AHA ACLS Written Test with answers
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? |- |correct |answer |-Start |chest |
compressions |of |at |least |100 |per |min.
You |are |evaluating |a |58 |year |old |man |with |chest |pain. |The |BP |is |92/50 |and |a |heart |rate |of |92/min, |
non-labored |respiratory |rate |is |14 |breaths/min |and |the |pulse |O2 |is |97%. |What |assessment |step |is |
most |important |now? |- |correct |answer |-Obtaining |a |12 |lead |ECG.
What |is |the |preferred |method |of |access |for |epi |administration |during |cardiac |arrest |in |most |pts? |- |
correct |answer |-Peripheral |IV
An |AED |does |not |promptly |analyze |a |rythm. |What |is |your |next |step? |- |correct |answer |-Begin |chest |
compressions.
You |have |completed |2 |min |of |CPR. |The |ECG |monitor |displays |the |lead |below |(PEA) |and |the |pt. |has |no
|pulse. |You |partner |resumes |chest |compressions |and |an |IV |is |in |place. |What |management |step |is |your
|next |priority? |- |correct |answer |-Administer |1mg |of |epinepherine
During |a |pause |in |CPR, |you |see |a |narrow |complex |rythm |on |the |monitor. |The |pt. |has |no |pulse. |What |
is |the |next |action? |- |correct |answer |-Resume |compressions
What |is |acommon |but |sometimes |fatal |mistake |in |cardiac |arrest |management? |- |correct |answer |-
Prolonged |interruptions |in |chest |compressions.
Which |action |is |a |componant |of |high-quality |chest |comressions? |- |correct |answer |-Allowing |complete |
chest |recoil
Which |action |increases |the |chance |of |successful |conversion |of |ventricular |fibrillation? |- |correct |
answer |-Providing |quality |compressions |immediately |before |a |defibrillation |attempt.
Which |situation |BEST |describes |PEA? |- |correct |answer |-Sinus |rythm |without |a |pulse
, What |is |the |best |strategy |for |perfoming |high-quality |CPR |on |a |pt.with |an |advanced |airway |in |place? |- |
correct |answer |-Provide |continuous |chest |compressionswithout |pauses |and |10 |ventilations |per |
minute.
3 |min |after |witnessing |a |cardiac |arrest, |one |memeber |of |your |team |inserts |an |ET |tube |while |another |
performs |continuous |chest |comressions. |During |subsequent |bentilation, |you |notice |the |presence |of |a |
wavefom |on |the |capnogrophy |screen |and |a |PETCO2 |of |8 |mm |Hg. |What |is |the |significance |of |this |
finding? |- |correct |answer |-Chest |compressions |may |not |be |effective.
The |use |of |quantitative |capnography |in |intubated |pt's |does |what? |- |correct |answer |-Allowsfor |
monitoring |CPR |quality
For |the |past |25 |min, |EMS |crews |have |attemptedresuscitation |of |a |pt |who |originally |presented |with |V-
FIB. |After |the |1st |shock, |the |ECG |screen |displayed |asystole |which |has |persisted |despite |2 |doses |of |
epi, |a |fluid |bolus, |and |high |quality |CPR. |What |is |your |next |treatment? |- |correct |answer |-Consider |
terminating |resuscitive |efforts |after |consulting |medical |control.
Which |is |a |safe |and |effective |practice |within |the |defibrillation |sequence? |- |correct |answer |-Be |sure |
O2 |is |NOT |blowing |over |the |pt's |chest |during |shock.
During |your |assessment, |your |pt |suddenly |loses |consciousness. |After |calling |for |help |and |determining |
that |the |pt. |is |not |breathing, |you |are |unsure |whether |the |pt. |has |a |pulse. |What |is |your |next |action? |-
|correct |answer |-Begin |chest |compressions.
What |is |an |advantage |of |using |hands-free |d-fib |pads |instead |of |d-fib |paddles? |- |correct |answer |-
Hands-free |allows |for |more |rapid |d-fib.
What |action |is |recommended |to |help |minimize |interruptions |in |chest |compressions |during |CPR? |- |
correct |answer |-Continue |CPR |while |charging |the |defibrillator.
