Final Exam ACLS Questions With C omple te Solution A ffpatient ffexperiences ffcardiac ffarrest, ffand ffthe ffresuscitation ffteam ffinitiates ffventilations ffusing ffa ffbag-
valve -mask ff(BVM) ffresuscitator. ffThe ffdevelopment ffof ffwhich ffcondition ffduring ffthe ffprovision ffof ffcare ffwould fflead ffthe ffteam ffto ffsuspect ffthat ffimproper ffBVM fftechnique ffis ffbeing ffused? Select ffthe ffcorrect ffanswer ffto ffthis ffquestion. Rib fffracture Esophageal ffinjury Pneumothorax Hypertension ff- ffPneumothorax 1 ffA ffmember ffof ffthe ffresuscitation ffteam ffis ffpreparing ffto ffadminister ffmedications ffintravenously ffto ffa ffpatient ffin ffcardiac ffarrest. ffThe ffteam ffmember fffollows ffeach ffmedication ffadministration ffwith ffa ffbolus ffof fffluid. ffHow ffmuch ffwould ffthe ffteam ffmember ffgive? Select ffthe ffcorrect ffanswer ffto ffthis ffquestion. 5 ffto ff10 ffmL 10 ffto ff20 ffmL 20 ffto ff30 ffmL 30 ffto ff40 ffmL ff- ffWhen ffadministering ffmedications ffduring ffa ffcardiac ffarrest, ffall ffmedications ffadministrated ffthrough ffthe ffIV ffor ffintraosseous ffinfusion ffroute ffshould ffbe fffollowed ffby ffa ff10- ffto ff20-
mL fffluid ffbolus. The ffresuscitation ffteam ffsuspects ffthat ffhyperkalemia ffis ffthe ffcause ffof ffcardiac ffarrest ffin ffa ffpatient ffbrought ffto ffthe ffemergency ffdepartment. ffWhich fffinding ffon ffa ff12-lead ffECG ffwould ffconfirm ffthis ffsuspicion? Wide -complex ffventricular ffrhythm ffand fftall, ffpeaked ffT ffwaves ST-segment ffchanges, ffT-wave ffinversion Flat ffT ffwaves, ffprominent ffU ffwaves ffand ffpossibly ffprolonged ffQT ffintervals Narrow -complex ffventricular fftachycardia ff- ffWide -complex ffventricular ffrhythm ffand fftall, ffpeaked ffT ffwaves In ffhyperkalemia ffthe ffpatient's ff12-lead ffECG ffrhythm ffstrip ffwill ffshow ffwide -complex ffventricular ffrhythm ffand fftall, ffpeaked ffT ffwaves. A ffpatient ffwith ffan ffischemic ffstroke ffarrives ffat ffthe ffemergency ffdepartment ffat ff2 ffa.m. ffThe ffpatient's ffsymptoms ffstarted ffabout ff12:30 ffa.m. ffAfter ffcompleting ffthe ffnecessary ffassessments, ffthe ffhealthcare ffteam ffdiagnoses ffan ffischemic ffstroke, ffand ffthe ffpatient ffis ffdetermined ffto ffbe ffa ffcandidate fffor fffibrinolytic fftherapy. ffTo ffachieve ffthe ffbest ffoutcomes, ffthe ffteam ffshould ffinitiate fftherapy fffor ffthis ffpatient ffno fflater ffthan ffby ffwhich fftime? Select ffthe ffcorrect ffanswer ffto ffthis ffquestion. 3:00 ffa.m. 5:30 ffa.m. 6:00 ffa.m. 8:30 ffa.m. ff- ff1 3:00 ffa.m. A ffresuscitation ffteam ffis ffdebriefing fffollowing ffa ffrecent ffevent. ffA ffpatient ffexperienced ffcardiac ffarrest, ffand ffadvanced ffcardiac fflife ffsupport ffwas ffinitiated. ffThe ffpatient ffrequired ffthe ffplacement ffof ffan ffadvanced ffairway ffto ffmaintain ffairway ffpatency. ffWhich ffstatement ffindicates ffthat ffthe ffteam ffperformed ffhigh -quality ffCPR? Select ffthe ffcorrect ffanswer ffto ffthis ffquestion. "We ffkept ffthe ffrate ffof ffchest ffcompressions ffto ffaround ff100 ffper ffminute ffbut ffadjusted fftheir ffdepth ffto ff1.5 ffinches ffwhile ffgiving ff1 ffventilation ffevery ff3 ffseconds." "We ffdelivered ffchest ffcompressions ffat ffa ffrate ffof ff80 ffto ff100 ffper ffminute ffto ffa ffdepth ffof ffat ffleast ff2 ffinches ffand ffgave ff1 ffventilation ffevery ff6 ffseconds." "We ffinitiated ffchest ffcompressions ffat ffa ffrate ffof ff100 ffto ff110 ffper ffminute ffto ffa ffdepth ffof ff2.4 ffinches ffand