Download ACLS: Practice Exam Question & Answers 2024 and more Exams Nursing in PDF only on Docsity! ACLS: Practice Exam Question & Answers 2024 You find an unresponsive pt. who is not breathing. After activating the emergency response system, you determine there is no pulse. What is your next action? - Correct Answers ✅Start chest compressions of at least 100 per min. 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? - Correct Answers ✅Obtaining a 12 lead ECG. What is the preferred method of access for epi administration during cardiac arrest in most pts? - Correct Answers ✅Peripheral IV An AED does not promptly analyze a rythm. What is your next step? - Correct Answers ✅Begin chest compressions. You have completed 2 minutes of CPR. The ECG monitor displays the lead II rhythm below, and the patient has no pulse. Another member of your team resumes chest compressions, and an IV is in place. What management step is your next priority? - Correct Answers ✅Administer 1mg of epinephrine ACLS: Practice Exam Question & Answers 2024 During a pause in CPR, you see this lead II ECG rhythm on the monitor. The patient has no pulse. What is the next action? - Correct Answers ✅Resume compressions What is a common but sometimes fatal mistake in cardiac arrest management? - Correct Answers ✅Prolonged interruptions in chest compressions. Which action is a componant of high-quality chest comressions? - Correct Answers ✅Allowing complete chest recoil Which action increases the chance of successful conversion of ventricular fibrillation? - Correct Answers ✅Providing quality compressions immediately before a defibrillation attempt. Which situation BEST describes pulseless electrical activity? - Correct Answers ✅Sinus rythm without a pulse What is the BEST strategy for performing high-quality CPR on a patient with an advanced airway in place? - Correct Answers ✅Provide continuous chest compressions without pauses and 10 ventilations per minute. ACLS: Practice Exam Question & Answers 2024 What is the primary purpose of a medical emergency team (MET) or rapid response team (RRT)? - Correct Answers ✅Identifying and treating early clinical deterioration. Which action improves the quality of chest compressions delivered during a resuscitation attempt? - Correct Answers ✅Switch providers about every 2 minutes or every 5 compression cycles. What is the appropriate ventilation strategy for an adult in respiratory arrest with a pulse rate of 80/min? - Correct Answers ✅1 breath every 5-6 seconds A patient presents to the emergency department with new onset of dizziness and fatigue. On examination, the patient's heart rate is 35/min, the blood pressure is 70/50 mm Hg, the respiratory rate is 22 breaths/min, and the oxygen saturation is 95%. What is the appropriate first medication? - Correct Answers ✅Atropine 0.5mg A patient with dizziness and shortness of breath with a sinus bradycardia of 40/min. The initial atropine dose was ineffective, and your monitor/defibrillator is not equipped with a transcutaneous pacemaker. What is the appropriate dose of dopamine for this patient? - Correct Answers ✅2 to 10 mcg/kg per minute ACLS: Practice Exam Question & Answers 2024 A patient has sudden onset of dizziness. The patient's heart rate is 180/min, blood pressure is 110/70 mm Hg, respiratory rate is 18 breaths/min, and pulse oximetry reading is 98% on room air. The lead II ECG is shown below: - Correct Answers ✅Vagal manuever. A monitored patient in the ICU developed a sudden onset of narrow- complex tachycardia at a rate of 220/min. The patient's blood pressure is 128/58 mm Hg, the PETCO2 is 38 mm Hg, and the pulse oximetry reading is 98%. There is vascular access at the left internal jugular vein, and the patient has not been given any vasoactive drugs. A 12-lead ECG confirms a supraventricular tachycardia with no evidence of ischemia or infarction. The heart rate has not responded to vagal maneuvers. What is the next recommended intervention? - Correct Answers ✅Adenosine 6mg IV push 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? - Correct Answers ✅Divert the patient to a hospital 15 minutes away with CT capabilities. Choose an appropriate indication to stop or withhold resuscitative efforts. - Correct Answers ✅Evidence of rigor mortis. A 49-year-old woman arrives in the emergency department with persistent epigastric pain. She had been taking oral antacids for the ACLS: Practice Exam Question & Answers 2024 past 6 hours because she thought she had heartburn. The initial blood pressure is 118/72 mm Hg, the heart rate is 92/min and regular, the nonlabored respiratory rate is 14 breaths/min, and the pulse oximetry reading is 96%. Which is the most