ACLS Actions Quiz

What is a common but sometimes fatal mistake in cardiac arrest management?

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?

What is the preferred method of access for epinephrine administration during cardiac arrest in most patients?

An activated AED does not promptly analyze the rhythm. What is your next action?

3 mins after witnessing a cardiac arrest, 1 member inserts an ET tube while another performs chest compress. During subsequent ventilation, you notice the presence of a waveform on the capnography screen and a PETCO2 level of 8 mm Hg. What does this mean?

The use of quantitative capnography in intubated patients

For 25 minutes, an EMS crew has attempted resuscitation of a pt who presented in V Fib. 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 next?

Which is a safe and effective practice within the defibrillation sequence?

D. Commandingly announce "clear" after you deliver the defibrillation shock. What is the primary purpose of a medical emergency team (MET) or rapid response team (RRT)?

Choose an appropriate indication to stop or withhold resuscitative efforts.

What is the first treatment priority for a patient who achieves ROSC?

What is the minimum systolic blood pressure one should attempt to achieve with fluid, inotropic, or vasopressor administration in a hypotensive post-cardiac arrest patient who achieves ROSC?

What is the potential danger of using ties that pass circumferentially around the patient's neck when securing an advanced airway?

What is the most reliable method of confirming and monitoring correct placement of an endotracheal tube?

What is the recommended IV fluid (normal saline or Ringer's lactate) bolus dose for a patient who achieves ROSC but is hypotensive during the post-cardiac arrest period?

Which condition is a contraindication to therapeutic hypothermia during the post arrest cardiac period for patients who achieve return of post arrest spontaneous circulation (ROSC)?

Choose an appropriate indication to stop or withhold resuscitative efforts.

What is the usual poet-cardiac target range for PETCO2 when ventilating a patient who achieves return of post arrest spontaneous circulation (ROSC)?

you find a patient who is not breathing. You activate the EMS and you determine there is no pulse. What is your next action?

You are evaluating a 58 year old man with chest pain. The BP is 92/50 and HR is 92/mi, nonlabored respiratory rate is 14 breaths/min and the pulse ox reading is 97%. What is the assessment step is most important now?

What is the preferred method of access for epi administration during cardiac arrest in most patients?

An activated AED does not promptly analyze the rhythm. what is the next action

completed 2 minutes CPR. the ECG monitor displays PEA and the patient has no pulse. Member of the team resumes chest compressions, IV placed. What is the management step is the next priority?

during pause in cpr your monitor shows Normal sinus rhythm with no pulse. What is the next action

common mistake in cardiac arrest management?

which action is a component in high quality chest compressions

whisch action increases the chance for successful conversion of V FIB?

which situation best describes PEA

What is the best stratigy for preforming High quality CPR on a PT with advanced airway?

3 min after witnessed cardiac arrest, 1 member inserts ET TUBE another preforms continious chest compressions during ventilation you notice the presence of waveform on capnography and a PETCO2 level of 8 mm/HG. what is the significance of this finding ?

Use of quantitative capnography in intubated pt's does what?

past 25 minutes EMS crew has attempted resesitation of VFIB after 1st shock the ECG shows Asystole, which has persisted despite 2 doses of epi and fluid bolus and High quality CPR. What is next treatment

Which is a safe and effective practice within the defib sequence

during the assessment pt loses consciousness after calling for help and determining the the patient isnt breathing you are unsure if the pt has a pulse, what is next action?

what is advantage of hands free defib pads instead of paddles?

what action is recommended to help minimize chest compressions during CPR

which action is included in bls survey

which drug and dose is recommended for the management of refractory v fib.

what is the appropriate interval for an interuption in chest compressions?

what is a sign of effective CPR?

the primary purpose of a medical emergency team or rapid response team?

what action improves the quality of chest compressions delivered during a resuscitation attempt?

what is appropriate ventilation strategy for an adult in respiratory arrest with a pulse rate of 80 p/min?

