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ALS Final Exam with correct answers.

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ALS FINAL EXAM


• The ECG rhythm strip of a patient who arrived in the

emergency department complaining of dizziness,

syncope and shortness of breath reveals sinus

bradycardia. When reviewing the patient's medication

history, the healthcare provider identifies which agent(s)

as a potential cause of the patient's current

condition?ANSWER Digoxin


Verapamil

,Metoprolol

• A patient experiencing an unstable bradyarrhythmia

does not respond to atropine. Which interventions

could the healthcare provider use next?ANSWER Epi-

nephrine/dopamine infusion


Transcutaneous pacing

• A patient presents to the emergency department with

mild to moderate re- current chest pain, without any

nausea or vomiting. A 12-lead ECG is obtained and shows

ST-segment depression with transient T-wave elevation

indicative of NSTE-ACS. Cardiac serum markers are

obtained and are not elevated. The patient's risk-

stratification score indicates low risk. These findings

suggest which condition?ANSWER Unstable angina

• The following capnogram is from a patient

experiencing respiratory dis- tress. At which point in

the waveform would the patient's ETCO2 level be

, measured?ANSWER D (end of the peaked plateau, right

before it inverts downwards)

• A patient comes to the emergency department

complaining of palpitations and "some shortness of

breath." Cardiac monitoring is initiated and reveals the

following ECG rhythm strip. The provider interprets this

strip as indicating which arrhythmia?ANSWER Atrial flutter

• A healthcare provider initiates ventilations to ensure

adequate breathing and oxygenation. While ventilations

are being performed, capnography is es- tablished to

evaluate the adequacy of the ventilations. The healthcare

provider determines that ventilations are adequate based

on which end-tidal carbon dioxide (ETCO2)

value?ANSWER 35-45 mmHg

• A healthcare provider is establishing cardiac

monitoring using a five-elec- trode system. The healthcare

provider demonstrates proper use of the system by

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