ACLS Post Test 2022/2023 Graded A+

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 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 d. 90 mins Which is the recommended oral dose of aspirin for a patient with suspected acute coronary syndrome? a. 81 mg b. 325-650 mg c. 160-325 mg d. 40 mg - ANSWER c. 160-325 mg chest compressions during for adult rate a. 40-60/min b. 60-80/min c. 80-100/min d. 100-120/min - ANSWER d. 100-120/min What is the effect of excessive ventilation? a. decresed cardiac output b. decreased intrathoracic pressure c. increased perfusion pressure d. increased venous return - ANSWER a. decreased cardiac output temperature to achieve targeted temperature management after cardiac arrest a. 30-34C b. 32-36C c. 36-40C d. 38-42C - ANSWER b. 32-36C 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 effective Your patient is in cardiac arrest and has been intubated. To assess CPR quality, you should? a. obtain a chest x-ray b. check the patient's pulse c. monitor the patient's PETCO2 d. obtain a 12-lead ECG - ANSWER c. monitor the patient's PETCO2 In addition to clinical assessment, which is the most reliable method to confirm & monitor correct placement of an endotracheal tube? a. arterial blood gas b. hemoglobin levels c. chest radiography d. continuous waveform capnography - ANSWER d. continuous waveform capnography 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, respiratory is 28 bpm/min and O2 set is 89% on room air. - ANSWER answer has to do with acute coronary syndrome 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, respiratory 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. WhIn addition to defibrillation, which intervention should be performed immediately? a. chest compression b. vasoactive meds c. vascular access d. advanced airway - ANSWER a. chest compression 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, respiratory 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. Despite 2 defibrillation attempts, the patient remains in V-fib. Which drug and dose should you administer? a. lidocaine 1 mg/kg b. amiodarone 300mg c. epinephrine 1mg d. atropine 1 mg - ANSWER c. epinep