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Final Exam ACLS questions and answers
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latest top score. a a
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A apatient aexperiences acardiac aarrest, aand athe aresuscitation ateam ainitiates aventilations
ausing aa abag-valve-mask a(BVM) aresuscitator. aThe adevelopment aof awhich acondition
aduring athe aprovision aof acare awould alead athe ateam ato asuspect athat aimproper aBVM
atechnique ais abeing aused? a
Select athe acorrect aanswer ato athis aquestion. a
a
a
Rib
afracture
a
Esophageal
ainjury
a
Pneumothorax
Hypertension a- a a correct a answer. a
aPneumothorax
a
1 aA amember aof athe aresuscitation ateam ais apreparing ato aadminister amedications
aintravenously ato aa apatient ain acardiac aarrest. aThe ateam amember afollows aeach
amedication aadministration awith aa abolus aof afluid. aHow amuch awould athe ateam
amember agive? aSelect athe acorrect aanswer ato athis aquestion. a
a
5 ato a10 amL a
10 ato a20 amL a
20 ato a30 amL a
30 ato a40 amL a- a acorrect aanswer. a aWhen aadministering amedications aduring aa acardiac
aarrest, a
a
all amedications aadministrated athrough athe aIV aor aintraosseous ainfusion aroute ashould
abe
a
followed aby aa a10- ato a20-mL afluid
abolus.
a
The aresuscitation ateam asuspects athat ahyperkalemia ais athe acause aof acardiac aarrest ain
aa apatient abrought ato athe aemergency adepartment. aWhich afinding aon aa a12-lead aECG
awould aconfirm athis asuspicion? a
,Wide-complex aventricular arhythm aand atall, apeaked aT awaves a
ST-segment achanges, aT-wave ainversion a
Flat aT awaves, aprominent aU awaves aand apossibly aprolonged aQT aintervals a
Narrow-complex aventricular atachycardia a- a acorrect aanswer. a aWide-complex aventricular
arhythm aand atall, apeaked aT awaves a
a
In ahyperkalemia athe apatient's a12-lead aECG arhythm astrip awill ashow awide-
complex a
a
ventricular arhythm aand atall, apeaked aT
awaves.
a
A apatient awith aan aischemic astroke aarrives aat athe aemergency adepartment aat a2 aa.m.
aThe apatient's asymptoms astarted aabout a12:30 aa.m. aAfter acompleting athe anecessary
aassessments, athe ahealthcare ateam adiagnoses aan aischemic astroke, aand athe apatient
ais adetermined ato abe aa acandidate afor afibrinolytic atherapy. aTo aachieve athe abest
aoutcomes, athe ateam ashould ainitiate atherapy afor athis apatient ano alater athan aby awhich
atime? aSelect athe acorrect aanswer ato athis aquestion. a
a
3:00 aa.m. a
5:30 aa.m. a
6:00 aa.m. a
8:30 aa.m. a- a acorrect aanswer. a a1
a3:00 aa.m. a
a
A aresuscitation ateam ais adebriefing afollowing aa arecent aevent. aA apatient aexperienced
acardiac aarrest, aand aadvanced acardiac alife asupport awas ainitiated. aThe apatient
arequired athe aplacement aof aan aadvanced aairway ato amaintain aairway apatency. aWhich
astatement aindicates athat athe ateam aperformed ahigh-quality aCPR? a
Select athe acorrect aanswer ato athis aquestion. a
a
"We akept athe arate aof achest acompressions ato aaround a100 aper aminute abut aadjusted
atheir a
a
depth ato a1.5 ainches awhile agiving a1 aventilation aevery a3
aseconds."
a
"We adelivered achest acompressions aat aa arate aof a80 ato a100 aper aminute ato aa adepth
aof aat a
a
least a2 ainches aand agave a1 aventilation aevery a6
aseconds."
a
"We ainitiated achest acompressions aat aa arate aof a100 ato a110 aper aminute ato aa adepth
aof a2.4 a
a
inches aand athen agave a1 aventilation aevery a10
aseconds."
a
"We adelivered a1 aventilation aevery a6 aseconds aand achest acompressions aat aa arate aof
a100 ato a
, a
120 acompressions aper aminute." a- a acorrect aanswer.
a a4
a
a
"We adelivered a1 aventilation aevery a6 aseconds aand achest acompressions aat aa arate aof
a100 ato a
a
120 acompressions aper
aminute."