Which |action |is |included |in |the |BLS |survey? |- |correct |answer |-Early |defibrillation
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? |- |correct |answer |-Start |chest |
compressions |of |at |least |100 |per |min.
You |are |evaluating |a |58 |year |old |man |with |chest |pain. |The |BP |is |92/50 |and |a |heart |rate |of |92/min, |
non-labored |respiratory |rate |is |14 |breaths/min |and |the |pulse |O2 |is |97%. |What |assessment |step |is |
most |important |now? |- |correct |answer |-Obtaining |a |12 |lead |ECG.
What |is |the |preferred |method |of |access |for |epi |administration |during |cardiac |arrest |in |most |pts? |- |
correct |answer |-Peripheral |IV
An |AED |does |not |promptly |analyze |a |rythm. |What |is |your |next |step? |- |correct |answer |-Begin |chest |
compressions.
You |have |completed |2 |min |of |CPR. |The |ECG |monitor |displays |the |lead |below |(PEA) |and |the |pt. |has |no
|pulse. |You |partner |resumes |chest |compressions |and |an |IV |is |in |place. |What |management |step |is |your
|next |priority? |- |correct |answer |-Administer |1mg |of |epinepherine
During |a |pause |in |CPR, |you |see |a |narrow |complex |rythm |on |the |monitor. |The |pt. |has |no |pulse. |What |
is |the |next |action? |- |correct |answer |-Resume |compressions
What |is |acommon |but |sometimes |fatal |mistake |in |cardiac |arrest |management? |- |correct |answer |-
Prolonged |interruptions |in |chest |compressions.
Which |action |is |a |componant |of |high-quality |chest |comressions? |- |correct |answer |-Allowing |complete |
chest |recoil
Which |action |increases |the |chance |of |successful |conversion |of |ventricular |fibrillation? |- |correct |
answer |-Providing |quality |compressions |immediately |before |a |defibrillation |attempt.
Which |situation |BEST |describes |PEA? |- |correct |answer |-Sinus |rythm |without |a |pulse
, What |is |the |best |strategy |for |perfoming |high-quality |CPR |on |a |pt.with |an |advanced |airway |in |place? |- |
correct |answer |-Provide |continuous |chest |compressionswithout |pauses |and |10 |ventilations |per |
minute.
3 |min |after |witnessing |a |cardiac |arrest, |one |memeber |of |your |team |inserts |an |ET |tube |while |another |
performs |continuous |chest |comressions. |During |subsequent |bentilation, |you |notice |the |presence |of |a |
wavefom |on |the |capnogrophy |screen |and |a |PETCO2 |of |8 |mm |Hg. |What |is |the |significance |of |this |
finding? |- |correct |answer |-Chest |compressions |may |not |be |effective.
The |use |of |quantitative |capnography |in |intubated |pt's |does |what? |- |correct |answer |-Allowsfor |
monitoring |CPR |quality
For |the |past |25 |min, |EMS |crews |have |attemptedresuscitation |of |a |pt |who |originally |presented |with |V-
FIB. |After |the |1st |shock, |the |ECG |screen |displayed |asystole |which |has |persisted |despite |2 |doses |of |
epi, |a |fluid |bolus, |and |high |quality |CPR. |What |is |your |next |treatment? |- |correct |answer |-Consider |
terminating |resuscitive |efforts |after |consulting |medical |control.
Which |is |a |safe |and |effective |practice |within |the |defibrillation |sequence? |- |correct |answer |-Be |sure |
O2 |is |NOT |blowing |over |the |pt's |chest |during |shock.
During |your |assessment, |your |pt |suddenly |loses |consciousness. |After |calling |for |help |and |determining |
that |the |pt. |is |not |breathing, |you |are |unsure |whether |the |pt. |has |a |pulse. |What |is |your |next |action? |-
|correct |answer |-Begin |chest |compressions.
What |is |an |advantage |of |using |hands-free |d-fib |pads |instead |of |d-fib |paddles? |- |correct |answer |-
Hands-free |allows |for |more |rapid |d-fib.
What |action |is |recommended |to |help |minimize |interruptions |in |chest |compressions |during |CPR? |- |
correct |answer |-Continue |CPR |while |charging |the |defibrillator.
Which |action |is |included |in |the |BLS |survey? |- |correct |answer |-Early |defibrillation
