Exam (elaborations)
ACLS COMPLETE 2021 QUESTIONS & ANSWERS(A+ GRADED VERIFIED 100%)LATEST UPDATED 2023
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ACLS COMPLETE 2021 QUESTIONS & ANSWERS(A+ GRADED VERIFIED 100%)LATEST UPDATED 2023
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ACLSCOMPLETE
2021
BEST
PLAYLIST
I'VE
FOUND
FOR
ALL
HEART.ORG
ACLS
CODES!
-
ANSWER
https://www.youtube.com/watch?v=qQTpqjvvduI&list=PLy60DSDPg9urf_l5ss1FLakrRQDKOkTZ
j
This
is
a
good
starting
point
for
Jose
(big
Megacode
at
end):
https://www.youtube.com/watch?v=8OB7OreUjy0
.
Use
the
feedback
after
failing
to
get
closer
and
closer
to
passing!
In
which
situation
does
bradycardia
require
treatment?
-
ANSWER
Hypotension
Which
intervention
is
most
appropriate
for
the
treatment
of
a
patient
in
asystole?
-
ANSWER
Epinephrine
You
arrive
on
the
scene
with
the
code
team.
High-quality
CPR
is
in
progress.
An
AED
has
previousy
advised
"no
shock
indicated."
A
rhythm
check
now
finds
asystole.
After
resuming
high-quality
compressions,
which
action
do
you
take
next?
-
ANSWER
Establish
IV
or
IO
access
A
monitored
patient
in
the
ICU
developed
a
sudden
onset
of
narrow-complex
tachycardia
at
a
rate
of
220/min.
The
patient's
blood
pressure
is
128/58
mm
Hg,
the
PETCO2
is
38mm
Hg,
and
the
pulse
oximetry
reading
is
98%.
There
is
vascular
access
in
the
left
arm,
and
the
patient
has
not
been
given
any
vasoactive
drugs.
A
12-lead
ECG
confirm
a
supraventricular
tachycardia
with
no
evidence
of
ischemia
or
infarction.
The
heart
rate
has
not
responded
to
vagal
maneuvers.
what
is
your
next
action?
-
ANSWER
Administer
adenosine
6mg
IV
push
A
patient
has
sinus
bradycardia
with
a
heart
rate
of
36/min.
Atropine
has
been
administered
to
a
toal
does
of
3
mg.
A
transcutaneous
pacemaker
has
failed
to
capture.
The
patient
is
confused,
and
her
blood
pressure
is
88/56
mm
Hg.
Which
therapy
is
now
indicated?
-
ANSWER
Epinephrine
2
to
10
mcg/min
A
patient
is
in
cardiac
arrest.
Ventricular
fibrillation
has
been
refractory
to
a
second
shock.
Which
drug
should
be
administered
first?
-
ANSWER
Epinephrine
1
mg
IV/IO
A
62-year-old
man
suddenly
experienced
difficulty
speaking
and
left-sided
weakness.
He
meets
initial
criteria
for
fibrinolytic
therapy,
and
a
CT
scan
of
the
brain
si
ordered.
Which
best
describes
the
guidelines
for
antiplatelet
and
fibrinolytic
therapy?
-
ANSWER
Hold
aspirin
for
at
least
24
hours
if
rtPA
is
administered
A
patient
is
in
refractory
ventricular
fibrillation
and
has
received
multiple
appropriate
defribillation
shocks,
epinephrine
1
mg
IV
twice,
and
an
initial
dose
of
amiodarone
300mg
IV.
The
patient
is
intubated.
Which
best
describe
the
recommended
second
does
of
amiodarone
for
this
patient?
-
ANSWER
150
mg
IV
push A
patient
with
sinus
bradycardia
and
a
heart
rate
of
42/min
has
diaphoresis
and
a
blood
pressure
of
80/60mm
Hg.
What
is
the
initial
does
of
atropine?
-
ANSWER
0.5mg
A
35-year-old
woman
has
palpitations,
light-headedness,
and
a
stable
tachycardia.
The
monitor
shows
a
regular
narrow-complex
QRS
at
a
rate
of
180/min.
Vagal
maneuvers
have
not
been
effective
in
terminating
the
rhythm.
An
IV
has
been
established.
Which
drug
should
be
administered?
-
ANSWER
Adenosine
6mg
A
patient
is
in
cardiac
arrest.
Ventricular
fibrillation
has
been
refractory
to
an
initial
shock.
If
no
pathway
for
medication
administration
is
in
place,
which
method
is
preferred?
-
ANSWER
IV
or
IO
What
is
the
indication
for
the
use
of
magnesium
in
cardiac
arrest?
-
ANSWER
Pulseless
ventricular
tachycardia-associated
torsades
de
pointes
A
patient
has
a
rapid
irregular
wide-complex
tachycardia.
The
ventricular
rate
is
138/min.
He
is
asymptomatic,
with
a
blood
pressure
of
110/70
mm
Hg.
He
has
a
history
of
angina.
What
action
is
recommended
next?
-
ANSWER
Seeking
expert
consultation
A
patient
is
in
cardiac
arrest.
High-quality
chest
compressions
are
being
given.
The
patient
is
intubated,
and
an
IV
has
been
started.
