ACLS FINAL TEST QUESTIONS AND ANSWERS, Exams of Nursing

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ACLS FINAL TEST QUESTIONS AND ANSWERS 1. bbWhich bbtype bbof bbatrioventricular bbblock bbbest bbdescribes bbthis bbrhythm? bb- bbANSWER: bb bb➡ bbC) bbSecond-degree bbtype bbII 2. bbYour bbpatient bbis bbin bbcardiac bbarrest bband bbhas bbbeen bbintubated. bbTo bbassess bbCPR bbquality, bbwhich bbshould bbyou bbdo? bb- bbANSWER: bb bb➡ bbA) bbMonitor bbthe bbpatient's bbPETCO2 3. bbWhich bbfacility bbis bbthe bbmost bbappropriate bbEMS bbdestination bbfor bba bbpatient bbwith bbsudden bbcardiac bbwho bbachieved bbreturn bbof bbspontaneous bbcirculation bbin bbthe bbfield? bb- bbANSWER: bb bb➡ bbD) bbCoronary bbreperfusion-capable bbmedical bbcenter 4. bbWhich bbof bbthe bbfollowing bbsigns bbis bba bblikely bbindicator bbof bbcardiac bbarrest bbin bban bbunresponsive bbpatient? bb- bbANSWER: bb bb➡ bbC) bbAgonal bbgasps 5. bbWhich bbtype bbof bbatrioventricular bbblock bbbest bbdescribes bbthis bbrhythm? bb- bbANSWER: bb bb➡ bbB) bbSecond-degree bbatrioventricular bbblock bbtype bbI 6. bbTo bbproperly bbventilate bba bbpatient bbwith bba bbperfusing bbrhythm, bbhow bboften bbdo bbyou bbsqueeze bbthe bbbag? bb- bbANSWER: bb bb➡ bbB) bbOnce bbevery bb5 bbto bb6 bbseconds. 7. bbIn bbaddition bbto bbclinical bbassessment, bbwhich bbis bbthe bbmost bbreliable bbmethod bbto bbconfirm bband bbmonitor bbcorrect bbplacement bbof bban bbendotracheal bbtube? bb- bbANSWER: bb bb➡ bbC) bbContinuous bbwaveform bbcapnography 8. bbYou bbare bbcaring bbfor bba bbpatient bbwith bba bbsuspected bbstroke bbwhose bbsymptoms bbstarted bb2 bbhours bbago. bbThe bbCT bbscan bbwas bbnormal, bbwith bbno bbsigns bbof bbhemorrhage. bbThe bbpatient bbdoes bbnot bbhave bbany bbcontraindications bbto bbfibrinolytic bbtherapy. bbWhich bbtreatment bbis bbthe bbbest bbfor bbthis bbpatient? bb- bbANSWER: bb bb➡ bbB) bbStart bbfibrinolytic bbtherapy bbas bbsoon bbas bbpossible. 9. bbWhich bbbest bbdescribes bbthis bbrhythm? bb- bbANSWER: bb bb➡ bbD) bbThird-degree bbatrioventricular bbblock. 10. bbWhat bbis bbthe bbrecommended bbrange bbfrom bbwhich bba bbtemperature bbshould bbbe bbselected bband bbmaintained bbconstantly bbto bbachieve bbtargeted bbtemperature bbmanagement bbafter bbcardiac bbarrest? bb- bbANSWER: bb bb➡ bbC) bb32 bbto bb36 bbDegrees bbCelsius 11. bbWhich bbis bbthe bbrecommended bbfirst bbintravenous bbdose bbof bbamiodarone bbfor bba bbpatient bbwith bbrefractory bbventricular bbfibrillation? bb- bbANSWER: bb bb➡ bbD) bb300 bbmg 12. bbWhat bbis bbthe bbprimary bbof bba bbmedical bbemergency bbteam bbor bbrapid bbresponse bbteam? bb- bbANSWER: bb bb➡ bbB) bbImproving bbpatient bboutcomes bbby bbidentifying bband bbtreating bbearly bbclinical bbdeterioration. 13. bbWhat bbis bbthe bbrecommended bbnext bbstep bbafter bba bbdefibrillation bbattempt? bb- bbANSWER: bb bb➡ bbD) bbResume bbCPR, bbstarting bbwith bbchest bbcompressions 14. bbEMS bbproviders bbare bbtreating bba bbpatient bbwith bbsuspected bbstroke. bbAccording bbto bbthe bbAdult bbSuspected bbStroke bbAlgorithm, bbwhich bbcritical bbaction bbperformed bbby bbthe bbEMS bbteam bbwill bbexpedite bbthis bbpatient's bbcare bbon bbarrival bband bbreduce bbthe bbtime bbto bbtreatment? bb- bbANSWER: bb bb➡ bbA) bbAlert bbthe bbhospital. 15. bbA bbresponder bbis bbcaring bbfor bba bbpatient bbwith bba bbhistory bbof bbcongestive bbheart bbfailure. bbThe bbpatient bbis bbexperiencing bbshortness bbof bbbreath, bba bbblood bbpressure bbof bb68/50 bbmmHg, bband bba bbheart bbrate bbof bb190/min. bbThe bbpatient's bblead bbII bbECG bbis bbdisplayed bbhere. bbWhich bbbest bbcharacterizes bbthis bbpatient's bbrhythm? bb- bbANSWER: bb bb➡ bbD) bbUnstable bbsupraventricular bbtachycardia 16. bbYour bbrescue bbteam bbarrives bbto bbfind bba bb59-year-old bbman bblying bbon bbthe bbkitchen bbfloor. bbYou bbdetermine bbthat bbhe bbis bbunresponsive. bbWhich bbis bbthe bbnext bbstep bbin bbyour bbassessment bband bbmanagement bbof bbthis bbpatient? bb- bbANSWER: bb bb➡ bbB) bbCheck bbthe bbpatient's bbbreathing bband bbpulse. 