ACLS REVIEW QUESTIONS
1. What is the time goal for neurologic assessment by the stroke team ordesignee and
noncontrast CT or MRI performed after hospital arrival?
20 mins
25 mins
10 mins
15 mins
Answer: 20 mins
2. What blood glucose level should trigger the administration of IV or subcutaneous insulin
for a pt with an acute ischemic stroke?
Answer: 180 mg/dL
3. In addition to decreased IHCA, what are some other benefits of implement-ing a rapid
response team?
Answer:
Decrease in total hospital length of stay
Decreased ICU length of stay
4. A 74-year-old man was brought to the hospital by his wife. She states thather husband
started having sudden left-arm weakness and left-sided facial paralysis during lunch. He has a
past medical history of poorly controlled HTN.
The pt's VS show HR 92/min, RR 14/min, BP 130/86 mmHg, SpO2 97%, and AFibon the
monitor.
What additional assessment and stabilization activities should be completedwithin the first 10
mins after the pt's arrival?
Answer:
Check glucose
Activate stroke team
Establish IV access
Complete neuro screening
Order an emergent CT scan or MRI of the brain and review pt history
5. What needs to be completed for this pt within 20 mins after hospitalarrival?
, Answer: Neurologic assessment
6. As part of the neurologic assessment, you perform a physical and neuro-logic
examination.
What are some general questions you need to ask?
Answer:
Do you take any medications?
When did the symptoms start?
Do you have any allergies?
What other symptoms do you have?
7. Within 45 mins, the neuroimaging interpretation of the CT scan of the brainsuggests an
acute ischemic infarction. There are no signs of hemorrhage or mass lesions.
Is this pt a potential candidate for fibrinolytic therapy?
Yes
No
Not enough info
Answer: Yes
8. To determine whether the pt is a candidate for fibrinolytic therapy, whatactions should be
taken?
Answer: Repeat neurologic exam
9. You find that the pt's neurologic function is rapidly improving.Is this pt still a candidate
for fibrinolytic therapy?
Yes
No
Not enough info
Answer: No
10. Bc this pt is no longer a candidate for fibrinolytic therapy, what are yournext steps for
him?
Answer:
Support ABCs
Begin stroke pathway
Admit the pt to an ICU
11. Which clinical finding is a contraindication to the administration of nitro-glycerin?
Answer: Confirmed RV infarction
12. Which is a step of closed-loop communication?
1. What is the time goal for neurologic assessment by the stroke team ordesignee and
noncontrast CT or MRI performed after hospital arrival?
20 mins
25 mins
10 mins
15 mins
Answer: 20 mins
2. What blood glucose level should trigger the administration of IV or subcutaneous insulin
for a pt with an acute ischemic stroke?
Answer: 180 mg/dL
3. In addition to decreased IHCA, what are some other benefits of implement-ing a rapid
response team?
Answer:
Decrease in total hospital length of stay
Decreased ICU length of stay
4. A 74-year-old man was brought to the hospital by his wife. She states thather husband
started having sudden left-arm weakness and left-sided facial paralysis during lunch. He has a
past medical history of poorly controlled HTN.
The pt's VS show HR 92/min, RR 14/min, BP 130/86 mmHg, SpO2 97%, and AFibon the
monitor.
What additional assessment and stabilization activities should be completedwithin the first 10
mins after the pt's arrival?
Answer:
Check glucose
Activate stroke team
Establish IV access
Complete neuro screening
Order an emergent CT scan or MRI of the brain and review pt history
5. What needs to be completed for this pt within 20 mins after hospitalarrival?
, Answer: Neurologic assessment
6. As part of the neurologic assessment, you perform a physical and neuro-logic
examination.
What are some general questions you need to ask?
Answer:
Do you take any medications?
When did the symptoms start?
Do you have any allergies?
What other symptoms do you have?
7. Within 45 mins, the neuroimaging interpretation of the CT scan of the brainsuggests an
acute ischemic infarction. There are no signs of hemorrhage or mass lesions.
Is this pt a potential candidate for fibrinolytic therapy?
Yes
No
Not enough info
Answer: Yes
8. To determine whether the pt is a candidate for fibrinolytic therapy, whatactions should be
taken?
Answer: Repeat neurologic exam
9. You find that the pt's neurologic function is rapidly improving.Is this pt still a candidate
for fibrinolytic therapy?
Yes
No
Not enough info
Answer: No
10. Bc this pt is no longer a candidate for fibrinolytic therapy, what are yournext steps for
him?
Answer:
Support ABCs
Begin stroke pathway
Admit the pt to an ICU
11. Which clinical finding is a contraindication to the administration of nitro-glycerin?
Answer: Confirmed RV infarction
12. Which is a step of closed-loop communication?
