Download ACLS Practice Questions with answers and more Exams Nursing in PDF only on Docsity! ACLS Practice Questions with answers Rate of chest compressions for adults ✔100-120 compressions per minute Ratio of compressions to breaths in adults ✔30:2 Rate of bag valve mask ventilation for adults in respiratory arrest ✔Once every 5-6 seconds or 10-12 times per minute Treatments for hypotension following cardiac arrest ✔IV dopamine infusion, IV epinephrine infusion IV Ringer's lactate, IV normal saline *The leader in team resuscitation must be able to perform all the skills if needed.* ✔ Recommended ED door-to-balloon inflation time for a STEMI patient ✔No longer than 90 minutes Ways to estimate effectiveness of CPR ✔Arterial diastolic blood pressure, quantitative waveform capnography, central venous oxygen saturation Best drug used for narrow complex supraventricular tachycardia ✔Adenosine Drug used for pulseless electrical activity ✔Epinephrine Sequence of basic life support ✔Compressions, airway, breathing (CAB) Initial dose of adenosine for treatment of supraventricular tachycardia ✔6 mg IV Heart rate at which tachycardia usually becomes symptomatic ✔150 bpm Longest duration for pulse check ✔10 seconds Recommended initial dosage of atropine for symptomatic bradycardia ✔0.5 mg IV Recommended dose of oxygen during CPR ✔100% Goal for initiation of fibrinolytic therapy in stroke patients ✔Within 1 hour of ED arrival Common reversible causes of cardiac arrest ("H's and T's") ✔Hypotension, hypoxia, hypothermia, hydrogen ions (acidosis), hypo-/hyperkalemia Tension pneumothorax, tamponade, thrombosis (coronary), thrombosis (pulmonary), toxins Best option for treatment of STEMI diagnosed in ambulance via 12-lead ECG ✔Transport to PCI-capable hospital Components of Cincinnati Prehospital Stroke Scale (CPSS) ✔Facial droop, arm drift, speech abnormality Asystole should be treated with all of the following EXCEPT: CPR Ventilations Defibrillation Epinephrine ✔Asystole should be treated with all of the following EXCEPT: CPR Ventilations *Defibrillation* Epinephrine Appropriate response to an AED that is having problems analyzing rhythm Which of the following is not a recommended agent to be administered to patients under evaluation for ACS? Morphine Epinephrine Aspirin Nitroglycerin ✔Which of the following is not a recommended agent to be administered to patients under evaluation for ACS? Morphine *Epinephrine* Aspirin Nitroglycerin Standard treatment procedure for patients with STEMI ✔Reperfusion therapy Rhythm disorder with a heart rate less than 60 bpm ✔Bradycardia Which of the following is an adverse sign of bradycardia? Congestive heart failure Hypertension Chest pain Impaired speech ✔Which of the following is an adverse sign of bradycardia? *Congestive heart failure* Hypertension Chest pain Impaired speech Indications for transcutaneous pacing (TCP) ✔Standby pacing, bradycardia with escape rhythms, hemodynamically significant bradyarrhythmia Rhythm disorder with a heart rate greater than 100 bpm ✔Tachyarrythmia Which of the following is a recommended agent to be administered to patients under evaluation for unstable tachycardia? No agents are recommended Morphine Oxygen Aspirin ✔Which of the following is a recommended agent to be administered to patients under evaluation for unstable tachycardia? *No agents are recommended* Morphine Oxygen Aspirin Symptoms of unstable tachycardia ✔Shortness of breath, altered mental status, fatigue 8 D's of stroke care ✔Detection, dispatch, delivery, door, data, decision, drug/device, disposition Percentage of strokes that are caused by occlusion of an artery to a region of brain (ischemic) ✔85% Warning signs and symptoms of stroke ✔Trouble speaking, dizziness, sudden severe headache, sudden confusion Treatment for bradycardia due to acetylcholine ✔Atropine Adverse effects of excess use of sodium bicarbonate during CPR ✔Hyperosmolarity, hypernatremia, cerebral vasoconstriction Thrombolytic door-to-drug administration time in a patient with acute MI ✔Within 30 minutes Primary goal in initial resuscitation of a cardiac arrest ✔Brain perfusion
