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ACLS FINAL EXAM 2024 | 3 DIFFERENT VERSIONS WITH 50 QUESTIONS AND ANSWERS EACH AND A STUDY GUIDE | ACCURATE AND VERIFIED FOR GUARANTEED PASS | LATEST UPDATE 202420,53 €
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ACLS FINAL EXAM 2024 | 3 DIFFERENT VERSIONS WITH 50 QUESTIONS AND ANSWERS EACH AND A STUDY GUIDE | ACCURATE AND VERIFIED FOR GUARANTEED PASS | LATEST UPDATE 2024
ACLS FINAL EXAM 2024 | 3 DIFFERENT VERSIONS WITH 50
QUESTIONS AND ANSWERS EACH AND A STUDY GUIDE |
ACCURATE AND VERIFIED FOR GUARANTEED PASS |
LATEST UPDATE 2024
ACLS FINAL EXAM 2024 | 3 DIFFERENT VERSIONS WITH 50 QUESTIONS AND ANSWERS EACH AND A STUDY GUIDE | ACCURATE AND VERIFIED FOR GUARANTEED PASS | LATEST UPDATE 2024 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 te am identifies that the patient is progressing in what stage of respiratory compromise? Respiratory acidosis Respiratory failure Respiratory distress Respiratory arrest 3 Capnography can objectively assess the severity of a patient's respiratory distress. Early on, the patient will often hyperventilate, leading to hypocapnia that is reflected by a low ETCO2 value (less than 35 mmHg). As respiratory distress increases, and the patient begins to tire, the ETCO2 value may return to the normal range (35 to 45 mmHg). However, if the patient progresses to respiratory failure, the ETCO2 level will increase to greater than 45 mmHg, which indicates hypoventilation. 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? Atrial f ibrillation Ventricular tachycardia Ventricular fibrillation Atrial flutter Atrial flutter A patient is experiencing respiratory distress secondary to an exacerbation of chronic obstructive pulmonary disease. The patient begins to exhibit signs and symptom s 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? Every 3 to 4 seconds Every 5 to 6 seconds Every 7 to 8 secon ds Every 8 to 9 seconds The team would deliver 1 ventilation every 5 to 6 seconds. Each ventilation should last about 1 second and make the chest begin to rise. 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? Select the correct answer to this question. Respiratory distress Respiratory arrest Respiratory acidosis Respiratory failure Respiratory distress Respiratory compromise occurs along a continuum, beginning with respiratory distress, progressing to respiratory failure and then to respiratory arrest After cardiac arrest and successful resuscitation, the patien t 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? Giving an ice -cold IV fluid bolus Applying co oling blankets to the patient's body Administering cool -mist oxygen therapy Applying a cool compress to the patient's forehead Using an endovascular catheter Giving an ice -cold IV fluid bolus Applying cooling blankets to the patient's body Using an endovas cular catheter A patient experiences cardiac arrest, and the r esuscitation 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? Select the correct answer to this question. Rib fracture Esophageal injury Pneumothorax Hypertension Pneumothorax 1 A member of the resuscitation team is preparing to administer medications intravenously to a patient in cardiac arrest. The team member follows each medicat ion administration with a bolus of fluid. How much would the team member give? Select the correct answer to this question. 5 to 10 mL 10 to 20 mL 20 to 30 mL 30 to 40 mL When administering medications during a cardiac arrest, all medications administrated through the IV or intraosseous infusion route should be followed by a 10 - to 20 -mL fluid bolus. 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 E CG would confirm this suspicion? Wide -complex ventricular rhythm and tall, peaked T waves ST-segment changes, T -wave inversion Flat T waves, prominent U waves and possibly prolonged QT intervals Narrow -complex ventricular tachycardia Wide -complex ventricul ar rhythm and tall, peaked T waves In hyperkalemia the patient's 12 -lead ECG rhythm strip will show wide -complex ventricular rhythm and tall, peaked T waves. 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 fibrinolytic therapy. To achieve the best outcomes, the team should initiate th erapy for this patient no later than by which time? Select the correct answer to this question. 3:00 a.m. 5:30 a.m. 6:00 a.m. 8:30 a.m. 1 3:00 a.m. A patient with a suspected stroke arrives at t he emergency department at 7:10 p.m. The stroke team ensures that a comprehensive neurologic assessment using the National Institutes of Health Stroke Scale (NIHSS) is completed and that brain imaging is performed by which time? 7:20 p.m. 7:30 p.m. 7:40 p. m. 7:50 p.m. 2 Within 20 minutes of the patient's arrival, a comprehensive neurologic assessment should be completed and brain imaging should be performed. That would be 7:30 p.m. for this patient. The emergency department team is providing care to a patie nt 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? Select all correct options that apply. Hyperk alemia Hypochloremia Hypernatremia Hypomagnesemia Hypocalcemia Hypomagnesemia Hypocalcemia 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. The history reveals that before the arrest, the patient exhibited jugular venous distension, cyanosis, apnea and hyperresonance on percussion. The patient was also difficult to ven tilate during the response. The team would most likely suspect which condition as the cause? Select the correct answer to this question. Tension pneumothorax Cardiac tamponade Acidosis Hypothermia Tension pneumothorax Prearrest signs of tension pneumothorax in the advanced stage include jugular venous distension, cyanosis, apnea and hyperresonance on percussion. Difficulty ventilating the patient may also be a sign of tension pneumothorax. A 40 -year-old patient in the w aiting 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? Activate the emergency medical services system.
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