ffthen ffgave ff1 ffventilation ffevery ff10 ffseconds." "We ffdelivered ff1 ffventilation ffevery ff6 ffseconds ffand ffchest ffcompressions ffat ffa ffrate ffof ff100 ffto ff120 ffcompressions ffper ffminute." ff- ff4 "We ffdelivered ff1 ffventilation ffevery ff6 ffseconds ffand ffchest ffcompressions ffat ffa ffrate ffof ff100 ffto ff120 ffcompressions ffper ffminute." A ffpatient ffwith ffa ffsuspected ffstroke ffarrives ffat ffthe ffemergency ffdepartment ffat ff7:10 ffp.m. ffThe ffstroke ffteam ffensures ffthat ffa ffcomprehensive ffneurologic ffassessment ffusing ffthe ffNational ffInstitutes ffof ffHealth ffStroke ffScale ff(NIHSS) ffis ffcompleted ffand ffthat ffbrain ffimaging ffis ffperformed ffby ffwhich fftime? 7:20 ffp.m. 7:30 ffp.m. 7:40 ffp.m. 7:50 ffp.m. ff- ff2 Within ff20 ffminutes ffof ffthe ffpatient's ffarrival, ffa ffcomprehensive ffneurologic ffassessment ffshould ffbe ffcompleted ffand ffbrain ffimaging ffshould ffbe ffperformed. ffThat ffwould ffbe ff7:30 ffp.m. fffor ffthis ffpatient. The ffemergency ffdepartment ffteam ffis ffproviding ffcare ffto ffa ffpatient ffwho ffis ffexperiencing ffventricular fftachycardia. ffThe ffpatient's ffserum ffelectrolyte fflevels ffare ffa ffcontributing ffcause ffof ffthe ffpatient's ffcurrent ffcondition. ffWhich ffelectrolyte ffimbalance(s) ffwould ffmost fflikely ffbe ffinvolved? Select ffall ffcorrect ffoptions ffthat ffapply. Hyperkalemia Hypochloremia Hypernatremia Hypomagnesemia Hypocalcemia ff- ffHypomagnesemia Hypocalcemia A ff30-year -old ffpatient ffhas ffbeen ffbrought ffto ffthe ffemergency ffdepartment ffin ffcardiac ffarrest. ffThe ffcardiac ffmonitor ffshows ffthe fffollowing ffrhythm. ffInterpretation ffof ffthis ffrhythm ffwould ffsuggest ffwhich ffof ffthe fffollowing ffas ffa ffpossible ffprecipitating fffactor? ff- ffThe ffrhythm ffis ffventricular fffibrillation.
valve -mask ff(BVM) ffresuscitator. ffThe ffdevelopment ffof ffwhich ffcondition ffduring ffthe ffprovision ffof ffcare ffwould fflead ffthe ffteam ffto ffsuspect ffthat ffimproper ffBVM fftechnique ffis ffbeing ffused? Select ffthe ffcorrect ffanswer ffto ffthis ffquestion. Rib fffracture Esophageal ffinjury Pneumothorax Hypertension ff- ffPneumothorax 1 ffA ffmember ffof ffthe ffresuscitation ffteam ffis ffpreparing ffto ffadminister ffmedications ffintravenously ffto ffa ffpatient ffin ffcardiac ffarrest. ffThe ffteam ffmember fffollows ffeach ffmedication ffadministration ffwith ffa ffbolus ffof fffluid. ffHow ffmuch ffwould ffthe ffteam ffmember ffgive? Select ffthe ffcorrect ffanswer ffto ffthis ffquestion. 5 ffto ff10 ffmL 10 ffto ff20 ffmL 20 ffto ff30 ffmL 30 ffto ff40 ffmL ff- ffWhen ffadministering ffmedications ffduring ffa ffcardiac ffarrest, ffall ffmedications ffadministrated ffthrough ffthe ffIV ffor ffintraosseous ffinfusion ffroute ffshould ffbe fffollowed ffby ffa ff10- ffto ff20-
mL fffluid ffbolus. The ffresuscitation ffteam ffsuspects ffthat ffhyperkalemia ffis ffthe ffcause ffof ffcardiac ffarrest ffin ffa ffpatient ffbrought ffto ffthe ffemergency ffdepartment. ffWhich fffinding ffon ffa ff12-lead ffECG ffwould ffconfirm ffthis ffsuspicion? Wide -complex ffventricular ffrhythm ffand fftall, ffpeaked ffT ffwaves ST-segment ffchanges, ffT-wave ffinversion Flat ffT ffwaves, ffprominent ffU ffwaves ffand ffpossibly ffprolonged ffQT ffintervals Narrow -complex ffventricular fftachycardia ff- ffWide -complex ffventricular ffrhythm ffand fftall, ffpeaked ffT ffwaves In ffhyperkalemia ffthe ffpatient's ff12-lead ffECG ffrhythm ffstrip ffwill ffshow ffwide -complex ffventricular ffrhythm ffand fftall, ffpeaked ffT ffwaves. A ffpatient ffwith ffan ffischemic ffstroke ffarrives ffat ffthe ffemergency ffdepartment ffat ff2 ffa.m. ffThe ffpatient's ffsymptoms ffstarted ffabout ff12:30 ffa.m. ffAfter ffcompleting ffthe ffnecessary ffassessments, ffthe ffhealthcare ffteam ffdiagnoses ffan ffischemic ffstroke, ffand ffthe ffpatient ffis ffdetermined ffto ffbe ffa ffcandidate fffor fffibrinolytic fftherapy. ffTo ffachieve ffthe ffbest ffoutcomes, ffthe ffteam ffshould ffinitiate fftherapy fffor ffthis ffpatient ffno fflater ffthan ffby ffwhich fftime? Select ffthe ffcorrect ffanswer ffto ffthis ffquestion. 3:00 ffa.m. 5:30 ffa.m. 6:00 ffa.m. 8:30 ffa.m. ff- ff1 3:00 ffa.m. A ffresuscitation ffteam ffis ffdebriefing fffollowing ffa ffrecent ffevent. ffA ffpatient ffexperienced ffcardiac ffarrest, ffand ffadvanced ffcardiac fflife ffsupport ffwas ffinitiated. ffThe ffpatient ffrequired ffthe ffplacement ffof ffan ffadvanced ffairway ffto ffmaintain ffairway ffpatency. ffWhich ffstatement ffindicates ffthat ffthe ffteam ffperformed ffhigh -quality ffCPR? Select ffthe ffcorrect ffanswer ffto ffthis ffquestion. "We ffkept ffthe ffrate ffof ffchest ffcompressions ffto ffaround ff100 ffper ffminute ffbut ffadjusted fftheir ffdepth ffto ff1.5 ffinches ffwhile ffgiving ff1 ffventilation ffevery ff3 ffseconds." "We ffdelivered ffchest ffcompressions ffat ffa ffrate ffof ff80 ffto ff100 ffper ffminute ffto ffa ffdepth ffof ffat ffleast ff2 ffinches ffand ffgave ff1 ffventilation ffevery ff6 ffseconds." "We ffinitiated ffchest ffcompressions ffat ffa ffrate ffof ff100 ffto ff110 ffper ffminute ffto ffa ffdepth ffof ff2.4 ffinches ffand ffthen ffgave ff1 ffventilation ffevery ff10 ffseconds." "We ffdelivered ff1 ffventilation ffevery ff6 ffseconds ffand ffchest ffcompressions ffat ffa ffrate ffof ff100 ffto ff120 ffcompressions ffper ffminute." ff- ff4 "We ffdelivered ff1 ffventilation ffevery ff6 ffseconds ffand ffchest ffcompressions ffat ffa ffrate ffof ff100 ffto ff120 ffcompressions ffper ffminute." A ffpatient ffwith ffa ffsuspected ffstroke ffarrives ffat ffthe ffemergency ffdepartment ffat ff7:10 ffp.m. ffThe ffstroke ffteam ffensures ffthat ffa ffcomprehensive ffneurologic ffassessment ffusing ffthe ffNational ffInstitutes ffof ffHealth ffStroke ffScale ff(NIHSS) ffis ffcompleted ffand ffthat ffbrain ffimaging ffis ffperformed ffby ffwhich fftime? 7:20 ffp.m. 7:30 ffp.m. 7:40 ffp.m. 7:50 ffp.m. ff- ff2 Within ff20 ffminutes ffof ffthe ffpatient's ffarrival, ffa ffcomprehensive ffneurologic ffassessment ffshould ffbe ffcompleted ffand ffbrain ffimaging ffshould ffbe ffperformed. ffThat ffwould ffbe ff7:30 ffp.m. fffor ffthis ffpatient. The ffemergency ffdepartment ffteam ffis ffproviding ffcare ffto ffa ffpatient ffwho ffis ffexperiencing ffventricular fftachycardia. ffThe ffpatient's ffserum ffelectrolyte fflevels ffare ffa ffcontributing ffcause ffof ffthe ffpatient's ffcurrent ffcondition. ffWhich ffelectrolyte ffimbalance(s) ffwould ffmost fflikely ffbe ffinvolved? Select ffall ffcorrect ffoptions ffthat ffapply. Hyperkalemia Hypochloremia Hypernatremia Hypomagnesemia Hypocalcemia ff- ffHypomagnesemia Hypocalcemia A ff30-year -old ffpatient ffhas ffbeen ffbrought ffto ffthe ffemergency ffdepartment ffin ffcardiac ffarrest. ffThe ffcardiac ffmonitor ffshows ffthe fffollowing ffrhythm. ffInterpretation ffof ffthis ffrhythm ffwould ffsuggest ffwhich ffof ffthe fffollowing ffas ffa ffpossible ffprecipitating fffactor? ff- ffThe ffrhythm ffis ffventricular fffibrillation.
