ACLS PALS REVIEW EXAM QUESTIONS
WITH CORRECT ASNWERS
What are 5 symptomatic issues? - Answer-1. LOC
2. look for signs of shock
3. signs of chest pain
4. Hypotension
5. Signs of acute heart failure
What are the signs of shock to look for? - Answer-1. pallor/pale
2. diaphoretic
3. change in LOC
4. change in respirations
What does shock =? - Answer-shock = inadequate tissue perfussion
What does it mean if you wait for a patient to become hypotensive in shock? - Answer-
means you've waited too long
What HR and BP should we attempt to maintain? - Answer-want to maintain patient at
90 bpm and if systolic drops below 90 think hypoperfusion issues
What are some signs of acute heart failure? - Answer-Acute: SOB and pulmonary
edema
Chronic: JVD and LE edema
What is the first drug of choice when treating a pt for MI? - Answer-oxygen- if O2 sats
are less than 94% and pt is pale, cool, clammy and a little short of breath- ultimately we
treat patients not mumbers
What is the second drug of choice for tx in pt with MI? - Answer-ASA- anti-platelet 162-
325 mg
ask about allergies
What is the 3rd drug of choice in tx of MI? - Answer-Nitroglycerin
ask if they are allergic or if they have taken phosphodiesterase inhibitors in the last 12-
24 hours
also make sure systolic is 90 or above before giving NTG
What should we give with nitroglycerin? - Answer-NTG is a vasodilating O2 demanding
drug so give O2
What is the initial dose of nitroglycerin? - Answer-0.4 mg pill or spray every 3-5 min up
to 3 doses
WITH CORRECT ASNWERS
What are 5 symptomatic issues? - Answer-1. LOC
2. look for signs of shock
3. signs of chest pain
4. Hypotension
5. Signs of acute heart failure
What are the signs of shock to look for? - Answer-1. pallor/pale
2. diaphoretic
3. change in LOC
4. change in respirations
What does shock =? - Answer-shock = inadequate tissue perfussion
What does it mean if you wait for a patient to become hypotensive in shock? - Answer-
means you've waited too long
What HR and BP should we attempt to maintain? - Answer-want to maintain patient at
90 bpm and if systolic drops below 90 think hypoperfusion issues
What are some signs of acute heart failure? - Answer-Acute: SOB and pulmonary
edema
Chronic: JVD and LE edema
What is the first drug of choice when treating a pt for MI? - Answer-oxygen- if O2 sats
are less than 94% and pt is pale, cool, clammy and a little short of breath- ultimately we
treat patients not mumbers
What is the second drug of choice for tx in pt with MI? - Answer-ASA- anti-platelet 162-
325 mg
ask about allergies
What is the 3rd drug of choice in tx of MI? - Answer-Nitroglycerin
ask if they are allergic or if they have taken phosphodiesterase inhibitors in the last 12-
24 hours
also make sure systolic is 90 or above before giving NTG
What should we give with nitroglycerin? - Answer-NTG is a vasodilating O2 demanding
drug so give O2
What is the initial dose of nitroglycerin? - Answer-0.4 mg pill or spray every 3-5 min up
to 3 doses
