ACLS Review Questions & Answers
1.What is the primary purpose of the CPR coach on a resuscitation team?
ANS -
increasing CPR quality
2.What is the most common type of stroke?
ANS ischemic stroke
3.What is a contraindication to the administration of aspirin for the
manage- ment of a pt with acute coronary syndromes?
ANS recent gastrointestinal bleeding
4.What blood component is acted upon by aspirin administration during
the management of a pt with ACS?
ANS platelets
5.What is the most appropriate destination for pts with suspected
acute ischemic stroke?
ANS certified stroke center
6.A 49-year-old man arrives at the emergency department with chest
discom- fort. He states that he was working in the garden this morning when
his chest started hurting. The last episode lasted about 25 minutes, and he
was sweaty. The chest discomfort is not relieved with rest.
Within the first 10 minutes, on the basis of the pt showing symptoms
suggestive of MI, what will your first actions include (if not completed by
EMS before arrival)?
ANS If SpO2 is less than 90%, start oxygen
1/
14
, Obtain a 12-lead EKG
Administer aspirin and establish IV
access Assess ABCs
Consider nitroglycerin, morphine, and a P2Y inhibitor
Activate the STEMI team
7.His initial VS are HR 120/min, BP 135/88 mmHg, RR 23/min, SpO2 87%,
and temperature 37.3 degrees C.
When considering oxygen saturation, what is your course of action?
Start oxygen at 4L/min via nasal cannula
Do not start oxygen
Intubate pt immediately
Administer albuterol nebulizer
ANS Start oxygen at 4L/min via nasal cannula
8.What additional questions help you determine next steps?
ANS When did the symptoms start?
Do you have any
allergies? Do you take
any medication?
9.Your pt continues to say that he has chest discomfort.
What treatment can you repeat as long as it is not contraindicated by vital
signs?
Nitroglycerin IV every 1 to 3 mins
Morphine sublingual every 1 to 3 mins
Nitroglycerin sublingual or translingual every 3 to 5 mins
Morphine IV every 1 to 3 mins
2/
14
STEMI
1.What is the primary purpose of the CPR coach on a resuscitation team?
ANS -
increasing CPR quality
2.What is the most common type of stroke?
ANS ischemic stroke
3.What is a contraindication to the administration of aspirin for the
manage- ment of a pt with acute coronary syndromes?
ANS recent gastrointestinal bleeding
4.What blood component is acted upon by aspirin administration during
the management of a pt with ACS?
ANS platelets
5.What is the most appropriate destination for pts with suspected
acute ischemic stroke?
ANS certified stroke center
6.A 49-year-old man arrives at the emergency department with chest
discom- fort. He states that he was working in the garden this morning when
his chest started hurting. The last episode lasted about 25 minutes, and he
was sweaty. The chest discomfort is not relieved with rest.
Within the first 10 minutes, on the basis of the pt showing symptoms
suggestive of MI, what will your first actions include (if not completed by
EMS before arrival)?
ANS If SpO2 is less than 90%, start oxygen
1/
14
, Obtain a 12-lead EKG
Administer aspirin and establish IV
access Assess ABCs
Consider nitroglycerin, morphine, and a P2Y inhibitor
Activate the STEMI team
7.His initial VS are HR 120/min, BP 135/88 mmHg, RR 23/min, SpO2 87%,
and temperature 37.3 degrees C.
When considering oxygen saturation, what is your course of action?
Start oxygen at 4L/min via nasal cannula
Do not start oxygen
Intubate pt immediately
Administer albuterol nebulizer
ANS Start oxygen at 4L/min via nasal cannula
8.What additional questions help you determine next steps?
ANS When did the symptoms start?
Do you have any
allergies? Do you take
any medication?
9.Your pt continues to say that he has chest discomfort.
What treatment can you repeat as long as it is not contraindicated by vital
signs?
Nitroglycerin IV every 1 to 3 mins
Morphine sublingual every 1 to 3 mins
Nitroglycerin sublingual or translingual every 3 to 5 mins
Morphine IV every 1 to 3 mins
2/
14
STEMI
