ACLS post-test.pdf file:///C:/Users/HP/Desktop/eewwww/ACLS%20post-test
ACLS POST-TEST
1. A 48-year-old man became unresponsive shortly after presenting to you with nausea
and generalized chest discomfort.You observe gasping breathing and are unsure if you feel
a pulse.You should know
A. Call for help and begin chest compressions.
B. Wait until breathing stops and then check again for a pulse.
C. Begin chest compressions only if you are certain a pulse is absent.
D. Observe the patient for 2 minutes, then reassess his breathing and pulse.
ANS A. Call for help and begin chest compressions.
2. Which of the following is the most likely complication of inferior wall my- ocardial
infarction (MI)?
A. Cardiogenic shock
B. Ventricular rupture
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C. Bradydysrhythmias
D. Tachydysrhythmias
ANS C. Bradydysrhythmias
3. A 52-year-old man is complaining of palpitations that came on suddenly after
walking up a short flight of stairs. His symptoms have been present for about 20
minutes. He denies chest pain and is not short of breath. His skin is warm and dry;
breath sounds are clear. His blood pressure (BP) is
144/88 millimeters of mercury (mm Hg), his heart rate is 186 beats per minute
(beats/min), and his ventilatory rate is 18 breaths/min. The cardiac monitor reveals the
rhythm here. Vascular access has been established.Which of the following medications is
most appropriate in this situation?
A. Dopamine or sotalol
B. Furosemide or atropine
C. Nitroglycerin (NTG) or morphine
D. Procainamide or amiodarone
ANS D. Procainamide or amiodarone
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4. Your general impression of a 78-year-old woman reveals that her eyes are closed, she is
not moving, you can see no rise and fall of her chest or abdomen, and her skincolor is pale.
When you arrive at the patient's side, you confirm that she is unresponsive.Your best
action in this situation will be to
A. Open her airway and give two breaths.
B. Apply an automated external defibrillator (AED).
C. Assess breathing and determine whether she has a pulse.
D. Prepare the necessary equipment to insert an advanced airway.
ANS C. Assess breathing and determine whether she has a pulse.
5. A 60-year-old woman has suffered a cardiac arrest. A health care profes- sional
trained in endotracheal intubation has intubated the patient.Which of the following
findings would indicate inadvertent esophageal intubation?
A. Jugular vein distention
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B. Subcutaneous emphysema
C. Gurgling sounds heard over the epigastrium
D. Breath sounds heard on only one side of the chest
ANS C. Gurgling sounds heard over the epigastrium
6. Hypotension (ie, a systolic BP of less than 90 mm Hg) after the return of
spontaneous circulation (ROSC) may necessitate the use of
ANS
A. Fluid boluses and isoproterenol.
B. Procainamide, epinephrine, or dopamine.
C. Epinephrine, dopamine, or norepinephrine.
D. Fluid boluses, procainamide, and isoproterenol.
ANS C. Epinephrine, dopamine, or norepinephrine.
7. Which of the following is incorrect with regard to a postevent debriefing?
A. The facilitator should use open-ended questions to encourage discussion.
B. Team members are encouraged to identify lessons learned in a nonpunitive
environment.
C. The gather phase of the debriefing includes a comparison of the team's actions with
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ACLS POST-TEST
1. A 48-year-old man became unresponsive shortly after presenting to you with nausea
and generalized chest discomfort.You observe gasping breathing and are unsure if you feel
a pulse.You should know
A. Call for help and begin chest compressions.
B. Wait until breathing stops and then check again for a pulse.
C. Begin chest compressions only if you are certain a pulse is absent.
D. Observe the patient for 2 minutes, then reassess his breathing and pulse.
ANS A. Call for help and begin chest compressions.
2. Which of the following is the most likely complication of inferior wall my- ocardial
infarction (MI)?
A. Cardiogenic shock
B. Ventricular rupture
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,ACLS post-test.pdf file:///C:/Users/HP/Desktop/eewwww/ACLS%20post-test
C. Bradydysrhythmias
D. Tachydysrhythmias
ANS C. Bradydysrhythmias
3. A 52-year-old man is complaining of palpitations that came on suddenly after
walking up a short flight of stairs. His symptoms have been present for about 20
minutes. He denies chest pain and is not short of breath. His skin is warm and dry;
breath sounds are clear. His blood pressure (BP) is
144/88 millimeters of mercury (mm Hg), his heart rate is 186 beats per minute
(beats/min), and his ventilatory rate is 18 breaths/min. The cardiac monitor reveals the
rhythm here. Vascular access has been established.Which of the following medications is
most appropriate in this situation?
A. Dopamine or sotalol
B. Furosemide or atropine
C. Nitroglycerin (NTG) or morphine
D. Procainamide or amiodarone
ANS D. Procainamide or amiodarone
2 of 37 8/2/2024, 3:56
,ACLS post-test.pdf file:///C:/Users/HP/Desktop/eewwww/ACLS%20post-test
4. Your general impression of a 78-year-old woman reveals that her eyes are closed, she is
not moving, you can see no rise and fall of her chest or abdomen, and her skincolor is pale.
When you arrive at the patient's side, you confirm that she is unresponsive.Your best
action in this situation will be to
A. Open her airway and give two breaths.
B. Apply an automated external defibrillator (AED).
C. Assess breathing and determine whether she has a pulse.
D. Prepare the necessary equipment to insert an advanced airway.
ANS C. Assess breathing and determine whether she has a pulse.
5. A 60-year-old woman has suffered a cardiac arrest. A health care profes- sional
trained in endotracheal intubation has intubated the patient.Which of the following
findings would indicate inadvertent esophageal intubation?
A. Jugular vein distention
3 of 37 8/2/2024, 3:56
,ACLS post-test.pdf file:///C:/Users/HP/Desktop/eewwww/ACLS%20post-test
B. Subcutaneous emphysema
C. Gurgling sounds heard over the epigastrium
D. Breath sounds heard on only one side of the chest
ANS C. Gurgling sounds heard over the epigastrium
6. Hypotension (ie, a systolic BP of less than 90 mm Hg) after the return of
spontaneous circulation (ROSC) may necessitate the use of
ANS
A. Fluid boluses and isoproterenol.
B. Procainamide, epinephrine, or dopamine.
C. Epinephrine, dopamine, or norepinephrine.
D. Fluid boluses, procainamide, and isoproterenol.
ANS C. Epinephrine, dopamine, or norepinephrine.
7. Which of the following is incorrect with regard to a postevent debriefing?
A. The facilitator should use open-ended questions to encourage discussion.
B. Team members are encouraged to identify lessons learned in a nonpunitive
environment.
C. The gather phase of the debriefing includes a comparison of the team's actions with
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