AHA ACLS Written Test Exam Questions and Answers 2024, Exams of Pharmacology

Download AHA ACLS Written Test Exam Questions and Answers 2024 and more Exams Pharmacology in PDF only on Docsity! AHA ACLS Written Test Exam Questions and 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 answerStart chest compressions of at least 100 per min. You are evaluating a 58 year old man with chest pain. The BP is 92/50 and a heart rate of 92/min, non- labored respiratory rate is 14 breaths/min and the pulse O2 is 97%. What assessment step is most important now? correct answerObtaining a 12 lead ECG. What is the preferred method of access for epi administration during cardiac arrest in most pts? correct answerPeripheral IV An AED does not promptly analyze a rythm. What is your next step? correct answerBegin chest compressions. You have completed 2 min of CPR. The ECG monitor displays the lead below (PEA) and the pt. has no pulse. You partner resumes chest compressions and an IV is in place. What management step is your next priority? correct answerAdminister 1mg of epinepherine During a pause in CPR, you see a narrow complex rythm on the monitor. The pt. has no pulse. What is the next action? correct answerResume compressions What is acommon but sometimes fatal mistake in cardiac arrest management? correct answerProlonged interruptions in chest compressions. Which action is a componant of high-quality chest comressions? correct answerAllowing complete chest recoil Which action increases the chance of successful conversion of ventricular fibrillation? correct answerProviding quality compressions immediately before a defibrillation attempt. Which situation BEST describes PEA? correct answerSinus rythm without a pulse What is the best strategy for perfoming high-quality CPR on a pt.with an advanced airway in place? correct answerProvide continuous chest compressionswithout pauses and 10 ventilations per minute. 3 min after witnessing a cardiac arrest, one memeber of your team inserts an ET tube while another performs continuous chest comressions. During subsequent bentilation, you notice the presence of a wavefom on the capnogrophy screen and a PETCO2 of 8 mm Hg. What is the significance of this finding? correct answerChest compressions may not be effective. The use of quantitative capnography in intubated pt's does what? correct answerAllowsfor monitoring CPR quality For the past 25 min, EMS crews have attemptedresuscitation of a pt who originally presented with V-FIB. 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 answerConsider terminating resuscitive efforts after consulting medical control. Which is a safe and effective practice within the defibrillation sequence? correct answerBe sure O2 is NOT blowing over the pt's chest during 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 answerBegin chest compressions. What is an advantage of using hands-free d-fib pads instead of d-fib paddles? correct answerHands-free allows for more rapid d-fib. A 68 y/o female pt. experienced a sudden onset of right arm weakness. BP is 140/90, pulse is 78/min, resp rate is non-labored 14/min, 02 sat is 97%. Lead 2 in the ECG shows a sinus rythm. What would be your next action? correct answerCinncinati Stroke Scale You are transporting a pt. with a positive stroke assessment. BP is 138, pulse is 80/min, resp rate is 12/min, 02 sat is 95% room air. Glucose levels are normal and the ECG shows a sinus rythm. What is next. correct answerHead CT scan What is the proper ventilation rate for a pt. in cardiac arrest who has an advanced airway in place? correct answer8-10 breaths per minute A 62 y/o male pt. in the ER says his heart is beating fast. No chest pain or SOB. BP is 142/98, pulse rate is 200/min, reps rate is 14/min, O2 sats are 95 at room air. What should be the next evaluation? correct answerObtain 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 answerSyncronized cardioversion. What is the initial priority for an unconscious pt. with any tachycardia on the monitor? correct answerDetermine if a pulse is present. Which rythm requires synchronized cardioversion? correct answerUnstable SVT What is the recommended dose for adenosine for pt's in refractory, but stable narrow complex tachycardia? correct answer12mg What is the usual post-cardiac arrest target range for PETCO2 who achieves return of spontaneous circulation (ROSC)? correct answer35-40mm Hg Which conditionis a contraindication to theraputic hypothermia during the post- cardiac arrest period for pt's who achieve return of spontaneous circulation (ROSC)? correct answerResponding to verbal commands What is the potential danger to using ties that pass circumfrentially around the pt's neck when securing an advanced airway? correct answerObstruction of veneous return from the brain What is the most reliable method of confirming and montioring correct placement of an ET tube? correct answerContinuous waveform capnography What is the recommended IV fluid (NS or LR) bolus dose for a pt. who achieves ROSC but is hypotensive during the post-cardiac arrest period? correct answer1 to 2 Liters What is the minimum systolic BP one should attempt to achieve with fluid, Inotropic, or vasopressor administration in a hypotensive post-cardiac arrest who achieves ROSC? correct answer90mm Hg What is the 1st treatment priority for a pt. who achieves ROSC? correct answerOptimizing ventilation and oxygenation.