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ACLS Written Exam Questions and Answers 2024 - Prof. Tutor, Exams of Nursing

A collection of questions and answers related to advanced cardiac life support (acls) protocols and procedures. It covers a wide range of topics, including cardiac arrest management, drug administration, ecg interpretation, and post-cardiac arrest care. The questions seem to be designed to test the knowledge and decision-making skills of healthcare professionals who are responsible for providing emergency cardiac care. The answers provide detailed information on the appropriate actions and interventions to take in various clinical scenarios. This document could be a valuable resource for medical students, residents, and practicing clinicians who need to stay up-to-date on the latest acls guidelines and best practices.

Typology: Exams

2023/2024

Available from 08/12/2024

ExpertTutor
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Download ACLS Written Exam Questions and Answers 2024 - Prof. Tutor and more Exams Nursing in PDF only on Docsity! ACLS Written Exam Questions And Answers 2024 . ACLS Written Exam Questions And Answers 2024 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? - ANSWER>>Administer 1mg 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? - ANSWER>>Resume compressions What is a common but sometimes fatal mistake in cardiac arrest management? - ANSWER>>Prolonged interruptions in chest compressions. Which action is a componant of high-quality chest comressions? - ANSWER>>Allowing complete chest recoil Which action increases the chance of successful conversion of ventricular fibrillation? - ANSWER>>Providing quality compressions immediately before a defibrillation attempt. Which situation BEST describes pulseless electrical activity? - ANSWER>>Sinus rythm without a pulse ACLS Written Exam Questions And Answers 2024 What is the BEST strategy for performing high-quality CPR on a patient with an advanced airway in place? - ANSWER>>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? - ANSWER>>Chest compressions may not be effective. The use of quantitative capnography in intubated patients - ANSWER>>allows for monitoring of CPR quality. For the past 25 minutes, an EMS crew has attempted resuscitation of a patient who originally presented in ventricular fibrillation. After the first shock, the ECG screen displayed asystole, which has persisted despite 2 doses of epinephrine, a fluid bolus, and high-quality CPR. What is your next treatment? - ANSWER>>Consider terminating resuscitive efforts after consulting medical control. Which is a safe and effective practice within the defibrillation sequence? - ANSWER>>Be sure oxygen is not blowing over the patient's chest during the shock. During your assessment, your patient suddenly loses consciousness. After calling for help and determining that the patient is not breathing, you are ACLS Written Exam Questions And Answers 2024 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? - ANSWER>>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? - ANSWER>>Divert the patient to a hospital 15 minutes away with CT capabilities. Choose an appropriate indication to stop or withhold resuscitative efforts. - ANSWER>>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 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? - ANSWER>>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 ACLS Written Exam Questions And Answers 2024 bradycardia at a rate of 30/min. What intervention has the highest priority? - ANSWER>>Simple airway manuevers and assisted ventilations. What is the appropriate procedure for endotracheal tube suctioning after the appropriate catheter is selected? - ANSWER>>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 ? - ANSWER>>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 team to perform next? - ANSWER>>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? - ANSWER>>Head CT scan You find an unresponsive pt. who is not breathing. After activating the emergency response system, you determine there is no pulse. What is your ACLS Written Exam Questions And Answers 2024 next action? - ANSWER>>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? - ANSWER>>Obtaining a 12 lead ECG. What is the preferred method of access for epi administration during cardiac arrest in most pts? - ANSWER>>Peripheral IV An AED does not promptly analyze a rythm. What is your next step? - ANSWER>>Begin chest compressions What is the proper ventilation rate for a patient in cardiac arrest who has an advanced airway in place? - ANSWER>>8-10 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? - ANSWER>>Obtain a 12 lead ECG. You are evaluating a 48-year-old man with crushing substernal chest pain. The patient is pale, diaphoretic, cool to the touch, and slow to respond to your questions. The blood pressure is 58/32 mm Hg, the heart rate is 190/min, the respiratory rate is 18 breaths/min, and the pulse oximeter is unable to obtain a reading because there is no radial pulse. The lead II ACLS Written Exam Questions And Answers 2024 What is the recommendation on the use of cricoid pressure to prevent aspiration during cardiac arrest? - ANSWER>>Not recommended for routine use What survival advantages does CPR provide to a patient in ventricular fibrillation? - ANSWER>>Produces a small amount of blood flow to the heart What is the recommended compression rate for performing CPR? - ANSWER>>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 observes the following rhythm strip. What is the most important early intervention? - ANSWER>>defibrillation A patient remains in ventricular fibrillation despite 1 shock and 2 minutes of continuous CPR. The next intervention is to - ANSWER>>administer a second shock. What is the recommended next step after a defibrillation attempt? - ANSWER>>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? - ANSWER>>Antecubital vein ACLS Written Exam Questions And Answers 2024 Which finding is a sign of ineffective CPR? - ANSWER>>PETCO2 <10 mm Hg How often should the team leader switch chest compressors during a resuscitation attempt? - ANSWER>>. Every 2 minutes IV/IO drug administration during CPR should be - ANSWER>>given rapidly during compressions What is