Biology: ACLS test

25 July 2022
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question
Your patient is in cardiac arrest and has been intubated. To assess CPR quality, which should you do?
answer
Monitor the patient's PETCO 2
question
Which facility is the most appropriate EMS destination for a patient with sudden cardiac arrest who achieved return of spontaneous circulation in the field?
answer
Coronary reperfusion-capable medical center
question
Which of the following signs is a likely indicator of cardiac arrest in an unresponsive patient?
answer
Agonal gasps
question
To properly ventilate a patient with a perfusing rhythm, how often do you squeeze the bag?
answer
Once every 5 to 6 seconds
question
In addition to clinical assessment, which is the most reliable method to confirm and monitor correct placement of an endotracheal tube?
answer
Continuous waveform capnography
question
You are caring for a patient with a suspected stroke whose symptoms started 2 hours ago. The CT scan was normal, with no signs of hemorrhage. The patient does not have any contraindications to fibrinolytic therapy. Which treatment approach is best for this patient?
answer
Start fibrinolytic therapy as soon as possible
question
What is the recommended range from which a temperature should be selected and maintained constantly to achieve targeted temperature management after cardiac arrest?
answer
32ยฐC to 36ยฐC
question
Which is the recommended first intravenous dose of amiodarone for a patient with refractory ventricular fibrillation?
answer
300 mg
question
Which is the primary purpose of a medical emergency team or rapid response team?
answer
Improving patient outcomes by identifying and treating early clinical deterioration
question
Which is the recommended next step after a defibrillation attempt?
answer
Resume CPR, starting with chest compressions
question
EMS providers are treating a patient with suspected stroke. According to the Adult Suspected Stroke Algorithm, which critical action performed by the EMS team will expedite this patient's care on arrival and reduce the time to treatment?
answer
Alert the hospital
question
Your rescue team arrives to find a 59-year-old man lying on the kitchen floor. You determine that he is unresponsive. Which is the next step in your assessment and management of this patient?
answer
Check the patient's breathing and pulse
question
Which best describes the length of time it should take to perform a pulse check during the BLS Assessment?
answer
5 to 10 seconds
question
You instruct a team member to give 0.5 mg atropine IV. Which response is an example of closed-loop communication?
answer
"I'll draw up 0.5 mg of atropine."
question
What is an effect of excessive ventilation?
answer
Decreased cardiac output
question
If a team member is about to make a mistake during a resuscitation attempt, which best describes the action that the team leader or other team members should take?
answer
Address the team member immediately
question
For STEMI patients, which best describes the recommended maximum goal time for emergency department door-to-balloon inflation time for percutaneous coronary intervention?
answer
90 minutes
question
Which is the maximum interval you should allow for an interruption in chest compressions?
answer
10 seconds
question
Which is one way to minimize interruptions in chest compressions during CPR?
answer
Continue CPR while the defibrillator charges
question
Which best describes an action taken by the team leader to avoid inefficiencies during a resuscitation attempt?
answer
Clearly delegate tasks
question
Which is an acceptable method of selecting an appropriately sized oropharyngeal airway?
answer
Measure from the corner of the mouth to the angle of the mandible
question
You are evaluating a 58-year-old man with chest discomfort. His blood pressure is 92/50 mm Hg, his heart rate is 92/min, his nonlabored respiratory rate is 14 breaths/min, and his pulse oximetry reading is 97%. Which assessment step is most important now?
answer
Obtaining a 12-lead ECG
question
During post-cardiac arrest care, which is the recommended duration of targeted temperature management after reaching the correct temperature range?
answer
At least 24 hours
question
Three minutes into a cardiac arrest resuscitation attempt, one member of your team inserts an endotracheal tube while another performs chest compressions. Capnography shows a persistent waveform and a PETCO2 of 8 mm Hg. Which is the significance of this finding?
answer
Chest compressions may not be effective
question
Which is the recommended oral dose of aspirin for a patient with a suspected acute coronary syndrome?
