ACLS Exam A Questions With Correct Answers

Which of these tests should be performed for a pt with suspected stroke as early as possible but no more than 20 min after hospital arrival? - ANSWERNoncontrast CT scan of head Which best describes this rhythm? - ANSWERMonomorphic Vent Tach Which is an acceptable method of selecting an appropriately sized oropharyngeal airway? - ANSWERMeasure from the corner of the mouth to the angle of mandible You are caring for a pt with a suspected stroke whose symptoms started 2 hours ago. The CT scan was normal, with no signs of hemorrhage. The pt does not have any contraindications to fibrinolytic therapy. Which treatment is best for this pt? - ANSWERGive fibrinolytic therapy as soon as possible and consider endovascular therapy Which is the recommended next step after a defibrillation attempt? - ANSWERResume CPR, starting with chest compressions Which of the following signs is a likely indicator of cardiac arrest in an unresponsive pt? - ANSWERAgonal gasps You are evaluating a 58YO man with chest discomfort. His BP is 92/50 mmHG, his HR is 92/min, his nonlabored RR is 14/min, and his pulse ox is 97%. Which assessment step is most important now? - ANSWERObtaining a 12-lead ECG During post-cardiac arrest care, which is the recommended duration of targeted temperature management after reaching the correct temperature range? - ANSWERAt least 24 hours Your rescue team arrives to find a 59YO man lying on the kitchen floor. You determine that he is unresponsive. What is the next step in your assessment and management of this pt? - ANSWERCheck the pt's breathing and pulse (SET) A 45YO man had coronary stents placed 2 days ago. Today he is in severe distress and is reporting "crushing" chest discomfort. Pale, diaphoretic, cool to touch, weak radial pulse, BP 64/40 mmHg, RR 28/min, 89% RA. VTach changed to VFib. On the basis of this pt's initial presentation, which condition do you suspect led to the cardiac arrest? - ANSWERAcute Coronary Syndrome (SET) A 45YO man had coronary stents placed 2 days ago. Today he is in severe distress and is reporting "crushing" chest discomfort. Pale, diaphoretic, cool to touch, weak radial pulse, BP 64/40 mmHg, RR 28/min, 89% RA. VTach changed to VFib. In addition to defibrillation, which intervention should be performed immediately? - ANSWERChest compressions (SET) A 45YO man had coronary stents placed 2 days ago. Today he is in severe distress and is reporting "crushing" chest discomfort. Pale, diaphoretic, cool to touch, weak radial pulse, BP 64/40 mmHg, RR 28/min, 89% RA. VTach changed to VFib. Despite 2 defib attempts, the pt remains in VFib. Which drug and dose should you administer FIRST to this pt? - ANSWEREpi 1mg (SET) A 45YO man had coronary stents placed 2 days ago. Today he is in severe distress and is reporting "crushing" chest discomfort. Pale, diaphoretic, cool to touch, weak radial pulse, BP 64/40 mmHg, RR 28/min, 89% RA. VTach changed to VFib. Despite the drug provided above and continued CPR, the pt remains in VFib. Which other drug should be administered NEXT? - ANSWERLido 1 to 1.5mg/kg (SET) A 45YO man had coronary stents placed 2 days ago. Today he is in severe distress and is reporting "crushing" chest discomfort. Pale, diaphoretic, cool to touch, weak radial pulse, BP 64/40 mmHg, RR 28/min, 89% RA. VTach changed to VFib. The pt has ROSC and is not able to follow commands. Which immediate post-cardiac arrest care intervention do you choose for this pt? - ANSWERInitiate targeted temperature management (SET) A 45YO man had coronary stents placed 2 days ago. Today he is in severe distress and is reporting "crushing" chest discomfort. Pale, diaphoretic, cool to touch, weak radial pulse, BP 64/40 mmHg, RR 28/min, 89% RA. VTach changed to VFib. Which would you have done first if the pt had not gone into VFib? - ANSWERPerformed synchronized cardioversion How can you increase chest compression fraction during a code? - ANSWERCharge the defib 15s before conducting a rhythm check 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? - ANSWERAsk for a new task or role In addition to clinical assessment, which is the most reliable method to confirm and monitor correct placement of the ET tube? - ANSWERContinuous waveform capnography Your pt is in cardiac arrest and has been intubated. To assess CPR quality, which should you do? - ANSWERMonitor the pt's PETCO2 Three minutes into a cardiac arrest resuscitation attempt, one member of your team inserts an ET tube while another performs chest compressions. Capnography shows a persistent waveform and a PETCO2 of 8mmHg. Which is the significance of this finding? - ANSWERChest compressions may not be effective If a team member is about to make a mistake during a resuscitation attempt, which best describes the action that the Team Leader or other team members should take? - ANSWERAddress the team member immediately A pt 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? - ANSWER12mg Which is the primary purpose of a medical emergency team or rapid response team? - ANSWERImproving pt outcomes by identifying and treating early clinical deterioration