17. bbWhich bbbest bbdescribes bbthe bblength bbof bbtime bbit bbshould bbtake bbto bbperform bba bbpulse bbcheck bbduring bbthe bbBLS bbassessment? bb- bbANSWER: bb bb➡ bbB) bb5 bbto bb10 bbseconds 37. bbA bbpatient bbhas bba bbwitnessed bbloss bbof bbconsciousness. bbThe bblead bbII bbECG bbreveals bbthis bbrhythm. bbWhich bbis bbthe bbappropriate bbtreatment? bb- bbANSWER: bb bb➡ bbC) bbDefibrillation 38. bbWhich bbof bbthese bbtests bbshould bbbe bbperformed bbfor bba bbpatient bbwith bbsuspected bbstroke bbwithin bb25 bbminutes bbof bbhospital bbarrival? bb- bbANSWER: bb bb➡ bbD) bbNoncontrast bbCT bbscan bbof bbthe bbhead. 39. bbWhat bbis bbthe bbminimum bbsystolic bbblood bbpressure bbone bbshould bbattempt bbto bbachieve bbwith bbfluid bbadministration bbor bbvasoactive bbagents bbin bba bbhypotensive bbpost-cardiac bbarrest bbpatient bbwho bbachieves bbreturn bbof bbspontaneous bbcirculation? bb- bbANSWER: bb bb➡ bbD) bb90 bbmm bbHg. 40. bbYou bbhave bbcompleted bb2 bbminutes bbof bbCPR. bbThe bbECG bbmonitor bbdisplays bbthe bblead bbII bbrhythm bbshown bbhere, bband bbthe bbpatient bbhas bbno bbpulse. bbAnother bbmember bbof bbyour bbteam bbresumes bbchest bbcompressions, bband bban bbIV bbis bbin bbplace. bbWhat bbdo bbyou bbdo bbnext? bb- bbANSWER: bb bb➡ bbC) bbGive bbepinephrine bb1 bbmg bbIV. 41. bbBased bbon bbthis bbpatient's bbinitial bbpresentation, bbwhich bbcondition bbdo bbyou bbsuspect bbled bbto bbthe bbcardiac bbarrest? bb- bbANSWER: bb bb➡ bbA) bbAcute bbCoronary bbSyndrome. 42. bbIn bbaddition bbto bbdefibrillation, bbwhich bbintervention bbshould bbbe bbperformed bbimmediately? bb- bbANSWER: bb bb➡ bbC) bbChest bbCompressions. 43. bbDespite bb2 bbDefibrillation bbattempts, bbthe bbpatient bbremains bbin bbventricular bbfibrillation. bbWhich bbdrug bband bbdose bbshould bbyou bbadminister bbfirst bbto bbthis bbpatient? bb- bbANSWER: bb bb➡ bbA) bbEpinephrine bb1 bbmg. 44. bbDespite bbthe bbdrug bbprovided bbabove bband bbcontinued bbCPR, bbthe bbpatient bbremains bbin bbventricular bbfibrillation. bbWhich bbother bbdrug bbshould bbbe bbadministered bbnext? bb- bbANSWER: bb bb➡ bbD) bbAmiodarone bb300 bbmg. 45. bbThe bbpatient bbhas bbreturn bbof bbspontaneous bbcirculation bband bbis bbnot bbable bbto bbfollow bbcommands. bbWhich bbimmediate bbpost-cardiac bbarrest bbcare bbintervention bbdo bbyou bbchoose bbfor bbthis bbpatient? bb- bbANSWER: bb bb➡ bbA) bbInitiate bbtargeted bbtemperature bbmanagement. 46. bbWhich bbwould bbyou bbhave bbdone bbfirst bbif bbthe bbpatient bbhad bbnot bbgone bbinto bbventricular bbfibrillation? bb- bbANSWER: bb bb➡ bbD) bbPerformed bbsynchronized bbcardioversion. 47. bbBased bbon bbthis bbpatient's bbinitial bbassessment, bbwhich bbadult bbACLS bbalgorithm bbshould bbyou bbfollow? bb- bbANSWER: bb bb➡ bbB) bbTachycardia. 48. bbThe bbpatient's bbpulse bboximeter bbshows bba bbreading bbof bb84% bbon bbroom bbair. bbWhich bbinitial bbaction bbdo bbyou bbtake? bb- bbANSWER: bb bb➡ bbC) bbApply bboxygen. 49. bbAfter bbyour bbinitial bbassessment bbof bbthis bbpatient, bbwhich bbintervention bbshould bbbe bbperformed bbnext? bb- bbANSWER: bb bb➡ bbA) bbSynchronized bbcardioversion. 50. bbIf bbthe bbpatient bbbecame bbapneic bband bbpulseless bbbut bbthe bbrhythm bbremained bbthe bbsame, bbwhich bbwould bbtake bbthe bbhighest bbpriority? bb- bbANSWER: bb bb➡ bbD) bbPerform bbdefibrillation.