AHA ALS Final Exam 2024 LATEST UPDATE|| CORRECT QUESTIONS & ANSWERS|| 100% VERIFIED|| ACTU, Exams of Nursing

Download AHA ALS Final Exam 2024 LATEST UPDATE|| CORRECT QUESTIONS & ANSWERS|| 100% VERIFIED|| ACTU and more Exams Nursing in PDF only on Docsity! AHA ALS Final Exam 2024 LATEST UPDATE|| CORRECT QUESTIONS & ANSWERS|| 100% VERIFIED|| ACTUAL VERIFIED EXAM A patient is in cardiac arrest. The underlying cause is thought to be opioid toxicity. Which statement accurately describes the use of naloxone for this patient? - ANSWER Naloxone should be administered as soon as possible but is not a priority over high- quality CPR and AED use. A patient has experienced return of spontaneous circulation (ROSC) after cardiac arrest. The healthcare team is conducting a secondary assessment to determine the possible cause of the patient's cardiac arrest. Before the arrest, the patient exhibited jugular venous distension, cyanosis, apnea and hyperresonance on percussion. The patient was also difficult to ventilate during the response. The team would most likely suspect which condition as the cause? - ANSWER Tension pneumothorax For a patient with third-degree atrioventricular (AV) block and a blood pressure of 70/48 mmHg, what interventions should be considered? SATA - ANSWER Administer atropine Initiate transcutaneous pacing Initiate dopamine infusion A 30-year-old patient has been brought to the emergency department in cardiac arrest. The cardiac monitor shows the following rhythm. Interpretation of this rhythm would suggest which of the following as a possible precipitating factor? - ANSWER Electrocution A 20-year-old man with respiratory depression is brought to the emergency department by his parents. Opioid overdose is suspected, and an initial dose of naloxone is administered at 10 p.m. The patient does not respond to this initial dose. The team would expect to administer a second dose after how many minutes? - ANSWER 2 Minutes Assessment of a patient in the emergency department reveals that the patient is experiencing respiratory compromise. From the assessment, the team identifies that the patient is in the earliest stage of this condition. Which stage would this be? - ANSWER Respiratory distress A patient is admitted to the emergency department with signs and symptoms of stroke. The stroke team should complete a comprehensive neurologic assessment and obtain brain imaging results within what time frame? - ANSWER Within 20 minutes A patient with bradycardia and signs of hemodynamic compromise does not respond to atropine. Which interventions could the healthcare provider use next? SATA - ANSWER -Epinephrine or dopamine infusion -Transcutaneous pacing What is the priority intervention for a patient with a narrow-complex tachycardia (160 bpm) and a blood pressure of 72/48 mmHg? - ANSWER Perform immediate synchronized cardioversion A patient is in cardiac arrest. The cardiac monitor shows asystole. In addition to providing continuous high-quality CPR, what is the other priorityintervention for this patient? - ANSWER Administering epinephrine as early as possible A patient's ECG reveals a narrow QRS complex with a regular rhythm, indicating a narrow-complex supraventricular tachyarrhythmia. The patient is not showing signs of hemodynamic compromise. Which intervention would be initiated first if it does not delay other interventions? - ANSWER Vagal maneuvers A patient experiences cardiac arrest, and the resuscitation team initiates ventilations using a bag-valve-mask (BVM) resuscitator. The development of which condition during the provision of care would lead the team to suspect that improper BVM technique is being used? - ANSWER Pneumothorax A responsive patient is choking. What method should the provider use first to clear the obstructed airway? - ANSWER Back blows An ECG strip of a patient in the emergency department reveals the following rhythm. Which feature would the healthcare provider interpret as indicating atrial fibrillation? - ANSWER Absence of discrete P waves and presence of irregularly irregular QRS complexes A patient is experiencing respiratory distress secondary to an exacerbation of chronic obstructive pulmonary disease. The patient begins to exhibit signs and symptoms of worsening respiratory function and experiences respiratory arrest. The team intervenes, delivering ventilations via BVM resuscitator. The team should provide ventilations at a rate of 1 ventilation: - ANSWER Every 6 seconds After cardiac arrest and successful resuscitation, the patient has a return of spontaneous circulation. The patient is unable to follow verbal commands. Targeted temperature management is initiated. Which method(s) would be appropriate for the resuscitation team to use? SATA - ANSWER - Applying cooling blankets to the patient's body - Giving an ice-cold IV fluid bolus - Using an endovascular catheter achieve the best outcomes, this therapy should be initiated within what time frame? - ANSWER Within 1 hour of the patient's arrival A 28-year-old pregnant patient who resides in