ACLS Exam A 2020 Questions and Accurate Answers

Which of these tests should be performed for a pt with suspected stroke as early as possible but no more than 20 min after hospital arrival? - ANSWER-Noncontrast CT scan of head Which best describes this rhythm? - ANSWER-Monomorphic Vent Tach Which is an acceptable method of selecting an appropriately sized oropharyngeal airway? - ANSWER-Measure from the corner of the mouth to the angle of mandible You are caring for a pt with a suspected stroke whose symptoms started 2 hours ago. The CT scan was normal, with no signs of hemorrhage. The pt does not have any contraindications to fibrinolytic therapy. Which treatment is best for this pt? - ANSWER-Give fibrinolytic therapy as soon as possible and consider endovascular therapy Which is the recommended next step after a defibrillation attempt? - ANSWER-Resume CPR, starting with chest compressions Which of the following signs is a likely indicator of cardiac arrest in an unresponsive pt? - ANSWER-Agonal gasps You are evaluating a 58YO man with chest discomfort. His BP is 92/50 mmHG, his HR is 92/min, his nonlabored RR is 14/min, and his pulse ox is 97%. Which assessment step is most important now? - ANSWER-Obtaining a 12-lead ECG During post-cardiac arrest care, which is the recommended duration of targeted temperature management after reaching the correct temperature range? - ANSWER-At least 24 hours Your rescue team arrives to find a 59YO man lying on the kitchen floor. You determine that he is unresponsive. What is the next step in your assessment and management of this pt? - ANSWER-Check the pt's breathing and pulse (SET) A 45YO man had coronary stents placed 2 days ago. Today he is in severe distress and is reporting "crushing" chest discomfort. Pale, diaphoretic, cool to touch, weak radial pulse, BP 64/40 mmHg, RR 28/min, 89% RA. VTach changed to VFib.