appropriate intervention to perform next? - Correct Answers ✅Obtain a 12 lead ECG. A patient in respiratory failure becomes apneic but continues to have a strong pulse. The heart rate is dropping rapidly and now shows a sinus bradycardia at a rate of 30/min. What intervention has the highest priority? - Correct Answers ✅Simple airway manuevers and assisted ventilations. What is the appropriate procedure for endotracheal tube suctioning after the appropriate catheter is selected? - Correct Answers ✅Suction during withdrawal but for no longer than 10 seconds. While treating a patient with dizziness, a blood pressure of 68/30 mm Hg, and cool, clammy skin, you see this lead II ECG rhythm:What is the first intervention ? - Correct Answers ✅Atropine 0.5mg A 68-year-old woman experienced a sudden onset of right arm weakness. EMS personnel measure a blood pressure of 140/90 mm Hg, a heart rate of 78/min, a nonlabored respiratory rate of 14 breaths/min, and a pulse oximetry reading of 97%. The lead II ECG displays sinus rhythm. What is the most appropriate action for the EMS ACLS: Practice Exam Question & Answers 2024 What is the potential danger of using ties that pass circumferentially around the patient's neck when securing an advanced airway? - Correct Answers ✅Obstruction of venous return from the brain What is the most reliable method of confirming and monitoring correct placement of an endotracheal tube? - Correct Answers ✅Continuous waveform capnography hat is the recommended IV fluid (normal saline or Ringer's lactate) bolus dose for a patient who achieves ROSC but is hypotensive during the post-cardiac arrest period? - Correct Answers ✅1 to 2 Liters What is the minimum systolic blood pressure one should attempt to achieve with fluid, inotropic, or vasopressor administration in a hypotensive post-cardiac arrest patient who achieves ROSC? - Correct Answers ✅90mm Hg What is the first treatment priority for a patient who achieves ROSC? - Correct Answers ✅Optimizing ventilation and oxygenation. What should be done to minimize interruptions in chest compressions during CPR? - Correct Answers ✅Continue CPR while the defibrillator is charging. ACLS: Practice Exam Question & Answers 2024 Which condition is an indication to stop or withhold resuscitative efforts? - Correct Answers ✅Safety threat to providers 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? - Correct Answers ✅IV or IO access After verifying unresponsiveness and abnormal breathing, you activate the emergency response team. What is your next action? - Correct Answers ✅Check for a pulse. What is the recommendation on the use of cricoid pressure to prevent aspiration during cardiac arrest? - Correct Answers ✅Not recommended for routine use What survival advantages does CPR provide to a patient in ventricular fibrillation? - Correct Answers ✅Produces a small amount of blood flow to the heart What is the recommended compression rate for performing CPR? - Correct Answers ✅At least 100 per minute EMS personnel arrive to find a patient in cardiac arrest. Bystanders are performing CPR. After attaching a cardiac monitor, the responder ACLS: Practice Exam Question & Answers 2024 observes the following rhythm strip. What is the most important early intervention? - Correct Answers ✅defibrillation A patient remains in ventricular fibrillation despite 1 shock and 2 minutes of continuous CPR. The next intervention is to - Correct Answers ✅administer a second shock. What is the recommended next step after a defibrillation attempt? - Correct Answers ✅Begin CPR, starting with chest compressions. Which of the following is the recommended first choice for establishing intravenous access during the attempted resuscitation of a patient in cardiac arrest? - Correct Answers ✅Antecubital vein Which finding is a sign of ineffective CPR? - Correct Answers ✅PETCO2 <10 mm Hg How often should the team leader switch chest compressors during a resuscitation attempt? - Correct Answers ✅. Every 2 minutes IV/IO drug administration during CPR should be - Correct Answers ✅given rapidly during compressions ACLS: Practice Exam Question & Answers 2024 A 53-year-old man has shortness of breath, chest discomfort, and weakness. The patient's blood pressure is 102/59 mm Hg, the heart rate is 230/min, the respiratory rate is 16 breaths/min, and the pulse oximetry reading is 96%. The lead II ECG is displayed below. A patent peripheral IV is in place. What is the next action? - Correct Answers ✅Vagal maneuvers A 49-year-old man has retrosternal chest pain radiating into the left arm. The patient is diaphoretic, with associated shortness of breath. The blood pressure is 130/88 mm Hg, the heart rate is 110/min, the