ACLS Exam A 2020 questions and and
answers 100% guaranteed success.
Which of these tests should be performed for a pt with suspected stroke as early as
possible but no more than 20 min after hospital arrival? - correct answer. Noncontrast
CT scan of head
Which best describes this rhythm? - correct answer. Monomorphic Vent Tach
Which is an acceptable method of selecting an appropriately sized oropharyngeal
airway? - correct answer. Measure from the corner of the mouth to the angle of
mandible
You are caring for a pt with a suspected stroke whose symptoms started 2 hours ago.
The CT scan was normal, with no signs of hemorrhage. The pt does not have any
contraindications to fibrinolytic therapy. Which treatment is best for this pt? - correct
answer. Give fibrinolytic therapy as soon as possible and consider endovascular
therapy
Which is the recommended next step after a defibrillation attempt? - correct answer.
Resume CPR, starting with chest compressions
Which of the following signs is a likely indicator of cardiac arrest in an unresponsive pt?
- correct answer. Agonal gasps
You are evaluating a 58YO man with chest discomfort. His BP is 92/50 mmHG, his HR
is 92/min, his nonlabored RR is 14/min, and his pulse ox is 97%. Which assessment
step is most important now? - correct answer. Obtaining a 12-lead ECG
During post-cardiac arrest care, which is the recommended duration of targeted
temperature management after reaching the correct temperature range? - correct
answer. At least 24 hours
, Your rescue team arrives to find a 59YO man lying on the kitchen floor. You determine
that he is unresponsive. What is the next step in your assessment and management of
this pt? - correct answer. Check the pt's breathing and pulse
(SET) A 45YO man had coronary stents placed 2 days ago. Today he is in severe
distress and is reporting "crushing" chest discomfort. Pale, diaphoretic, cool to touch,
weak radial pulse, BP 64/40 mmHg, RR 28/min, 89% RA. VTach changed to VFib.
On the basis of this pt's initial presentation, which condition do you suspect led to the
cardiac arrest? - correct answer. Acute Coronary Syndrome
(SET) A 45YO man had coronary stents placed 2 days ago. Today he is in severe
distress and is reporting "crushing" chest discomfort. Pale, diaphoretic, cool to touch,
weak radial pulse, BP 64/40 mmHg, RR 28/min, 89% RA. VTach changed to VFib.
In addition to defibrillation, which intervention should be performed immediately? -
correct answer. Chest compressions
(SET) A 45YO man had coronary stents placed 2 days ago. Today he is in severe
distress and is reporting "crushing" chest discomfort. Pale, diaphoretic, cool to touch,
weak radial pulse, BP 64/40 mmHg, RR 28/min, 89% RA. VTach changed to VFib.
Despite 2 defib attempts, the pt remains in VFib. Which drug and dose should you
administer FIRST to this pt? - correct answer. Epi 1mg
(SET) A 45YO man had coronary stents placed 2 days ago. Today he is in severe
distress and is reporting "crushing" chest discomfort. Pale, diaphoretic, cool to touch,
weak radial pulse, BP 64/40 mmHg, RR 28/min, 89% RA. VTach changed to VFib.
Despite the drug provided above and continued CPR, the pt remains in VFib. Which
other drug should be administered NEXT? - correct answer. Lido 1 to 1.5mg/kg
(SET) A 45YO man had coronary stents placed 2 days ago. Today he is in severe
distress and is reporting "crushing" chest discomfort. Pale, diaphoretic, cool to touch,
weak radial pulse, BP 64/40 mmHg, RR 28/min, 89% RA. VTach changed to VFib.
The pt has ROSC and is not able to follow commands. Which immediate post-cardiac
arrest care intervention do you choose for this pt? - correct answer. Initiate targeted
temperature management
(SET) A 45YO man had coronary stents placed 2 days ago. Today he is in severe
distress and is reporting "crushing" chest discomfort. Pale, diaphoretic, cool to touch,
weak radial pulse, BP 64/40 mmHg, RR 28/min, 89% RA. VTach changed to VFib.
Which would you have done first if the pt had not gone into VFib? - correct answer.