answer
160 to 325 mg
question
A team member is unable to perform an assigned task because it is beyond the team member's scope of practice. Which action should the team member take?
answer
Ask for a new task or role
question
As the team leader, when do you tell the chest compressors to switch?
answer
About every 2 minutes
question
You are performing chest compressions during an adult resuscitation attempt. Which rate should you use to perform the compressions?
answer
C. 100 to 120/min
question
A patient is being resuscitated in a very noisy environment. A team member thinks he heard an order for 500 mg of amiodarone IV. Which is the best response from the team member?
answer
"I have an order to give 500 mg of amiodarone IV. Is this correct?"
question
A patient in stable narrow-complex tachycardia with a peripheral IV in place is refractory to the first dose of adenosine. Which dose would you administer next?
answer
12mg
question
Which of these tests should be performed for a patient with suspected stroke within 25 minutes of hospital arrival?
answer
Noncontrast CT scan of the head
question
What is the minimum systolic blood pressure one should attempt to achieve with fluid administration or vasoactive agents in a hypotensive post-cardiac arrest patient who achieves return of spontaneous circulation?
answer
90mmHg
question
(Six part question 1 of 6) A 45-year-old man had coronary artery stents placed 2 days ago. Today, he is in severe distress and is reporting "crushing" chest discomfort. He is pale, diaphoretic, and cool to the touch. His radial pulse is very weak, blood pressure is 64/40 mm Hg, respiratory rate is 28 breaths/min, and oxygen saturation is 89% on room air. When applied, the cardiac monitor initially showed ventricular tachycardia, which then quickly changed to ventricular fibrillation. 1.Based on this patient's initial presentation, which condition do you suspect led to the cardiac arrest?
answer
Acute coronary syndrome
question
(Six part question 2 of 6) A 45-year-old man had coronary artery stents placed 2 days ago. Today, he is in severe distress and is reporting "crushing" chest discomfort. He is pale, diaphoretic, and cool to the touch. His radial pulse is very weak, blood pressure is 64/40 mm Hg, respiratory rate is 28 breaths/min, and oxygen saturation is 89% on room air. When applied, the cardiac monitor initially showed ventricular tachycardia, which then quickly changed to ventricular fibrillation. 2.In addition to defibrillation, which intervention should be performed immediately?
answer
Chest compressions
question
(Six part question 3 of 6) A 45-year-old man had coronary artery stents placed 2 days ago. Today, he is in severe distress and is reporting "crushing" chest discomfort. He is pale, diaphoretic, and cool to the touch. His radial pulse is very weak, blood pressure is 64/40 mm Hg, respiratory rate is 28 breaths/min, and oxygen saturation is 89% on room air. When applied, the cardiac monitor initially showed ventricular tachycardia, which then quickly changed to ventricular fibrillation. 3.Despite 2 defibrillation attempts, the patient remains in ventricular fibrillation. Which drug and dose should you administer first to this patient?
answer
Epinephrine 1 mg
question
(Six part question 4 of 6) A 45-year-old man had coronary artery stents placed 2 days ago. Today, he is in severe distress and is reporting "crushing" chest discomfort. He is pale, diaphoretic, and cool to the touch. His radial pulse is very weak, blood pressure is 64/40 mm Hg, respiratory rate is 28 breaths/min, and oxygen saturation is 89% on room air. When applied, the cardiac monitor initially showed ventricular tachycardia, which then quickly changed to ventricular fibrillation. 4.Despite the drug provided above and continued CPR, the patient remains in ventricular fibrillation. Which other drug should be administered next?
answer
Amiodarone 300 mg
question
(Six part question 5 of 6) A 45-year-old man had coronary artery stents placed 2 days ago. Today, he is in severe distress and is reporting "crushing" chest discomfort. He is pale, diaphoretic, and cool to the touch. His radial pulse is very weak, blood pressure is 64/40 mm Hg, respiratory rate is 28 breaths/min, and oxygen saturation is 89% on room air. When applied, the cardiac monitor initially showed ventricular tachycardia, which then quickly changed to ventricular fibrillation. 5.The patient has return of spontaneous circulation and is not able to follow commands. Which immediate post-cardiac arrest care intervention do you choose for this patient?
