ACLS final exam Questions and Answers 100% Correct Answers (50 Questions), Exams of Nursing

Download ACLS final exam Questions and Answers 100% Correct Answers (50 Questions) and more Exams Nursing in PDF only on Docsity! ACLS final exam Questions and Answers 100% Correct Answers (50 Questions) What is the priority intervention for a patient with a narrow-complex tachycardia (160 BPM) and a blood pressure of 72/48 mmHg? A. Perform immediate synchronized cardio version B. Administer amiodarone, 150 mg IV over 10 minutes C. Perform carotid massage D. Administer adenosine, 6 mg via rapid IV push - Correct Answer ✅A. Perform immediate synchronized cardio version Recommended for a aptient with signs of hemodynamic compromise and a superventricualr tachycardia. A vagal maneuver, such as carotid massage, is recommended for a aptient with a narrow-complex tachycardia if the rhythm is regular and there are no signs and syptoms of hemodynaic compromise. A patient enters the emergency department in respiratory compromise. The team is monitoring the patient using capnography and identifies that ETCO2 levels are initially 33 mmHg and alter 40 mmHg. From these readings, the team identifies that the patient is progressing in what stage of respiratory compromise? ACLS final exam Questions and Answers 100% Correct Answers (50 Questions) A. Respiratory distress B. Respiratory arrest C. Respiratory failure D. Respiratory acidosis - Correct Answer ✅A. Respiratory Distress The ECG rhythm strip of a patient who arrived in the emergency department complaining of dizziness, syncope and shortness of breath reveals sinus bradycardia. When reviewing the patients medical history, the healthcare provider identifies which agent(s) as a potential cause of the patient's current condition? A. Metoprolol B. Verapamil C. Digoxin D. Quinapril E. Losartan - Correct Answer ✅A. Metoprolol B. Verapail C. Digoxin ACLS final exam Questions and Answers 100% Correct Answers (50 Questions) A patient with dyspnea, inadequate blood pressure and a change in mental status arrives at the emergency department. The healthcare team completes the necessary assessments and begins to care for the patient, including initiating cardiac monitoring and pulse oximetry; providing supplemental oxygen and ensuring adequate ventilation; and obtaining vascular access. The team reviews the patient's eCG rhythm strip (slow). Which agent would the team most likely administer? A. Dopamine 5-10 mcg/min B. Amiodarone 150 mg over 10 minutes C. Epinephrine 2-10 mcg/min D. Atropine 1 mg every 3-5 minutes - Correct Answer ✅D A patient is experiencing respiratory distress secondary to an exacerbation of COPD. The patient begins to exhibit signs and symptoms of worsening respiratory function and experiences respiratory arrest. The team intervenes, delivering ventilations via BVM resuscitator. The team should provide ventilations at a rate of 1 ventilation: A. Every 3 seconds ACLS final exam Questions and Answers 100% Correct Answers (50 Questions) B. Every 6 seconds C. Every 8 seconds D. Every 10 seconds - Correct Answer ✅B A member of the resuscitation team is preparing to administer medications intravenously to a patient in cardiac arrest. The team member should follow each peripherally administered drug dose with a normal saline flush. How much would the team member give? A. 5-10 ml B. 10-20 ml C. 20-30 ml D. 30-40 ml - Correct Answer ✅B A patient arrives at the emergency department complaining of shortness of breath. The patient has a long history of COPD. Assessment reveals respiratory failure. Which actions would be the initial priority to address the respiratory failure? ACLS final exam Questions and Answers 100% Correct Answers (50 Questions) A. Establishment of vascular access B. Delivery of supplemental oxygen via nasal cannula C. Assisted ventilation with BVM resuscitator D. Initiation of capnography - Correct Answer ✅C A patient in cardiac arrest experiences ROSC. As part of post-cardiac arrest care, the patient is receiving mechanical ventilation at an initial rebate of 10 breaths/min and a fraction of inspired oxygen (FiO2) of 0.30. Which finding(s) would indicated the need for change in the ventilator settings to optimize the patient's ventilation and oxygenation? A. SaO2 96% B. PaCO2 48 mmHg C. ETCO2 55 mmHg D. ETCO2 40 mmHg E.SaO2 90% - Correct Answer ✅B, C, E A 30 year old patient has been brought to the emergency department in cardiac arrest. The cardiac monitor shows the following rhythm (V fib). ACLS final exam Questions and Answers 100% Correct Answers (50 Questions) A patient experiences cardiac arrest, and the resuscitation team initiates ventilations using a bag-valve-mask (BVM) resuscitator. The lead development of which condition during the provision of care would lead the team to suspect that improper BVM technique is being used? A. Esophageal injury B. Pneumothorax C. Rib fracture D. Hypertension - Correct Answer ✅B A patient with suspected stroke arrives at the emergency department. The patient is diagnosed with acute ischemic stroke and is a candidate for fibrinolytic therapy. To achieve the best outcomes, this therapy should be initiated within what time frame? A. Within 30 minutes of the patient's arrival B. Within 1 hour of the patient's arrival C. Within 2 hours of the patient's arrival D. Within 3 hours of the patient's arrival - Correct Answer ✅B ACLS final exam Questions and Answers 100% Correct Answers (50 Questions) A 35-year-old female patient's ECG is consistent with STEMI. The ECG reveals a new ST-segment elevation at the J point in leads V2 and V3 of at least which size? A. 0.10 mV B. 0.15 mV C. 0.2 mV D. 0.25 mV - Correct Answer ✅B Cardiac monitoring indicates that a patient has a ventricular tachyarrhythmia. The patient has a pulse and is not showing any signs of hemodynamic compromise. A 12-lead ECG reveals an irregular rhythm with QRS complexes greater than 0.12 seconds in duration. Which actions would be appropriate at this time? A. Atropine B. Defibrillation C. Consider an antiarrhythmic medication ACLS final exam Questions and Answers 100% Correct Answers (50 Questions) D. Synchronized cardioversion - Correct Answer ✅C. A patient is being treated in the emergency department and is determined to have NSTE-ACS. Invasive management is planned based on which finding? A. Atrial tachycardia B. Atrial fibrillation C. Ventricular tachycardia D. Hypoxia - Correct Answer ✅C A 42-year-old woman presents to the emergency department with complaints of fatigue, shortness of breath, back pain and nausea. A 12-lead ECG is obtained and shows ST-segment depression in leads II, III, and aVF and intermittent runs of no sustained ventricular tachycardia. Cardiac serum markers are elevated. These findings suggest which condition? A. High-risk non-ST segment elevation ACS (NSTE-ACS) B. Intermittent-risk non-ST-segment elevation ACS (NSTE-ACS) C. ST-segment elevation myocardial infarction (STEMI) ACLS final exam Questions and Answers 100% Correct Answers (50 Questions) Which statement accurately reflects the management of cardiac arrest in a pregnancy of 26 weeks gestation? A. Targeted temperature management (TTM) is contraindicated in the post- cardiac arrest pregnant patient B. Resuscitative cesarean delivery (RCD) should be performed within 5 minutes from the time of arrest C. Fetal monitoring should be immediately initiated after pulselessness is determined D. Intravenous access should be placed below the level of the diaphragm - Correct Answer ✅B Cardiac monitoring of a patient in cardiac arrest reveals ventricular fibrillation. In addition to high-quality CPR, what intervention should be a priority for the team? A. Initiate capnography B. Insert an advanced airway ACLS final exam Questions and Answers 100% Correct Answers (50 Questions) C. Perform a pulse check D. Defibrillation - Correct Answer ✅D Which statements accurately reflect the recommendations for post-cardiac arrest patient care? A. Targeted temperature management (TTM) should not be initiated in a post-cardiac arrest patient who is receiving mechanical circulatory support B. Perfusion should be assessed and maintained to ensure the best outcome for the post-cardiac arrest patient C. Arterial blood gases may be used to guide ventilation and oxygenation in the post-cardiac arrest patient D. Prophylactic anticonvulsants should be administered to attends who remain comatose after cardiac arrest to prevent seizures - Correct Answer ✅C, D A patient is receiving ventilation support via bag-valve-mask (BVM) resuscitator. Capnography is established and a blood gas is obtained to evaluate the adequacy of the ventilations. Which arterial carbon dioxide (PaCO2) value signifies adequate ventilations? ACLS final exam Questions and Answers 100% Correct Answers (50 Questions) A. 10-15 mmHg B. 20-25 mmHg C. 25-30 mmHg D. 35-45 mmHg - Correct Answer ✅D A patient is in cardiac arrest. The underlying cause is though to be opioid toxicity. Which statement accurately describes the use of naloxone for this patient? A. Naloxone has not been shown to be effective for opioid toxicity once cardiac arrest has occurred B. Naloxone administered via continuous IV infusion should be considered for short-acting opioid toxicity C. Naloxone should be administered as soon as possible but is not a priority over high-quality CPR and AED use. D. Naloxone should be administered