8/13/25, 2:28 AM Post-ACLS Megacode Exam | Complete Questions and Correct Answers with Rationales | Graded A+ | Verified Answers Flashcards…
Post-ACLS Megacode Exam | Complete
Questions and Correct Answers with Rationales
| Graded A+ | Verified Answers
1: With hair removed and resume CPR ASAP
new pads placed, the AED
gets a good signal from Regardless of patient response, resume high-quality
the CPR immediately and continue for two minutes. Even if
patient. It reports that there is a pulse returns, it may not be adequate to pump blood
a shockable rhythm. You for a few minutes. A pulse check at this point is
clear everyone from the irrelevant. An AED automatically controls the level of
patient, announce the shock, energy delivered.
and then deliver one shock.
What is your next action?
check for a pulse
1: After two minutes of CPR,
what is your next action? It is important to determine if the man has regained
spontaneous circulation. This can be done with a pulse
check.
Continue to monitor pulse, breathing, and rhythm until EMS
1: The man has a strong,
arrives
regular pulse. He is not
responsive, but appears to CPR can stop at this point, as the man has had a return
be of spontaneous circulation (ROSC). He should be
breathing. You feel air monitored very closely until EMS arrives. It is unwise to
movement through his remove the AED pads in case his condition
mouth. What is your next deteriorates.
action?
c… 1/1
7
,8/13/25, 2:28 AM Post-ACLS Megacode Exam | Complete Questions and Correct Answers with Rationales | Graded A+ | Verified Answers Flashcards…
SCENARIO 2: You are called to acute ischemic stroke
a patient's hospital room by
family members. Facial droop, pronator arm drift, and slurred speech are strong
indicators of acute
According to the family, the
stroke. You cannot know for sure at this point if the
63-year-old patient was
stroke is ischemic or hemorrhagic, but ischemic strokes
awaiting discharge for a
are more than 4 times more common than hemorrhagic
diabetes mellitus-related
strokes are.
complication when she
suddenly started to slur her
speech. This started about 10
minutes ago.
You examine the woman and
ask her to smile. One side of
her face does not lift
symmetrically with the other.
You then ask her to close her
eyes and hold both arms in
front of her, palms up. She
cannot lift one arm. She is in
no acute pain. What is most
likely occurring in this
patient?
2: You believe the woman finger stick blood glucose
is having an acute stroke
and it is likely ischemic. You Blood glucose abnormalities can mimic the signs of stroke. A
"fingerstick"
assess airway, breathing,
measurement is a fast and easy way to rule out an
and circulation. She is
abnormal blood glucose level. This should not delay
breathing normally with
preparations for a head CT, however. The head CT will
mild tachycardia (105 bpm)
need to be performed in the radiology department,
and good oxygen saturation
however, not by fluoroscopy.
(96% on room air). What
diagnostic test should be done
that can be performed at
the bedside?
c… 2/1
7
, 8/13/25, 2:28 AM Post-ACLS Megacode Exam | Complete Questions and Correct Answers with Rationales | Graded A+ | Verified Answers Flashcards…
2: Which of the following CT scan of brain
diagnostic test/study A CT scan of the brain without contrast should be
should be ordered obtained as quickly as possible. The goal is to determine
emergently for this patient if there is blood visible in the brain parenchyma
and is the most important (indicates hemorrhage).
for determining further
treatment?
2: The patient is immediately true
moved to radiology for a CT Evidence points to an ischemic stroke in evolution.
scan. A qualified Fibrinolytic therapy may help, but the patient must be
physician states that the screened to determine if tPA is appropriate in this case.
head CT shows no sign of
bleeding (hemorrhage).
There is
radiological evidence to
suggest early ischemic stroke.
The patient's symptoms
have not resolved. True or
false: the patient should be
evaluated for fibrinolytic
therapy?
2: The hospital's stroke team pt had heart attack 4 yrs ago
has been
called to radiology and the A heart attack is only a relative contraindication to tPA if it
patient is being assessed for occurred within the
fibrinolytic therapy. Which of previous three months. The other conditions listed are absolute
contraindications.
the following would NOT
disqualify the
patient from receiving this
treatment?
