ACLS Test questions and answers

ACLS Test questions and answers Which quality improvement component of systems of care best describes the capture and review of data related to resuscitation education, processes, and outcomes? Measurement Which one of the following is an interdependent component of systems of care? Structure Which is the max interval you should allow for an interruption in chest compressions 10 seconds What is an effect of excessive ventilation? Decreased cardiac output What is the recommended next step after a defibrillation attempt? Resume CPR, starting with chest compressions How does complete chest recoil contribute to effective CPR? Allows maximum blood return to the heart What is an advantage of a systematic approach to patient assessment? Reduces the changes of missing important signs and symptoms What is the first step in the systematic approach to patient assesssment? Initial impression Which action is part of the secondary assessment of a conscious patient? Formulate a differential diagnosis Which is one of the H's and T's that represent a potentially reversible cause of cardiac arrest and other emergency cardiopulmonary conditions? Hypothermia What should be the primary focus of the CPR Coach on a resuscitation team? To ensure high quality CPR The CPR Coach Role can be blended into which of the following roles? The monitor/defibrillator Which of the following is a responsibility of the CPR coach? Coordinating compressor switches What is the recommended compression rate for high-quality CPR? 100-120 compressions per minute Which best describes the length of time it should take to perform a pulse check during the BLS assessment? 5-10 seconds Which is a component of high-quality CPR? Depth of a least 2 inches Which component of high-quality CPR directly affects chest compression fraction? Interruptions To properly ventilate a patient with a perfusing rhythm, how often do you squeeze the bag? Once every 6 seconds Which is an acceptable method of selecting an appropriately sized oropharyngeal airway? Measure from the corner of the mouth to the angle of the mandible Which action is likely to cause air to enter the victim's stomach (gastric inflation), during bag-mask ventilation? Ventilating to quickly In addition to clinical assessment, which is the most reliable method to confirm and monitor correct placement of an endotracheal tube? Continuous waveform capnography What are the 3 signs of clinical deterioration that would cause activation of a rapid response system? Symptomatic hypertension, unexplained agitation, and seizure What is the purpose of a rapid response team (RRT) or medical emergency team (MET)? Identify and treat early clinical deterioration What is the difference between stable angina and unstable angina? Stable angina involved chest discomfort during exertion. What is a classic symptom of acute ischemic chest discomfort? Pain radiation down the left arm What is the most common symptom of myocardial ischemia and infarction? Retrosternal chest pain What is one goal of therapy for patients with ACS? Relief of ischemic chest discomfort What is the recommended dose of aspirin if not contraindicated? 162-325 mg Which is a contraindication to the administration of aspirin for the management of a patient with ACS? Recent GI Bleed What is the initial drug therapy for ACS? Oxygen if needed, aspirin, nitroglycerin, morphine A patient without dyspnea has sign an ACS. There are no obvious signs of heart failure. You assess a noninvasively monitored oxyhemoglobin saturation. Which patient should receive supplemental oxygen? 88% Which clinical finding represents a contraindication to the administration of nitroglycerin? Systolic BP of 84 What is one major sign of a patient having a stroke? Facial droop What are the major types of strokes? Ischemic and hemorrhagic What is the most common type of stroke? Ischemic What stroke screen was used in the stroke video? CPSS Which is a sign or symptom of a stroke Trouble speaking Why is it important for EMS personnel to alert the receiving facility stroke team as soon as possible? Reduce the time interval to definitive care What is the highest priority once the patient has reached the emergency department? CT Scan What is the goal for neurologic assessment by the team or designee and non-contrast CT or MRI performed after hospital arrival? 20 minutes What is the primary window for the administration of fibrinolytic therapy, timed from the onset of symptoms 3 hours In which situation does bradycardia require treatment? Hypotension A patient in stable narrow-complex tachycardia with a peripheral IV in place is refractory to the first dose of adenosine. Which dose would you administer next? 12 mg A 57- year old women has palpitations, chest discomfort, and tachycardia. The monitor shows a regular wide-complex QRS at a rate of 180. She becomes diaphoretic and her blood pressure is 80/66. What should you do? Perform electrical cardioversion A patient is in cardiac arrest Ventricular fibrillation has been refractory to a second shock. Which drug should be administered first? Epinephrine 1 mg IV/IO A patient is in pulseless Ventricular tachycardia. Two shocks and 1 dose of epinephrine have been given. Which drug should be Amiodarone 300 mg A patient has been resuscitated from cardiac arrest. During post ROSC treatment, the patient becomes unresponsive, with a polymorphic ventricular tachycardia on the monitor. Which action is indicated? Give an immediate unsynchronized high-energy shock (defibrillation dose) What is the recommended range from which a temperature should be selected and maintained constantly to achieve targeted temperature management after cardiac arrest? 32-36 degrees C During post-cardiac arrest care, which is the recommended duration of targeted temperature management after reaching the correct temperature range? At least 24 hours