AMERICAN RED CROSS-ACLS-FINAL WITH
RATIONALIZED ANSWERS YEAR 2024/2025
A patient is in cardiac arrest. The cardiac monitor shows
asystole. In addition to providing continuous high-quality CPR,
what is the other priority intervention for this patient? - verified
answers-Administering epinephrine as early as possible
A patient has experienced return of spontaneous circulation
(ROSC) after cardiac arrest. The healthcare team is conducting
a secondary assessment to determine the possible cause of
the patient's cardiac arrest. Before the arrest, the patient
exhibited jugular venous distension, cyanosis, apnea and
hyperresonance on percussion. The patient was also difficult to
ventilate during the response. The team would most likely
suspect which condition as the cause? - verified answers-
Tension Pneumothorax
A patient with suspected stroke arrives at the emergency
department. The patient is diagnosed with acute ischemic
stroke and is a candidate for fibrinolytic therapy. To achieve the
best outcomes, this therapy should be initiated within what time
frame? - verified answers-Within 1 hour of patient's arrival.
A patient in the telemetry unit is receiving continuous cardiac
monitoring. The patient has a history of myocardial infarction.
The patient's ECG rhythm strip is shown in the following figure.
The provider interprets this strip as indicating which
arrhythmia? - verified answers-Third-degree AV block
A 28-year-old pregnant patient who resides in transitional
housing presents to the emergency department with complaints
of feeling feverish and very faint. The patient tells the
emergency nurse that she does not know when she became
pregnant. Upon palpation, the fundus is not at or above the
umbilicus. The patient's condition quickly deteriorates and she
, goes into cardiac arrest. If available and able to be used
without impeding or delaying the resuscitation effort, what
diagnostic tool could be used to guide decision-making in the
care of this patient? - verified answers-Point-of-care ultrasound
Cardiac monitoring indicates that a patient has a ventricular
tachyarrhythmia. The patient has a pulse and is not showing
any signs of hemodynamic compromise. A 12-lead ECG
reveals an irregular rhythm with QRS complexes greater than
0.12 second in duration. Which action would be appropriate at
this time? - verified answers-Consider an antiarrhythmic
medication
A responsive patient is choking. What method should the
provider use first to clear the obstructed airway? - verified
answers-Back blows
What is the priority intervention for a patient with a narrow-
complex tachycardia (160 bpm) and a blood pressure of 72/48
mmHg? - verified answers-Perform immediate synchronized
cardioversion
A patient is admitted to the emergency department with signs
and symptoms of stroke. The stroke team should complete a
comprehensive neurologic assessment and obtain brain
imaging results within what time frame? - verified answers-
Within 20 minutes
Cardiac monitoring of a patient in cardiac arrest reveals
ventricular fibrillation. In addition to high-quality CPR, what
intervention should be a priority for the team? - verified
answers-Defibrillation.
A patient with suspected acute coronary syndromes (ACS) has
a pulse oximetry reading of 86% and is given supplemental
oxygen. The provider determines that the supplemental oxygen
RATIONALIZED ANSWERS YEAR 2024/2025
A patient is in cardiac arrest. The cardiac monitor shows
asystole. In addition to providing continuous high-quality CPR,
what is the other priority intervention for this patient? - verified
answers-Administering epinephrine as early as possible
A patient has experienced return of spontaneous circulation
(ROSC) after cardiac arrest. The healthcare team is conducting
a secondary assessment to determine the possible cause of
the patient's cardiac arrest. Before the arrest, the patient
exhibited jugular venous distension, cyanosis, apnea and
hyperresonance on percussion. The patient was also difficult to
ventilate during the response. The team would most likely
suspect which condition as the cause? - verified answers-
Tension Pneumothorax
A patient with suspected stroke arrives at the emergency
department. The patient is diagnosed with acute ischemic
stroke and is a candidate for fibrinolytic therapy. To achieve the
best outcomes, this therapy should be initiated within what time
frame? - verified answers-Within 1 hour of patient's arrival.
A patient in the telemetry unit is receiving continuous cardiac
monitoring. The patient has a history of myocardial infarction.
The patient's ECG rhythm strip is shown in the following figure.
The provider interprets this strip as indicating which
arrhythmia? - verified answers-Third-degree AV block
A 28-year-old pregnant patient who resides in transitional
housing presents to the emergency department with complaints
of feeling feverish and very faint. The patient tells the
emergency nurse that she does not know when she became
pregnant. Upon palpation, the fundus is not at or above the
umbilicus. The patient's condition quickly deteriorates and she
, goes into cardiac arrest. If available and able to be used
without impeding or delaying the resuscitation effort, what
diagnostic tool could be used to guide decision-making in the
care of this patient? - verified answers-Point-of-care ultrasound
Cardiac monitoring indicates that a patient has a ventricular
tachyarrhythmia. The patient has a pulse and is not showing
any signs of hemodynamic compromise. A 12-lead ECG
reveals an irregular rhythm with QRS complexes greater than
0.12 second in duration. Which action would be appropriate at
this time? - verified answers-Consider an antiarrhythmic
medication
A responsive patient is choking. What method should the
provider use first to clear the obstructed airway? - verified
answers-Back blows
What is the priority intervention for a patient with a narrow-
complex tachycardia (160 bpm) and a blood pressure of 72/48
mmHg? - verified answers-Perform immediate synchronized
cardioversion
A patient is admitted to the emergency department with signs
and symptoms of stroke. The stroke team should complete a
comprehensive neurologic assessment and obtain brain
imaging results within what time frame? - verified answers-
Within 20 minutes
Cardiac monitoring of a patient in cardiac arrest reveals
ventricular fibrillation. In addition to high-quality CPR, what
intervention should be a priority for the team? - verified
answers-Defibrillation.
A patient with suspected acute coronary syndromes (ACS) has
a pulse oximetry reading of 86% and is given supplemental
oxygen. The provider determines that the supplemental oxygen
