ACLS PROMED Questions with Complete Verified Solutions 2024, Exams of Nursing

Download ACLS PROMED Questions with Complete Verified Solutions 2024 and more Exams Nursing in PDF only on Docsity! ACLS PROMED Questions with Complete Verified Solutions 2024 Select the one syndrome listed below that is not a degree in the progression of coronary artery occlusion. Stable angina (SA) Which of the following is used to categorize patients with suspected acute coronary syndrome? 12-lead ECG to determine if an ST-segment elevation MI is present The BLS Assessment places emphasis on early: CPR and defibrillation The first step in the PEA algorithm is defibrillation. False - administer chest compressions and oxygen first Which of the following will providers be able to do after completing the ACLS course? Utilize the Basic Life Support Assessment Provide effective cardiopulmonary resuscitation Provide immediate post-cardiac arrest care Recognize and initiate early management of ACS All of the above An AED has arrived at the scene. You turn it on and place the pads on the patient. The AED doesn't promptly analyze the rhythm. You should: Resume CPR Vasopressin should only be given after the first dose of epinephrine in the asystole pathway of the adult cardiac arrest algorithm. False - combined use of vasopressin and epinephrine is no longer recommended and vasopressin has been removed from the Adult Cardiac Arrest Algorithm 2015 Update In adult tachycardia without signs and symptoms of cardiovascular instability, if the QRS complex is <0.12 seconds, vagal maneuvers are recommended to help slow the heart rate. True - vagal maneuvers are recommended, along with adenosine (if regular rhythm) and b- blocker/Calcium channel blocker PETCO2 is: Monitored by capnography Is the partial pressure of CO2 in exhaled air at the end of the exhalation phase Is an effective way to monitor ventilation when performing endotracheal intubation All of the above Which of the following is indicated to minimize interruptions in chest compressions? Avoid prolonged rhythm analysis. Vasopressin is more effective than epinephrine in cardiac arrest. False - combined use of vasopressin and epinephrine is no longer recommended and vasopressin has been removed from the Adult Cardiac Arrest Algorithm 2015 Update. Which of following is not part of the H's and T's mnemonic of ACLS: Tamponade Tension pneumothorax Thrombosis Trauma Trauma Which of the following is NOT considered when classifying a tachyarrhythmia in ACLS? Symptoms Stability of the patient Bundle branch block or not Regularity of the rhythm Bundle branch block or not What is the initial treatment for bradycardia in ACLS? Atropine The Cincinnati Prehospital Stroke Scale (CPSS): a. includes examination for arm drift, where the patient is asked to close eyes and extend both arms out with palms up for 10 seconds b. predicts a 72% probability of a stroke if 1 of the 3 abnormal signs is found c. tests facial droop, where the patient is asked to smile d. tests for abnormal speech, where you have patient say a complex sentence e. All of the above All of the above What is the correct dosage of atropine in bradycardia? 0.5 mg IV/IO Which of the following is true of the cardiac arrest algorithm in ACLS? PEA and asystole are shockable rhythms The algorithm has two pathways - one for VF/pVT and one for PEA/Asystole Which of the following is true of the cardiac arrest algorithm in ACLS? The algorithm has two pathways - one for VF/pVT and one for PEA/Asystole In order to become certified in ACLS, you need to have knowledge which of the following skills? BLS skills Pharmacology knowledge of basic ACLS drugs ECG rhythm interpretation Airway management All of the above All of the above What is the preferred route for access of drugs when intravenous access is not available? Intraosseous You check an adult victim for a pulse. After 10 seconds, you can't determine whether a pulse is present. You should: Start CPR beginning with compressions Which of the following drugs is used in PEA? Epinephrine How should supplementary oxygen be provided during ACLS? It should be titrated to achieve an oxygen saturation value of greater than or equal to 94% by pulse oximetry in non-arrest victims In which situation should synchronized cardioversion be used? Unstable atrial flutter Unstable atrial fibrillation In a patient that has a pulse Unstable regular monomorphic tachycardia with pulses Unstable Supraventricular Tachycardia All of the above All of the above You are in an airport when you see a middle-aged woman collapse. You rush over and send someone to call 911 and retrieve an AED. You then immediately: Look for a pulse Assess breathing Assess consciousness All of the above at the same time All of the above at the same time Adenosine will terminate atrial flutter. False - atrial flutter in an unstable patient should be treated immediately with synchronized cardioversion. Which of the following drugs are used in asystole in ACLS? Epinephrine 1 mg IV/IO every 3-5 minutes Which of the following is true concerning fibrinolysis? Opens an occluded coronary artery with "Clot-buster" drugs Your patient is unconscious and does not have a pulse. You utilize the AED and apply a shock. After the shock is delivered, you should: Resume CPR starting with compressions Compressions on an adult victim should be performed: 100-120 times per minute to a chest depth of 2 inches The ability to carry out a good resuscitation with a good outcome depends upon which of the following? Identification of reversible causes Restoration of a perfusing rhythm Effective CPR All of the above All of the above Which statement concerning PCI is true? It is preferred in patients with contraindications to fibrinolytics and only if it can be performed within 90 minutes of first medical contact by a skilled provider. Which of the following is associated with Osborn or J-waves on the ECG? Hypothermia Which of the following is true of PEA? Treatment is organized around periods of 5 cycles of CPR Which of the following is true of NSAIDs (nonsteroidal anti-inflammatory drugs) in ACS? They are associated with an increased risk of mortality and reinfarction. Which of the following drugs is not used in treatment of acute stroke? Naloxone