ACLS EXAM 100% VERIFIED ANSWERS 2024/2025 CORRECT STUDY SET, Exams of Nursing

Download ACLS EXAM 100% VERIFIED ANSWERS 2024/2025 CORRECT STUDY SET and more Exams Nursing in PDF only on Docsity! ACLS EXAM 100% VERIFIED ANSWERS 2024/2025 CORRECT STUDY SET 1. Which type of atrioventricular block best describes this rhythm? Second degree type II 2. Your patient is in cardiac arrest and has been intubated. To assess CPR quality, which should you do? Monitor the patient's PETCOS 12-lead Previous Play Next Rewind 10 seconds Move forward 10 seconds Unmute 0:00 / 0:15 Full screen Brainpower Read More 3. Which facility is the most appropriate EMS destination for a patient with sudden cardiac arrest who achieved return of spontaneous circulation in the fleld? Coronary reperfusion-capable medical center 4 Which of the following signs is a likely indicator of cardiac arrest in an unresponsive patient? Agonal gasps 5. Which type of atrioventricular block best describes this rhythm? Second-degroe atrioventricular block type I 6 To property ventlate a patient with a perfusing rhythm, how often do you squeeze the bag? Once avery 5 to 6 seconds 7 In addition to clinical assessment, which is the most reliable method to confirm and monitor correct placement of an andotracheal tube? Continuous waveform capnography 8. 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 best for this patient? Start fibrinolytic therapy as soon as possible 9 Which best describes this rhythm? Address the team member immediately 21. Which best descrbes this rhythm? A Monomorphic ventricular tachycardia 22. For STEMI pationts, which best describes the recommended maximum goal tme for emergency department door-to-baloon infation time for percutaneous coronary intervention? 90 minutes 23. Which is the maximum interval you should allow for an internuption in chest compressions? 10 seconds 24. Which is one way to minimize intemuptions in chest compressione during CPR? Continue CPR while the dofibrilator charges 25 Which best describes an action taken by the team leader to avold inelficiencies during a resuscitation attermpl? Clearly delegate tasks 26. Which is an acceptable melthod of selecting an appropriately sized oropharyngeal ainway? Measure from the coner of the outh to the angle of the mandible 27. You are evauating a 58-year-old man with chst discomort His blood pressure is 92/50 mm Hg his breathmin and his pulse oximetry reading is 97% heart rate is 92in his nonlabored reapiratory rate is 14. Which assessment step is most important now? Obtaining a 12 lead ECG 28 A patient in respatory distress and with a blood pressure of 70/50 mm Hg presents with the lead ECG II shown here Which is the appropriat treament? Performing synchronized cardioversion 29. During post-cardac arrest cere, which is the recommended duration of targeted temperature management after reaching the corect temperature range? Al least 24 hours 30 Three minutes into a cardiac arrest resusiation atternpt one member of your team inserts an endotracheal fube while another performs chest compressions. Capnography shows a persistont wavefom and a PETCOs of 8mm Hg Which is the significance of this finding? Chest compressions may not be effective 31. Which is the recommended oral dose of aspirin for a patient with a suspected acute coronary syndrome? 160 mg to 325 mg [email protected] 32. A team member is unable to perform an assigned task because it is beyond the team member's scope of practice. Which action shoudd the team member take? Ask for a new task or role 33. As the team leader, when do you tell the chest compressors to switch? About every 2 minutes 34. You are performing chest compressions during an adult resuscitation attempt. Which rate should you Use to perform the compressions? 100-120/min 35. A patient is being rosuscitated in a very noisy environment. A team momber thinks he heard an order for 500 mg of amiodarone IV. Which is the best response from the team member? I have an order to give 500 mg of amiodarone IV. Is this correct? [email protected] 36. A patent in stable narrow-complex tachycardia with a peripheral IV in place is refractory to dose of adenosine. Which dose would you administer next? 12 mg 37. A patient has a witnessed loss of consciousness. The lead II ECG reveals this rhythm. Which is the appropriate treatment? Defibrillation 38. Which of these tests should be performed for a patient with suspected stroke within 25 minutes of hospital arival? Noncontrast CT scan of the head 39. What is the minimum systolic blood pressure one should attempt to achieve with fluild administration or vasoactive agents in a hypotensive post-cardiac arest patient who achieves return of spontaneous circulation? 90 mm Hg A 62 year old man suddenly experienced difficulty speaking and left-sided weakness. He was brought into 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? Do not give ASA for at least 24 hours if rtPA is administered A patient is in pulseless ventricular tachycardia. Two shocks and 1 dose of epinephrine have been given. Which is the next drug/dose to anticipate to administer? Amiodarone 300 mg A patient is in refractory ventricular fibrillation and has received multiple appropriate defibrillation shocks, epinephrine 1 mg IV twice, and an initial dose of 300 mg amiodarone IV. The patient is intubated A second dose of amiodarone is now called for. The recommended second dose of amiodarone is what? 150 mg IV push A 57 year old woman has palpitations, chest discomfort, and tachycardia. The monitor shows a regular wide-complex QRS at a rate of 180 bpm. She becomes diaphoretic and her blood pressure is 80/60 mm Hg. What is the next action? Perform immediate electrical cardioversion A 35 year old woman has palpitations, light headedness, and a stable tachycardia. The monitor shows a regular narrow-complex QRS at a rate of 180/min. Vagal maneuvers have not been effective in terminating the rhythm. An IV has been established. What drug should be administered IV? Adenosine 6 mg 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? Epinephrine 1 mg or vasopressin 40 units IV or IO 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. ASA was not taken by the patient because he had a history of gastritis treated 5 years ago. What is the next action? Give ASA 160-325 chewed immediately What is the dose of vasopressin and how is it administered (in cardiac arrest)? 40 units administered IV or IO 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? IV or IO 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. What is now indicated? Epinephrine 2 to 10 mcg/min 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 what? Gain IV or IO access A patient with a possible acute coronary syndrome has ongoing chest discomfort unresponsive to 3 SL NTG tablets. There are no contraindications, and 4 mg of morphine sulfate was administered. Shortly afterward, blood pressure falls to 88/60 mm Hg, and the patient has increased chest discomfort. What should you do? Give normal saline 250 mL to 500 mL fluid bolus