ACLS Pretest Questions and Answers, Exams of Nursing

Download ACLS Pretest Questions and Answers and more Exams Nursing in PDF only on Docsity! ACLS Pretest Questions and Answers Sinus Bradycardia - Answer- Please identify the rhythm by selecting the best single answer. Reentry supraventricular tachycardia - Answer- Please identify the rhythm by selecting the best single answer. Second-degree AV block (Mobitz II block) - Answer- Please identify the rhythm by selecting the best single answer. Agonal rhythm/asystole - Answer- Please identify the rhythm by selecting the best single answer. Third-Degree AV block - Answer- Please identify the rhythm by selecting the best single answer. Monomorphic Ventricular Tachycardia - Answer- Please identify the rhythm by selecting the best single answer. Sinus Tachycardia - Answer- Please identify the rhythm by selecting the best single answer. Sinus Bradycardia - Answer- Please identify the rhythm by selecting the best single answer . Atrial Fibrillation - Answer- Please identify the rhythm by selecting the best single answer. Course Ventricular Fibrillation - Answer- Please identify the rhythm by selecting the best single answer. Polymorphic Ventricular Tachycardia - Answer- Please identify the rhythm by selecting the best single answer. Seeking expert consultation - Answer- A patient has a rapid irregular wide-complex tachycardia. The ventricular rate is 138/min. He is asymptomatic, with a blood pressure of 110/70 mm Hg. He has a history of angina. Which of the following actions is recommended? Use of phosphodiesterase inhibitor within 12 hours. - Answer- A patient with possible ST-segment elevation MI has ongoing chest discomfort. Which of the following would be a contraindication to the administration of nitrates? Start epinephrine 2 to 10 mcg/min - Answer- A patient has sinus bradycardia with a heart rate of 36/min. Atropine has been administered to a total dose of 3 mg. A transcutaneous pacemaker has failed to capture. The patient is confused, and her blood pressure is 100/60 mm Hg. Which of the following is now indicated? Epinephrine 1 mg - Answer- A patient is in cardiac arrest. Ventricular fibrillation has been refractory to a second shock. Of the following, which drug and dose should be administered first by the IV/IO route? Gain IV or IO access - Answer- You arrive on the scene with the code team. High- quality CPR is in progress. An AED has previously advised, "no shock indicated." A rhythm check now finds asystole. After resuming high-quality compressions, your next action is to: Give Aspirin 160 to 325 mg chewed immediately. - Answer- A patient with ST-segment elevation MI has ongoing chest discomfort. Fibrinolytic therapy has been ordered. Heparin 4000 units IV bolus was administered, and a heparin infusion of 1000 units per hour is being administered. Aspirin was taken by the patient because he had a history of gastritis treated 5 years ago. Your next action is? Chest pain or shortness of breath is present - Answer- Bradycardia requires treatment when: Magnesium is indicated for VF/pulseless VT associated with torsades de pointes. - Answer- Which of the following statements about the use of magnesium in cardiac arrest is most accurate? Epinephrine 1 mg or vasopressin 40 units IV or IO - Answer- A patient is in cardiac arrest. High-quality chest compressions are being given. The patient is intubated, and an IV has been started. The rhythm is asystole. Which is the first drug/dose to administer? 0.5 mg - Answer- A patient has sinus bradycardia with a heart rate of 42/min has diaphoresis and a blood pressure of 80/60 mm Hg. What is the initial dose of atropine? Second dose of epinephrine 1 mg - Answer- A patient is in refractory ventricular fibrillation. High-quality CPR is in progress, and shocks have been given. One dose of epinephrine was given after the second shock. An antiarrhythmic drug was given immediately after the third shock. What drug should the team leader request to be prepared for administration next? Do not give aspirin for at least 24 hours if rtPA is administered - Answer- A 62-year-old man suddenly experienced difficulty speaking and left-sided weakness. He was brought to the emergency department. He meets initial criteria for fibrinolytic therapy, and a CT scan of the brain is ordered. What are the guidelines for antiplatelet and fibrinolytic