ACLS POST TEST Combined Version 1-4
Questions & Answers
1. You are caring for a patient with a suspected stroke whose
symptoms started 2 hours ago. The CT was normal with no sign of
hemorrhage. The patient does not have any contraindications to
fibrinolytic therapy. Which treatment is best?
a. start fibrinolytic therapy ASAP
b. hold fibrinolytic therapy for 24 hours
c. order an echo before fibrinolytic administration
d. wait for MRI result
Answer a. start fibrinolytic therapy ASAP
2. For STEMI pt, maximum goal time for ED door-to-balloon-
inflation time for PCI?
a. 150 mins
b. 180 mins
c. 120 mins
d. 90 mins
Answer 90 mins
3. Which is the recommended oral dose of ASA for a pt w/ suspected
, ACS?
a. 81 mg
b. 325-650 mg
c. 160-325 mg
d. 40 mg
Answer 160-325 mg
4. chest compressions during for adult rate
Answer 100-120/min
5. effect of excessive ventilation
a. decresed cardiac output
b. decreased intrathoracic pressure
c. increased perfusion pressure
d. increased venous return
Answer decreased cardiac output
6. temperature to achieve targeted temperature management
after cardiac arrest
Answer 32-36C
7. 3 mins into cardiac arrest resuscitation attempt, one member
of your team inserts an endotracheal tube while another
,performs chest compressions. Capnography shows a persistent
waveform & a PETCO2 of 8mmHg. What is the significance of the
finding?
a. chest compression may not be effective
b. The endotrachael tube is in the esophagus
c. the team is ventilating the patient too often
d. the patient meets the criteria for termination of efforts
Answer a. chest compression may not be ettective
8. Your patient is in cardiac arrest and has been intubated. to assess
CPR quality, you should
Answer monitor the patient's PETCO2
9. In addition to clinical assessment, which is the most reliable
method to confirm & monitor correct placement of an endotracheal
tube?
Answer continous waveform capnography
10. A 45M had coronary artery stents placed 2 days ago. Today
he is in severe distress and reporting "crushing" chest discomfort. He
is pale, diphoretic, and cool to the touch. His radial pulse is very
weak, blood pressure is 64/40, respi- ratory is 28 bpm/min and O2 set is
89% on room air.
Answer answer has to do with acute coronary syndrome
, 11. A 45M had coronary artery stents placed 2 days ago. Today
he is in severe distress and reporting "crushing" chest discomfort.
He is pale, diphoretic, and cool to the touch. His radial pulse is very
weak, blood pressure is 64/40, respi- ratory is 28 bpm/min and O2
set is 89% on room air. When applied, the cardiac monitor initially
showed ventricular tachycardia, which then quickly changed to
ventricular fibrillation. What do we do?
a. chest compression
b. vasoactive meds
c. vascular access
d. advanced airway
Answer a. chest compression
12. A 45M had coronary artery stents placed 2 days ago. Today
he is in severe distress and reporting "crushing" chest discomfort. He
is pale, diphoretic, and cool to the touch. His radial pulse is very
weak, blood pressure is 64/40, respi- ratory is 28 bpm/min and O2
set is 89% on room air. Despite 2 defib attempt, the patient
remains in V-fib. Which drug & dose should be given?
a. lidocaine 1 mg/kg
b. amiodarone 300mg
c. epi 1mg
d. atropine 1 mg
Answer epi 1 mg
Questions & Answers
1. You are caring for a patient with a suspected stroke whose
symptoms started 2 hours ago. The CT was normal with no sign of
hemorrhage. The patient does not have any contraindications to
fibrinolytic therapy. Which treatment is best?
a. start fibrinolytic therapy ASAP
b. hold fibrinolytic therapy for 24 hours
c. order an echo before fibrinolytic administration
d. wait for MRI result
Answer a. start fibrinolytic therapy ASAP
2. For STEMI pt, maximum goal time for ED door-to-balloon-
inflation time for PCI?
a. 150 mins
b. 180 mins
c. 120 mins
d. 90 mins
Answer 90 mins
3. Which is the recommended oral dose of ASA for a pt w/ suspected
, ACS?
a. 81 mg
b. 325-650 mg
c. 160-325 mg
d. 40 mg
Answer 160-325 mg
4. chest compressions during for adult rate
Answer 100-120/min
5. effect of excessive ventilation
a. decresed cardiac output
b. decreased intrathoracic pressure
c. increased perfusion pressure
d. increased venous return
Answer decreased cardiac output
6. temperature to achieve targeted temperature management
after cardiac arrest
Answer 32-36C
7. 3 mins into cardiac arrest resuscitation attempt, one member
of your team inserts an endotracheal tube while another
,performs chest compressions. Capnography shows a persistent
waveform & a PETCO2 of 8mmHg. What is the significance of the
finding?
a. chest compression may not be effective
b. The endotrachael tube is in the esophagus
c. the team is ventilating the patient too often
d. the patient meets the criteria for termination of efforts
Answer a. chest compression may not be ettective
8. Your patient is in cardiac arrest and has been intubated. to assess
CPR quality, you should
Answer monitor the patient's PETCO2
9. In addition to clinical assessment, which is the most reliable
method to confirm & monitor correct placement of an endotracheal
tube?
Answer continous waveform capnography
10. A 45M had coronary artery stents placed 2 days ago. Today
he is in severe distress and reporting "crushing" chest discomfort. He
is pale, diphoretic, and cool to the touch. His radial pulse is very
weak, blood pressure is 64/40, respi- ratory is 28 bpm/min and O2 set is
89% on room air.
Answer answer has to do with acute coronary syndrome
, 11. A 45M had coronary artery stents placed 2 days ago. Today
he is in severe distress and reporting "crushing" chest discomfort.
He is pale, diphoretic, and cool to the touch. His radial pulse is very
weak, blood pressure is 64/40, respi- ratory is 28 bpm/min and O2
set is 89% on room air. When applied, the cardiac monitor initially
showed ventricular tachycardia, which then quickly changed to
ventricular fibrillation. What do we do?
a. chest compression
b. vasoactive meds
c. vascular access
d. advanced airway
Answer a. chest compression
12. A 45M had coronary artery stents placed 2 days ago. Today
he is in severe distress and reporting "crushing" chest discomfort. He
is pale, diphoretic, and cool to the touch. His radial pulse is very
weak, blood pressure is 64/40, respi- ratory is 28 bpm/min and O2
set is 89% on room air. Despite 2 defib attempt, the patient
remains in V-fib. Which drug & dose should be given?
a. lidocaine 1 mg/kg
b. amiodarone 300mg
c. epi 1mg
d. atropine 1 mg
Answer epi 1 mg