respiratory rate is 22 breaths/min, and the pulse oximetry value is 95%. The patient's 12-lead ECG shows ST-segment elevation in the anterior leads. First responders administered 160 mg of aspirin, and there is a patent peripheral IV. The pain is described as an 8 on a scale of 1 to 10 and is unrelieved after 3 doses of nitroglycerin. What is the next action? - Correct Answers ✅Administer 2 to 4 mg of morphine by slow IV bolus. A 56-year-old man reports that he has palpitations but not chest pain or difficulty breathing. The blood pressure is 132/68 mm Hg, the pulse is 130/min and regular, the respiratory rate is 12 breaths/min, and the pulse oximetry reading is 95%. The lead II ECG displays a wide-complex tachycardia. What is the next action after establishing an IV and obtaining a 12-lead ECG? - Correct Answers ✅Seeking expert consultation ACLS: Practice Exam Question & Answers 2024 A postoperative patient in the ICU reports new chest pain. What actions have the highest priority? - Correct Answers ✅Obtain a 12-lead ECG and administer aspirin if not contraindicated. 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? - Correct Answers ✅Conduct a problem-focused history and physical examination. What is the recommended oral dose of aspirin for patients suspected of having one of the acute coronary syndromes? - Correct Answers ✅162 to 325 mg 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. - Correct Answers ✅stable supraventricular tachycardia What is the most appropriate intervention for a rapidly deteriorating patient who has this lead II ECG? - Correct Answers ✅Synchronized cardioversion ACLS: Practice Exam Question & Answers 2024 What is the purpose of a medical emergency team (MET) or rapid response team (RRT)? - Correct Answers ✅Improving patient outcomes by identifying and treating early clinical deterioration What is the recommended assisted ventilation rate for patients in respiratory arrest with a perfusing rhythm? - Correct Answers ✅10 to 12 breaths per minute 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? - Correct Answers ✅Performing a head tilt-chin lift maneuver A patient in respiratory distress and with a blood pressure of 70/50 mm Hg presents with the following lead II ECG rhythm: What is the appropriate next intervention? - Correct Answers ✅Synchronized cardioversion A patient has a witnessed loss of consciousness. The lead II ECG reveals this rhythm: What is the appropriate next intervention? - Correct Answers ✅Defibrillation ACLS: Practice Exam Question & Answers 2024 A patient is in refractory ventricular fibrillation. High CPR is in progress and shocks have been given. One dose of epinephrine was given after the second shock. An anti arrhythmic drug was given immediately after the the third shock. What drug should the team leader request to be prepared for administration next? - Correct Answers ✅second dose of epinephrine 1 mg A patient is in pulseless ventricular tachycardia. Two shocks and 1 dose of epinephrine has been given. Which is the next drug to anticipate to administer? - Correct Answers ✅amiodarone 300 mg 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? - Correct Answers ✅Give a single shock what do you do after return of spontaneous circulation - Correct Answers ✅maintain O2 sat at 94% treat hypotension (fluids vasopressor) 12 lead EKG if in coma consider hypothermia if not in coma and ekg shows STEMI or AMI consider re-perfusion ACLS: Practice Exam Question & Answers 2024 what are the 5 h's and 5 t's - Correct Answers ✅hypovolemia hypoxia hydrogen ion (acidosis) hypo/hyperkalemia hypothermia tension pneumothorax tamponade, cardiac toxins thrombosis, pulmonary thrombosis, coronary Bradycardia require treatment when? - Correct Answers ✅chest pain or shortness of breath is present how do you treat non-symptomatic bradycardia - Correct Answers ✅monitor and observe what constitutes symptomatic bradycardia - Correct Answers ✅hypotension altered mental status signs of shock ACLS: Practice Exam Question & Answers 2024 chest pain acute heart failure A patient with sinus bradycardia and a heart rate of 42 has diaphoresis and blood pressure of 80/60. What is the initial dose of atropine? - Correct Answers ✅0.5 mg how do you treat symptomatic bradycardia - Correct Answers ✅give 0.5mg atropine every 3-5 mins to max of 3mg if that doesn't work try one of the following: transcutaneous pacing 2-10mcg/kg / minute dopamine infusion 2-10mcg per minute epinephrine infusion what is considered a tachycardia requiring treatment - Correct Answers ✅over 150 per minute when do you consider cardioversion - Correct Answers ✅if persistent tachycardia is causing: hypotension altered mental status