a
A apatient awith aa asuspected astroke aarrives aat athe aemergency adepartment aat a7:10
ap.m. aThe astroke ateam aensures athat aa acomprehensive aneurologic aassessment ausing
athe aNational aInstitutes aof aHealth aStroke aScale a(NIHSS) ais acompleted aand athat abrain
aimaging ais aperformed aby awhich atime? a
7:20 ap.m. a
7:30 ap.m. a
7:40 ap.m. a
7:50 ap.m. a- a acorrect aanswer. a a2 a
Within a20 aminutes aof athe apatient's aarrival, aa acomprehensive aneurologic aassessment
ashould abe acompleted aand abrain aimaging ashould abe aperformed. aThat awould abe a7:30
ap.m. afor athis apatient. a
a
The aemergency adepartment ateam ais aproviding acare ato aa apatient awho ais aexperiencing
aventricular atachycardia. aThe apatient's aserum aelectrolyte alevels aare aa acontributing
acause aof athe apatient's acurrent acondition. aWhich aelectrolyte aimbalance(s) awould amost
alikely abe ainvolved? a
Select aall acorrect aoptions athat aapply. a
a
Hyperkalemia a
Hypochloremia a
Hypernatremia a
Hypomagnesemia a
Hypocalcemia a- a acorrect aanswer. a aHypomagnesemia a
Hypocalcemia a
a
A a30-year-old apatient ahas abeen abrought ato athe aemergency adepartment ain acardiac
aarrest. aThe acardiac amonitor ashows athe afollowing arhythm. aInterpretation aof athis
arhythm awould asuggest awhich aof athe afollowing aas aa apossible aprecipitating afactor? a- a
acorrect aanswer. a aThe arhythm ais aventricular afibrillation. aPrecipitating acauses aof
aventricular afibrillation ainclude aelectrocution, amyocardial aischemia aor ainfarction, ashock,
astimulant aoverdose aand aventricular atachycardia. a
a
electrocution a
a
A apatient aenters athe aemergency adepartment ain arespiratory acompromise. aThe ateam ais
amonitoring athe apatient ausing acapnography aand aidentifies athat aETCO2 alevels aare
ainitially a33 ammHg aand alater a40 ammHg. aFrom athese areadings, athe ateam aidentifies
athat athe apatient ais aprogressing ain awhat astage aof arespiratory acompromise? a
a
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a
Final Exam ACLS questions and answers
a a a a a
a
latest top score. a a
a
a
a
a
a
a
a
a
A apatient aexperiences acardiac aarrest, aand athe aresuscitation ateam ainitiates aventilations
ausing aa abag-valve-mask a(BVM) aresuscitator. aThe adevelopment aof awhich acondition
aduring athe aprovision aof acare awould alead athe ateam ato asuspect athat aimproper aBVM
atechnique ais abeing aused? a
Select athe acorrect aanswer ato athis aquestion. a
a
a
Rib
afracture
a
Esophageal
ainjury
a
Pneumothorax
Hypertension a- a a correct a answer. a
aPneumothorax
a
1 aA amember aof athe aresuscitation ateam ais apreparing ato aadminister amedications
aintravenously ato aa apatient ain acardiac aarrest. aThe ateam amember afollows aeach
amedication aadministration awith aa abolus aof afluid. aHow amuch awould athe ateam
amember agive? aSelect athe acorrect aanswer ato athis aquestion. a
a
5 ato a10 amL a
10 ato a20 amL a
20 ato a30 amL a
30 ato a40 amL a- a acorrect aanswer. a aWhen aadministering amedications aduring aa acardiac
aarrest, a
a
all amedications aadministrated athrough athe aIV aor aintraosseous ainfusion aroute ashould
abe
a
followed aby aa a10- ato a20-mL afluid
abolus.
a
The aresuscitation ateam asuspects athat ahyperkalemia ais athe acause aof acardiac aarrest ain
aa apatient abrought ato athe aemergency adepartment. aWhich afinding aon aa a12-lead aECG
awould aconfirm athis asuspicion? a
,Wide-complex aventricular arhythm aand atall, apeaked aT awaves a
ST-segment achanges, aT-wave ainversion a
Flat aT awaves, aprominent aU awaves aand apossibly aprolonged aQT aintervals a
Narrow-complex aventricular atachycardia a- a acorrect aanswer. a aWide-complex aventricular
arhythm aand atall, apeaked aT awaves a
a
In ahyperkalemia athe apatient's a12-lead aECG arhythm astrip awill ashow awide-
complex a
a
ventricular arhythm aand atall, apeaked aT
awaves.
a
A apatient awith aan aischemic astroke aarrives aat athe aemergency adepartment aat a2 aa.m.
