AHA ACLS Post-Test questions with verified
answers
3 min after witnessing a cardiac arrest, one member of your team inserts an ET
tube while another performs continuous chest comressions. During subsequent
ventilation, you notice the presence of a wavefom on the capnogrophy screen
and a PET CO2 of 8 mm Hg. What is the significance of this finding? Ans✓✓✓
Chest compressions may not be effective.
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 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? Ans✓✓✓ Obtain a 12 lead ECG.
A 62 y/o male pt. in the ER says his heart is beating fast. No chest pain or SOB. BP
is 142/98, pulse rate is 200/min, reps rate is 14/min, O2 sats are 95 at room air.
What should be the next evaluation? Ans✓✓✓ Obtain a 12 lead ECG.
A 68 y/o female pt. experienced a sudden onset of right arm weakness. BP is
140/90, pulse is 78/min, resp rate is non-labored 14/min, 02 sat is 97%. Lead 2 in
the ECG shows a sinus rythm. What would be your next action? Ans✓✓✓
Cinncinati Stroke Scale
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? Ans✓✓✓ Adenosine 12mg IV
, 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 the next
intervention? Ans✓✓✓ Vagal manuever.
A pt. in respiratory failure becomes apneic but contineues to have a strong pulse.
The heart rate is dropping paridly and now shows a sinus brady rate at 30/min.
What intervention has the highest priority? Ans✓✓✓ Simple airway manuevers
and assisted ventilations.
A pt. presents to the ER with a new onset of dizziness and fatugue. On
examination, the pt's HR is 35 bpm, BP 70/50, RR is 22, O2 is 95%. What is the
appropriate 1st medication? Ans✓✓✓ Atropine 0.5mg
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 does not provide TCP. What
is the appropriate dose of Dopamine for this pt? Ans✓✓✓ 2-10mcg/kg/min
An AED does not promptly analyze a rythm. What is your next step? Ans✓✓✓
Begin chest compressions.
Choose an appropriate inidication to stop or withhold resuscitive efforts.
Ans✓✓✓ Evidence of rigor mortis.
During a pause in CPR, you see a narrow complex rythm on the monitor. The pt.
has no pulse. What is the next action? Ans✓✓✓ Resume compressions
During your assessment, your pt suddenly loses consciousness. After calling for
help and determining that the pt. is not breathing, you are unsure whether the pt.
has a pulse. What is your next action? Ans✓✓✓ Begin chest compressions.
answers
3 min after witnessing a cardiac arrest, one member of your team inserts an ET
tube while another performs continuous chest comressions. During subsequent
ventilation, you notice the presence of a wavefom on the capnogrophy screen
and a PET CO2 of 8 mm Hg. What is the significance of this finding? Ans✓✓✓
Chest compressions may not be effective.
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 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? Ans✓✓✓ Obtain a 12 lead ECG.
A 62 y/o male pt. in the ER says his heart is beating fast. No chest pain or SOB. BP
is 142/98, pulse rate is 200/min, reps rate is 14/min, O2 sats are 95 at room air.
What should be the next evaluation? Ans✓✓✓ Obtain a 12 lead ECG.
A 68 y/o female pt. experienced a sudden onset of right arm weakness. BP is
140/90, pulse is 78/min, resp rate is non-labored 14/min, 02 sat is 97%. Lead 2 in
the ECG shows a sinus rythm. What would be your next action? Ans✓✓✓
Cinncinati Stroke Scale
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? Ans✓✓✓ Adenosine 12mg IV
, 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 the next
intervention? Ans✓✓✓ Vagal manuever.
A pt. in respiratory failure becomes apneic but contineues to have a strong pulse.
The heart rate is dropping paridly and now shows a sinus brady rate at 30/min.
What intervention has the highest priority? Ans✓✓✓ Simple airway manuevers
and assisted ventilations.
A pt. presents to the ER with a new onset of dizziness and fatugue. On
examination, the pt's HR is 35 bpm, BP 70/50, RR is 22, O2 is 95%. What is the
appropriate 1st medication? Ans✓✓✓ Atropine 0.5mg
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 does not provide TCP. What
is the appropriate dose of Dopamine for this pt? Ans✓✓✓ 2-10mcg/kg/min
An AED does not promptly analyze a rythm. What is your next step? Ans✓✓✓
Begin chest compressions.
Choose an appropriate inidication to stop or withhold resuscitive efforts.
Ans✓✓✓ Evidence of rigor mortis.
During a pause in CPR, you see a narrow complex rythm on the monitor. The pt.
has no pulse. What is the next action? Ans✓✓✓ Resume compressions
During your assessment, your pt suddenly loses consciousness. After calling for
help and determining that the pt. is not breathing, you are unsure whether the pt.
has a pulse. What is your next action? Ans✓✓✓ Begin chest compressions.