therapy? The correct dose of vasopressin is 40 units administered IV or IO. - Answer- Which of the following statements is most accurate regarding the administration of vasopressin during cardiac arrest? IV or IO - Answer- A patient is in cardiac arrest. Ventricular fibrillation has been refractory to an initial shock. What is the recommended route for drug administration during CPR? Lidocaine, epinephrine, vasopressin - Answer- Your patient has been intubated. IV/IO access is not available. Which combination of drugs can be administered by the endotracheal route? Give atropine 0.5 mg IV. - Answer- The patient suddenly becomes unconscious and has a weak carotid pulse. Cardiac monitoring, supplementary oxygen, and an IV have been initiated. The code cart with all the drugs and a transcutaneous pacer are immediately available. Next you would? Give epinephrine 1 mg IV. - Answer- You arrive on the scene to find CPR in progress. Nursing staff report that the patient was recovering from a pulmonary embolism and suddenly collapsed. There is no pulse or spontaneous respirations. High-quality CPR and effective bag-mask ventilation are being provided. An IV has been initiated. What would you do now? Seek expert consultation - Answer- Following resuscitation with CPR and a single shock, you observe this rhythm while preparing the patient for transport. Your patient is stable, and blood pressure is 120/80 mg Hg. She is apprehensive but has no symptoms other than palpitations. At this time you would? Prepare to give epinephrine 1 mg IV. - Answer- Following imitation of CPR and 1 shock for VF, this rhythm is present on the next rhythm check. A second shock is give, and chest compressions are resumed immediately. An IV is in place, and no drugs have been given. Bag-mask ventilations are producing visible chest rise. What is your next order? Continue monitoring and seek expert consultation. - Answer- A patient presents with the above rhythm and reports an irregular heartbeat. She has no other symptoms. Her medical history is significant for a myocardial infarction 7 years ago. Blood pressure is 110/70 mm Hg. What would you do at this time Give a single shock. - Answer- You are monitoring a patient with chest discomfort who suddenly becomes unresponsive. You observe the following rhythm on the cardiac monitor. A defibrillator is present. What is your first action? 1 to 2 L of normal saline - Answer- A patient has been resuscitated from cardiac arrest and is being prepared for transport. She is intubated and is receiving 100% oxygen. Blood pressure is 80/60 mm Hg. During the resuscitation, she received 2 doses of epinephrine 1 mg and 1 dose of aminodarone 300 mg IV. You now observe the above 104/70 mm Hg. Which intervention below is most important, reducing in-hospital and 30-day mortality? Perform vagal maneuvers - Answer- A 35-year-old woman presents to the emergency department with a chief complaint of palpations. She has no chest discomfort, shortness of breath, or light-headedness. Which of the following is indicated first? Begin CPR, starting with high-quality chest compressions. - Answer- A patient becomes unresponsive. You are uncertain if a faint pulse is present with the above rhythm. What is your next action? Administer epinephrine 1 mg. - Answer- You are the code team leader and arrive to find a patient with the above rhythm and CPR in progress. Team members report that the patient was well but reported chest pain and then collapsed. She has no pulse or respirations. Bag-mask ventilations are producing visible chest rise, high-quality CPR is in progress, and an IV has been established. What would be your next order? Give magnesium sulfate 1 to 2 g IV diluted in 10 mL D5W given over 5 to 20 minutes. - Answer- A patient was admitted to the general medical ward with a history of alcoholism. A code in progress, and he has recurrent episodes of the rhythm. You review his chart. Notes about the 12-lead ECG say that his baseline QT interval is high normal to slightly prolonged. He has received 2 doses of epinephrine 1 mg and 1 dose of aminodarone 300 mg IV so far. What would you order for his next medication? Give atropine 0.5 mg IV - Answer- You are monitoring the patient and note the above rhythm on the cardiac monitor. She has dizziness, and her blood pressure is 80/40 mm Hg. She has an IV in place. What is your next action?