American Red Cross - ACLS FINAL EXAM
QUESTIONS AND ANSWERS
A .patient .is .in .cardiac .arrest. .The .cardiac .monitor .shows .asystole. .In .addition .to .providing .con
tinuous .high-quality .CPR, .what .is .the .other .priority .intervention .for .this .patient? .- .
(correct .answer) .-Administering .epinephrine .as .early .as .possible
A .patient .has .experienced .return .of .spontaneous .circulation .
(ROSC) .after .cardiac .arrest. .The .healthcare .team .is .conducting .a .secondary .assessment .to .deter
mine .the .possible .cause .of .the .patient's .cardiac .arrest. .Before .the .arrest, .the .patient .exhibited
.jugular .venous .distension, .cyanosis, .apnea .and .hyperresonance .on .percussion. .The .patient .was .
also .difficult .to .ventilate .during .the .response. .The .team .would .most .likely .suspect .which .condi
tion .as .the .cause? .- .(correct .answer) .-Tension .Pneumothorax
A .patient .with .suspected .stroke .arrives .at .the .emergency .department. .The .patient .is .diagnosed
.with .acute .ischemic .stroke .and .is .a .candidate .for .fibrinolytic .therapy. .To .achieve .the .best .out
comes, .this .therapy .should .be .initiated .within .what .time .frame? .- .(correct .answer) .-
Within .1 .hour .of .patient's .arrival.
A .patient .in .the .telemetry .unit .is .receiving .continuous .cardiac .monitoring. .The .patient .has .a .hi
story .of .myocardial .infarction. .The .patient's .ECG .rhythm .strip .is .shown .in .the .following .figure.
.The .provider .interprets .this .strip .as .indicating .which .arrhythmia? .- .(correct .answer) .-Third-
degree .AV .block
A .28-year-
old .pregnant .patient .who .resides .in .transitional .housing .presents .to .the .emergency .department
.with .complaints .of .feeling .feverish .and .very .faint. .The .patient .tells .the .emergency .nurse .that .
she .does .not .know .when .she .became .pregnant. .Upon .palpation, .the .fundus .is .not .at .or .abov
e .the .umbilicus. .The .patient's .condition .quickly .deteriorates .and .she .goes .into .cardiac .arrest. .If
.available .and .able .to .be .used .without .impeding .or .delaying .the .resuscitation .effort, .what .diag
nostic .tool .could .be .used .to .guide .decision-making .in .the .care .of .this .patient? .- .
(correct .answer) .-Point-of-care .ultrasound
Cardiac .monitoring .indicates .that .a .patient .has .a .ventricular .tachyarrhythmia. .The .patient .has .a
.pulse .and .is .not .showing .any .signs .of .hemodynamic .compromise. .A .12-
lead .ECG .reveals .an .irregular .rhythm .with .QRS .complexes .greater .than .0.12 .second .in .duration
, . .Which .action .would .be .appropriate .at .this .time? .- .(correct .answer) .-
Consider .an .antiarrhythmic .medication
A .responsive .patient .is .choking. .What .method .should .the .provider .use .first .to .clear .the .obstru
cted .airway? .- .(correct .answer) .-Back .blows
What .is .the .priority .intervention .for .a .patient .with .a .narrow-complex .tachycardia .
(160 .bpm) .and .a .blood .pressure .of .72/48 .mmHg? .- .(correct .answer) .-
Perform .immediate .synchronized .cardioversion
A .patient .is .admitted .to .the .emergency .department .with .signs .and .symptoms .of .stroke. .The .s
troke .team .should .complete .a .comprehensive .neurologic .assessment .and .obtain .brain .imaging .r
esults .within .what .time .frame? .- .(correct .answer) .-Within .20 .minutes
Cardiac .monitoring .of .a .patient .in .cardiac .arrest .reveals .ventricular .fibrillation. .In .addition .to .hi
gh-quality .CPR, .what .intervention .should .be .a .priority .for .the .team? .- .(correct .answer) .-
Defibrillation.
