessment step is most important now? - ANSWER>>Obtaining a 12 lead
ECG.
What is the preferred method of access for epi administration during cardiac arrest in most pts? -
ANSWER>>Peripheral IV
An AED does not promptly analyze a rythm. What is your next step? - ANSWER>>Begin chest
compressions.
You have completed 2 minutes of CPR. The ECG monitor displays the lead II rhythm below, and
the patient has no pulse. Another member of your team resumes chest compressions, and an IV
is in place. What management step is your next priority? - ANSWER>>Administer 1mg of
epinephrine
During a pause in CPR, you see this lead II ECG rhythm on the monitor. The patient has no pulse.
What is the next action? - ANSWER>>Resume compressions
What is a common but sometimes fatal mistake in cardiac arrest management? -
ANSWER>>Prolonged interruptions in chest compressions.
Which action is a componant of high-quality chest comressions? - ANSWER>>Allowing complete
chest recoil
Which action increases the chance of successful conversion of ventricular fibrillation? -
ANSWER>>Providing quality compressions immediately before a defibrillation attempt.
Which situation BEST describes pulseless electrical activity? - ANSWER>>Sinus rythm without a
pulse
What is the BEST strategy for performing high-quality CPR on a patient with an advanced airway
in place? - ANSWER>>Provide continuous chest compressions without pauses and 10
ventilations per minute.