aThe apatient's asymptoms astarted aabout a12:30 aa.m. aAfter acompleting athe anecessary
aassessments, athe ahealthcare ateam adiagnoses aan aischemic astroke, aand athe apatient
ais adetermined ato abe aa acandidate afor afibrinolytic atherapy. aTo aachieve athe abest
aoutcomes, athe ateam ashould ainitiate atherapy afor athis apatient ano alater athan aby awhich
atime? aSelect athe acorrect aanswer ato athis aquestion. a
a
3:00 aa.m. a
5:30 aa.m. a
6:00 aa.m. a
8:30 aa.m. a- a acorrect aanswer. a a1
a3:00 aa.m. a
a
A aresuscitation ateam ais adebriefing afollowing aa arecent aevent. aA apatient aexperienced
acardiac aarrest, aand aadvanced acardiac alife asupport awas ainitiated. aThe apatient
arequired athe aplacement aof aan aadvanced aairway ato amaintain aairway apatency. aWhich
astatement aindicates athat athe ateam aperformed ahigh-quality aCPR? a
Select athe acorrect aanswer ato athis aquestion. a
a
"We akept athe arate aof achest acompressions ato aaround a100 aper aminute abut aadjusted
atheir a
a
depth ato a1.5 ainches awhile agiving a1 aventilation aevery a3
aseconds."
a
"We adelivered achest acompressions aat aa arate aof a80 ato a100 aper aminute ato aa adepth
aof aat a
a
least a2 ainches aand agave a1 aventilation aevery a6
aseconds."
a
"We ainitiated achest acompressions aat aa arate aof a100 ato a110 aper aminute ato aa adepth
aof a2.4 a
a
inches aand athen agave a1 aventilation aevery a10
aseconds."
a
"We adelivered a1 aventilation aevery a6 aseconds aand achest acompressions aat aa arate aof
a100 ato a
, a
120 acompressions aper aminute." a- a acorrect aanswer.
a a4
a
a
"We adelivered a1 aventilation aevery a6 aseconds aand achest acompressions aat aa arate aof
a100 ato a
a
120 acompressions aper
aminute."
a
A apatient awith aa asuspected astroke aarrives aat athe aemergency adepartment aat a7:10
ap.m. aThe astroke ateam aensures athat aa acomprehensive aneurologic aassessment ausing
athe aNational aInstitutes aof aHealth aStroke aScale a(NIHSS) ais acompleted aand athat abrain
aimaging ais aperformed aby awhich atime? a
7:20 ap.m. a
7:30 ap.m. a
7:40 ap.m. a
7:50 ap.m. a- a acorrect aanswer. a a2 a
Within a20 aminutes aof athe apatient's aarrival, aa acomprehensive aneurologic aassessment
ashould abe acompleted aand abrain aimaging ashould abe aperformed. aThat awould abe a7:30
ap.m. afor athis apatient. a
a
The aemergency adepartment ateam ais aproviding acare ato aa apatient awho ais aexperiencing
aventricular atachycardia. aThe apatient's aserum aelectrolyte alevels aare aa acontributing
acause aof athe apatient's acurrent acondition. aWhich aelectrolyte aimbalance(s) awould amost
alikely abe ainvolved? a
Select aall acorrect aoptions athat aapply. a
a
Hyperkalemia a
Hypochloremia a
Hypernatremia a
Hypomagnesemia a
Hypocalcemia a- a acorrect aanswer. a aHypomagnesemia a
Hypocalcemia a
a
A a30-year-old apatient ahas abeen abrought ato athe aemergency adepartment ain acardiac
aarrest. aThe acardiac amonitor ashows athe afollowing arhythm. aInterpretation aof athis
arhythm awould asuggest awhich aof athe afollowing aas aa apossible aprecipitating afactor? a- a
acorrect aanswer. a aThe arhythm ais aventricular afibrillation. aPrecipitating acauses aof
aventricular afibrillation ainclude aelectrocution, amyocardial aischemia aor ainfarction, ashock,
astimulant aoverdose aand aventricular atachycardia. a
a
electrocution a
a
A apatient aenters athe aemergency adepartment ain arespiratory acompromise. aThe ateam ais
amonitoring athe apatient ausing acapnography aand aidentifies athat aETCO2 alevels aare
ainitially a33 ammHg aand alater a40 ammHg. aFrom athese areadings, athe ateam aidentifies
athat athe apatient ais aprogressing ain awhat astage aof arespiratory acompromise? a
a