immediately as the first action in resuscitation at a dose of 0.2-2 mg and then repeated every 2-3 minutes as needed - Correct Answer ✅C ACLS final exam Questions and Answers 100% Correct Answers (50 Questions) determines that the supplemental oxygen dose is correct based on which SaO2 level? A. 87% B. 89% C. 93% D. 100% - Correct Answer ✅C A responsive patient is choking. What method should the provider use first to clear the obstructed airway? A. Back blows B. Abdominal thrusts C. McGill forceps extraction D. Chest compressions - Correct Answer ✅A The stroke team is assessing a patient with a suspected stroke. The patient is alert and able to carry on a conversation, although the patient has difficulty getting words out. Testing confirms that the patient has had an ischemic ACLS final exam Questions and Answers 100% Correct Answers (50 Questions) stroke. Based on the patient's medical history, a history of which arrhythmia would alert the team to the patient's increased risk for stroke? A. Bradycardia B. Atrial tachycardia C. Ventricular fibrillation D. Atrial fibrillation - Correct Answer ✅D A patient is brought into the emergency department. The patient does not have a pulse. The cardiac monitor shows a sawtooth pattern without QRS complexes. The team interrupts this as which condition? A. Ventricular Fibrillation B. Ventricular Tachycardia C. Torsades de Pointes D. Asystole - Correct Answer ✅B ACLS final exam Questions and Answers 100% Correct Answers (50 Questions) A patient is in cardiac arrest. The cardiac monitor shows asystole. In addition to providing continuous high-quality CPR, what is the other priority intervention for this patient? A. Inserting an advanced airway B. Administering amiodarone as early as possible C. Administering epinephrine as early as possible D. Defibrillating with 360 joules when available - Correct Answer ✅C A patient in the telemetry unit is receiving continuous cardiac monitoring. The patient has a history of myocardial infarction. The patient's ECG rhythm strip is shown in the following figure (no electrical communication occurs between the atria and ventricles, thus no relationship between P waves and QRS complexes). The provider interprets this strip as indicating which arrhythmia? A. Third-degree AV block B. First-degree atrioventricular (AV) block C. Sinus tachycardia ACLS final exam Questions and Answers 100% Correct Answers (50 Questions) C. Within 30 minutes D. Within 40 minutes - Correct Answer ✅B A 2-year-old man with respiratory depression is brought to the emergency department by his parents. Opioid overdose is suspected, and an initial dose of naloxone is administered at 10 PM. The patient does not respond to this initial dose. The team would expect to adminsiter a second dose after how many minutes? A. 2 minutes B. 4 minutes C. 6 minutes D. 8 minutes - Correct Answer ✅A A patient with STEMI is experiencing chest pain that is refractory to sublingual nitroglycerin. Intravenous nitroglycerin is prescribed. When administering this medication, it would be titrated to maintain which systolic blood pressure? ACLS final exam Questions and Answers 100% Correct Answers (50 Questions) A. 60 mmHg B. 70 mmHg C. 80 mmHg D. 90 mmHg - Correct Answer ✅D An ECG strip of a patient in the emergency department reveals the following rhythm. Which feature would the healthcare provider interpret as indicating atrial fibrillation? A. Presence of wide QRS complexes that are bizarrely and consistently shaped B. Absence of discrete P waves and presence of irregularly irregular QRS complexes C. Narrow QRS complex with PP interval constant or slightly irregular D. Presence of flutter waves and sawtooth patterns - Correct Answer ✅B The resuscitation team suspects that hyperkalemia is the cause of cardiac arrest in a patient brought to the emergency department. Which finding on a 12-lead ECG would confirm this suspicion? ACLS final exam Questions and Answers 100% Correct Answers (50 Questions) A. ST-segment changes, T-wave inversion B. Flat T waves, prominent U waves and possibly prolonged QT intervals C. Wide-complex Ventricular rhythm and tall, peaked T waves D. Narrow-complex ventricular tachycardia - Correct Answer ✅C A patient with bradycardia and signs of hemodynamic compromise does not respond to atropine. Which interventions could the healthcare provider use next? A. Epinephrine or dopamine infusion B. Transcutaneous pacing C. Carotid massage D. Synchronized cardioversion - Correct Answer ✅A, B A patient comes to the emergency department complaining of palpitations and "some shortness of breath". Cardiac monitoring is initiated and reveals the following ECG rhythm strip. The provider interprets this strip as