2: The patient is diagnosed 4.5 hrs
with an ischemic stroke by
the stroke team. She meets We know the time that symptoms began, but the
all question does not list when tPA was administered. We do
inclusion criteria and has know, however, that the maximum duration between
no exclusion criteria. She is symptom
given fibrinolytic therapy onset and IV tPA is 4.5 hours, so if the providers
c… 3/1
7
Post-ACLS Megacode Exam | Complete
Questions and Correct Answers with Rationales
| Graded A+ | Verified Answers
1: With hair removed and resume CPR ASAP
new pads placed, the AED
gets a good signal from Regardless of patient response, resume high-quality
the CPR immediately and continue for two minutes. Even if
patient. It reports that there is a pulse returns, it may not be adequate to pump blood
a shockable rhythm. You for a few minutes. A pulse check at this point is
clear everyone from the irrelevant. An AED automatically controls the level of
patient, announce the shock, energy delivered.
and then deliver one shock.
What is your next action?
check for a pulse
1: After two minutes of CPR,
what is your next action? It is important to determine if the man has regained
spontaneous circulation. This can be done with a pulse
check.
Continue to monitor pulse, breathing, and rhythm until EMS
1: The man has a strong,
arrives
regular pulse. He is not
responsive, but appears to CPR can stop at this point, as the man has had a return
be of spontaneous circulation (ROSC). He should be
breathing. You feel air monitored very closely until EMS arrives. It is unwise to
movement through his remove the AED pads in case his condition
mouth. What is your next deteriorates.
action?
c… 1/1
7
,8/13/25, 2:28 AM Post-ACLS Megacode Exam | Complete Questions and Correct Answers with Rationales | Graded A+ | Verified Answers Flashcards…
SCENARIO 2: You are called to acute ischemic stroke
a patient's hospital room by
family members. Facial droop, pronator arm drift, and slurred speech are strong
indicators of acute
According to the family, the
stroke. You cannot know for sure at this point if the
63-year-old patient was
stroke is ischemic or hemorrhagic, but ischemic strokes
awaiting discharge for a
are more than 4 times more common than hemorrhagic
diabetes mellitus-related
strokes are.
complication when she
suddenly started to slur her
speech. This started about 10
minutes ago.
You examine the woman and
ask her to smile. One side of
her face does not lift
symmetrically with the other.
You then ask her to close her
eyes and hold both arms in
front of her, palms up. She
cannot lift one arm. She is in
no acute pain. What is most
likely occurring in this
patient?
2: You believe the woman finger stick blood glucose
is having an acute stroke
and it is likely ischemic. You Blood glucose abnormalities can mimic the signs of stroke. A
"fingerstick"
assess airway, breathing,
measurement is a fast and easy way to rule out an
and circulation. She is
abnormal blood glucose level. This should not delay
breathing normally with
preparations for a head CT, however. The head CT will
mild tachycardia (105 bpm)
need to be performed in the radiology department,
and good oxygen saturation
however, not by fluoroscopy.
(96% on room air). What
diagnostic test should be done
that can be performed at
the bedside?
c… 2/1
7
, 8/13/25, 2:28 AM Post-ACLS Megacode Exam | Complete Questions and Correct Answers with Rationales | Graded A+ | Verified Answers Flashcards…
2: Which of the following CT scan of brain
diagnostic test/study A CT scan of the brain without contrast should be
should be ordered obtained as quickly as possible. The goal is to determine
emergently for this patient if there is blood visible in the brain parenchyma
and is the most important (indicates hemorrhage).
for determining further
treatment?
2: The patient is immediately true
moved to radiology for a CT Evidence points to an ischemic stroke in evolution.
scan. A qualified Fibrinolytic therapy may help, but the patient must be
physician states that the screened to determine if tPA is appropriate in this case.
head CT shows no sign of
bleeding (hemorrhage).
There is
radiological evidence to
suggest early ischemic stroke.
The patient's symptoms
have not resolved. True or
false: the patient should be
evaluated for fibrinolytic
therapy?
2: The hospital's stroke team pt had heart attack 4 yrs ago
has been
called to radiology and the A heart attack is only a relative contraindication to tPA if it
patient is being assessed for occurred within the
fibrinolytic therapy. Which of previous three months. The other conditions listed are absolute
contraindications.
the following would NOT
disqualify the
patient from receiving this
treatment?
2: The patient is diagnosed 4.5 hrs
with an ischemic stroke by
the stroke team. She meets We know the time that symptoms began, but the
all question does not list when tPA was administered. We do
inclusion criteria and has know, however, that the maximum duration between
no exclusion criteria. She is symptom
given fibrinolytic therapy onset and IV tPA is 4.5 hours, so if the providers
c… 3/1
7
