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American Red Cross-ACLS-Final Questions with Answers, Exams of Cardiology

American Red Cross-ACLS-Final Questions with Answers

Typology: Exams

2024/2025

Available from 09/09/2024

hesigrader002
hesigrader002 🇺🇸

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Download American Red Cross-ACLS-Final Questions with Answers and more Exams Cardiology in PDF only on Docsity! 1 / 13 American Red Cross-ACLS-Final Questions with Answers 1.A patient is in cardiac arrest. The cardiac monitor shows asystole. In ad- dition to providing continuous high-quality CPR, what is the other priority intervention for this patient?: Administering epinephrine as early as possible 2.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?: Tension Pneumothorax 3.A patient with suspected stroke arrives at the emergency department. The patient is diagnosed with acute ischemic stroke and is a candidate for fibri- nolytic therapy. To achieve the best outcomes, this therapy should be initiated within what time frame?: Within 1 hour of patient's arrival. 4.A patient in the telemetry unit is receiving continuous cardiac 2 / 13 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?: Third-degree AV block 5.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?: Point-of-care ultrasound 6.Cardiac monitoring indicates that a patient has a ventricular tachyarrhyth- mia. The patient has a pulse and is not showing any signs of hemodynamic compromise. A 12-lead ECG reveals an irregular rhythm with QRS complexes greater than 0.12 second in duration. Which action would be appropriate at this time?: Consider an antiarrhythmic medication 7.A responsive patient is choking. What method should the provider use first to clear the obstructed airway?: Back blows 8.What is the priority intervention for a patient with a narrow-complex 5 / 13 disease. Assessment reveals respiratory failure. Which action would be the initial priority to address the respiratory failure?: Assisted ventilation with BVM resuscitator 18.The ECG rhythm strip of a patient who arrived in the emergency depart- ment 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?: -Verapamil -Digoxin -Metoprolol 19.A patient with acute renal failure experiences cardiac arrest. Just before the cardiac arrest, the patient's ECG showed peaked T waves. What might be causing the patient's cardiac arrest?: Hyperkalemia 20.A patient is experiencing respiratory distress secondary to an exacerba- tion of chronic obstructive pulmonary disease. The patient begins to exhibit signs and symptoms of worsening respiratory function and experiences res- piratory arrest. The team intervenes, delivering ventilations via BVM resusci- tator. The team should provide ventilations at a rate of 1 6 / 13 ventilation:: Every 6 seconds 21.A patient is being treated in the emergency department and is determined to have NSTE-ACS. Invasive management is planned based on which finding?- : Ventricular tachycardia 22.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?: Vagal maneuvers 23.A resuscitation team is debriefing following a recent event. A patient ex- perienced cardiac arrest, and advanced life support was initiated. The patient required the placement of an advanced airway to maintain airway patency. Which statement indicates that the team performed high-quality CPR?: "We provided chest compressions at a rate of 100 to 120 compressions per minute while giving 1 ventilation every 6 seconds without pausing compressions." 24.A patient experiences cardiac arrest, and the resuscitation team initiates ventilations using a bag-valve-mask (BVM) resuscitator. The development 7 / 13 of which condition during the provision of care would lead the team to suspect that improper BVM technique is being used?: Pneumothorax 25.An ECG strip of a patient in the emergency department reveals the follow- ing rhythm. Which feature would the healthcare provider interpret as indicat- ing atrial fibrillation?: Absence of discrete P waves and presence of irregularly irregular QRS complexes 26.Which statements accurately reflect the recommendations for post- car- diac arrest neuroprognostication?: -Post-cardiac arrest neuroprognostication should be multimodal. -Decision-making related to the continuation or withdrawal of life- sustaining treat- ments should be delayed until 72 hours after return of spontaneous circulation (ROSC) and following return to normothermia. 27.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?: Wide-complex ventricular rhythm and tall, peaked T waves 28.A 30-year-old patient has been brought to the emergency department in cardiac arrest. The cardiac monitor shows the following rhythm. 10 / 13 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?: 2 minutes 37.A patient is receiving ventilation support via bag-valve-mask (BVM) resus- citator. 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?: 35 to 45 mmHg 38.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?: Ventricular tachycardia 39. A member of the resuscitation team is preparing to administer medications intravenously to a patient in cardiac arrest. The team member should follow each peripherally administered drug dose with a normal saline flush. How much would the team member give?: 10 to 20 mL 40.A 42-year-old woman presents to the emergency department with com- plaints of fatigue, shortness of breath, back pain and nausea. A 12-lead ECG is obtained and shows ST-segment depression in leads II, III, and aVF and inter- mittent runs of nonsustained ventricular tachycardia. Cardiac serum markers are elevated. These findings suggest which condition?: High-risk 11 / 13 non-ST-seg- ment elevation ACS (NSTE-ACS) 41.A patient with STEMI is experiencing chest pain that is refractory to sub- lingual nitroglycerin. Intravenous nitroglycerin is prescribed. When adminis- tering this medication, it would be titrated to maintain which systolic blood pressure?: 90 mmHg 42.A patient in cardiac arrest experiences return of spontaneous circulation. As part of post-cardiac arrest care, the patient is receiving mechanical ventila- tion at an initial rate of 10 breaths/min and a fraction of inspired oxygen (FiO2) of 0.30. Which finding(s) would indicate the need for change in the ventilator settings to optimize the patient's ventilation and oxygenation?: -SaO2 90% -PaCO2 48 mmHg -ETCO2 55 mmHg 43.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?: Respiratory distress 44.A patient with dyspnea, inadequate blood pressure and a change in 12 / 13 mental status arrives at the emergency department. The healthcare team completes the necessary assessments and begins to care for the patient, including initi- ating 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?: Atropine 1 mg every 3 to 5 minutes 45. Assessment of a patient reveals an ETCO2 level of 55 mmHg and an arterial oxygen saturation (SaO2) level of 88%. The provider would interpret these findings as indicative of which condition?: Respiratory failure 46.Which statement accurately reflects the management of cardiac arrest in a pregnancy of 26 weeks' gestation?: Resuscitative cesarean delivery (RCD) should be performed within 5 minutes from the time of arrest. 47.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?: Respiratory distress 48.A person suddenly collapses while sitting in the sunroom of a healthcare facility. A healthcare provider observes the event and hurries