ACLS TEST 2
1. Which drug and dose are recommended for the management of a pt. inrefractory V-FIB?
Answer: Amioderone 300mg
2. What is the appropriate intervalfor an interruption in chest compressions?-
Answer: 10 seconds or less
3. Which of the following is a sign of effective CPR?
Answer: PETCO2 = or > 10mmHg
4. What is the primary purpose of a medical emergency team or rapid response team?
Answer: Identifying and treating early clinical deterioration.
5. Which action improves the quality of chest compressions delivered during resuscitave
attemepts?
Answer: Shitch providers about every 2 min or every 5 compression cycles.
6. What is the appropriate ventilation strategy for an adult in respiratoryarrest with a pulse
of 80 beats/min?
Answer: 1 breath every 5-6 seconds
7. A pt. presents to the ER with a new onset of dizziness and fatugue. Onexamination, the
pt's heart rate is 35 beats/min, BP is 70/50, resp. rate is22 per min, O2 sat is 95%. What is the
appropriate 1st medication?
Answer: Atropine0.5mg
8. A pt. presents to the ER with dizziness and SOB with a sinus brady
of 40/min.The initial atropine dose was ineffective and your monitor doesnot provide TCP.
What is the appropriate dose of Dopamine for this pt?
Answer: -2-10mcg/kg/min
9. A pt. has an onset of dizziness. The pt.s heart rate is 180, BP is 110/70, resp.rate is 18, O2 sat
is 98%.This is a reg narrow complex tach rythm. What is thenext intervention?
Answer: Vagal manuever.
10. A monitored pt. in the ICU developed a suddent onset of narrow complex tach at a rate of
220/min. The pt's BP is 128/58, the PETCO2 is 38mm Hg, and the O2 sat is 98%. There is an EJ
established for vascular access. The pt. denies taking any vasodialators. A 12 lead shows no
ischemia or infarction. Vagal manuevers are ineffective. What is the next intervention?
Answer: Adenosine 12mg IV
11. You receiving a radio report from an EMS team enroute with a pt. who may be having a
stroke.The hospital CT scanner is broken. What should youdo?
Answer: Divert the pt. to a hospital 15 min away with CT capabilities.
, 12. Choose an appropriate inidication to stop or withhold resuscitive efforts.-
Answer: Evidence of rigor mortis.
13. A 49 y/ofmaile arrives in the ER with persistant epigastric pain. She has been taking
antacids PO for the past 6 hours because she had heartburn.BP is 118/72, heart rate is 92/min,
resp. rate is 14 non-labored and O2 sat is 96%. What is the most appropriate next action?
Answer: Obtain a 12 lead ECG.
14. A pt. in respiratory failure becomes apneic but contineues to have a strongpulse.The heart
rate is dropping paridly and now shows a sinus brady rate at30/min. What intervention has the
highest priority?
Answer: Simple airway manuevers and assisted ventilations.
15. You find an unresponsive pt. who is not breathing. After activating the
emergencyresponse system, you determine there is no pulse. What is yournext action?
Answer: Start chest compressions of at least 100 per min.
16. You are evaluating a 58 year old man with chest pain. The BP is 92/50 and a heart rate
of92/min, non-labored respiratory rate is 14 breaths/min and thepulse O2 is 97%. What
assessment step is most important now?
Answer: Obtaining a12 lead ECG.
17. What is the preferred method of access for epi administration during cardiacarrest in most
pts?
Answer: Peripheral IV
18. An AED does not promptly analyze a rythm. What is your next step?
Answer: Beginchest compressions.
19. You have completed 2 min of CPR. The ECG monitor displays the lead below(PEA) and
the pt. has no pulse. You partner resumes chest compressions and an IV is in place. What
management step is your next priority?
Answer: Administer 1mgof epinepherine
20. During a pause in CPR, you see a narrow complex rythm on the monitor. Thept. has no
pulse.What is the next action?
Answer: Resume compressions
21. What is acommon but sometimes fatal mistake in cardiac arrest management?
Answer: Prolonged interruptions in chest compressions.