the recommended first intravenous dose of amiodarone for a patient with refractory ventricular fibrillation? - ANSWER>>300 mg A team leader orders 1 mg of epinephrine, and a team member verbally acknowledges when the medication is administered. What element of effective resuscitation team dynamics does this represent? - ANSWER>>Closed-loop communication How long should it take to perform a pulse check during the BLS Survey? - ANSWER>>5 to 10 seconds Your rescue team arrives to find a 59-year-old man lying on the kitchen floor. You determine that he is unresponsive and notice that he is taking agonal breaths. What is the next step in your assessment and management of this patient? - ANSWER>>Check the patient's pulse. ACLS Written Exam Questions And Answers 2024 An AED advises a shock for a pulseless patient lying in snow. What is the next action? - ANSWER>>Administer the shock immediately and continue as directed by the AED. Which treatment or medication is appropriate for the treatment of a patient in asystole? - ANSWER>>Epinephrine What is the minimum depth of chest compressions for an adult in cardiac arrest? - ANSWER>>2 inches A patient with pulseless ventricular tachycardia is defibrillated. What is the next action? - ANSWER>>Start chest compressions at a rate of at least 100/min. You have completed your first 2-minute period of CPR. You see an organized, nonshockable rhythm on the ECG monitor. What is the next action? - ANSWER>>Have a team member attempt to palpate a carotid pulse. Emergency medical responders are unable to obtain a peripheral IV for a patient in cardiac arrest. What is the next most preferred route for drug administration? - ANSWER>>Intraosseous (IO) What is the appropriate rate of chest compressions for an adult in cardiac arrest? - ANSWER>>At least 100/min ACLS Written Exam Questions And Answers 2024 What is the recommended assisted ventilation rate for patients in respiratory arrest with a perfusing rhythm? - ANSWER>>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? - ANSWER>>Performing a head tiltchin 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? - ANSWER>>Synchronized cardioversion A patient has a witnessed loss of consciousness. The lead II ECG reveals this rhythm: What is the appropriate next intervention? - ANSWER>>Defibrillation What is the recommended energy dose for biphasic synchronized cardioversion of atrial fibrillation? - ANSWER>>120to200J Which of the following is an acceptable method of selecting an appropriately sized oropharyngeal airway (OPA)? - ANSWER>>Measure from the corner of the mouth to the angle of the mandible. ACLS Written Exam Questions And Answers 2024 Which is a contraindication to nitroglycerin administration in the management of acute coronary syndromes? - ANSWER>>Right ventricular infarction and dysfunction What is the recommended initial intervention for managing hypotension in the immediate period after return of spontaneous circulation (ROSC)? - ANSWER>>Administration of IV or IO fluid bolus Which is an appropriate and important intervention to perform for a patient who achieves ROSC during an out-of-hospital resuscitation? - ANSWER>>Transport the patient to a facility capable of performing PCI. What is the immediate danger of excessive ventilation during the postcardiac arrest period for patients who achieve ROSC? - ANSWER>>Decreased cerebral blood flow What is the recommended target temperature range for achieving therapeutic hypothermia after cardiac arrest? - ANSWER>>32°C to 34°C What is the recommended duration of therapeutic hypothermia after reaching the target temperature? - ANSWER>>12 to 24 hours What is the danger of routinely administering high concentrations of oxygen during the post- cardiac arrest period for patients who achieve ROSC? - ANSWER>>Potential oxygen toxicity What is the recommended dose of epinephrine for the treatment of hypotension in a post- cardiac arrest patient who achieves ROSC? - ACLS Written Exam Questions And Answers 2024 ANSWER>>0.1 to 0.5 mcg/kg per minute IV infusion You have completed 2 min of CPR. The ECG monitor displays the lead below (PEA) and the patient has no pulse. You partner resumes chest compressions and an IV is in place. What management step is your next priority? - ANSWER>>Administer 1mg of epinephrine A patient is in refractory ventricular fibrillation and has received multiple appropriate defibrillation shocks, epinephrine 1 mg IV twice, and an initial dose of 300 mg amiodarone IV. The patient is intubated. A second dose of amiodarone is now called for. The recommend second dose of amiodarone is ? - ANSWER>>150 mg IV push 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? - ANSWER>>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? - ANSWER>>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? - ANSWER>>Give a single shock ACLS Written Exam Questions And Answers 2024 reentry supraventricular tachycardia - ANSWER>> polymorphic ventricular tachycardia - aka torsades - ANSWER>> atrial fibrilation - ANSWER>> sinus tachycardia - ANSWER>> coarse ventricular fibrillation - ANSWER>> atrial flutter - ANSWER>> reentry supraventricular tachycardia - ANSWER>> sinus bradycardia - ANSWER>> monomorphic ventricular tachycardia - ANSWER>> fine ventricular fibrillation - ANSWER>> second degree AV block type 1 wenckenbach - ANSWER>> second degree AV block mobitz type 2 - ANSWER>> third degree AV block - ANSWER>> asystole - ANSWER>> ACLS Written Exam Questions And Answers 2024 normal sinus rhythm - ANSWER>> pulseless electrical activity - ANSWER>> agonal rhythm/asystole - ANSWER>> The five links in the adult Chain of Survival - ANSWER>>1- Immediate activation of EMS 2- Early CPR 3- Rapid defibrillation (not in peds) 4- Effective advanced life support 5- Integrated post-cardiac arrest care Type of breaths (not normal) that may be present in the first minutes after sudden cardiac arrest - ANSWER>>Agonal gasps To place the pads on the victims bare chest, Place one pad on the upperright chest (below the collarbone) and place the other pad - ANSWER>>to the side of the left nipple, with the top edge of the pad a few inches below the armpit If the heart muscle resets and initiates an organized rhythm this is called - ANSWER>>ROSC return of spontaneous circulation