A .patient .with .suspected .acute .coronary .syndromes .(ACS) .has .a .pulse .oximetry .reading .of .86%
.and .is .given .supplemental .oxygen. .The .provider .determines .that .the .supplemental .oxygen .dose
.is .correct .based .on .which .SaO2 .level? .- .(correct .answer) .-93%
After .cardiac .arrest .and .successful .resuscitation, .the .patient .has .a .return .of .spontaneous .circul
ation. .The .patient .is .unable .to .follow .verbal .commands. .Targeted .temperature .management .is .
initiated. .Which .method(s) .would .be .appropriate .for .the .resuscitation .team .to .use? .- .
(correct .answer) .--Applying .cooling .blankets .to .the .patient's .body
-Using .an .endovascular .catheter
-Giving .an .ice-cold .IV .fluid .bolus
A .patient .comes .to .the .emergency .department .complaining .of .palpitations .and ."some .shortnes
s .of .breath." .Cardiac .monitoring .is .initiated .and .reveals .the .following .ECG .rhythm .strip. .The .pr
ovider .interprets .this .strip .as .indicating .which .arrhythmia? .- .(correct .answer) .-Atrial .flutter
A .35-year-old .female .patient's .ECG .is .consistent .with .STEMI. .The .ECG .reveals .a .new .ST-
segment .elevation .at .the .J .point .in .leads .V2 .and .V3 .of .at .least .which .size? .- .(correct .answer)
.-0.15 .mV
The .following .capnogram .is .from .a .patient .experiencing .respiratory .distress. .At .which .point .in .
the .waveform .would .the .patient's .ETCO2 .level .be .measured? .- .(correct .answer) .-D
For .a .patient .with .third-degree .atrioventricular .
(AV) .block .and .a .blood .pressure .of .70/48 .mmHg, .what .interventions .should .be .considered? .- .
(correct .answer) .--Initiate .a .dopamine .infusion
QUESTIONS AND ANSWERS
A .patient .is .in .cardiac .arrest. .The .cardiac .monitor .shows .asystole. .In .addition .to .providing .con
tinuous .high-quality .CPR, .what .is .the .other .priority .intervention .for .this .patient? .- .
(correct .answer) .-Administering .epinephrine .as .early .as .possible
A .patient .has .experienced .return .of .spontaneous .circulation .
(ROSC) .after .cardiac .arrest. .The .healthcare .team .is .conducting .a .secondary .assessment .to .deter
mine .the .possible .cause .of .the .patient's .cardiac .arrest. .Before .the .arrest, .the .patient .exhibited
.jugular .venous .distension, .cyanosis, .apnea .and .hyperresonance .on .percussion. .The .patient .was .
also .difficult .to .ventilate .during .the .response. .The .team .would .most .likely .suspect .which .condi
tion .as .the .cause? .- .(correct .answer) .-Tension .Pneumothorax
A .patient .with .suspected .stroke .arrives .at .the .emergency .department. .The .patient .is .diagnosed
.with .acute .ischemic .stroke .and .is .a .candidate .for .fibrinolytic .therapy. .To .achieve .the .best .out
comes, .this .therapy .should .be .initiated .within .what .time .frame? .- .(correct .answer) .-
Within .1 .hour .of .patient's .arrival.
A .patient .in .the .telemetry .unit .is .receiving .continuous .cardiac .monitoring. .The .patient .has .a .hi
story .of .myocardial .infarction. .The .patient's .ECG .rhythm .strip .is .shown .in .the .following .figure.
