ACLS EXAM A 202 4 QUESTIONS AND ANSWERS WITH SOLUTIO NS 2024 Which of these tests should be performed for a pt with suspected stroke as early as possible but no more than 20 min after hospital arrival? - ANSWER Noncontrast CT scan of head Which best describes this rhythm? - ANSWER Monomorphic Vent Tach Which is an acceptable method of selecting an appropriately sized oropharyngeal airway? - ANSWER Measure from the corner of the mouth to the angle of mandible You are caring for a pt with a suspected stroke whose symptoms started 2 hours ago. The CT scan was normal, with no signs of hemorrhage. The pt does not have any contraindications to fibrinolytic therapy. Which treatment is best for this pt? - ANSWER Give fibrinolytic therapy as soon as possible and consider endovascular therapy Which is the recommended next step after a defibrillation attempt? - ANSWER Resume CPR, starting with chest compressions Which of the following signs is a likely indicator of cardiac arrest in an unresponsive pt? - ANSWER Agonal gasps You are evaluating a 58YO man with chest discomfort. His BP is 92/50 mmHG, his HR is 92/min, his nonlabored RR is 14/min, and his pulse ox is 97%. Which assessment step is most important now? - ANSWER Obtaining a 12 -lead ECG 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 Your rescue team arrives to find a 59YO man lying on the kitchen floor. You determine that he is unresponsive. What is the next step in your assessment and management of this pt? - ANSWER Check the pt's breathing and pulse (SET) A 45YO man had coronary stents placed 2 days ago. Today he is in severe distress and is reporting "crushing" chest discomfort. Pale, diaphoretic, cool to touch, weak radial pulse, BP 64/40 mmHg, RR 28/min, 89% RA. VTach changed to VFib. On the basis of this pt's initial presentation, which condition do you suspect led to the cardiac arrest? - ANSWER Acute Coronary Syndrome (SET) A 45YO man had coronary stents placed 2 days ago. Today he is in severe distress and is reporting "crushing" chest discomfort. Pale, diaphoretic, cool to touch, weak radial pulse, BP 64/40 mmHg, RR 28/min, 89% RA. VTach changed to VFib. In addition to defibrillation, which intervention should be performed immediately? - ANSWER Chest compressions (SET) A 45YO man had coronary stents placed 2 days ago. Today he is in severe distress and is reporting "crushing" chest discomfort. Pale, diaphoretic, cool to touch, weak radial pulse, BP 64/40 mmHg, RR 28/min, 89% RA. VTach changed to VFib. Despite 2 defib attempts, the pt remains in VFib. Which drug and dose should you administer FIRST to this pt? - ANSWER Epi 1mg (SET) A 45YO man had coronary stents placed 2 days ago. Today he is in severe distress and is reporting "crushing" chest discomfort. Pale, diaphoretic, cool to touch, weak radial pulse, BP 64/40 mmHg, RR 28/min, 89% RA. VTach changed to VFib. Despite the drug provided above and continued CPR, the pt remains in VFib. Which other drug should be administered NEXT? - ANSWER Lido 1 to 1.5mg/kg (SET) A 45YO man had coronary stents placed 2 days ago. Today he is in severe distress and is reporting "crushing" chest discomfort. Pale, diaphoretic, cool to touch, weak radial pulse, BP 64/40 mmHg, RR 28/min, 89% RA. VTach changed to VFib. The pt has ROSC and is not able to follow commands. Which immediate post -cardiac arrest care intervention do you choose for this pt? - ANSWER Initiate targeted temperature management
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Performance. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $18.99. You're not tied to anything after your purchase.