ACLS EXAM 1 WITH VERIFIED QUESTIONS AND ANSWERS
Which is the recommended next step after a defibrillation attempt? - ANSWERResume CPR, starting with
... [Show More] 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.
On the basis of this pt's initial presentation, which condition do you suspect led to
the cardiac arrest? - ANSWER-Acute Coronary Syndrome
(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.
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? - ANSWERNoncontrast 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
In addition to defibrillation, which intervention should be performed immediately?
- ANSWER-Chest compressions
(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.
Despite 2 defib attempts, the pt remains in VFib. Which drug and dose should you
administer FIRST to this pt? - ANSWER-Epi 1mg
(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.
Despite the drug provided above and continued CPR, the pt remains in VFib. Which
other drug should be administered NEXT? - ANSWER-Lido 1 to 1.5mg/kg
(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.
The pt has ROSC and is not able to follow commands. Which immediate postcardiac arrest care intervention do you choose for this pt? - ANSWER-Initiate
targeted temperature management [Show Less]