ACLS POST TEST
1. A patient is respiratory distress, 70/50, presents with lead 2 ECG shown.appropriate
treatment?
a. defibrillation
b. perform synchronized cardioversion
c. administering adenosine 6mg IV pust
d. perform vagal maneuvers
Answer: performing synchronized cardioversion
2. which of these tests should be performed for a patient w/ suspected strokew/in 25 mins of
hospital arrival?
a. coagulation studies
b. cardiac enzymes
c. noncontrast CT scan of the head
d. 12 lead ECG
Answer: non-contrast CT scan of the head
3. Which of the following signs are likely indicator of cardiac arrest in anunresponsive
patient?
a. slow, weak pulse rate
b. cyanosis
c. irregular, weak pulse
d. agonal gasps
Answer: d. agnoal gasps
4. a patient is being resuscitated in a very noisy environment. A team member thinks he
heard an order of 500mg of amiodarone IV. which is the best response from the team
member?
Answer: I have an order to give 500mg of amiodarone
IV. Is this correct?
5. Which is the recommended next step after a defibrillation attempt?
Answer: resumeCPR, starting with chest compression
6. A responder is caring for a patient with a history of congestive heart failure. The patient
is experiencing shortness of breath, 68/50 mmHg, heart rate 190/min.The patient's lead 2 ECG
, is shown.Which best characterizes thispatient's rhythm?
Answer: unstable supraventicular tachycardia
7. which is one way to minimize interruptions in chest compressions duringCPR?
Answer: continue CPR while the defibrillator charges
8. A 68F lightheadedness, nausea, chest discomfort.Your assessment findsher awake &
responsive but ill-appearing, pale, and grossly diaphoretic. Herradial pulse is weak, thready &
fast.Your are unable to get a BP. She has no obvious dependent edema, & her neck veins are
flat. Her lung sounds are equal w/ moderate rales present bilaterally.The cardiac monitor
shows rhythm seen here. Based on the patient's initial assessment, what adult ACLSalgorithm
should you follow?
Answer: tachycardia
wide complex (monophasic) tachycardia
9. A 68F lightheadedness, nausea, chest discomfort.Your assessment findsher awake &
responsive but ill-appearing, pale, and grossly diaphoretic. Herradial pulse is weak, thready &
fast.Your are unable to get a BP. She has no obvious dependent edema, & her neck veins are
flat. Her lung sounds are equal w/ moderate rales present bilaterally. The cardiac monitor
shows rhythm seen here. After your initial assessment, which intervention should bepreformed?
Answer: synchronized cardioversion
10. A 68F lightheadedness, nausea, chest discomfort.Your assessment findsher awake &
responsive but ill-appearing, pale, and grossly diaphoretic. Her radial pulse is weak, thready &
fast. Your are unable to get a BP. She has no obvious dependent edema, & her neck veins are
flat. Her lung sounds are equal w/ moderate rales present bilaterally.The cardiac monitor shows
rhythmseen here. If the patient became apnic & pulseless but the rhythm remained the same,
which would take the highest priority?
Answer: perform defibrillation
11. Which best describes the rhythm?
Answer: monomorphic ventricular tachycardia
12. You are caring for a patient with a suspected stroke whose symptoms started 2 hours
ago.The CT was normal with no sign of hemorrhage. Thepatient does not have any
contraindications to fibrinolytic therapy. Whichtreatment is best?
a. start fibrinolytic therapy ASAP
b. hold fibrinolytic therapy for 24 hours
c. order an echo before fibrinolytic administration
d. wait for MRI result
Answer: a. start fibrinolytic therapy ASAP
13. For STEMI pt, maximum goal time for ED door-to-balloon-inflation time forPCI?
a. 150 mins
b. 180 mins
1. A patient is respiratory distress, 70/50, presents with lead 2 ECG shown.appropriate
treatment?
a. defibrillation
b. perform synchronized cardioversion
c. administering adenosine 6mg IV pust
d. perform vagal maneuvers
Answer: performing synchronized cardioversion
2. which of these tests should be performed for a patient w/ suspected strokew/in 25 mins of
hospital arrival?
a. coagulation studies
b. cardiac enzymes
c. noncontrast CT scan of the head
d. 12 lead ECG
Answer: non-contrast CT scan of the head
3. Which of the following signs are likely indicator of cardiac arrest in anunresponsive
patient?
a. slow, weak pulse rate
b. cyanosis
c. irregular, weak pulse
d. agonal gasps
Answer: d. agnoal gasps
4. a patient is being resuscitated in a very noisy environment. A team member thinks he
heard an order of 500mg of amiodarone IV. which is the best response from the team
member?
Answer: I have an order to give 500mg of amiodarone
IV. Is this correct?
5. Which is the recommended next step after a defibrillation attempt?
Answer: resumeCPR, starting with chest compression
6. A responder is caring for a patient with a history of congestive heart failure. The patient
is experiencing shortness of breath, 68/50 mmHg, heart rate 190/min.The patient's lead 2 ECG
, is shown.Which best characterizes thispatient's rhythm?
Answer: unstable supraventicular tachycardia
7. which is one way to minimize interruptions in chest compressions duringCPR?
Answer: continue CPR while the defibrillator charges
8. A 68F lightheadedness, nausea, chest discomfort.Your assessment findsher awake &
responsive but ill-appearing, pale, and grossly diaphoretic. Herradial pulse is weak, thready &
fast.Your are unable to get a BP. She has no obvious dependent edema, & her neck veins are
flat. Her lung sounds are equal w/ moderate rales present bilaterally.The cardiac monitor
shows rhythm seen here. Based on the patient's initial assessment, what adult ACLSalgorithm
should you follow?
Answer: tachycardia
wide complex (monophasic) tachycardia
9. A 68F lightheadedness, nausea, chest discomfort.Your assessment findsher awake &
responsive but ill-appearing, pale, and grossly diaphoretic. Herradial pulse is weak, thready &
fast.Your are unable to get a BP. She has no obvious dependent edema, & her neck veins are
flat. Her lung sounds are equal w/ moderate rales present bilaterally. The cardiac monitor
shows rhythm seen here. After your initial assessment, which intervention should bepreformed?
Answer: synchronized cardioversion
10. A 68F lightheadedness, nausea, chest discomfort.Your assessment findsher awake &
responsive but ill-appearing, pale, and grossly diaphoretic. Her radial pulse is weak, thready &
fast. Your are unable to get a BP. She has no obvious dependent edema, & her neck veins are
flat. Her lung sounds are equal w/ moderate rales present bilaterally.The cardiac monitor shows
rhythmseen here. If the patient became apnic & pulseless but the rhythm remained the same,
which would take the highest priority?
Answer: perform defibrillation
11. Which best describes the rhythm?
Answer: monomorphic ventricular tachycardia
12. You are caring for a patient with a suspected stroke whose symptoms started 2 hours
ago.The CT was normal with no sign of hemorrhage. Thepatient does not have any
contraindications to fibrinolytic therapy. Whichtreatment is best?
a. start fibrinolytic therapy ASAP
b. hold fibrinolytic therapy for 24 hours
c. order an echo before fibrinolytic administration
d. wait for MRI result
Answer: a. start fibrinolytic therapy ASAP
13. For STEMI pt, maximum goal time for ED door-to-balloon-inflation time forPCI?
a. 150 mins
b. 180 mins
