Exam (elaborations)
ALS-ACLS - Red Cross Final Exam -2023/24- Exam Question And Answers.
ALS-ACLS - Red Cross Final Exam -2021- Exam Question And Answers.
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ALS/ACLS - Red Cross Final Exam
[2021] Exam Question And Answers
The .resuscitation .team .suspects .that .hyperkalemia .is .the .cause .of .cardiac .arrest .in .a .patient .brough
t .to .the .emergency .department. .Which .finding .on .a .12-lead .ECG .would .confirm .this .suspicion? .- .
(correct .answer) .-Wide-complex .ventricular .rhythm .or .tall, .pointed .T .waves
A .patient .with .dyspnea .and .a .change .in .mental .status .arrives .at .the .emergency .department. .The .he
althcare .team .completes .the .necessary .assessments .and .begins .to .care .for .the .patient, .including .ini
tiating .cardiac .monitoring, .pulse .oximetry, .supplemental .oxygen .and .vascular .access. .The .team .revie
ws .the .patient's .ECG .rhythm .strip, .as .shown .in .the .following .figure. .Which .agent .would .the .team .m
ost .likely .administer? .- .(correct .answer) .-Atropine .0.5 .mg .every .4 .to .5 .minutes
A .patient .experiencing .an .unstable .bradyarrhythmia .does .not .respond .to .atropine .or .transcutaneous
.pacing. .Which .intervention .would .the .healthcare .provider .use .next? .- .(correct .answer) .-
Administration .of .an .epinephrine .infusion
A .patient's .ECG .reveals .a .tachyarrhythmia. .The .patient .is .hemodynamically .stable .and .has .a .heart .ra
te .ranging .from .120 .to .135 .beats .per .minute. .Based .on .the .findings .of .the .secondary .assessment, .
which .statement(s) .by .the .patient .would .the .team .interpret .as .a .possible .contributing .cause? .- .
(correct .answer) .-1. ."I've .had .a .terrible .cold .with .a .horrible .cough .and .fever .the .past .week."
2. ."I've .been .so .anxious .lately .because .I .just .lost .my .job."
3. ."I've .been .vomiting .for .the .past .2 .days .from .a .gastrointestinal .bug."
A .patient's .ECG .reveals .a .narrow .QRS .complex .with .a .regular .rhythm, .indicating .a .narrow-
complex .supraventricular .tachyarrhythmia. .The .patient .is .hemodynamically .stable. .Which .interventio
n .would .be .initiated .first? .- .(correct .answer) .-Vagal .maneuvers
A .patient .in .the .telemetry .unit .is .stable. .Cardiac .monitoring .indicates .the .patient .has .ventricular .tac
hycardia .with .a .pulse. .Further .assessment .reveals .that .the .corrected .QT .interval .is .greater .than .0.46
.seconds. .Which .treatment .would .be .appropriate .at .this .time? .- .(correct .answer) .-
Synchronized .cardioversion
, An .ECG .strip .of .a .patient .in .the .emergency .department .reveals .the .following .rhythm. .Which .feature
.would .the .healthcare .provider .interpret .as .indicating .atrial .fibrillation? .- .(correct .answer) .-
Absence .of .discrete .P .waves .and .presence .of .irregularly .irregular .QRS .complexes
A .patient .is .brought .into .the .emergency .department. .The .patient .does .not .have .a .pulse. .The .cardia
c .monitor .shows .the .following .rhythm. .The .team .interprets .this .as .which .condition? .- .
(correct .answer) .-Ventricular .tachycardia
A .patient .with .acute .renal .failure .experiences .cardiac .arrest. .Just .before .the .cardiac .arrest, .the .patie
nt's .ECG .showed .peaked .T .waves. .What .might .be .causing .the .patient's .cardiac .arrest? .- .
(correct .answer) .-Hyperkalemia
A .member .of .the .resuscitation .team .is .preparing .to .defibrillate .a .patient .in .cardiac .arrest .using .a .bi
phasic .defibrillator. .The .team .member .would .set .the .energy .dose .according .to .the .manufacturer's .r
ecommendations, .which .is .usually: .- .(correct .answer) .-120 .to .200 .joules
A .member .of .the .resuscitation .team .is .preparing .to .administer .medications .intravenously .to .a .patie
nt .in .cardiac .arrest. .The .team .member .follows .each .medication .administration .with .a .bolus .of .fluid.
.How .much .would .the .team .member .give? .- .(correct .answer) .-10 .to .20 .mL
A .30-year-
old .patient .has .been .brought .to .the .emergency .department .in .full .cardiac .arrest. .The .cardiac .monit
or .shows .the .following .rhythm. .Interpretation .of .this .rhythm .would .suggest .which .of .the .following .a
s .a .possible .precipitating .factor? .- .(correct .answer) .-Electrocution
Cardiac .monitoring .of .a .patient .in .cardiac .arrest .reveals .ventricular .fibrillation. .What .intervention .w
ould .the .team .perform .next? .- .(correct .answer) .-Administer .1 .shock.
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. .Before .the .arrest, .the .patient .exhibited .jugular .ve
nous .distension, .cyanosis, .apnea .and .hyperresonance .on .percussion. .The .patient .was .also .difficult .to
.ventilate .during .the .response. .The .team .would .most .likely .suspect .which .condition .as .the .cause? .- .
(correct .answer) .-Tension .pneumothorax
A .patient .in .cardiac .arrest .experiences .return .of .spontaneous .circulation. .As .part .of .post-
cardiac .arrest .care, .the .patient .is .receiving .mechanical .ventilation. .Which .finding(s) .would .indicate .t
he .need .for .change .in .the .ventilator .settings .to .optimize .the .patient's .ventilation .and .oxygenation? .
- .(correct .answer) .-1. .SaO2 .92%
2. .PaCO2 .35 .mmHg
3. .ETCO2 .50 .mmHg