.The .provider .interprets .this .strip .as .indicating .which .arrhythmia? .- .(correct .answer) .-Third-
degree .AV .block
A .28-year-
old .pregnant .patient .who .resides .in .transitional .housing .presents .to .the .emergency .department
.with .complaints .of .feeling .feverish .and .very .faint. .The .patient .tells .the .emergency .nurse .that .
she .does .not .know .when .she .became .pregnant. .Upon .palpation, .the .fundus .is .not .at .or .abov
e .the .umbilicus. .The .patient's .condition .quickly .deteriorates .and .she .goes .into .cardiac .arrest. .If
.available .and .able .to .be .used .without .impeding .or .delaying .the .resuscitation .effort, .what .diag
nostic .tool .could .be .used .to .guide .decision-making .in .the .care .of .this .patient? .- .
(correct .answer) .-Point-of-care .ultrasound
Cardiac .monitoring .indicates .that .a .patient .has .a .ventricular .tachyarrhythmia. .The .patient .has .a
.pulse .and .is .not .showing .any .signs .of .hemodynamic .compromise. .A .12-
lead .ECG .reveals .an .irregular .rhythm .with .QRS .complexes .greater .than .0.12 .second .in .duration
, . .Which .action .would .be .appropriate .at .this .time? .- .(correct .answer) .-
Consider .an .antiarrhythmic .medication
A .responsive .patient .is .choking. .What .method .should .the .provider .use .first .to .clear .the .obstru
cted .airway? .- .(correct .answer) .-Back .blows
What .is .the .priority .intervention .for .a .patient .with .a .narrow-complex .tachycardia .
(160 .bpm) .and .a .blood .pressure .of .72/48 .mmHg? .- .(correct .answer) .-
Perform .immediate .synchronized .cardioversion
A .patient .is .admitted .to .the .emergency .department .with .signs .and .symptoms .of .stroke. .The .s
troke .team .should .complete .a .comprehensive .neurologic .assessment .and .obtain .brain .imaging .r
esults .within .what .time .frame? .- .(correct .answer) .-Within .20 .minutes
Cardiac .monitoring .of .a .patient .in .cardiac .arrest .reveals .ventricular .fibrillation. .In .addition .to .hi
gh-quality .CPR, .what .intervention .should .be .a .priority .for .the .team? .- .(correct .answer) .-
Defibrillation.
A .patient .with .suspected .acute .coronary .syndromes .(ACS) .has .a .pulse .oximetry .reading .of .86%
.and .is .given .supplemental .oxygen. .The .provider .determines .that .the .supplemental .oxygen .dose
.is .correct .based .on .which .SaO2 .level? .- .(correct .answer) .-93%
After .cardiac .arrest .and .successful .resuscitation, .the .patient .has .a .return .of .spontaneous .circul
ation. .The .patient .is .unable .to .follow .verbal .commands. .Targeted .temperature .management .is .
initiated. .Which .method(s) .would .be .appropriate .for .the .resuscitation .team .to .use? .- .
(correct .answer) .--Applying .cooling .blankets .to .the .patient's .body
-Using .an .endovascular .catheter
-Giving .an .ice-cold .IV .fluid .bolus
A .patient .comes .to .the .emergency .department .complaining .of .palpitations .and ."some .shortnes
s .of .breath." .Cardiac .monitoring .is .initiated .and .reveals .the .following .ECG .rhythm .strip. .The .pr
ovider .interprets .this .strip .as .indicating .which .arrhythmia? .- .(correct .answer) .-Atrial .flutter
A .35-year-old .female .patient's .ECG .is .consistent .with .STEMI. .The .ECG .reveals .a .new .ST-
segment .elevation .at .the .J .point .in .leads .V2 .and .V3 .of .at .least .which .size? .- .(correct .answer)
.-0.15 .mV
The .following .capnogram .is .from .a .patient .experiencing .respiratory .distress. .At .which .point .in .
the .waveform .would .the .patient's .ETCO2 .level .be .measured? .- .(correct .answer) .-D
For .a .patient .with .third-degree .atrioventricular .
(AV) .block .and .a .blood .pressure .of .70/48 .mmHg, .what .interventions .should .be .considered? .- .
(correct .answer) .--Initiate .a .dopamine .infusion
