ACLS RED CROSS EXAM
Mr. Hernandez is found to be unresponsive, with no pulse and no breathing.
What is the appropriate next intervention? - ANSWERS-Begin CPR and administer
one shock.
After one shock and 2 minutes of CPR, the rhythm check reveals no change in the
rhythm. What is the appropriate next intervention? - ANSWERS-Resume CPR,
administer one shock and administer epinephrine.
As team leader, Dr. Hudson is responsible for monitoring CPR quality. Which of
the following actions are necessary to ensure high-quality CPR? - ANSWERS-1.
Minimizing interruptions to compressions.
2. Providing compressions that are at least 2 inches (5 centimeters), but not more
than 2.4 inches (6 centimeters), deep.
3. Providing compressions at a rate of 100 to 120 per minute.
4. Avoiding excessive ventilations.
Mr. Hernandez remains in pulseless ventricular tachycardia. What is the
appropriate next intervention? - ANSWERS-Resume CPR, administer one shock
and administer amiodarone.
The team resumes CPR, delivers a third shock and administers amiodarone, 300
mg IV push. At the next rhythm check, the monitor displays this rhythm. What
action should the team take next? - ANSWERS-Check for a pulse.
,In addition to resuming CPR, what other actions should the team take at this
time? - ANSWERS-1. Administer epinephrine.
2. Consider establishing an advanced airway.
3. Consider underlying causes (Hs and Ts).
The team decides to intubate Mr. Hernandez. How does this affect compressions
and ventilations? - ANSWERS-The team should provide ventilations at a rate of 1
ventilation every 6 seconds without pausing compressions.
When a patient is in cardiac arrest, it is important to consider reversible
underlying causes. What underlying causes should the team consider? -
ANSWERS-1. Hypovolemia
2. Hypoxia.
3. Hypothermia
4. acidosis
5. potassium imbalance
6. toxins
7. cardiac tamponade
8. tension pneumothorax
9. pulmonary embolism
10. myocardial infarction
,What should the team do now? - ANSWERS-Stop CPR and check for a pulse.
Mr. Hernandez has a pulse and is making an effort to breathe but is still
unresponsive. The monitor shows normal sinus rhythm with a rate of 80 bpm. Mr.
Hernandez's vital signs are as follows:
Blood pressure: 128/80 mmHg
Heart rate: 80 bpm, radial pulses present
Respirations: 9 breaths/min
SpO2: 90%ETCO2: 60 mmHg
What should the team do next? - ANSWERS-Provide the minimal level of
supplemental oxygen needed to maintain an oxygen saturation of 94% to 99%.
Obtain a 12-lead ECG.
Request laboratory studies.
Support ventilations starting at a rate of 10 breaths/min to keep carbon dioxide
levels in physiologic range.
Mr. Hernandez remains unresponsive to verbal commands. What interventions
should the team initiate to promote his neurological recovery? - ANSWERS-
Targeted temperature management (TTM)
EEG monitoring
, Brain imaging
The following capnogram is from a patient experiencing respiratory distress. At
which point in the waveform would the patient's ETCO2 level be measured? -
ANSWERS-D is peak point
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? - ANSWERS-Atrial Flutter
A patient is admitted to the emergency department of a large medical center. The
patient is diagnosed with STEMI. The facility is capable of administering PCI. To
achieve the best outcomes, therapy should be administered to this patient within
what time frame? - ANSWERS-Within 90 minutes of the patient's first medical
contact
A resuscitation team is debriefing following a recent event. A patient experienced
cardiac arrest, and advanced life support was initiated. The patient required the
placement of an advanced airway to maintain airway patency. Which statement
indicates that the team performed high-quality CPR? - ANSWERS-"We provided
chest compressions at a rate of 100 to 120 compressions per minute while giving
1 ventilation every 6 seconds without pausing compressions."
Assessment of a patient in the emergency department reveals that the patient is
experiencing respiratory compromise. From the assessment, the team identifies
Mr. Hernandez is found to be unresponsive, with no pulse and no breathing.