transitional housing presents to the emergency department with complaints of feeling feverish and very faint. The patient tells the emergency nurse that she does not know when she became pregnant. Upon palpation, the fundus is not at or above the umbilicus. The patient's condition quickly deteriorates and she goes into cardiac arrest. If available and able to be used without impeding or delaying the resuscitation effort, what diagnostic tool could be used to guide decision-making in the care of this patient? - ANSWER Point-of-care ultrasound The ECG rhythm strip of a patient who arrived in the emergency department complaining of dizziness, syncope and shortness of breath reveals sinus bradycardia. When reviewing the patient's medication history, the healthcare provider identifies which agent(s) as a potential cause of the patient's current condition? SATA - ANSWER - Verapamil - Metoprolol - Digoxin A patient is brought into the emergency department. The patient does not have a pulse. The cardiac monitor shows the following rhythm. The team interprets this as which condition? - ANSWER Ventricular tachycardia A patient with STEMI is experiencing chest pain that is refractory to sublingual nitroglycerin. Intravenous nitroglycerin is prescribed. When administering this medication, it would be titrated to maintain which systolic blood pressure? - ANSWER 90 mmHg A patient enters the emergency department in respiratory compromise. The team is monitoring the patient using capnography and identifies that ETCO2levels are initially 33 mmHg and later 40 mmHg. From these readings, the team identifies that the patient is progressing in what stage of respiratory compromise? - ANSWER Respiratory distress A patient is receiving ventilation support via bag-valve-mask (BVM) resuscitator. Capnography is established and a blood gas is obtained to evaluate the adequacy of the ventilations. Which arterial carbon dioxide (PaCO2) value signifies adequate ventilations? - ANSWER 35 to 45 mmHg What is the correct technique for performing left uterine displacement (LUD) for a pregnant patient in cardiac arrest whose fundus is at or above the umbilicus? - ANSWER Position yourself on the patient's left side. Reach across the patient, place both hands on the right side of the uterus and pull the uterus to the left and up. Cardiac monitoring of a patient in cardiac arrest reveals ventricular fibrillation. In addition to high-quality CPR, what intervention should be a priority for the team? - ANSWER The resuscitation team suspects that hyperkalemia is the cause of cardiac arrest in a patient brought to the emergency department. Which finding on a 12-lead ECG would confirm this suspicion? - ANSWER Wide-complex ventricular rhythm and tall, peaked T waves Which statements accurately reflect the recommendations for post-cardiac arrest neuroprognostication? SATA - ANSWER - Post-cardiac arrest neuroprognostication should be multimodal - Decision-making related to the continuation or withdrawal of life-sustaining treatments should be delayed until 72 hours after return of spontaneous circulation (ROSC) and following return to normothermia. A 35-year-old female patient's ECG is consistent with STEMI. The ECG reveals a new ST-segment elevation at the J point in leads V2 and V3 of at least which size? - ANSWER 0.15 mV A patient with suspected acute coronary syndromes (ACS) has a pulse oximetry reading of 86% and is given supplemental oxygen. The provider determines that the supplemental oxygen dose is correct based on which SaO2level? - ANSWER 93% A patient comes to the emergency department complaining of palpitations and "some shortness of breath." Cardiac monitoring is initiated and reveals the following ECG rhythm strip. The provider interprets this strip as indicating which arrhythmia? - ANSWER Atrial flutter A patient with dyspnea, inadequate blood pressure and a change in mental status arrives at the emergency department. The healthcare team completes the necessary assessments and begins to care for the patient, including initiating cardiac monitoring and pulse oximetry; providing supplemental oxygen and ensuring adequate ventilation; and obtaining vascular access. The team reviews the patient's ECG rhythm strip, as shown in the following figure. Which agent would the team most likely administer? - ANSWER Atropine 1 mg every 3 to 5 minutes Cardiac monitoring reveals a tachyarrhythmia. The patient is hemodynamically stable and has a regular heart rate ranging from 120 to 135 beats per minute. Which statements by the patient could the team interpret as contributing to the tachyarrhythmia? SATA - ANSWER - "I've been so anxious lately because I just lost my job." - "I've had a terrible cold with a horrible cough for the past week and today I developed a fever." -"I've been vomiting for the past 2 days from a gastrointestinal bug." A patient is being treated in the emergency department and is determined to have NSTE-ACS. Invasive management is planned based on which finding? - ANSWER Ventricular tachycardia Defibrillation.