ACLS version A Test Exam with Questions and Answers Latest BRAND NEW EXAM LATEST 2024 Grad, Exams of Nursing

Download ACLS version A Test Exam with Questions and Answers Latest BRAND NEW EXAM LATEST 2024 Grad and more Exams Nursing in PDF only on Docsity! ACLS version A Test Exam with Questions and Answers Latest BRAND NEW EXAM LATEST 2024 Graded A+ you find an unresponsive patient who is not breathing. after activating the emergency response system, you determine that there is no pulse. what is your next action? - CORRECT ANSWERS start chest compressions at a rate of at least 100/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 12-lead ecg. what is the preferred method of access for epinephrine administration during cardiac arrest in most patients? - CORRECT ANSWERS peripheral intravenous An activated AED does not promptly analyze the rhythm. What is your next action? - CORRECT ANSWERS begin chest compressions. You have completed 2 min of CPR. The ECG monitor displays the lead below and the pt. has no pulse. another member resumes chest compressions and an IV is in place. What management step is your next priority? - CORRECT ANSWERS administer one mg of epinephrine 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 chest compressions what is a common but sometimes fatal mistake in cardiac arrest management? - CORRECT ANSWERS prolonged interruptions of chest compressions what action is a component of high-quality chest compressions? - CORRECT ANSWERS uninterrupted compressions at a depth of 1 1/2 inches Which action increases the chance of successful conversion of ventricular fibrillation? - CORRECT ANSWERS ventricular tachycardia with a pulse which situation BEST describes pulseless electrical activity? - CORRECT ANSWERS sinus rhythm without a pulse ACLS version A Test Exam with Questions and Answers Latest BRAND NEW EXAM LATEST 2024 Graded A+ What is the best strategy for perfoming high-quality CPR on a pt.with an advanced airway in place? - CORRECT ANSWERS provide continuous chest compressions without pauses and 10 ventilations per minute. Three minutes after witnessing a cardiac arrest, one member of your team inserts an endotracheal tube while another performs continuous chest compressions. During subsequent ventilation, you notice the presence of a waveform on the capnography screen and a PETCO2 level of 8 mm Hg. What is the significance of this finding? - CORRECT ANSWERS chest compressions may not be effective the use of quantitative capnography in intubated patients - CORRECT ANSWERS allows for monitoring of cpr quality For the past 25 min, EMS crews have attempted resuscitation of a pt who originally presented with ventricular fibrillation. After the 1st shock, the ECG screen displayed asystole, which has persisted despite 2 doses of epi, a fluid bolus, and high quality CPR. What is your next treatment? - CORRECT ANSWERS consider terminating resuscitative efforts after consulting medical control. Which is a safe and effective practice within the defibrillation sequence? - CORRECT ANSWERS be sure oxygen is now blowing over the patient's chest during the shock During your assessment, your pt suddenly loses consciousness. After calling for help and determining that the pt. is not breathing, you are unsure whether the pt. has a pulse. What is your next action? - CORRECT ANSWERS Begin chest compressions what is the advantage of using hands-free defibrillation pads instead of defibrillation paddles? - CORRECT ANSWERS hands-free pads allow for a more rapid defibrillation What action is recommended to help minimize interruptions in chest compressions during CPR? - CORRECT ANSWERS continue CPR while charging the defibrillator what action is included in the bls survey? - CORRECT ANSWERS early defibrillation ACLS version A Test Exam with Questions and Answers Latest BRAND NEW EXAM LATEST 2024 Graded A+ 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 team to perform best? - CORRECT ANSWERS cincinnati prehospital stroke scale assessment EMS is transporting a patient with a positive prehospital stroke assessment. Upon arrival in the emergency department, the initial blood pressure is 138/78 mm Hg, the pulse rate is 80/min, the respiratory rate is 12 breaths/min, and the pulse oximetry reading is 95% on room air. The lead II ECG displays sinus rhythm. The blood glucose level is within normal limits. What intervention should you perform next? - CORRECT ANSWERS head CT scan what is the proper ventilation rate for a patient in cardiac arrest who has an advanced airway in place? - CORRECT ANSWERS 8 to 10 breaths per minute a 62-year-old man in the emergency department says that his heart is beating fast. he says he has no chest pain or shortness of breath. the blood pressure is 142/98 mm Hg, the pulse is 200/min, the respiratory rate is 14 breaths/min, and pulse oximetry is 95% on room air. what intervention should you perform next? - CORRECT ANSWERS obtain a 12-lead ECG You are evaluating a 48 y/o male with crushing sub-sternal pain. He is cool, pale, diaphretic, and slow to respond to your questions. BP is 58/32, pulse is 190/min, resp rate is 18, and you are unable to obtain an 02 sat due to no radial pulse. The ECG shows a wide complex tach rythm. What intervention should be next? - CORRECT ANSWERS synchronized cardioversion What is the initial priority for an unconscious pt. with any tachycardia on the monitor? - CORRECT ANSWERS determine whether pulses are present Which rythm requires synchronized cardioversion? - CORRECT ANSWERS unstable supraventricular tachycardia what is the recommended second dose of adenosine for patients in refractory by stable narrow-complex tachycardia? - CORRECT ANSWERS 12 mg ACLS version A Test Exam with Questions and Answers Latest BRAND NEW EXAM LATEST 2024 Graded A+ What is the usual post-cardiac arrest target range for PETCO2 who achieves return of spontaneous circulation (ROSC)? - CORRECT ANSWERS 35 to 40 mm Hg which condition is a contraindication to therapeutic hypothermia during the post-cardiac arrest period for patients who achieve return of spontaneous circulation ROSC? - CORRECT ANSWERS Responding to verbal commands 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 montioring correct placement of an ET tube? - CORRECT ANSWERS continuous waveform capnography what 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 2L 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 90 mm Hg what is the first treatment priority for a patient who achieves ROSC? - CORRECT ANSWERS optimizing ventilation and oxygenation