ACLS Post Test 1 (Latest ) Actual Questions and
Answers 100% Correct
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 -ansa. chest
compression may not be effective
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. -ansanswer has to
do with acute coronary syndrome
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 -ansepi 1 mg
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
c. amiodarone 300mg
d. epi 1 mg -ansc. amiodarone 300mg
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. The patient has
returned of spontaneous circulation (ROSC) & is not able to follow
commands. Which immediate post-cardiac arrest care intervention do you
choose for the patient?
a. extubate
b. check glucose
c. give epi
d. initiate targeted temp. management -ansinitiate targeted temperature
management (the guideline no longer has post-arrest optimal glucose
,ACLS Post Test 1 (Latest ) Actual Questions and
Answers 100% Correct
level)
,ACLS Post Test 1 (Latest ) Actual Questions and
Answers 100% Correct
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 -ansa. chest compression
A 45M has coronary artery stents placed 2 days ago. Today, he is in severe
distress & crushing chest discomfort. he is pale, diaphoretic, & cool to the
touch. His radial pulse is very weak. Blood pressure is 64/40 mm Hg,
respiratory rate is 28 bpm & O2 is 89%. cardiac monitor initially showed
ventricular tachycardia, which quickly changed to v-fib. what would you have
done first if the patient had not gone into v-fib?
a. give atropine 1mg
b. establish IV
c. do a 12 lead
d. performed synchronized cardioversion -ansperformed synchronized
cardioversion
A 68F lightheadedness, nausea, chest discomfort. Your assessment finds her
awake & responsive but ill-appearing, pale, and grossly diaphoretic. Her
radial pulse is weak, thready & fast. Your are unable to get a BP. She has no
obvious dependent edema, & her neck veins are flat. Her lung sounds are
equal w/ moderate rales present bilaterally. The cardiac monitor shows
rhythm seen here. After your initial assessment, which intervention should
be preformed? -anssynchronized cardioversiion
A 68F lightheadedness, nausea, chest discomfort. Your assessment finds her
awake & responsive but ill-appearing, pale, and grossly diaphoretic. Her
radial pulse is weak, thready & fast. Your are unable to get a BP. She has no
obvious dependent edema, & her neck veins are flat. Her lung sounds are
equal w/ moderate rales present bilaterally. The cardiac monitor shows
rhythm seen here. Based on the patient's initial assessment, what adult ACLS
algorithm should you follow? -anstachycardia
wide complex (monophasic) tachycardia
A 68F lightheadedness, nausea, chest discomfort. Your assessment finds her
awake & responsive but ill-appearing, pale, and grossly diaphoretic. Her
radial pulse is weak, thready & fast. Your are unable to get a BP. She has no
obvious dependent edema, & her neck veins are flat. Her lung sounds are
equal w/ moderate rales present bilaterally. The cardiac monitor shows
rhythm seen here. If the patient became apnic & pulseless but the rhythm
remained the same, which would take the highest priority? -ansperform
defibrillation
, ACLS Post Test 1 (Latest ) Actual Questions and
Answers 100% Correct
A patient has a witnessed loss of consciousness. The lead 2 ECG is shown.
appropriate treatment? -ansdefibrillation
A patient in stable narrow-complex tachycardia with a peripheral IV in place
is refractory to the 1st dose of adenosine. Which dose would you administer
next? -ans12mg
a patient is being resuscitated in a very noisy environment. A team
member thinks he heard an order of 500mg of amiodarone IV. which is the
best response from the team member? -ansI have an order to give 500mg
of amiodarone IV. Is this correct?
A patient is respiratory distress, 70/50, presents with lead 2 ECG shown.
appropriate treatment?
a. defibrillation
b. perform synchronized cardioversion
c. administering adenosine 6mg IV pust
d. perform vagal maneuvers -ansperforming synchronized cardioversion
A responder is caring for a patient with a history of congestive heart failure.
The patient is experiencing shortness of breath, 68/50 mmHg, heart rate
190/min. The patient's lead 2 ECG is shown. Which best characterizes this
patient's rhythm? -ansunstable supraventicular tachycardia
A team member is unable to perform an assigned task because it is beyond
the team member's scope of practice. Which action should the team member
take? -ansask for a new task or role
As a team leader, when do you tell the chest compressors to switch? -
ansabout every 2 minutes
chest compressions during for adult rate -ans100-120/min
During post-cardiac arrest, which is recommended duration of targeted
temp. management after reaching the correct temperature range?
a. at least 24 hours
b. 0-8 hour
c. at least 36 hours
d. at least 48 hours -ansat least 24 hours
effect of excessive ventilation
a. decresed cardiac output
b. decreased intrathoracic pressure
c. increased perfusion pressure
d. increased venous return -ansdecreased cardiac output
For STEMI pt, maximum goal time for ED door-to-balloon-inflation time for
PCI?
