ACLS POST TEST – COMBINED
Questions & Verified Answers
1.You are caring for a patient with a suspected stroke whose symptoms
started 2 hours ago. The CT was normal with no sign of hemorrhage.
The patient does not have any contraindications to fibrinolytic therapy.
Which treatment is best?
a. start fibrinolytic therapy ASAP
b. hold fibrinolytic therapy for 24 hours
c. order an echo before fibrinolytic administration
d. wait for MRI result
ANS a. start fibrinolytic therapy ASAP
2.For STEMI pt, maximum goal time for ED door-to-balloon-inflation time
for PCI?
a. 150 mins
b. 180 mins
c. 120 mins
d. 90 mins
ANS 90 mins
3.Which is the recommended oral dose of ASA for a pt w/ suspected ACS?
a. 81 mg
b. 325-650 mg
,c. 160-325 mg
d. 40 mg
ANS 160-325 mg
4.chest compressions during for adult rate
ANS 100-120/min
5.effect of excessive ventilation
a. decreased cardiac output
b. decreased intrathoracic pressure
c. increased perfusion pressure
d. increased venous return
ANS decreased cardiac output
6.temperature to achieve targeted temperature management after
cardiac arrest
ANS 32-36C
7.3 mins into cardiac arrest resuscitation attempt, one member of your
team inserts an endotracheal tube while another performs chest
compressions. Capnography shows a persistent waveform & a PETCO2 of
8mmHg. What is the significance of the finding?
a. chest compression may not be effective
b. The endotrachael tube is in the esophagus
c. the team is ventilating the patient too often
,d. the patient meets the criteria for termination of efforts
ANS a. chest compression may not be effective
8.Your patient is in cardiac arrest and has been intubated. to assess
CPR quality, you should
ANS monitor the patient's PETCO2
9.In addition to clinical assessment, which is the most reliable method
to confirm & monitor correct placement of an endotracheal tube?
ANS continuous waveform capnography
10.A 45M had coronary artery stents placed 2 days ago. Today he is in
severe distress and reporting "crushing" chest discomfort. He is pale,
diphoretic, and cool to the touch. His radial pulse is very weak, blood
pressure is 64/40, respiratory is 28 bpm/min and O2 set is 89% on room air.
ANS answer has to do with acute coronary syndrome
11.A 45M had coronary artery stents placed 2 days ago. Today he is in
severe distress and reporting "crushing" chest discomfort. He is pale,
diphoretic, and cool to the touch. His radial pulse is very weak, blood
pressure is 64/40, respiratory is 28 bpm/min and O2 set is 89% on room air.
When applied, the cardiac monitor initially showed ventricular tachycardia,
which then quickly changed to ventricular fibrillation. What do we do?
a. chest compression
, b. vasoactive meds
c. vascular access
d. advanced airway
ANS a. chest compression
12.A 45M had coronary artery stents placed 2 days ago. Today he is in
severe distress and reporting "crushing" chest discomfort. He is pale,
diphoretic, and cool to the touch. His radial pulse is very weak, blood
pressure is 64/40, respiratory is 28 bpm/min and O2 set is 89% on room air.
Despite 2 defib attempt, the patient remains in V-fib. Which drug & dose
should be given?
a. lidocaine 1 mg/kg
b. amiodarone 300mg
c. epi 1mg
d. atropine 1 mg
ANS epi 1 mg
13.A 45M had coronary artery stents placed 2 days ago. Today he is in
severe distress and reporting "crushing" chest discomfort. He is pale,
diphoretic, and cool to the touch. His radial pulse is very weak, blood
pressure is 64/40, respiratory is 28 bpm/min and O2 set is 89% on room air.
despite the drug provided above & continuous CPR, the patient remains in
v-fib. which drug should be given next?
a. atropine 1mg
b. mag sulfate 1g
Questions & Verified Answers
1.You are caring for a patient with a suspected stroke whose symptoms
started 2 hours ago. The CT was normal with no sign of hemorrhage.
The patient does not have any contraindications to fibrinolytic therapy.
Which treatment is best?
a. start fibrinolytic therapy ASAP
b. hold fibrinolytic therapy for 24 hours
c. order an echo before fibrinolytic administration
d. wait for MRI result
ANS a. start fibrinolytic therapy ASAP
2.For STEMI pt, maximum goal time for ED door-to-balloon-inflation time
for PCI?
a. 150 mins
b. 180 mins
c. 120 mins
d. 90 mins
ANS 90 mins
3.Which is the recommended oral dose of ASA for a pt w/ suspected ACS?
a. 81 mg
b. 325-650 mg
,c. 160-325 mg
d. 40 mg
ANS 160-325 mg
4.chest compressions during for adult rate
ANS 100-120/min
5.effect of excessive ventilation
a. decreased cardiac output
b. decreased intrathoracic pressure
c. increased perfusion pressure
d. increased venous return
ANS decreased cardiac output
6.temperature to achieve targeted temperature management after
cardiac arrest
ANS 32-36C
7.3 mins into cardiac arrest resuscitation attempt, one member of your
team inserts an endotracheal tube while another performs chest
compressions. Capnography shows a persistent waveform & a PETCO2 of
8mmHg. What is the significance of the finding?
a. chest compression may not be effective
b. The endotrachael tube is in the esophagus
c. the team is ventilating the patient too often
,d. the patient meets the criteria for termination of efforts
ANS a. chest compression may not be effective
8.Your patient is in cardiac arrest and has been intubated. to assess
CPR quality, you should
ANS monitor the patient's PETCO2
9.In addition to clinical assessment, which is the most reliable method
to confirm & monitor correct placement of an endotracheal tube?
ANS continuous waveform capnography
10.A 45M had coronary artery stents placed 2 days ago. Today he is in
severe distress and reporting "crushing" chest discomfort. He is pale,
diphoretic, and cool to the touch. His radial pulse is very weak, blood
pressure is 64/40, respiratory is 28 bpm/min and O2 set is 89% on room air.
ANS answer has to do with acute coronary syndrome
11.A 45M had coronary artery stents placed 2 days ago. Today he is in
severe distress and reporting "crushing" chest discomfort. He is pale,
diphoretic, and cool to the touch. His radial pulse is very weak, blood
pressure is 64/40, respiratory is 28 bpm/min and O2 set is 89% on room air.
When applied, the cardiac monitor initially showed ventricular tachycardia,
which then quickly changed to ventricular fibrillation. What do we do?
a. chest compression
, b. vasoactive meds
c. vascular access
d. advanced airway
ANS a. chest compression
12.A 45M had coronary artery stents placed 2 days ago. Today he is in
severe distress and reporting "crushing" chest discomfort. He is pale,
diphoretic, and cool to the touch. His radial pulse is very weak, blood
pressure is 64/40, respiratory is 28 bpm/min and O2 set is 89% on room air.
Despite 2 defib attempt, the patient remains in V-fib. Which drug & dose
should be given?
a. lidocaine 1 mg/kg
b. amiodarone 300mg
c. epi 1mg
d. atropine 1 mg
ANS epi 1 mg
13.A 45M had coronary artery stents placed 2 days ago. Today he is in
severe distress and reporting "crushing" chest discomfort. He is pale,
diphoretic, and cool to the touch. His radial pulse is very weak, blood
pressure is 64/40, respiratory is 28 bpm/min and O2 set is 89% on room air.
despite the drug provided above & continuous CPR, the patient remains in
v-fib. which drug should be given next?
a. atropine 1mg
b. mag sulfate 1g
