ACLS Certification Exam 2023 Graded A

Any organized rhythm without a pulse is defined as pulseless electrical activity (PEA). - ANSWER-True Synchronized cardioversion is appropriate for treating an unknown wide complex tachycardia. - ANSWER-True The aorta is the wall that separates the ventricles of the heart. - ANSWER-False The most effective treatment for ventricular fibrillation is defibrillation. - ANSWER-True An individual should be cleared-Ñ prior to a shock only when convenient. - ANSWER-False PEA and asystole are considered non-shockable rhythms and follow the same ACLS algorithm. - ANSWER-True Transcutaneous pacing should be used on an individual with bradycardia and inadequate perfusion if atropine is ineffective and the individual is exhibiting severe symptoms. - ANSWER-True Low blood pressure may be an indication of hemodynamic instability. - ANSWER-True Urgent defibrillation is essential for survival in the management of acute strokes. - ANSWER-False Fibrinolytic therapy within three hours (in some cases 4.5 hours) of first onset of symptoms is the standard when treating ischemic stroke. - ANSWER-True 100% oxygen is acceptable for early intervention but not for extended periods of time. - ANSWER-True In a suspected acute stroke individual, you must always immediately obtain IV access. - ANSWER-False There is never a pulse associated with VF; therefore, you should follow the PEA algorithm with individuals in VF. - ANSWER-False If the AED advises no shock, you should still defibrillate because defibrillation often restarts the heart with no pulse. - ANSWER-False If transcutaneous pacing fails, there are no other options to consider. - ANSWER-False Medication is the only treatment for an unstable tachycardic individual. - ANSWER-False For an individiual in respiratory arrest with a pulse, how often should they be ventilated? A) Give two breaths every 8 to 9 seconds, or 13 to 15 breaths per minute. B) Give one breath every 5 to 6 seconds, or 10 to 12 breaths per minute. C) Give one breath every 3 to 4 seconds, or 15 to 20 breaths per minute. D) Give one breath every 8 to 9 seconds, or 6 to 8 breaths per minute. - ANSWER-B) Give one breath every 5 to 6 seconds, or 10 to 12 breaths per minute. Which item is NOT a basic airway skill? A) Placement of endotracheal tube (ET tube) B) Bag-mask ventilation C) Jaw-thrust maneuver without head extension D) Head-tilt-chin-lift maneuver - ANSWER-A) Placement of endotracheal tube (ET tube) Which of the following basic airway adjuncts can be used in a conscious or semiconscious indivudual (with an intact cough and gag reflex)? A)Oropharyngeal airway (OPA) B) Endotracheal tube (ET tube) C) Nasopharyngeal airway (NPA) D) Esophageal-tracheal tube (combitube) - ANSWER-C) Nasopharyngeal airway (NPA) Blood or secretions in the mouth or upper respiratory tract may threaten the airway. How can they be removed? A) Bag-mask ventllation B) Laryngeal tube C) None of the above D) Suctioning - ANSWER-D) Suctioning What item is NOT an example of Advanced Airways? A) Esophageal-tracheal tube (combitube) B) Oropharyngeal airway (OPA) C) Endotracheal tube (ET tube) D) Laryngeal mask airway (LMA) - ANSWER-B) Oropharyngeal airway (OPA) The compression-to-ventilation ratio during CPR prior to placement of an advanced airway is: A) 15:02 B) 20:01 C) 30:01:00 D) 30:02:00 - ANSWER-D) 30:02:00 True statements about AED use in special situations include all of the following EXCEPT: A) Do not use an AED in water. B) Leave medication patches in place and place the AED electrode pads directly over the patch. C) Do not place the AED electrode pads directly over an implanted defibrillator or pacemaker. D) Extra care in placing electrode pads may be needed in individuals with a hairy chest. - ANSWER-B) Leave medication patches in place and place the AED electrode pads directly over the patch. Antiarrhythmic drugs to consider for persistent VF/pulseless VT include all of the following EXCEPT: A) Lidocaine B) Amiodarone C) Atropine D) Magnesium - ANSWER-INCORRECT: Lidocaine, Magnesium Bradycardia is defined as any rhythm disorder with a heart rate less than: A) 50 beats per minute B) 60 beats per minute C) 70 beats per minute D) 40 beats per minute - ANSWER-B) 60 beats per minute Symptoms of bradycardia may include: A) Chest pain B) Shortness of breath C) Dizziness D) All of the above - ANSWER-D) All of the above In the absence of immediately reversible causes, what is the first-line drug given for symptomatic bradycardia? A) Atropine B) Metoprolol C) Nitroglycerine D) Albuterol - ANSWER-A) Atropine What is the first step in the treatment of persistent tachycardia (heart rate > 150 bpm) causing hypotension, altered mental status, and signs of shock? A) Defibrillation B) Obtain a 12-lead ECG C) Synchronized cardioversion D) Administer a calcium channel blocker - ANSWER-INCORRECT: B) Obtain a 12-lead ECG D) Administer a calcium channel blocker CORRECT: If uncertain whether or not an individual is an appropriate candidate for synchronized cardioversion, the ACLS trained provider should: A) Seek expert consultation.