ACLS Pre-Course Exam 2024 With Complete Solutions

ACLS Pre-Course Exam 2024 With Complete Solutions An individual is intubated and CPR is in progress. What is a good indicator that proper CPR is being performed? ANS : PETCO2 reading of 15-18mmHg CPR is in progress and the team leader requests that Epi 1 mg be administered to a patient who is in PEA. The individual who is accessing the medication states: "I am going to administer 1mg of Epinephrine IVP now." This is an example of: ANS : Closed loop communication A 49 year old male calls 911 for substernal chest pain that radiates to this left jaw and arm. Which of the following drug & dosage combinations might you expect to see administered in this patient? ANS : Oral aspirin 160-325 mg An elderly woman collapses in church. The paramedics arrive to discover fine VF on the monitor. What is the next course of action? ANS : Initiate CPR while setting up the defibrillator The patient in the previous question had Epinephrine and Amiodarone administered 2 minutes apart. What drug should be administered next? ANS : Epinephrine When performing CPR, interruptions to compressions (intubation, defibrillation, rhythm analysis) should not take longer than: ANS : 10 seconds What is the correct formula for targeted temperature management (TTM) for those individuals who meet the criteria following ROSC in cardiac arrest? ANS : 32-36'C for at least 24 hours EMS responds to a known hypertensive patient having slurred speech, facial droop and difficulty raising up her left arm. Which of the following actions is advised? ANS : Advise the hospital that you will be transporting a suspected stroke patient The correct way to estimate sizing for an Oral Pharyngeal Airway (OPA) is: ANS : Measure device from the angle of the mandible to the corner of the mouth An individual in stable SVT fails to respond to Adenosine 6mg IVP. What should the next step be assuming the patient is still stable? ANS : Adenosine 12mg IV If the above individual's blood pressure suddenly drops to 70 palpable and they become diaphoretic and confused, what action should be taken? ANS : Synchronized cardioversion A coworker is not holding the bag valve mask device correctly and is therefore not getting a good seal around the mouth area during CPR. You quickly reposition their hands so that the device becomes effective as CPR continues. This is an example of: ANS : Constructive intervention A 67 year old woman presents to the emergency room with chest pressure, diaphoresis and nausea. A 12 lead EKG shows evidence of an acute inferior wall MI. Which of the following is the suggested maximum time frame for percutaneous coronary intervention (PCI) once the patient has arrived to the emergency dept? ANS : 90 minutes A patient complaining of dizziness has a heart rate of 44 and a blood pressure of 84/50. The monitor shows a 2nd degree type 2 heart block. Atropine was attempted and was unsuccessful. What is your next action? ANS : Apply a transcutaneous pacemaker In order to ensure optimal CPR is being performed, which of the following statements is false? ANS : Check for a pulse after each defibrillation You respond to an elderly man who collapsed in a bank lobby. He is unresponsive with agonal gasps noted. Which of the following actions takes priority at this time? ANS : Check for a pulse and, if absent, start CPR