ACLS Final Exam Study Guide EXAM 101
QUESTIONS WITH COMPLETE
SOLUTIONS
Terms in this set (50) Questions Verified Answers
1. A patient in cardiac arrest experiences return of ETCO2 55mmHg
spontaneous circulation. As part of post-cardiac PaCO2 48 mmHg
arrest care, the patient is receiving mechanical SaO2 90%
ventilation at an initial rate of 10 breaths/min and a - Mechanical ventilation
fraction of inspired oxygen (FiO2) of 0.30. Which should be started at a rate of
finding(s) would indicate the need for change in the 10 breaths per minute and
ventilator settings to optimize the patient's adjusted as necessary to
ventilation and oxygenation? keep carbon dioxide levels
in physiologic range
(PaCO2 between 35 and 45
mmHg or monitored using
ETCO2). The minimum
fraction of inspired oxygen
, necessary to maintain an
SaO2 of 94% to 99% is
used.
2. A 28-year-old pregnant patient who resides in Point of care US
transitional housing presents to the emergency - Gestational age is an
department with complaints of feeling feverish and important consideration
very faint. The patient tells the emergency nurse when determining the
that she does not know when she became pregnant. approach to a pregnant
Upon palpation, the fundus is not at or above the patient in cardiac arrest. If
umbilicus. The patient's condition quickly the gestational age is not
deteriorates and she goes into cardiac arrest. If known and point-of-care
available and able to be used without impeding or ultrasound is available and
delaying the resuscitation effort, what diagnostic able to be performed
tool could be used to guide decision-making in the without impeding or
care of this patient? delaying the resuscitation
effort, it can be used to
quickly estimate gestational
age and guide decision-
making.
3. A patient's ECG reveals a narrow QRS complex Vagal Maneuver
with a regular rhythm, indicating a narrow-complex - For a patient who is not
supraventricular tachyarrhythmia. The patient is showing signs of
not showing signs of hemodynamic compromise. hemodynamic compromise
, Which intervention would be initiated first if it and is experiencing a
does not delay other interventions? narrow-complex
supraventricular
tachyarrhythmia, vagal
maneuvers are attempted
first. If ineffective,
adenosine is given.
4. A patient is in cardiac arrest. The underlying cause Naloxone should be
is thought to be opioid toxicity. Which statement administered as soon as
accurately describes the use of naloxone for this possible but is not a priority
patient? over high-quality CPR and
AED use.
- High-quality CPR and
AED use are the priority
interventions for cardiac
arrest caused by suspected
or known opioid toxicity.
When opioid toxicity is the
suspected or known cause
of cardiac arrest, naloxone
should be administered as
soon as possible without
disrupting or delaying high-
QUESTIONS WITH COMPLETE
SOLUTIONS
Terms in this set (50) Questions Verified Answers
1. A patient in cardiac arrest experiences return of ETCO2 55mmHg
spontaneous circulation. As part of post-cardiac PaCO2 48 mmHg
arrest care, the patient is receiving mechanical SaO2 90%
ventilation at an initial rate of 10 breaths/min and a - Mechanical ventilation
fraction of inspired oxygen (FiO2) of 0.30. Which should be started at a rate of
finding(s) would indicate the need for change in the 10 breaths per minute and
ventilator settings to optimize the patient's adjusted as necessary to
ventilation and oxygenation? keep carbon dioxide levels
in physiologic range
(PaCO2 between 35 and 45
mmHg or monitored using
ETCO2). The minimum
fraction of inspired oxygen
, necessary to maintain an
SaO2 of 94% to 99% is
used.
2. A 28-year-old pregnant patient who resides in Point of care US
transitional housing presents to the emergency - Gestational age is an
department with complaints of feeling feverish and important consideration
very faint. The patient tells the emergency nurse when determining the
that she does not know when she became pregnant. approach to a pregnant
Upon palpation, the fundus is not at or above the patient in cardiac arrest. If
umbilicus. The patient's condition quickly the gestational age is not
deteriorates and she goes into cardiac arrest. If known and point-of-care
available and able to be used without impeding or ultrasound is available and
delaying the resuscitation effort, what diagnostic able to be performed
tool could be used to guide decision-making in the without impeding or
care of this patient? delaying the resuscitation
effort, it can be used to
quickly estimate gestational
age and guide decision-
making.
3. A patient's ECG reveals a narrow QRS complex Vagal Maneuver
with a regular rhythm, indicating a narrow-complex - For a patient who is not
supraventricular tachyarrhythmia. The patient is showing signs of
not showing signs of hemodynamic compromise. hemodynamic compromise
, Which intervention would be initiated first if it and is experiencing a
does not delay other interventions? narrow-complex
supraventricular
tachyarrhythmia, vagal
maneuvers are attempted
first. If ineffective,
adenosine is given.
4. A patient is in cardiac arrest. The underlying cause Naloxone should be
is thought to be opioid toxicity. Which statement administered as soon as
accurately describes the use of naloxone for this possible but is not a priority
patient? over high-quality CPR and
AED use.
- High-quality CPR and
AED use are the priority
interventions for cardiac
arrest caused by suspected
or known opioid toxicity.
When opioid toxicity is the
suspected or known cause
of cardiac arrest, naloxone
should be administered as
soon as possible without
disrupting or delaying high-