Performed synchronized cardioversion
answers 100% guaranteed success.
Which of these tests should be performed for a pt with suspected stroke as early as
possible but no more than 20 min after hospital arrival? - correct answer. Noncontrast
CT scan of head
Which best describes this rhythm? - correct answer. Monomorphic Vent Tach
Which is an acceptable method of selecting an appropriately sized oropharyngeal
airway? - correct answer. Measure from the corner of the mouth to the angle of
mandible
You are caring for a pt with a suspected stroke whose symptoms started 2 hours ago.
The CT scan was normal, with no signs of hemorrhage. The pt does not have any
contraindications to fibrinolytic therapy. Which treatment is best for this pt? - correct
answer. Give fibrinolytic therapy as soon as possible and consider endovascular
therapy
Which is the recommended next step after a defibrillation attempt? - correct answer.
Resume CPR, starting with chest compressions
Which of the following signs is a likely indicator of cardiac arrest in an unresponsive pt?
- correct answer. Agonal gasps
You are evaluating a 58YO man with chest discomfort. His BP is 92/50 mmHG, his HR
is 92/min, his nonlabored RR is 14/min, and his pulse ox is 97%. Which assessment
step is most important now? - correct answer. Obtaining a 12-lead ECG
During post-cardiac arrest care, which is the recommended duration of targeted
temperature management after reaching the correct temperature range? - correct
answer. At least 24 hours
, Your rescue team arrives to find a 59YO man lying on the kitchen floor. You determine
that he is unresponsive. What is the next step in your assessment and management of
this pt? - correct answer. Check the pt's breathing and pulse
(SET) A 45YO man had coronary stents placed 2 days ago. Today he is in severe
distress and is reporting "crushing" chest discomfort. Pale, diaphoretic, cool to touch,
weak radial pulse, BP 64/40 mmHg, RR 28/min, 89% RA. VTach changed to VFib.
On the basis of this pt's initial presentation, which condition do you suspect led to the
cardiac arrest? - correct answer. Acute Coronary Syndrome
(SET) A 45YO man had coronary stents placed 2 days ago. Today he is in severe
distress and is reporting "crushing" chest discomfort. Pale, diaphoretic, cool to touch,
weak radial pulse, BP 64/40 mmHg, RR 28/min, 89% RA. VTach changed to VFib.
In addition to defibrillation, which intervention should be performed immediately? -
correct answer. Chest compressions
(SET) A 45YO man had coronary stents placed 2 days ago. Today he is in severe
distress and is reporting "crushing" chest discomfort. Pale, diaphoretic, cool to touch,
weak radial pulse, BP 64/40 mmHg, RR 28/min, 89% RA. VTach changed to VFib.
Despite 2 defib attempts, the pt remains in VFib. Which drug and dose should you
administer FIRST to this pt? - correct answer. Epi 1mg
(SET) A 45YO man had coronary stents placed 2 days ago. Today he is in severe
distress and is reporting "crushing" chest discomfort. Pale, diaphoretic, cool to touch,
weak radial pulse, BP 64/40 mmHg, RR 28/min, 89% RA. VTach changed to VFib.
Despite the drug provided above and continued CPR, the pt remains in VFib. Which
other drug should be administered NEXT? - correct answer. Lido 1 to 1.5mg/kg
(SET) A 45YO man had coronary stents placed 2 days ago. Today he is in severe
distress and is reporting "crushing" chest discomfort. Pale, diaphoretic, cool to touch,
weak radial pulse, BP 64/40 mmHg, RR 28/min, 89% RA. VTach changed to VFib.
The pt has ROSC and is not able to follow commands. Which immediate post-cardiac
arrest care intervention do you choose for this pt? - correct answer. Initiate targeted
temperature management
(SET) A 45YO man had coronary stents placed 2 days ago. Today he is in severe
distress and is reporting "crushing" chest discomfort. Pale, diaphoretic, cool to touch,
weak radial pulse, BP 64/40 mmHg, RR 28/min, 89% RA. VTach changed to VFib.
Which would you have done first if the pt had not gone into VFib? - correct answer.
Performed synchronized cardioversion
