ACLS Questions and Answers 100% Pass

ACLS Questions and Answers 100% Pass Your patient is in cardiac arrest and has been intubated. to assess CPR quality, what should you do? monitor the patients PETCO2 Which facility is the most appropriate EMS destination for a patient with sudden Cardiac Arrest who achieved return of spontaneous circulation in the field? coronary reperfusion capable Medical Center what sign is a likely indicator of cardiac arrest in an unresponsive patient? agonal gasps To properly ventilate a patient with a reproof using rhythm, how often should you squeeze the bag? once every 5 to 6 seconds in addition to clinical assessment, what is the most reliable method to confirm and monitor correct placement of an endotracheal tube? continuous waveform capnography you are caring for a patient with a suspected stroke whose symptoms have started 2 hours ago. The CT scan was normal, with no signs of hemorrhage. The patient does not have any contraindications to fibrinolytic therapy what treatment is best for this patient? start fibrinolytic therapy as soon as possible. what is the recommended range from which a temperature should be selected and maintained constantly to achieve targeted temperature management after cardiac arrest? 32 - 36 degrees Celsius what is the recommended first intravenous dose of amiodarone for a patient with refractory ventricular fibrillation? 300 mg what is the primary purpose of a medical emergency team or a rapid response team? improving patient outcomes by identifying and treating early clinical deterioration. what is the recommended next step after a defibrillation attempt? resume CPR, starting with chest compressions 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 the patient's care on arrival and reduce time to treatment? alert the hospital your Rescue Team arrives to find a 15 year old man lying on the kitchen floor you determine that he is unresponsive. What is the next step in your assessment and management of this patient? check the patient's breathing and pulse what is the time length it should take to perform a pulse check during the BLS? 5 - 10 seconds you instruct a team member to give 0.5 mg atropine IV. Which response is an example of closed-loop communication? I'll draw up 0.5 mg of atropine. what is an effect of excessive ventilation? decreased cardiac output if a team member is about to make a sick during resuscitation attempt, which best describes the action of the team leader or other team members should take? address the team member immediately for stemi patients, which is best describes the recommendation maximum goal for emergency department door to balloon inflation time for percutaneous coronary intervention? 90 minutes which is the maximum interval you should allow for an interruption in chest compressions? 10 seconds what is one way to minimize interruptions in chest compressions during CPR? continue CPR while the defibrillator charges what action taken by a team leader to avoid in efficiencies during resuscitation attempt? clearly delegate tasks how do you appropriately measure the oropharyngeal airway? measure from the corner of the mouth to the angle of the mandible you are evaluating a 53 year old man with chest discomfort is blood pressure is 92/50 mm HG, his heart rate is 92 a minute his non labored respiratory rate is 14 min and his pulse oximetry reading is 97% which what assessment step is most important now? obtaining a 12-lead EKG during post Cardiac Arrest care, what is the recommended duration of a targeted temperature management after reaching the correct temperature range? at least 24 hours 3 minutes into a cardiac arrest resuscitation attempt one member of your team inserts in endotracheal tube while another perform chest compressions ography shows a persistent waveform and PETCO2 of 8 mm HG what is the significance of his finding? chest compressions may not be effective what is the recommended oral dose of aspirin for a patient with suspected acute coronary syndrome? 160 - 325 mg a team member is unable to perform assigned tasks be cut it is beyond the team members scope of practice what action should the team member take? ask for a new Tasker role as the team leader, when do you tell the chest compressors to switch? about every 2 minutes you are performing chest compressions during an adult resuscitation attempt. What rate should you use to perform the compressions? 100 to 120 patient is being resuscitated in a very noisy environment. A team member thinks he is hurt and order for 500 mg of amiodarone IV what is the best response from the team I have an ordered to give 500 mg of amiodarone IV. Is this correct? a patient is in stable narrow complex tachycardia with a peripheral IV in place is refractory to the first dose of adenosine. What which dose should you administer next? 12mg what test should be performed for a patient with a suspected stroke within 25 minutes of Hospital arrival? non contrast CT scan of the head 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? 90 mm HG