Answers 100% Correct
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 -ansa. chest
compression may not be effective
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. -ansanswer has to
do with acute coronary syndrome
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 -ansepi 1 mg
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
c. amiodarone 300mg
d. epi 1 mg -ansc. amiodarone 300mg
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. The patient has
returned of spontaneous circulation (ROSC) & is not able to follow
commands. Which immediate post-cardiac arrest care intervention do you
choose for the patient?
a. extubate
b. check glucose
c. give epi
d. initiate targeted temp. management -ansinitiate targeted temperature
management (the guideline no longer has post-arrest optimal glucose
,ACLS Post Test 1 (Latest ) Actual Questions and
Answers 100% Correct
level)
,ACLS Post Test 1 (Latest ) Actual Questions and
Answers 100% Correct
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 -ansa. chest compression
A 45M has coronary artery stents placed 2 days ago. Today, he is in severe
distress & crushing chest discomfort. he is pale, diaphoretic, & cool to the
touch. His radial pulse is very weak. Blood pressure is 64/40 mm Hg,
respiratory rate is 28 bpm & O2 is 89%. cardiac monitor initially showed
ventricular tachycardia, which quickly changed to v-fib. what would you have
done first if the patient had not gone into v-fib?
a. give atropine 1mg
b. establish IV
c. do a 12 lead
d. performed synchronized cardioversion -ansperformed synchronized
cardioversion
A 68F lightheadedness, nausea, chest discomfort. Your assessment finds her
awake & responsive but ill-appearing, pale, and grossly diaphoretic. Her
radial pulse is weak, thready & fast. Your are unable to get a BP. She has no
obvious dependent edema, & her neck veins are flat. Her lung sounds are
equal w/ moderate rales present bilaterally. The cardiac monitor shows
rhythm seen here. After your initial assessment, which intervention should
be preformed? -anssynchronized cardioversiion
A 68F lightheadedness, nausea, chest discomfort. Your assessment finds her
awake & responsive but ill-appearing, pale, and grossly diaphoretic. Her
radial pulse is weak, thready & fast. Your are unable to get a BP. She has no
obvious dependent edema, & her neck veins are flat. Her lung sounds are
equal w/ moderate rales present bilaterally. The cardiac monitor shows
rhythm seen here. Based on the patient's initial assessment, what adult ACLS
algorithm should you follow? -anstachycardia
wide complex (monophasic) tachycardia
A 68F lightheadedness, nausea, chest discomfort. Your assessment finds her
awake & responsive but ill-appearing, pale, and grossly diaphoretic. Her
radial pulse is weak, thready & fast. Your are unable to get a BP. She has no
obvious dependent edema, & her neck veins are flat. Her lung sounds are
equal w/ moderate rales present bilaterally. The cardiac monitor shows
rhythm seen here. If the patient became apnic & pulseless but the rhythm
remained the same, which would take the highest priority? -ansperform
defibrillation
, ACLS Post Test 1 (Latest ) Actual Questions and
Answers 100% Correct
A patient has a witnessed loss of consciousness. The lead 2 ECG is shown.
appropriate treatment? -ansdefibrillation
A patient in stable narrow-complex tachycardia with a peripheral IV in place
is refractory to the 1st dose of adenosine. Which dose would you administer
next? -ans12mg
a patient is being resuscitated in a very noisy environment. A team
member thinks he heard an order of 500mg of amiodarone IV. which is the
best response from the team member? -ansI have an order to give 500mg
of amiodarone IV. Is this correct?
A patient is respiratory distress, 70/50, presents with lead 2 ECG shown.
appropriate treatment?
a. defibrillation
b. perform synchronized cardioversion
c. administering adenosine 6mg IV pust
d. perform vagal maneuvers -ansperforming synchronized cardioversion
A responder is caring for a patient with a history of congestive heart failure.
The patient is experiencing shortness of breath, 68/50 mmHg, heart rate
190/min. The patient's lead 2 ECG is shown. Which best characterizes this
patient's rhythm? -ansunstable supraventicular tachycardia
A team member is unable to perform an assigned task because it is beyond
the team member's scope of practice. Which action should the team member
take? -ansask for a new task or role
As a team leader, when do you tell the chest compressors to switch? -
ansabout every 2 minutes
chest compressions during for adult rate -ans100-120/min
During post-cardiac arrest, which is recommended duration of targeted
temp. management after reaching the correct temperature range?
a. at least 24 hours
b. 0-8 hour
c. at least 36 hours
d. at least 48 hours -ansat least 24 hours
effect of excessive ventilation
a. decresed cardiac output
b. decreased intrathoracic pressure
c. increased perfusion pressure
d. increased venous return -ansdecreased cardiac output
For STEMI pt, maximum goal time for ED door-to-balloon-inflation time for
PCI?
