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Exam (elaborations)

ACLS: FINAL TEST QUESTIONS AND ANSWERS 2024

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31. Which is the recommended oral dose of aspirin for a patient with a suspected acute coronary syndrome? - C) 160 to 325 mg. 32. 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? - A) Ask for a new task or role. 33. As the team leader, when do you tell the chest compressors to switch? - B) About every 2 minutes. 34. You are performing chest compressions during an adult resuscitation attempt. Which rate should you use to perform the compressions? - C) 100 to 120/min. 35. A patient is being resuscitated in a very noisy environment. A team member thinks he heard an order for 500 mg of amiodarone IV. Which is the best response? - D) I have an order to give 500 mg of amiodarone IV. 36. 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? - B) 12 mg. 37. A patient has a witnessed loss of consciousness. The lead II ECG reveals this rhythm. Which is the appropriate treatment? - C) Defibrillation 38. Which of these tests should be performed for a patient with suspected stroke within 25 minutes of hospital arrival? - D) Noncontrast CT scan of the head. 39. What is the minimum systolic blood pressure one should attempt to achieve with fluid administration or vasoactive agents in a hypotensive post-cardiac arrest patient who achieves return of spontaneous circulation? - D) 90 mm Hg. 40. You have completed 2 minutes of CPR. The ECG monitor displays the lead II rhythm shown here, and the patient has no pulse. Another member of your team resumes chest compressions, and an IV is in place. What do you do next? - C) Give epinephrine 1 mg IV. 41. Based on this patient's initial presentation, which condition do you suspect led to the cardiac arrest? - A) Acute Coronary Syndrome. 42. In addition to defibrillation, which intervention should be performed immediately? - C) Chest Compressions. 43. Despite 2 Defibrillation attempts, the patient remains in ventricular fibrillation. Which drug and dose should you administer first to this patient? - A) Epinephrine 1 mg. 44. Despite the drug provided above and continued CPR, the patient remains in ventricular fibrillation. Which other drug should be administered next? - D) Amiodarone 300 mg. 45. The patient has return of spontaneous circulation and is not able to follow commands. Which immediate post-cardiac arrest care intervention do you choose for this patient? - A) Initiate targeted temperature management. 46. Which would you have done first if the patient had not gone into ventricular fibrillation? - D) Performed synchronized cardioversion. 47. Based on this patient's initial assessment, which adult ACLS algorithm should you follow? - B) Tachycardia. 48. The patient's pulse oximeter shows a reading of 84% on room air. Which initial action do you take? - C) Apply oxygen. 49. After your initial assessment of this patient, which intervention should be performed next? - A) Synchronized cardioversion. 50. If the patient became apneic and pulseless but the rhythm remained the same, which would take the highest priority? - D) Perform defibrillation

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  • c agonal gasps

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