American Red Cross-ACLS-Final
A patient is in cardiac arrest. The cardiac monitor shows asystole. In addition to providing continuous high-quality CPR, what is the other priority intervention for this patient? correct answersAdministering epinephrine as early as possible
A patient has experienced return of spontaneous circulation (ROSC) after cardiac arrest. The healthcare team is conducting a secondary assessment to determine the possible cause of the patient's cardiac arrest. Before the arrest, the patient exhibited jugular venous distension, cyanosis, apnea and hyperresonance on percussion. The patient was also difficult to ventilate during the response. The team would most likely suspect which condition as the cause? correct answersTension Pneumothorax
A patient with suspected stroke arrives at the emergency department. The patient is diagnosed with acute ischemic stroke and is a candidate for fibrinolytic therapy. To achieve the best outcomes, this therapy should be initiated within what time frame? correct answersWithin 1 hour of patient's arrival.
A patient in the telemetry unit is receiving continuous cardiac monitoring. The patient has a history of myocardial infarction. The patient's ECG rhythm strip is shown in the following figure. The provider interprets this strip as indicating which arrhythmia? correct answersThird-degree AV block
A 28-year-old pregnant patient who resides in transitional housing presents to the emergency department with complaints of feeling feverish and very faint. The patient tells the emergency nurse that
she does not know when she became pregnant. Upon palpation, the fundus is not at or above the umbilicus. The patient's condition quickly deteriorates and she goes into cardiac arrest. If available and able to be used without impeding or delaying the resuscitation effort, what diagnostic tool could be used
to guide decision-making in the care of this patient? correct answersPoint-of-care ultrasound
Cardiac monitoring indicates that a patient has a ventricular tachyarrhythmia. The patient has a pulse and is not showing any signs of hemodynamic compromise. A 12-lead ECG reveals an irregular rhythm with QRS complexes greater than 0.12 second in duration. Which action would be appropriate at this time? correct answersConsider an antiarrhythmic medication
A responsive patient is choking. What method should the provider use first to clear the obstructed airway? correct answersBack blows What is the priority intervention for a patient with a narrow-complex tachycardia (160 bpm) and a blood pressure of 72/48 mmHg? correct answersPerform immediate synchronized cardioversion
A patient is admitted to the emergency department with signs and symptoms of stroke. The stroke team should complete a comprehensive neurologic assessment and obtain brain imaging results within what time frame? correct answersWithin 20 minutes
Cardiac monitoring of a patient in cardiac arrest reveals ventricular fibrillation. In addition to high-quality
CPR, what intervention should be a priority for the team? correct answersDefibrillation.
A patient with suspected acute coronary syndromes (ACS) has a pulse oximetry reading of 86% and is given supplemental oxygen. The provider determines that the supplemental oxygen dose is correct based on which SaO2 level? correct answers93%
After cardiac arrest and successful resuscitation, the patient has a return of spontaneous circulation. The patient is unable to follow verbal commands. Targeted temperature management is initiated. Which method(s) would be appropriate for the resuscitation team to use? correct answers-Applying cooling blankets to the patient's body
-Using an endovascular catheter
-Giving an ice-cold IV fluid bolus
A patient comes to the emergency department complaining of palpitations and "some shortness of breath." Cardiac monitoring is initiated and reveals the following ECG rhythm strip. The provider interprets this strip as indicating which arrhythmia? correct answersAtrial flutter
A 35-year-old female patient's ECG is consistent with STEMI. The ECG reveals a new ST-segment elevation
at the J point in leads V2 and V3 of at least which size? correct answers0.15 mV
The following capnogram is from a patient experiencing respiratory distress. At which point in the waveform would the patient's ETCO2 level be measured? correct answersD
For a patient with third-degree atrioventricular (AV) block and a blood pressure of 70/48 mmHg, what interventions should be considered? correct answers-Initiate a dopamine infusion
A patient is in cardiac arrest. The cardiac monitor shows asystole. In addition to providing continuous high-quality CPR, what is the other priority intervention for this patient? correct answersAdministering epinephrine as early as possible
A patient has experienced return of spontaneous circulation (ROSC) after cardiac arrest. The healthcare team is conducting a secondary assessment to determine the possible cause of the patient's cardiac arrest. Before the arrest, the patient exhibited jugular venous distension, cyanosis, apnea and hyperresonance on percussion. The patient was also difficult to ventilate during the response. The team would most likely suspect which condition as the cause? correct answersTension Pneumothorax
A patient with suspected stroke arrives at the emergency department. The patient is diagnosed with acute ischemic stroke and is a candidate for fibrinolytic therapy. To achieve the best outcomes, this therapy should be initiated within what time frame? correct answersWithin 1 hour of patient's arrival.
A patient in the telemetry unit is receiving continuous cardiac monitoring. The patient has a history of myocardial infarction. The patient's ECG rhythm strip is shown in the following figure. The provider interprets this strip as indicating which arrhythmia? correct answersThird-degree AV block
A 28-year-old pregnant patient who resides in transitional housing presents to the emergency department with complaints of feeling feverish and very faint. The patient tells the emergency nurse that
she does not know when she became pregnant. Upon palpation, the fundus is not at or above the umbilicus. The patient's condition quickly deteriorates and she goes into cardiac arrest. If available and able to be used without impeding or delaying the resuscitation effort, what diagnostic tool could be used
to guide decision-making in the care of this patient? correct answersPoint-of-care ultrasound
Cardiac monitoring indicates that a patient has a ventricular tachyarrhythmia. The patient has a pulse and is not showing any signs of hemodynamic compromise. A 12-lead ECG reveals an irregular rhythm with QRS complexes greater than 0.12 second in duration. Which action would be appropriate at this time? correct answersConsider an antiarrhythmic medication
A responsive patient is choking. What method should the provider use first to clear the obstructed airway? correct answersBack blows What is the priority intervention for a patient with a narrow-complex tachycardia (160 bpm) and a blood pressure of 72/48 mmHg? correct answersPerform immediate synchronized cardioversion
A patient is admitted to the emergency department with signs and symptoms of stroke. The stroke team should complete a comprehensive neurologic assessment and obtain brain imaging results within what time frame? correct answersWithin 20 minutes
Cardiac monitoring of a patient in cardiac arrest reveals ventricular fibrillation. In addition to high-quality
CPR, what intervention should be a priority for the team? correct answersDefibrillation.
A patient with suspected acute coronary syndromes (ACS) has a pulse oximetry reading of 86% and is given supplemental oxygen. The provider determines that the supplemental oxygen dose is correct based on which SaO2 level? correct answers93%
After cardiac arrest and successful resuscitation, the patient has a return of spontaneous circulation. The patient is unable to follow verbal commands. Targeted temperature management is initiated. Which method(s) would be appropriate for the resuscitation team to use? correct answers-Applying cooling blankets to the patient's body
-Using an endovascular catheter
-Giving an ice-cold IV fluid bolus
A patient comes to the emergency department complaining of palpitations and "some shortness of breath." Cardiac monitoring is initiated and reveals the following ECG rhythm strip. The provider interprets this strip as indicating which arrhythmia? correct answersAtrial flutter
A 35-year-old female patient's ECG is consistent with STEMI. The ECG reveals a new ST-segment elevation
at the J point in leads V2 and V3 of at least which size? correct answers0.15 mV
The following capnogram is from a patient experiencing respiratory distress. At which point in the waveform would the patient's ETCO2 level be measured? correct answersD
For a patient with third-degree atrioventricular (AV) block and a blood pressure of 70/48 mmHg, what interventions should be considered? correct answers-Initiate a dopamine infusion
