ACLS post-test
A 48-year-old man became unrespon-
sive shortly after presenting to you with
nausea and generalized chest discom-
fort. You observe gasping breathing and
are unsure if you feel a pulse. You should
know:
A. Call for help and begin chest compres- A. Call for help and begin chest compres-
sions. sions.
B. Wait until breathing stops and then
check again for a pulse.
C. Begin chest compressions only if you
are certain a pulse is absent.
D. Observe the patient for 2 minutes,
then reassess his breathing and pulse.
Which of the following is the most likely
complication of inferior wall myocardial
infarction (MI)?
A. Cardiogenic shock C. Bradydysrhythmias
B. Ventricular rupture
C. Bradydysrhythmias
D. Tachydysrhythmias
A 52-year-old man is complaining of pal-
pitations that came on suddenly after
walking up a short flight of stairs. His
symptoms have been present for about
20 minutes. He denies chest pain and is
not short of breath. His skin is warm and D. Procainamide or amiodarone
dry; breath sounds are clear. His blood
pressure (BP) is 144/88 millimeters of
mercury (mm Hg), his heart rate is 186
beats per minute (beats/min), and his
ventilatory rate is 18 breaths/min. The
cardiac monitor reveals the rhythm here.
Vascular access has been established.
Which of the following medications is
most appropriate in this situation?
A. Dopamine or sotalol
B. Furosemide or atropine
, ACLS post-test
C. Nitroglycerin (NTG) or morphine
D. Procainamide or amiodarone
Your general impression of a 78-year-old
woman reveals that her eyes are closed,
she is not moving, you can see no rise
and fall of her chest or abdomen, and
her skincolor is pale. When you arrive at
the patient's side, you confirm that she
is unresponsive. Your best action in this
C. Assess breathing and determine
situation will be to:
whether she has a pulse.
A. Open her airway and give two breaths.
B. Apply an automated external defibril-
lator (AED).
C. Assess breathing and determine
whether she has a pulse.
D. Prepare the necessary equipment to
insert an advanced airway.
A 60-year-old woman has suffered a car-
diac arrest. A health care professional
trained in endotracheal intubation has in-
tubated the patient. Which of the follow-
ing findings would indicate inadvertent
esophageal intubation? C. Gurgling sounds heard over the epi-
A. Jugular vein distention gastrium
B. Subcutaneous emphysema
C. Gurgling sounds heard over the epi-
gastrium
D. Breath sounds heard on only one side
of the chest
Hypotension (ie, a systolic BP of less
than 90 mm Hg) after the return of spon-
taneous circulation (ROSC) may neces-
sitate the use of:
C. Epinephrine, dopamine, or norepi-
A. Fluid boluses and isoproterenol.
nephrine.
B. Procainamide, epinephrine, or
dopamine.
C. Epinephrine, dopamine, or norepi-
nephrine.
, ACLS post-test
D. Fluid boluses, procainamide, and iso-
proterenol.
Which of the following is incorrect with
regard to a postevent debriefing?
A. The facilitator should use open-ended
questions to encourage discussion.
B. Team members are encouraged to
identify lessons learned in a nonpunitive C. The gather phase of the debriefing
environment. includes a comparison of the team's
C. The gather phase of the debriefing actions with current resuscitation algo-
includes a comparison of the team's rithms.
actions with current resuscitation algo-
rithms.
D. Team members are given an opportu-
nity to reflect on their performance and
how their performance can be improved.
Assuming there are no contraindica-
tions, which of the following can be per-
formed as an initial intervention for a B. Vagal maneuvers
stable but symptomatic patient with the
rhythm shown?
A. Defibrillation
B. Vagal maneuvers
C. Administration of intravenous (IV) dil-
tiazem
D. Administration of IV epinephrine
A 62-year-old man received IV tissue
plasminogen activator (tPA) 2 hours ago
after a diagnosis of acute ischemic
stroke. While assessing the patient's vital
signs, you observe swelling of the pa-
B. Administer IV antihistamines and
tient's lips and tongue. Your best course
steroids.
of action will be to:
A. Administer aspirin and IV heparin.
B. Administer IV antihistamines and
steroids.
