Acls Final Exam Practice Test.

ACLS FINAL EXAM PRACTICE TEST. 1. given rapidly dur- IV/IO drug administration during CPR should be ing compressions 2. Potential oxygen toxicity 3. NOT recom- mended for rou- tine use 4. Performing a head tilt chin lift maneuver What is the danger of routinely administering high concentrations of oxygen during post-cardiac arrest period for patients who achieve ROSC? Recommendation on the use of cricoid pressure to prevent aspiration during cardiac arrest Family members found a 45 year old woman unresponsive in bed. Patient is unconscious and in respiratory arrest. What is the recommended initial airway management technique? 5. Check for a pulse After verifying unresponsiveness and abnormal breathing, you activate emergency response team. What is your next action? 6. Unstable supraventricular tachycardia A responder is caring for a patient with a history of congestive heart failure. Patient is experiencing shortness of breath, a BP of 68/50 mmHg, and HR of 190/min. Patient's lead II ECG is displayed above (shows unstable SVT). Which of the following best describes this patient? 7. 300 mg Recommended 1st IV dose of amiodarone for a patient with refractory ventricular fibrillation? 8. Administer a sec- ond shock Patient remains in ventricular fibrillation despite 1 shock and 2 minutes of contin- uous CPR. Next intervention is to 9. Administer 2 to 4 mg of morphine by slow IV bolus 49 year old man has retrosternal chest pain radiating into the left arm. Patient is diaphoretic, with associated shortness of breath. BP is 130/88 mmHg, HR is 110/min, RR is 22 breaths/min, and pulse oximetry is 95%. Patient's 12 lead ECG shows ST segment elevation in the anterior leads. First responders administered 160 mg aspirin, and there is a patent peripheral IV. Pain described as a 8/10 and unrelieved after 3 doses of nitroglycerin. What is the next action? 10. At least 100/min What is the appropriate rate of chest compressions for an adult in cardiac arrest? 11. Defibrillation EMS personnel arrive to find a patient in cardiac arrest. Bystanders are performing CPR. After attaching a cardiac monitor, the responder observes the following rhythm strip. What is the most important early intervention? 12. Obtaining a 12 lead ECG 13. Administration of IV or IO fluid bo- lus 14. Divert the pa- You are evaluating a 58-year-old man with chest pain. BP is 92/50 mmHg, HR is 92/min, nonlabored RR is 14 breaths/min, and the pulse oximetry reading is 97%. What assessment step is most important now? What is the recommended initial intervention for managing hypotension in the immediate period after return of spontaneous circulation (ROSC)?