pt presents with new onset of dizzines and fatigue. on exam pt HR 35 b/p 70/50 breaths p/min 22 O2 sats 95%. what is appropriate first med.?

what is the appropriate dose of dopamine for a pt with bradycardia when the initial dose of atropine was ineffective?

sudden on set dizziness with HR 180 b/p 110/70, R 18, O2 98% room air, lead II ecg sinus tachy. what is the next appropriate intervention?

an ICU pt developed sudden onset of narrow-complex tachycardia at a rate of 220/min. b/p 128/58, PETCO2 38, O2 98%. IV in left IJ and pt has not been given any vassoactive drugs. a 12 lead ECG confirms a supraventricular tachycardia w/ no evidence of ischemia or infarction. HR not responded to vagal maneuvers. what is the next recommended intervention ?

receiving a radio report from ems team enroute, pt may be having acute stroke, the hospital CT scan not working, what should you do in this situation

what is an appropriate indication to stop or withhold resuscitative efforts?

49 y/o women ER w/ persistent epigastric pain, she had been taking oral antacids for past 6hrs for self diagnosed heart burn. incial b/p 118/72, P 92 reg. non-labored R 14, Os 96%. what is the most appropriate intervention to perform next?

pt in respiratory failure becomes apnic but continues have strong pulse Hr dropping rapidly now showing sinus brady at rate of 30 /min. what intervention has highest priority?

what is appropriate proceedure for ET suction after the appropriate cath is selected?

treating a pt with dizziness, b/p 68/30 with cool clammy skin. lead II shows second degree AV block type II (looks like a shark)? what is the most appropriate first intervention?

a 68 y/0 woman experienced a sudden onset of right arm weakness. b/p 140/90 Hr 78, R 14, O2% 97. lead II ECG: normal sinus rythum. what is the next appropriate action?

EMS is transporting a pt with pos prehospital stroke assessment. upon arrival of the ER, the initial b/p 138/78, P 80, R 12, O2% 95, lead II ECG: sinus rythum, blood glucose in normal limits. what intervention you perform next?

proper vent rate for a pt in cardiac arrest with advanced airway placed?

62 y.o male in ER states hear "beating fast" denies angina or SOB, b/p 142/98, P 200, R 14, O2% 95? what intervention perform next?

you evaluate a 48 man with crushing chest pains. is a semi-truck driver pale, diaphoretic, cool to touch, slow to respond to questions, b/p 58/32, H 190, R 18, O2% unable to obtain due to no pulse, lead II ECG displays regular wide complex tachycardia. what intervention should you perform next?

what is the initial priority for unconscious patient with any tachycardia on the monitor?

which rhythm synchronized cardioversion?

what is the recommended second dose of adenosine for patients in refractory but stable narrow complex tachycardia ?

what is the usual post cardiac arrest target range for PETCO2 when ventilating a patient who achieves return of spontaneous circulation? (ROSC)

Which condition is a contraindication to therapeutic hypothermia during the post cardiac arrest. For patients who achieve return of spontaneous circulation?

What is the potential danger of using ties that pass circumferential around the patients neck when securing a patients airway?

What is the most reliable method of confirming and monitoring correct placement of ET Tube?

what is the recommended IV fluid NS or LR bolus dose for a patient who achieve ROSC but is hypotensive during the post cardiac arrest period?

what is the minimum systolic BP one should attempt to achieve with fliud, intropic , or vasopressor administration i n a hypotensive post cardiac arrest patient who achieves ROSC.

what is the 1st treatment priority in a patient who achieves ROSC ?

What are the H'S

What are the T'S

amioderonenncardiac arrest

epinepherine nncardiac arrest

vasopressin nncardiac arrest

epinepherine IV nnpost cardiac arrest

dopamine nnpost cardiac arrest

norepinepherine nnnpost cardiac

Brady with pulse Atropine?

Brady with pulse Dopamine

Brady with pulse Epi?

Tachy with Pulse Adenosine ?

tachy with pulse Amioderone