22. Which action is a componant of high-quality chest compressions?
Answer: Allowingcomplete chest recoil
23. Which action increases the chance of successful conversion of ventricularfibrillation?
1. Which drug and dose are recommended for the management of a pt. inrefractory V-FIB?
Answer: Amioderone 300mg
2. What is the appropriate intervalfor an interruption in chest compressions?-
Answer: 10 seconds or less
3. Which of the following is a sign of effective CPR?
Answer: PETCO2 = or > 10mmHg
4. What is the primary purpose of a medical emergency team or rapid response team?
Answer: Identifying and treating early clinical deterioration.
5. Which action improves the quality of chest compressions delivered during resuscitave
attemepts?
Answer: Shitch providers about every 2 min or every 5 compression cycles.
6. What is the appropriate ventilation strategy for an adult in respiratoryarrest with a pulse
of 80 beats/min?
Answer: 1 breath every 5-6 seconds
7. A pt. presents to the ER with a new onset of dizziness and fatugue. Onexamination, the
pt's heart rate is 35 beats/min, BP is 70/50, resp. rate is22 per min, O2 sat is 95%. What is the
appropriate 1st medication?
Answer: Atropine0.5mg
8. A pt. presents to the ER with dizziness and SOB with a sinus brady
of 40/min.The initial atropine dose was ineffective and your monitor doesnot provide TCP.
What is the appropriate dose of Dopamine for this pt?
Answer: -2-10mcg/kg/min
9. A pt. has an onset of dizziness. The pt.s heart rate is 180, BP is 110/70, resp.rate is 18, O2 sat
is 98%.This is a reg narrow complex tach rythm. What is thenext intervention?
Answer: Vagal manuever.
10. A monitored pt. in the ICU developed a suddent onset of narrow complex tach at a rate of
220/min. The pt's BP is 128/58, the PETCO2 is 38mm Hg, and the O2 sat is 98%. There is an EJ
established for vascular access. The pt. denies taking any vasodialators. A 12 lead shows no
ischemia or infarction. Vagal manuevers are ineffective. What is the next intervention?
Answer: Adenosine 12mg IV
11. You receiving a radio report from an EMS team enroute with a pt. who may be having a
stroke.The hospital CT scanner is broken. What should youdo?
Answer: Divert the pt. to a hospital 15 min away with CT capabilities.
, 12. Choose an appropriate inidication to stop or withhold resuscitive efforts.-
Answer: Evidence of rigor mortis.
13. A 49 y/ofmaile arrives in the ER with persistant epigastric pain. She has been taking
antacids PO for the past 6 hours because she had heartburn.BP is 118/72, heart rate is 92/min,
resp. rate is 14 non-labored and O2 sat is 96%. What is the most appropriate next action?
Answer: Obtain a 12 lead ECG.
14. A pt. in respiratory failure becomes apneic but contineues to have a strongpulse.The heart
rate is dropping paridly and now shows a sinus brady rate at30/min. What intervention has the
highest priority?
Answer: Simple airway manuevers and assisted ventilations.
15. You find an unresponsive pt. who is not breathing. After activating the
emergencyresponse system, you determine there is no pulse. What is yournext action?
Answer: Start chest compressions of at least 100 per min.
16. You are evaluating a 58 year old man with chest pain. The BP is 92/50 and a heart rate
of92/min, non-labored respiratory rate is 14 breaths/min and thepulse O2 is 97%. What
assessment step is most important now?
Answer: Obtaining a12 lead ECG.
17. What is the preferred method of access for epi administration during cardiacarrest in most
pts?
Answer: Peripheral IV
18. An AED does not promptly analyze a rythm. What is your next step?
Answer: Beginchest compressions.
19. You have completed 2 min of CPR. The ECG monitor displays the lead below(PEA) and
the pt. has no pulse. You partner resumes chest compressions and an IV is in place. What
management step is your next priority?
Answer: Administer 1mgof epinepherine
20. During a pause in CPR, you see a narrow complex rythm on the monitor. Thept. has no
pulse.What is the next action?
Answer: Resume compressions
21. What is acommon but sometimes fatal mistake in cardiac arrest management?
Answer: Prolonged interruptions in chest compressions.
22. Which action is a componant of high-quality chest compressions?
Answer: Allowingcomplete chest recoil
23. Which action increases the chance of successful conversion of ventricularfibrillation?