The
rhythm
is
asystole.
What
is
the
first
drug/dose
to
administer?
-
ANSWER
Epinephrine
1mg
IV/IO
A
patient
is
in
refractory
ventricular
fibrillation.
High-quality
CPR
is
in
progress.
One
does
of
epinephrine
was
given
after
the
second
shock.
An
antiarrhythmic
drug
was
given
immediately
after
the
third
shock.
You
are
the
team
leader.
Which
medication
do
you
order
next.
-
ANSWER
Epinephrine
1
mg
A
patient
with
possible
STEMI
has
ongoing
chest
discomfort.
What
is
a
contraindication
to
nitrate
administration?
-
ANSWER
Use
of
a
phosphodiestrase
inhibitor
within
the
previous
24
hours
A
57-year-old
woman
has
palpitation,
chest
discomfort,
and
tachycardia.
The
monitor
shows
a
regular
wide-QRS
at
a
rate
of
180/min.
She
becomes
diaphoretic,
and
her
blood
pressure
is
80/60
mm
HG/
Which
action
do
you
take
next?
-
ANSWER
Perform
electrical
cordioversion
A
patient
with
STEMI
has
ongoing
chest
discomfort.
Heparin
4000
units
IV
bolus
and
a
heparin
infusion
of
1000
units
per
hour
are
being
administered.
The
patient
did
not
take
aspirin
because
he
has
a
history
of
gastritis,
with
was
treated
5
years
ago.
What
is
your
next
action?
-
ANSWER
Give
aspirin
160-325
mg
to
chew
You
are
caring
for
a
66-year-old
man
with
a
history
of
a
large
intracerebral
hemorrhage
2
months
ago.
He
is
being
evaluated
for
another
acute
stroke.
The
CT
scan
is
negative
for hemorrhage.
The
patient
is
receiving
oxygen
via
nasal
cannula
at
2L/min,
and
an
IV
has
been
established.
His
blood
pressure
is
180/100mm
Hg.
Which
drug
do
you
anticipate
giving
to
this
patient?
-
ANSWER
Aspirin
A
patient
is
in
pulseless
ventricular
tachycardia.
Two
shocks
and
1
dose
of
epinephrine
have
been
given.
Which
drug
should
be
given
next?
-
ANSWER
Amiodarone
300mg
What
is
the
maximum
interval
for
pausing
chest
compressions?
-
ANSWER
10
seconds
Your
patient
is
a
56-year-old
woman
with
a
history
of
type
2
diabetes
who
reports
feeling
dizzy.
She
is
pale
and
diaphoretic.
Her
blood
pressure
is
80/66mm
Hg.
The
cardiac
monitor
documents
the
rhythm
shown
here.
She
is
receiving
oxygen
at
4L/min
by
nasal
cannula,
and
an
Iv
has
been
established.
What
do
you
administer
next?
-
ANSWER
Atropine
0.5mg
IV
A
35-year-old
woman
presents
with
a
chief
complaint
of
palpitations.
She
has
no
chest
discomfort,
shortness
of
breath,
or
light-headedness.
Her
blood
pressure
is
120/78mm
Hg.
Which
intervention
is
indicated
first?
-
ANSWER
Vagal
maneuvers
Which
action
should
you
take
immediately
after
providing
an
AED
shock?
-
ANSWER
Resume
chest
compressions
What
action
minimizes
the
risk
of
air
entering
the
victim's
stomach
during-bag
mask
ventilation?
-
ANSWER
Ventilating
until
you
see
the
chest
rise
You
are
providing
bag-mask
ventilations
to
a
patient
in
respiratory
arrest.
How
often
should
you
provide
ventilation?
-
ANSWER
About
every
5-6
seconds
After
initiation
of
CPR
and
1
shock
for
ventricular
fibrillation,
this
rhythm
is
present
on
the
next
rhythm
check.
A
second
shock
is
given,
and
chest
compressions
are
resumed
immediately.
An
IV
is
in
place,
and
no
drugs
have
been
given.
Bag-mask
ventilations
are
producing
visible
chest
rise.
What
is
your
next
intervention?
-
ANSWER
Give
epinephrine
1mg
IV/IO
A
patient's
12-lead
ECG
is
transmitted
by
the
paramedics
and
shows
a
STEMI.
When
the
patient
arrives
in
the
emergency
department,
the
rhythm
shown
here
is
seen
on
the
cardiac
monitor.
The
patient
has
resolution
of
moderate
(5/10)
chest
pain
after
3
doses
of
sublingual
nitroglycerin.
Blood
pressure
is
104/70mm
Hg.
Which
intervention
is
most
important
in
reducing
this
patient's
in-hospital
and
30-day
mortality
rate?
-
ANSWER
Repersfusion
therapy
A
patient
was
in
refractory
ventricular
fibrillation.
A
thrid
shock
has
just
been
administered.
Your
team
looks
to
you
for
instructions.
What
is
your
next
action?
-
ANSWER
Resume
high
quality
chest
compressions
Which
action
is
likely
to
cause
air
to
enter
the
victim's
stomach
(gastric
inflation)
during
bag-mask
ventilation?
-
ANSWER
Ventilating
too
quickly
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