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ACLS Written Exam questions and answers
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You xfind xan xunresponsive xpt. xwho xis xnot xbreathing. xAfter xactivating xthe xemergency
xresponse xsystem, xyou xdetermine xthere xis xno xpulse. xWhat xis xyour xnext xaction? x- x x
xcorrect xanswer. x xStart xchest xcompressions xof xat xleast x100 xper xmin. x
x
You xare xevaluating xa x58-year-old xman xwith xchest xpain. xThe xblood xpressure xis x92/50
xmm xHg, xthe xheart xrate xis x92/min, xthe xnonlabored xrespiratory xrate xis x14 xbreaths/min,
xand xthe xpulse xoximetry xreading xis x97%. xWhat xassessment xstep xis xmost ximportant
xnow? x- x x xcorrect xanswer. x xObtaining xa x12 xlead xECG. x
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What xis xthe xpreferred xmethod xof xaccess xfor xepi xadministration xduring xcardiac
xarrest xin x
x
most xpts? x- x x xcorrect xanswer. x xPeripheral
xIV
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An xAED xdoes xnot xpromptly xanalyze xa xrythm. xWhat xis xyour xnext xstep? x- x x xcorrect
xanswer. x x
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Begin xchest
xcompressions.
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You xhave xcompleted x2 xminutes xof xCPR. xThe xECG xmonitor xdisplays xthe xlead xII
xrhythm xbelow, xand xthe xpatient xhas xno xpulse. xAnother xmember xof xyour xteam
xresumes xchest xcompressions, xand xan xIV xis xin xplace. xWhat xmanagement xstep xis
xyour xnext xpriority? x- x x xcorrect xanswer. x xAdminister x1mg xof xepinephrine x
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During xa xpause xin xCPR, xyou xsee xthis xlead xII xECG xrhythm xon xthe xmonitor. xThe
xpatient x
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has xno xpulse. xWhat xis xthe xnext xaction? x- x x xcorrect xanswer. x xResume
xcompressions
x
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What xis xa xcommon xbut xsometimes xfatal xmistake xin xcardiac arrest
x
xmanagement? x-
x
correct xanswer. x xProlonged xinterruptions xin xchest
xcompressions.
,Which xaction xis xa xcomponant xof xhigh-quality xchest xcomressions? x- x x xcorrect
xanswer. x x
x
Allowing xcomplete xchest
xrecoil
x
Which xaction xincreases xthe xchance xof xsuccessful xconversion xof xventricular
xfibrillation? x-
x
correct xanswer. x xProviding xquality xcompressions ximmediately xbefore xa
xdefibrillation
x
attempt.
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Which xsituation xBEST xdescribes xpulseless xelectrical xactivity? x- x x x correct xanswer. x
xSinus x
x
rythm xwithout xa
xpulse
x
What xis xthe xBEST xstrategy xfor xperforming xhigh-quality xCPR xon xa xpatient xwith xan
xadvanced xairway xin xplace? x- x x xcorrect xanswer. x xProvide xcontinuous xchest
xcompressions xwithout xpauses xand x10 xventilations xper xminute. x
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Three xminutes xafter xwitnessing xa xcardiac xarrest, xone xmember xof xyour xteam xinserts
xan xendotracheal xtube xwhile xanother xperforms xcontinuous xchest xcompressions.
xDuring xsubsequent xventilation, xyou xnotice xthe xpresence xof xa xwaveform xon xthe
xcapnography xscreen xand xa xPETCO2 xlevel xof x8 xmm xHg. xWhat xis xthe xsignificance xof
xthis xfinding? x- x x x correct xanswer. x xChest xcompressions xmay xnot xbe xeffective. x
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The xuse xof xquantitative xcapnography xin xintubated xpatients x- x x xcorrect xanswer. x xallows
xfor x
x
monitoring xof xCPR
xquality.
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For xthe xpast x25 xminutes, xan xEMS xcrew xhas xattempted xresuscitation xof xa xpatient
xwho xoriginally xpresented xin xventricular xfibrillation. xAfter xthe xfirst xshock, xthe xECG
xscreen xdisplayed xasystole, xwhich xhas xpersisted xdespite x2 xdoses xof xepinephrine, xa
xfluid xbolus, xand xhigh-quality xCPR. xWhat xis xyour xnext xtreatment? x- x x xcorrect xanswer. x
xConsider xterminating xresuscitive xefforts xafter xconsulting xmedical xcontrol. x
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Which xis xa xsafe xand xeffective xpractice xwithin xthe xdefibrillation xsequence? x- x x xcorrect
xanswer. x xBe xsure xoxygen xis xnot xblowing xover xthe xpatient's xchest xduring xthe xshock. x
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During xyour xassessment, xyour xpatient xsuddenly xloses xconsciousness. xAfter xcalling
xfor x
x
help xand xdetermining xthat xthe xpatient xis xnot xbreathing, xyou xare xunsure xwhether
xthe
x
patient xhas xa xpulse. xWhat xis xyour xnext xaction? x- x x xcorrect xanswer. x xBegin
xchest
x
compressions.
x
, What xis xan xadvantage xof xusing xhands-free xdefibrillation xpads xinstead xof xdefibrillation
xpaddles? x- x x xcorrect xanswer. x xHands-free xpads xallow xfor xa xmore xrapid xdefibrillation. x
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What xaction xis xrecommended xto xhelp xminimize xinterruptions xin xchest
xcompressions x
x
during xCPR? x- x x xcorrect xanswer. x xContinue xCPR xwhile xcharging xthe
xdefibrillator.
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Which xaction xis xincluded xin xthe xBLS xsurvey? x- x x xcorrect xanswer. x xEarly xdefibrillation x
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Which xdrug xand xdose xare xrecommended xfor xthe xmanagement xof xa xpatient xin
xrefractory x
x
ventricular xfibrillation? x- x x xcorrect xanswer. x xAmioderone
x300mg
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What xis xthe xappropriate xinterval xfor xan xinterruption xin xchest xcompressions? x- x x
xcorrect x
x
answer. x x10 xseconds xor
xless
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Which xof xthe xfollowing xis xa xsign xof xeffective xCPR? x- x x xcorrect xanswer. x xPETCO2 x≥10
xmm x
x
Hg
x
What xis xthe xprimary xpurpose xof xa xmedical xemergency xteam x(MET) xor xrapid
xresponse xteam x(RRT)? x- x x x correct xanswer. x xIdentifying xand xtreating xearly xclinical
xdeterioration. x
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Which xaction ximproves xthe xquality xof xchest xcompressions xdelivered xduring xa
xresuscitation xattempt? x- x x xcorrect xanswer. x xSwitch xproviders xabout xevery x2 xminutes
xor xevery x5 xcompression xcycles. x
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What xis xthe xappropriate xventilation xstrategy xfor xan xadult xin xrespiratory xarrest xwith xa
xpulse x
x
rate xof x80/min? x- x x xcorrect xanswer. x x1 xbreath xevery x5-6
xseconds
x
A xpatient xpresents xto xthe xemergency xdepartment xwith xnew xonset xof xdizziness xand
xfatigue. xOn xexamination, xthe xpatient's xheart xrate xis x35/min, xthe xblood xpressure xis
x70/50 xmm xHg, xthe xrespiratory xrate xis x22 xbreaths/min, xand xthe xoxygen xsaturation xis
x95%. xWhat xis xthe xappropriate xfirst xmedication? x- x x x correct xanswer. x xAtropine x0.5mg x
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