Download ACLS Exam Version B - Advanced Cardiovascular Life Support (50 questions) With 100% Verifi and more Exams Nursing in PDF only on Docsity! Advanced Cardiovascular Life Support Exam Version B (50 questions) Please do not mark on this exam. Record the best answer on the separate answer sheet. 1. What should be done to minimize interruptions in chest compressions during CPR? A. Perform pulse checks only after defibrillation. B. Continue CPR while the defibrillator is charging. C. Administer IV medications only when breaths are given. D. Continue to use AED even after the arrival of a manual defibrillator. 2. Which condition is an indication to stop or withhold resuscitative efforts? A. Unwitnessed arrest B. Safety threat to providers C. Patient age greater than 85 years D. No return of spontaneous circulation after 10 minutes of CPR 3. After verifying the absence of a pulse, you initiate CPR with adequate bag-mask ventilation. The patient’s lead II ECG appears below. What is your next action? A. IV or IO access B. Endotracheal tube placement C. Consultation with cardiology for possible PCI D. Application of a transcutaneous pacemaker 4. After verifying unresponsiveness and abnormal breathing, you activate the emergency response team. What is your next action? A. Retrieve an AED. B. Check for a pulse. C. Deliver 2 rescue breaths. D. Administer a precordial thump. 2 5. What is the recommendation on the use of cricoid pressure to prevent aspiration during cardiac arrest? A. Not recommended for routine use B. Recommended during every resuscitation attempt C. Recommended when the patient is vomiting D. Recommended only for supraglottic airway insertion 6. What survival advantages does CPR provide to a patient in ventricular fibrillation? A. Increases the defibrillation threshold B. Directly restores an organized rhythm C. Opposes the harmful effects of epinephrine D. Produces a small amount of blood flow to the heart 7. What is the recommended compression rate for performing CPR? A. 60 to 80 per minute B. 80 to 100 per minute C. About 100 per minute D. At least 100 per minute 8. EMS personnel arrive to find a patient in cardiac arrest. Bystanders are performing CPR. After attaching a cardiac monitor, the responder observes the following rhythm strip. What is the most important early intervention? A. Defibrillation B. Endotracheal intubation C. Epinephrine administration D. Antiarrhythmic administration 9. A patient remains in ventricular fibrillation despite 1 shock and 2 minutes of continuous CPR. The next intervention is to A. administer amiodarone. B. administer a second shock. C. administer epinephrine. D. insert an advanced airway. 3 16. A team leader orders 1 mg of epinephrine, and a team member verbally acknowledges when the medication is administered. What element of effective resuscitation team dynamics does this represent? A. Clear messages B. Knowing one’s limitations C. Closed-loop communication D. Clear roles and responsibilities 17. How long should it take to perform a pulse check during the BLS Survey? A. 1 to 5 seconds B. 5 to 10 seconds C. 10 to 15 seconds D. 15 to 20 seconds 18. Your rescue team arrives to find a 59-year-old man lying on the kitchen floor. You determine that he is unresponsive and notice that he is taking agonal breaths. What is the next step in your assessment and management of this patient? A. Apply the AED. B. Check the patient’s pulse. C. Open the patient’s airway. D. Check for the presence of breathing. 19. Which treatment or medication is appropriate for the treatment of a patient in asystole? A. Atropine B. Epinephrine C. Defibrillation D. Transcutaneous pacing 20. An AED advises a shock for a pulseless patient lying in snow. What is the next action? A. Place a backboard beneath the patient and administer the shock. B. Move the patient off the snow to bare ground and deliver the shock. C. Remove any snow beneath the patient and then administer the shock. D. Administer the shock immediately and continue as directed by the AED. 21. What is the minimum depth of chest compressions for an adult in cardiac arrest? A. 1 inch B. 1½ inches C. 2 inches D. 2½ inches 22. A patient with pulseless ventricular tachycardia is defibrillated. What is the next action? A. Check for a pulse. B. Administer an IV antiarrhythmic. C. Start chest compressions at a rate of at least 100/min. D. Repeat the unsynchronized shock, increasing to 200 J. 23. You have completed your first 2-minute period of CPR. You see an organized, nonshockable rhythm on the ECG monitor. What is the next action? A. Administer normal saline at 20 mL/kg. B. Administer epinephrine at 1 mg/kg IV. C. Obtain a blood pressure and oxygen saturation. D. Have a team member attempt to palpate a carotid pulse. 