C. Observe and reassess the patient
A 48-year-old man became unrespon-
sive shortly after presenting to you with
nausea and generalized chest discom-
fort. You observe gasping breathing and
are unsure if you feel a pulse. You should
know:
A. Call for help and begin chest compres- A. Call for help and begin chest compres-
sions. sions.
B. Wait until breathing stops and then
check again for a pulse.
C. Begin chest compressions only if you
are certain a pulse is absent.
D. Observe the patient for 2 minutes,
then reassess his breathing and pulse.
Which of the following is the most likely
complication of inferior wall myocardial
infarction (MI)?
A. Cardiogenic shock C. Bradydysrhythmias
B. Ventricular rupture
C. Bradydysrhythmias
D. Tachydysrhythmias
A 52-year-old man is complaining of pal-
pitations that came on suddenly after
walking up a short flight of stairs. His
symptoms have been present for about
20 minutes. He denies chest pain and is
not short of breath. His skin is warm and D. Procainamide or amiodarone
dry; breath sounds are clear. His blood
pressure (BP) is 144/88 millimeters of
mercury (mm Hg), his heart rate is 186
beats per minute (beats/min), and his
ventilatory rate is 18 breaths/min. The
cardiac monitor reveals the rhythm here.
Vascular access has been established.
Which of the following medications is
most appropriate in this situation?
A. Dopamine or sotalol
B. Furosemide or atropine
, ACLS post-test
C. Nitroglycerin (NTG) or morphine
D. Procainamide or amiodarone
Your general impression of a 78-year-old
woman reveals that her eyes are closed,
she is not moving, you can see no rise
and fall of her chest or abdomen, and
her skincolor is pale. When you arrive at
the patient's side, you confirm that she
is unresponsive. Your best action in this
C. Assess breathing and determine
situation will be to:
whether she has a pulse.
A. Open her airway and give two breaths.
B. Apply an automated external defibril-
lator (AED).
C. Assess breathing and determine
whether she has a pulse.
D. Prepare the necessary equipment to
insert an advanced airway.
A 60-year-old woman has suffered a car-
diac arrest. A health care professional
trained in endotracheal intubation has in-
tubated the patient. Which of the follow-
ing findings would indicate inadvertent
esophageal intubation? C. Gurgling sounds heard over the epi-
A. Jugular vein distention gastrium
B. Subcutaneous emphysema
C. Gurgling sounds heard over the epi-
gastrium
D. Breath sounds heard on only one side
of the chest
Hypotension (ie, a systolic BP of less
than 90 mm Hg) after the return of spon-
taneous circulation (ROSC) may neces-
sitate the use of:
C. Epinephrine, dopamine, or norepi-
A. Fluid boluses and isoproterenol.
nephrine.
B. Procainamide, epinephrine, or
dopamine.
C. Epinephrine, dopamine, or norepi-
nephrine.
, ACLS post-test
D. Fluid boluses, procainamide, and iso-
proterenol.
Which of the following is incorrect with
regard to a postevent debriefing?
A. The facilitator should use open-ended
questions to encourage discussion.
B. Team members are encouraged to
identify lessons learned in a nonpunitive C. The gather phase of the debriefing
environment. includes a comparison of the team's
C. The gather phase of the debriefing actions with current resuscitation algo-
includes a comparison of the team's rithms.
actions with current resuscitation algo-
rithms.
D. Team members are given an opportu-
nity to reflect on their performance and
how their performance can be improved.
Assuming there are no contraindica-
tions, which of the following can be per-
formed as an initial intervention for a B. Vagal maneuvers
stable but symptomatic patient with the
rhythm shown?
A. Defibrillation
B. Vagal maneuvers
C. Administration of intravenous (IV) dil-
tiazem
D. Administration of IV epinephrine
A 62-year-old man received IV tissue
plasminogen activator (tPA) 2 hours ago
after a diagnosis of acute ischemic
stroke. While assessing the patient's vital
signs, you observe swelling of the pa-
B. Administer IV antihistamines and
tient's lips and tongue. Your best course
steroids.
of action will be to:
A. Administer aspirin and IV heparin.
B. Administer IV antihistamines and
steroids.
C. Observe and reassess the patient
