ACLS Exam 2 Questions with answers, Exams of Nursing

Download ACLS Exam 2 Questions with answers and more Exams Nursing in PDF only on Docsity! ACLS Exam 2 Questions with answers Your patient is in cardiac arrest and has been intubated. To assess CPR quality, which should you do? A. Monitor the patients PETCO2 B. Obtain a 12-lead ECG C. Check the patients pulse D. Obtain a chest X-Ray ✔A. Monitor the patients PETCO2 Which facility is the most appropriate EMS destination for a patient with sudden cardiac arrest who achieved return of spontaneous circulation in the field? A. Comprehensive stroke care unit B. Acute rehabilitation care unit C. Acute long-term care unit D. Coronary reperfusion- capable medical center ✔D. Coronary reperfusion-capable medical center Which of the following signs is a likely indicator of cardiac arrest in an unresponsive patient? A. Slow, weak pulse rate B. Cyanosis C. Agonal gasps D. Irregular, weak pulse rate ✔C. Agonal gasps To properly ventilate a patient with a perfusing rhythm, how often do you squeeze the bag? A. Once every 3 to 4 seconds B. Once every 5 to 6 seconds C. Once every 10 seconds D. Once every 12 seconds ✔B. Once every 5 to 6 seconds In addition to clinical assessment, which is the most reliable method to confirm and monitor correct placement of the endotracheal tube? A. Arterial Blood Gases B. Chest radiography C. Continuous waveform capnography D. Hemoglobin levels ✔C. Continuous waveform capnography You are caring for a patient with a suspected stroke whose symptoms started 2 hours ago. The CT scan was normal, with no signs of hemorrhage. The patient does not have any contraindications to fibrinolytic therapy. Which treatment approach is the best for this patient? A. Hold fibrinolytic therapy for 24 hours B. Start fibrinolytic therapy as soon as possible C. Order an echocardiogram before fibrinolytic administration D. Wait for the results of the MRI ✔B. Start fibrinolytic therapy as soon as possible What is the recommended range from which a temperature should be selected and maintained constantly to achieve targeted temperature management after cardiac arrest? A. 26 C to 28 C B. 29 C to 31 C C. 32 C to 36 C D. 35 C to 37 C ✔C. 32 C to 36 C Which is the recommended first intravenous dose of amiodarone for a patient with refractory ventricular fibrillation? A. 100 mg B. 150 mg C. 250 mg D. 300 mg ✔D. 300 mg Which is the primary purpose of a medical emergency team or rapid response team? A. Improving care for patients admitted to critical care units B. Improving patient outcomes by identifying and treating early clinical deterioration C. providing diagnostic consultation to emergency department patients D. Providing online consultation to EMS personnel in the field ✔B. Improving patient outcomes by identifying and treating early clinical deterioration Which is the recommended next step after a defibrillation attempt? A. Check the ECG for evidence of a rhythm B. Open the patients airway C. Determine if a carotid pulse is present D. Assign the same tasks to more than one team member ✔C. Clearly delegate tasks Which is an acceptable method of selecting an appropriately sized oropharyngeal airway? A. Measure from the corner of the mouth to the angle of the mandible B. Measure from the thyroid cartilage to the bottom of the earlobe C. Estimate by using the formula weight D. Estimate by using the size of the patient's finger ✔A. Measure from the corner of the mouth to the angle of the mandible You are evluating a 58 year old man with chest discomfort. His blood pressure is 92/50 mmHg, his HR is 92/min, his nonlabored RR is 14 breaths/min, and his pulse oximetry is 97%. Which assessment is more important now? A. Evaluating the PETCO2 reading B. Requesting a chest x-ray C. Obtaining a 12-lead ECG D. Requesting lab testing ✔C. Obtaining a 12-lead ECG A patient in respiratory distress and with BP of 70/50 mmHg presents with the lead II ECG rhythm in Ventricular tachycardia. Which is the appropriate treatment? A. Administering adenosine 6 mg IV Push B. Performing synchronized cardioversion C. Perform vagal maneuvers D. Perform defibrillation ✔B. Performing synchronized cardioversion During post-cardiac arrest care, which is the recommended duration of targeted temperature management after reaching the correct temperature range? A. 0 to 8 hours B. At least 24 hours C. At least 36 hours D. At least 48 hours ✔B. At least 24 hours Three minutes into cardiac arrest resuscitation attempt, one member of your team inserts endotracheal tube while another performs chest compressions. Capnography shows a persistent waveform and a PETCO2 of 8 mmHg. Which is significance of this finding? A. Chest compression may not be effective B. The ET tube is in the esophagus C. Patient meets the criteria for termination of efforts D. The team is ventilating the patient too often (hyperventilation) ✔A. Chest compressions may not be effective Which is the recommended oral dose of aspirin for a patient with a suspected acute coronary syndrome? A. 40 mg B. 81 mg C. 160 to 325 mg D. 350 to 650 mg ✔C. 160 to 325 mg A team member is unable to perform an assigned task because it is beyond the team member's scope of practice. Which action should the team member take? A. Ask for a new task or role B. Assign it to another team member C. Do it anyway D. Seek expert advice ✔A. Ask for a new task or role As the team leader, when do you tell the chest compressions to switch? A. Only when they tell you that they are fatigued B. About every 2 minutes C. About every 5 minutes D. About every 7 minutes ✔B. About every 2 minutes You are performing chest compressions during an adult resuscitation attempt. Which rate should you use to perform the compressions? A. Less than 80/min B. 80 to 90/min C. 100 to 120/min D. More than 120/min ✔C. 100 to 120/min A patient is being resuscitated in a very noisy environment. A team member thinks he heard an order for 500 mg of amiodarone IV. Which is the best response from the team member? A. "OK" B. "Are you sure?" C. "Amiodarone 500 mg IV has been given" D. "I have an order to give 500 mg of amiodarone IV. Is this correct?" ✔D. "I have an order to give 500 mg of amiodarone IV. Is this correct?" A patient in stable narrow-complex tachycardia witha peripheral IV in place is refractory to the first dose of adenosine. Which dose would you administer next? A. 3 mg B. 12 mg C. 20 mg D. 40 mg ✔B. 12 mg Which of these tests should be performed for a patient with suspected stroke within 25 minutes of hospital arrival? A. 12-lead ECG B. Cardiac Enzymes C. Coagulation studies D. Noncontrast CT scan of the head ✔D. Noncontrast CT scan of the head What is the minimum systolic blood pressure one should attempt to achieve with fluid administration or vasoactive agents in a hypotensive post-cardiac arrest patient who achieves return of spontaneous circulation? A. 75 mmHg B. 80 mmHg C. 85 mmHg D. 90 mmHg ✔D. 90 mmHg A 45-year old man had coronary artery stents placed 2 days ago. Today, he is in severe distress and is reporting "crushing" chest discomfort. He is pale, diaphoretic, and cool to the touch. his radial pulse is very weak, blood pressures is 64/40 mmHg, respiratory rate is 28/min, and oxygen sat is 89% on RA. When applied, the cardiac monitor initially showed ventricular tachycardia, which then quickly changed to ventricular fibrillation. Based on the initial presentation, which condition do you suspect led to the cardiac arrest? A. Acute coronary syndrome B. Acute heart failure