Download ALS/ACLS - Red Cross Final Exam [2021] Well Verified And Updated and more Exams Nursing in PDF only on Docsity! ALS/ACLS - Red Cross Final Exam [2021] Well Verified And Updated |Certified Solutions A+ Rated 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 or tall, pointed T waves A patient with dyspnea 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, pulse oximetry, supplemental oxygen and 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 0.5 mg every 4 to 5 minutes A patient experiencing an unstable bradyarrhythmia does not respond to atropine or transcutaneous pacing. Which intervention would the healthcare provider use next? - Answer Administration of an epinephrine infusion ALS/ACLS - Red Cross Final Exam [2021] Well Verified And Updated |Certified Solutions A+ Rated A patient's ECG reveals a tachyarrhythmia. The patient is hemodynamically stable and has a heart rate ranging from 120 to 135 beats per minute. Based on the findings of the secondary assessment, which statement(s) by the patient would the team interpret as a possible contributing cause? - Answer 1. "I've had a terrible cold with a horrible cough and fever the past week." 2. "I've been so anxious lately because I just lost my job." 3. "I've been vomiting for the past 2 days from a gastrointestinal bug." A patient's ECG reveals a narrow QRS complex with a regular rhythm, indicating a narrow-complex supraventricular tachyarrhythmia. The patient is hemodynamically stable. Which intervention would be initiated first? - Answer Vagal maneuvers A patient in the telemetry unit is stable. Cardiac monitoring indicates the patient has ventricular tachycardia with a pulse. Further assessment reveals that the corrected QT interval is greater than 0.46 seconds. Which treatment would be appropriate at this time? - Answer Synchronized cardioversion ALS/ACLS - Red Cross Final Exam [2021] Well Verified And Updated |Certified Solutions A+ Rated 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 A patient in cardiac arrest experiences return of spontaneous circulation. As part of post-cardiac arrest care, the patient is receiving mechanical ventilation. Which finding(s) would indicate the need for change in the ventilator settings to optimize the patient's ventilation and oxygenation? - Answer 1. SaO2 92% 2. PaCO2 35 mmHg 3. ETCO2 50 mmHg After cardiac arrest and successful resuscitation, the patient has a return of spontaneous circulation. The patient is unable to follow verbal ALS/ACLS - Red Cross Final Exam [2021] Well Verified And Updated |Certified Solutions A+ Rated commands and has a Glasgow Coma Scale score of 7. Targeted temperature management is initiated. Which method(s) would be appropriate for the resuscitation team to use? - Answer 1. Applying cooling blankets to the patient's body 2. Giving an ice-cold IV fluid bolus 3. Using an endovascular catheter A 40-year-old patient in the waiting room of the primary care provider's office approaches a staff member and says, "I'm having really severe, crushing chest pain that is moving to both my arms." The patient is diaphoretic and dyspneic. Which action would be appropriate for the staff member to take? - Answer Activate the emergency medical services system. A patient with suspected acute coronary syndromes (ACS) is placed on a cardiac monitor. The patient is complaining of dyspnea and is given supplemental oxygen. The provider determines that the oxygen is effective based on which SaO2 level? - Answer 95% ALS/ACLS - Red Cross Final Exam [2021] Well Verified And Updated |Certified Solutions A+ Rated 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 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 experiencing STEMI comes to the emergency department of a large medical center at 9:30 p.m. The patient states that the symptoms started about 8 p.m. After confirming the diagnosis and initiating care, the healthcare team schedules the patient for percutaneous coronary intervention (PCI). The facility is capable of administering PCI. To achieve the best outcomes, therapy should be administered to this patient by which time? - Answer 11:00 p.m. ALS/ACLS - Red Cross Final Exam [2021] Well Verified And Updated |Certified Solutions A+ Rated A patient comes to the emergency department with a suspected stroke. The patient is alert and oriented and accompanied by a family member. The family member says, "I noticed he was slurring his words and had trouble walking, like his leg was numb." After completing the primary assessment, the stroke team completes a secondary assessment. Which finding would suggest that the patient is experiencing a condition that mimics a stroke? - Answer Hypoglycemia The stroke team is assessing a patient with a suspected stroke. The patient is alert and able to carry on a conversation, although the patient has difficulty getting the words out. Testing confirms that the patient has had an ischemic stroke. Based on the patient's medical history, a history of which arrhythmia would alert the team to the patient's increased risk for stroke? - Answer Atrial fibrillation A patient with an ischemic stroke arrives at the emergency department at 2 a.m. The patient's symptoms started about 12:30 a.m. After completing the necessary assessments, the healthcare team diagnoses an ischemic stroke, and the patient is determined to be a candidate for ALS/ACLS - Red Cross Final Exam [2021] Well Verified And Updated |Certified Solutions A+ Rated fibrinolytic therapy. To achieve the best outcomes, the team should initiate therapy for this patient no later than by which time? - Answer 3:00 a.m. A patient enters the emergency department in respiratory compromise. The team is monitoring the patient using capnography and identifies that ETCO2 levels 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 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? - Answer 1. Metoprolol 2. Verapamil 3. Digoxin ALS/ACLS - Red Cross Final Exam [2021] Well Verified And Updated |Certified Solutions A+ Rated A person suddenly collapses while sitting in the sunroom of a healthcare facility. A healthcare provider observes the event and hurries over to assess the situation. The healthcare provider performs which assessment first? - Answer Rapid assessment A healthcare provider initiates ventilations to ensure adequate breathing and oxygenation. While ventilations are being performed, capnography is established to evaluate the adequacy of the ventilations. The healthcare provider determines that ventilations are adequate based on which end-tidal carbon dioxide (ETCO2) value? - Answer 35 to 45 mmHg A healthcare provider is establishing cardiac monitoring using a five- electrode system. The healthcare provider demonstrates proper use of the system by placing the green electrode in which location? - Answer On the lower right abdomen A patient experiences cardiac arrest, and the resuscitation team initiates ventilations using a bag-valve-mask (BVM) resuscitator. The ALS/ACLS - Red Cross Final Exam [2021] Well Verified And Updated |Certified Solutions A+ Rated 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 The following capnogram is from a patient experiencing respiratory distress. At which point in the waveform would the patient's ETCO2 level be measured? - Answer D 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 would deliver 1 ventilation at which interval? - Answer Every 5 to 6 seconds A patient is brought into the emergency department with a suspected opioid overdose. The patient is in cardiac arrest. Which action would be the team's priority? - Answer Initiating high-quality CPR ALS/ACLS - Red Cross Final Exam [2021] Well Verified And Updated |Certified Solutions A+ Rated A patient in the telemetry unit is receiving continuous cardiac monitoring. The patient has a history of myocardial infarction. The patient's ECG rhythm strip is shown in the following figure. The provider interprets this strip as indicating which arrhythmia? - Answer Third-degree AV block 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 The emergency department team is providing care to a patient who is experiencing ventricular tachycardia. The patient's serum electrolyte levels are a contributing cause of the patient's current condition. Which electrolyte imbalance(s) would most likely be involved? - Answer 1. Hypomagnesemia 2. Hypocalcemia