24. Emergency medical responders are unable to obtain a peripheral IV for a patient in cardiac arrest. What is the next most preferred route for drug administration? A. Intraosseous (IO) B. Endotracheal (ET) C. Intramuscular (IM) D. Central venous access 25. What is the appropriate rate of chest compressions for an adult in cardiac arrest? A. At least 150/min B. At least 100/min C. Approximately 100/min D. Approximately 120/min 26. You are receiving a radio report from an EMS team en route with a patient who may be having an acute stroke. The hospital CT scanner is not working at this time. What should you do in this situation? A. Contact the patient’s family to see what they would prefer. B. Have the EMS crew choose an appropriate patient disposition. C. Accept the report and provide care within your present capability. D. Divert the patient to a hospital 15 minutes away with CT capabilities. 31. An 80-year-old woman presents to the emergency department with dizziness. She now states she is asymptomatic after walking around. Her blood pressure is 102/72 mm Hg. She is alert and oriented. Her lead II ECG is below. After you start an IV, what is the next action? A. Give an IV fluid bolus. B. Give atropine and monitor for changes in mental status. C. Start an epinephrine infusion and titrate to patient response. D. Conduct a problem-focused history and physical examination. 32. What is the recommended oral dose of aspirin for patients suspected of having one of the acute coronary syndromes? A. 2 to 4 mg B. 80 to 120 mg C. 160 to 325 mg D. 400 to 600 mg 33. A responder is caring for a patient with a history of congestive heart failure. The patient is experiencing shortness of breath, a blood pressure of 68/50 mm Hg, and a heart rate of 190/min. The patient’s lead II ECG is displayed below. Which of the following terms best describes this patient? A. Sinus tachycardia B. Perfusing ventricular tachycardia C. Stable supraventricular tachycardia D. Unstable supraventricular tachycardia 34. What is the most appropriate intervention for a rapidly deteriorating patient who has this lead II ECG? A. Valsalva maneuver B. Synchronized cardioversion C. Intravenous administration of adenosine D. Immediate unsynchronized countershock 35. What is the purpose of a medical emergency team (MET) or rapid response team (RRT)? A. Providing online consultation to EMS personnel in the field B. Providing diagnostic consultation to emergency department patients C. Improving care for deteriorating patients admitted to critical care units D. Improving patient outcomes by identifying and treating early clinical deterioration 36. What is the recommended assisted ventilation rate for patients in respiratory arrest with a perfusing rhythm? A. 4 to 6 breaths per minute B. 10 to 12 breaths per minute C. 14 to 16 breaths per minute D. 16 to 18 breaths per minute 37. You are evaluating a 58-year-old man with chest pain. The blood pressure is 92/50 mm Hg, the heart rate is 92/min, the nonlabored respiratory rate is 14 breaths/min, and the pulse oximetry reading is 97%. What assessment step is most important now? A. PETCO2 B. Chest x-ray C. Laboratory testing D. Obtaining a 12-lead ECG 38. Family members found a 45-year-old woman unresponsive in bed. The patient is unconscious and in respiratory arrest. What is the recommended initial airway management technique? A. Placing a nasopharyngeal airway B. Using an advanced airway device C. Performing a head tilt–chin lift maneuver D. Performing a jaw thrust without head extension 48. What is the recommended duration of therapeutic hypothermia after reaching the target temperature? A. 0 to 12 hours B. 12 to 24 hours C. 24 to 36 hours D. 36 to 48 hours 49. What is the danger of routinely administering high concentrations of oxygen during the post– cardiac arrest period for patients who achieve ROSC? A. Potential oxygen toxicity B. Adverse hemodynamic effects C. Decrease in cerebral blood flow D. Increased intrathoracic pressure 50. What is the recommended dose of epinephrine for the treatment of hypotension in a post– cardiac arrest patient who achieves ROSC? A. 2 to 10 mg/min IV infusion B. 0.1 to 0.5 mcg/kg per minute IV infusion C. 1 mg IV push every 3 to 5 minutes D. 10 mg IV push every 3 to 5 minutes 12 Advanced Cardiovascular Life Support Written Exam Version B © 2011 American Heart Association