What is the appropriate next intervention? - ANSWERS-Begin CPR and administer
one shock.
After one shock and 2 minutes of CPR, the rhythm check reveals no change in the
rhythm. What is the appropriate next intervention? - ANSWERS-Resume CPR,
administer one shock and administer epinephrine.
As team leader, Dr. Hudson is responsible for monitoring CPR quality. Which of
the following actions are necessary to ensure high-quality CPR? - ANSWERS-1.
Minimizing interruptions to compressions.
2. Providing compressions that are at least 2 inches (5 centimeters), but not more
than 2.4 inches (6 centimeters), deep.
3. Providing compressions at a rate of 100 to 120 per minute.
4. Avoiding excessive ventilations.
Mr. Hernandez remains in pulseless ventricular tachycardia. What is the
appropriate next intervention? - ANSWERS-Resume CPR, administer one shock
and administer amiodarone.
The team resumes CPR, delivers a third shock and administers amiodarone, 300
mg IV push. At the next rhythm check, the monitor displays this rhythm. What
action should the team take next? - ANSWERS-Check for a pulse.
,In addition to resuming CPR, what other actions should the team take at this
time? - ANSWERS-1. Administer epinephrine.
2. Consider establishing an advanced airway.
3. Consider underlying causes (Hs and Ts).
The team decides to intubate Mr. Hernandez. How does this affect compressions
and ventilations? - ANSWERS-The team should provide ventilations at a rate of 1
ventilation every 6 seconds without pausing compressions.
When a patient is in cardiac arrest, it is important to consider reversible
underlying causes. What underlying causes should the team consider? -
ANSWERS-1. Hypovolemia
2. Hypoxia.
3. Hypothermia
4. acidosis
5. potassium imbalance
6. toxins
7. cardiac tamponade
8. tension pneumothorax
9. pulmonary embolism
10. myocardial infarction
,What should the team do now? - ANSWERS-Stop CPR and check for a pulse.
Mr. Hernandez has a pulse and is making an effort to breathe but is still
unresponsive. The monitor shows normal sinus rhythm with a rate of 80 bpm. Mr.
Hernandez's vital signs are as follows:
Blood pressure: 128/80 mmHg
Heart rate: 80 bpm, radial pulses present
Respirations: 9 breaths/min
SpO2: 90%ETCO2: 60 mmHg
What should the team do next? - ANSWERS-Provide the minimal level of
supplemental oxygen needed to maintain an oxygen saturation of 94% to 99%.
Obtain a 12-lead ECG.
Request laboratory studies.
Support ventilations starting at a rate of 10 breaths/min to keep carbon dioxide
levels in physiologic range.
Mr. Hernandez remains unresponsive to verbal commands. What interventions
should the team initiate to promote his neurological recovery? - ANSWERS-
Targeted temperature management (TTM)
EEG monitoring
, Brain imaging
The following capnogram is from a patient experiencing respiratory distress. At
which point in the waveform would the patient's ETCO2 level be measured? -
ANSWERS-D is peak point
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? - ANSWERS-Atrial Flutter
A patient is admitted to the emergency department of a large medical center. The
patient is diagnosed with STEMI. The facility is capable of administering PCI. To
achieve the best outcomes, therapy should be administered to this patient within
what time frame? - ANSWERS-Within 90 minutes of the patient's first medical
contact
A resuscitation team is debriefing following a recent event. A patient experienced
cardiac arrest, and advanced life support was initiated. The patient required the
placement of an advanced airway to maintain airway patency. Which statement
indicates that the team performed high-quality CPR? - ANSWERS-"We provided
chest compressions at a rate of 100 to 120 compressions per minute while giving
1 ventilation every 6 seconds without pausing compressions."
Assessment of a patient in the emergency department reveals that the patient is
experiencing respiratory compromise. From the assessment, the team identifies
