ACLS Exam A Questions & Answers
1.Which of these tests should be performed for a pt with suspected stroke
as early as possible but no more than 20 min after hospital arrival?
ANS Non-contrast CT scan of head
2.Which best describes this rhythm?
ANS Monomorphic Vent Tach
3.Which is an acceptable method of selecting an appropriately sized
oropha- ryngeal airway?
ANS Measure from the corner of the mouth to the angle of mandible
4.You are caring for a pt with a suspected stroke whose symptoms started 2
hours ago. The CT scan was normal, with no signs of hemorrhage. The pt
does not have any contraindications to fibrinolytic therapy. Which treatment
is best for this pt?
ANS Give fibrinolytic therapy as soon as possible and consider
endovascular therapy
5.Which is the recommended next step after a defibrillation attempt?
ANS Resume CPR, starting with chest compressions
6.Which of the following signs is a likely indicator of cardiac arrest in
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, an unresponsive pt?
ANS Agonal gasps
7.You are evaluating a 58YO man with chest discomfort. His BP is 92/50
mmHG, his HR is 92/min, his nonlabored RR is 14/min, and his pulse ox is
97%. Which assessment step is most important now?
ANS Obtaining a 12-lead ECG
8.During post-cardiac arrest care, which is the recommended duration of
targeted temperature management after reaching the correct
temperature range?
ANS At least 24 hours
9.Your rescue team arrives to find a 59YO man lying on the kitchen floor.
You determine that he is unresponsive. What is the next step in your
assessment and management of this pt?
ANS Check the pt's breathing and pulse
10.(SET) A 45YO man had coronary stents placed 2 days ago. Today he is in
severe distress and is reporting "crushing" chest discomfort. Pale,
diaphoret- ic, cool to touch, weak radial pulse, BP 64/40 mmHg, RR 28/min,
89% RA. VTach changed to VFib.
On the basis of this pt's initial presentation, which condition do you suspect
led to the cardiac arrest?
ANS Acute Coronary Syndrome
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1.Which of these tests should be performed for a pt with suspected stroke
as early as possible but no more than 20 min after hospital arrival?
ANS Non-contrast CT scan of head
2.Which best describes this rhythm?
ANS Monomorphic Vent Tach
3.Which is an acceptable method of selecting an appropriately sized
oropha- ryngeal airway?
ANS Measure from the corner of the mouth to the angle of mandible
4.You are caring for a pt with a suspected stroke whose symptoms started 2
hours ago. The CT scan was normal, with no signs of hemorrhage. The pt
does not have any contraindications to fibrinolytic therapy. Which treatment
is best for this pt?
ANS Give fibrinolytic therapy as soon as possible and consider
endovascular therapy
5.Which is the recommended next step after a defibrillation attempt?
ANS Resume CPR, starting with chest compressions
6.Which of the following signs is a likely indicator of cardiac arrest in
1/
10
, an unresponsive pt?
ANS Agonal gasps
7.You are evaluating a 58YO man with chest discomfort. His BP is 92/50
mmHG, his HR is 92/min, his nonlabored RR is 14/min, and his pulse ox is
97%. Which assessment step is most important now?
ANS Obtaining a 12-lead ECG
8.During post-cardiac arrest care, which is the recommended duration of
targeted temperature management after reaching the correct
temperature range?
ANS At least 24 hours
9.Your rescue team arrives to find a 59YO man lying on the kitchen floor.
You determine that he is unresponsive. What is the next step in your
assessment and management of this pt?
ANS Check the pt's breathing and pulse
10.(SET) A 45YO man had coronary stents placed 2 days ago. Today he is in
severe distress and is reporting "crushing" chest discomfort. Pale,
diaphoret- ic, cool to touch, weak radial pulse, BP 64/40 mmHg, RR 28/min,
89% RA. VTach changed to VFib.
On the basis of this pt's initial presentation, which condition do you suspect
led to the cardiac arrest?
ANS Acute Coronary Syndrome
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