answer
Initiate targeted temperature management
question
(Six part question 6 of 6) A 45-year-old man had coronary artery stents placed 2 days ago. Today, he is in severe distress and is reporting "crushing" chest discomfort. He is pale, diaphoretic, and cool to the touch. His radial pulse is very weak, blood pressure is 64/40 mm Hg, respiratory rate is 28 breaths/min, and oxygen saturation is 89% on room air. When applied, the cardiac monitor initially showed ventricular tachycardia, which then quickly changed to ventricular fibrillation. 6.Which would you have done first if the patient had not gone into ventricular fibrillation?
answer
Performed synchronized cardioversion
question
(4 part question 1 of 4) A 68-year-old woman presents with light-headedness, nausea, and chest discomfort. Your assessment finds her awake and responsive but ill-appearing, pale, and grossly diaphoretic. Her radial pulse is weak, thready, and fast. You are unable to obtain a blood pressure. She has no obvious dependent edema, and her neck veins are flat. Her lung sounds are equal, with moderate rales present bilaterally. The cardiac monitor shows the rhythm seen here. Photo shows ECG rhythm strip with ventricular tachycardia 1.Based on this patient's initial assessment, which adult ACLS algorithm should you follow?
answer
Tachycardia
question
(4 part question 2 of 4) A 68-year-old woman presents with light-headedness, nausea, and chest discomfort. Your assessment finds her awake and responsive but ill-appearing, pale, and grossly diaphoretic. Her radial pulse is weak, thready, and fast. You are unable to obtain a blood pressure. She has no obvious dependent edema, and her neck veins are flat. Her lung sounds are equal, with moderate rales present bilaterally. The cardiac monitor shows the rhythm seen here. 2.The patient's pulse oximeter shows a reading of 84% on room air. Which initial action do you take?
answer
Apply oxygen
question
(4 part question 3 of 4) A 68-year-old woman presents with light-headedness, nausea, and chest discomfort. Your assessment finds her awake and responsive but ill-appearing, pale, and grossly diaphoretic. Her radial pulse is weak, thready, and fast. You are unable to obtain a blood pressure. She has no obvious dependent edema, and her neck veins are flat. Her lung sounds are equal, with moderate rales present bilaterally. The cardiac monitor shows the rhythm seen here. 3.After your initial assessment of this patient, which intervention should be performed next?
answer
Synchronized cardioversion
question
(4 part question 4 of 4) A 68-year-old woman presents with light-headedness, nausea, and chest discomfort. Your assessment finds her awake and responsive but ill-appearing, pale, and grossly diaphoretic. Her radial pulse is weak, thready, and fast. You are unable to obtain a blood pressure. She has no obvious dependent edema, and her neck veins are flat. Her lung sounds are equal, with moderate rales present bilaterally. The cardiac monitor shows the rhythm seen here. 4.If the patient became apneic and pulseless but the rhythm remained the same, which would take the highest priority?
answer
Perform defibrillation
question
A patient in respiratory distress and with a blood pressure of 70/50 mm Hg presents with the lead II ECG rhythm shown here. Which is the appropriate treatment? ECG shows unstable supraventricular tachycardia
answer
Performing synchronized cardioversion
question
A patient has a witnessed loss of consciousness. The lead II ECG reveals this rhythm. Which is the appropriate treatment? ECG shows V-tach
answer
Defibrillation
question
You have completed 2 minutes of CPR. The ECG monitor displays the lead II rhythm shown here, and the patient has no pulse. Another member of your team resumes chest compressions, and an IV is in place. Which do you do next? ECG shows Pulseless Electrical Activity
answer
Give epinephrine 1 mg IV