Advanced Cardiovascular Life Support Exam Version A (50 questions)

1. You find an unresponsive pt. who is not breathing. After activating the emergency response system, you determine there is no pulse. What is your next action? Start chest compressions of at least 100 per min. 2. You are evaluating a 58-year-old man with chest pain. The blood pressure is 92/50 mm Hg, the heart rate is 92/min, the nonlabored respiratory rate is 14 breaths/min, and the pulse oximetry reading is 97%. What assessment step is most important now? Obtaining a 12 lead ECG. 4. An AED does not promptly analyze a rythm. What is your next step? Begin chest compressions. Administer 1mg of epinephrine Resume compressions 7. What is a common but sometimes fatal mistake in cardiac arrest management? 8. Which action is a component of high-quality chest compressions? Allowing complete chest recoil 9. Which action increases the chance of successful conversion of ventricular fibrillation? Providing quality compressions immediately before a defibrillation attempt. 10. Which situation BEST describes pulseless electrical activity? Sinus rythm without a pulse 11. What is the BEST strategy for performing high-quality CPR on a patient with an advanced airway in place? Provide continuous chest compressions without pauses and 10 ventilations per minute. 12. Three minutes after witnessing a cardiac arrest, one member of your team inserts an endotracheal tube while another performs continuous chest compressions. During subsequent ventilation, you notice the presence of a waveform on the capnography screen and a PETCO2 level of 8 mm Hg. What is the significance of this finding? 13. The use of quantitative capnography in intubated patients 14. For the past 25 minutes, an EMS crew has attempted resuscitation of a patient who originally presented in ventricular fibrillation. After the first shock, the ECG screen displayed asystole, which has persisted despite 2 doses of epinephrine, a fluid bolus, and high-quality CPR. What is your next treatment? Chest compressions may not be effective. allows for monitoring of CPR quality. Consider terminating resuscitive efforts after consulting medical control. 15. Which is a safe and effective practice within the defibrillation sequence? Be sure oxygen is not blowing over the patient's chest during the shock. Prolonged interruptions in chest compressions. Begin chest compressions. 17. What is an advantage of using hands-free defibrillation pads instead of defibrillation paddles? Hands-free pads allow for a more rapid defibrillation.