AHA ACLS PRACTICE EXAM QUESTIONS WITH CORRECT DETAILED ANSWERS | ALREADY GRADED A+RECENT VERSION

AHA ACLS PRACTICE EXAM QUESTIONS WITH CORRECT DETAILED ANSWERS | ALREADY GRADED A+RECENT VERSION 1) You find an cpt. who is not breathing. After activating the emergency response system, you determine there is no pulse. What is your next action? - answer Start chest compressions of at least 100 per min. 2) You are evaluating a 58 year old man with chest pain. The BP is 92/50 and a heart rate of 92/min, non-laboured respiratory rate is 14 breaths/min and the pulse O2 is 97%. What assessment step is most important now? - answer Obtaining a 12 lead ECG. Identification of Chest Discomfort Suggestive of Ischemia 3) What is the preferred method of access for epi administration during cardiac arrest in most pts? - answer Peripheral IV 4) An AED does not promptly analyze a rythm. What is your next step? - answer Begin chest compressions. 5) 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 1mg of epinepherine 6) During a pause in CPR, you see a narrow complex rythm on the monitor. The pt. has no pulse. What is the next action? - answer Resume compressions 7) What is acommon but sometimes fatal mistake in cardiac arrest management? - answer Prolonged interruptions in chest compressions. 8) Which action is a componant of high-quality chest comressions? - answer Allowing complete chest recoil 9) Which action increases the chance of successful conversion of ventricular fibrillation? - answer Providing quality compressions immediately before a defibrillation attempt. 10) Which situation BEST describes PEA? - answer Sinus rythm without a pulse 11) What is the best strategy for perfoming high-quality CPR on a an advanced airway in place? - answer Provide continuous chest compressionswithout pauses and 10 ventilations per minute. 12) 3 min after witnessing a cardiac arrest, one memeber of your team inserts an ET tube while another performs continuous chest comressions. During subsequent bentilation, you notice the presence of a wavefom on the capnogrophy screen and a PETCO2 of 8 mm Hg. What is the significance of this finding? - answer Chest compressions may not be effective. 13) The use of quantitative capnography in intubated pt's does what? - answer Allowsfor monitoring CPR quality 14) For the past 25 min, EMS crews have attempted resuscitation of a pt who originally presented with V-FIB. After the 1st shock, the ECG screen displayed asystole which has persisted despite 2 doses of epi, a fluid bolus, and high quality CPR. What is your next treatment? - answer Consider terminating resuscitive efforts after consulting medical control. 15) Which is a safe and effective practice within the defibrillation sequence? - answer Be sure O2 is NOT blowing over the pt's chest during shock. 16) 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? - answer Begin chest compressions. 17) What is an advantage of using hands-free d-fib pads instead of d-fib paddles? - answer Hands-free allows for more rapid d-fib. 18) What action is recommended to help minimize interruptions in chest compressions during CPR? - answer Continue CPR while charging the defibrillator. Foundational Facts: Resume CPR While Manual Defibrillator is Charging 19) Which action is included in the BLS survey? - answer Early defibrillation 20) Which drug and dose are recommended for the management of a pt. in refractory V-FIB? - answer Amiodarone 300mg 21) What is the appropriate intervalfor an interruption in chest compressions? - answer 10 seconds or less 22) Which of the following is a sign of effective CPR? - answer PETCO2 = or 10mm Hg 23) What is the purpose of a medical emergency team (MET) or rapid response team? - answer Improving patient outcomes by identifying and treating early clinical deterioration. 24) Foundational Facts: Medical Emergency Teams (METs) and Rapid Response Teams (RRTs) 25) Which action improves the quality of chest compressions delivered during resuscitave attemepts? - answer Shitch providers about every 2 min or every 5 compression cycles. 26) What is the appropriate ventilation strategy for an adult in respiratory arrest with a pulse of 80 beats/min? - answer 1 breath every 5-6 seconds 27) 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 is 22 per min, O2 sat is 95%. What is the appropriate 1st medication? - answer Atropine 0.5mg 28) 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? - answer 2-10mcg/kg/min 29) 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? - answer Vagal manuever. 30) 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 31) 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 you do? - answer Divert the pt. to a hospital 15 min away with CT capabilities. 32) Foundational Facts: Stroke Centers and Stroke Units 33) Choose an appropriate indication to stop or withhold resucitive efforts. - answer Evidence of rigor mortis. 34) A 49 y/of male 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-laboured and O2 sat is 96%. What is the most appropriate next action? - answer Obtain a 12 lead ECG. 35) A pt. in respiratory failure becomes apneic but continues 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? - answer Simple airway and assisted ventilations. 36) What is the appropriate procedure for ET suctioning after the catheter is selected? - answer Suction during withdraw, but not for longer than 10 seconds. 37) While treating a stable pt for dizziness, a BP of 68/30, cool and clammy, you see a brady rythm on the ECG. How do you treat this? - answer Atropine 0.5mg 38) 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-laboured 14/min, 02 sat is 97%. Lead 2 in the ECG shows a sinus rythm. What would be your next action? - answer Cinncinati Stroke Scale 39) You are transporting a pt. with a positive stroke assessment. BP is 138, pulse is 80/min, resp rate is 12/min, 02 sat is 95% room air. Glucose levels are normal and the ECG shows a sinus rythm. What is next. - answer Head CT scan 40) What is the proper ventilation rate for a pt. in cardiac arrest who has an advanced airway in place? - answer 8-10 breaths per minute 41) 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? - answer Obtain a 12 lead ECG. 42) You are evaluating a 48 y/o male with crushing sub-sternal pain. He is cool, pale, diaphretic, and slow to respond to your questions. BP is 58/32, pulse is 190/min, resp rate is 18, and you are unable to obtain an 02 sat due to no radial pulse. The ECG shows a wide complex tach rythm. What intervention should be next? - answer Syncronized cardioversion. 43) What is the initial priority for an unconscious pt. with any tachycardia on the monitor? - answer Determine if a pulse is present. 44) Which rythnm requires synchronized cardioversion? - answer Unstable SVT 45) What is the recommended dose for adenosine for pt's in refractory, but stable narrow complex tachycardia? - answer 12mg 46) What is the usual post-cardiac arrest target range for PETCO2 who achieves return of spontaneous circulation (ROSC)? - answer 35-40mm Hg 47) Which condition is a contraindication to theraputic hypothermia during the post-cardiac arrest period for pt's who achieve return of spontaneous circulation (ROSC)? - answer Responding to verbal commands 48) What is the potential danger to using ties that pass circumfrentially around the pt's neck when securing an advanced airway? - answer Obstruction of veneous return from the brain 49) What is the most reliable method of confirming and montioring correct placement of an ET tube? - answer Continuous waveform capnography 50) What is the recommended IV fluid (NS or LR) bolus dose for a pt. who achieves ROSC but is hypotensive during the post-cardiac arrest period? - answer 1 to 2 Liters 51) What is the minimum systolic BP one should attempt to achieve with fluid, Inotropic, or vasopressor administration in a hypotensive post-cardiac arrest who achieves ROSC? - answer 90mm Hg 52) What is the 1st treatment priority for a pt. who achieves ROSC? - answer Optimizing ventilation and oxygenation. 53) Which is an appropriate and important intervention to perform for a patient who achieves ROSC during an out-of-hospital resuscitation? - answer Transport the patient to a facility capable of performing PCI. 54) What is the recommended oral dose of aspirin for patients suspected of having one of the acute coronary syndromes? - answer 160 to 325 mg Administer Oxygen and Drugs: Aspirin (Acetylsalicyclic Acid)