ACLS post-test with Verified Solutions 100% Pass
1. A. Call for help
and begin chest
compressions.
2. C. Bradydys-
rhythmias
3. D. Procainamide
or amiodarone
4. C. Assess
breathing and de-
A 48-year-old man became unresponsive shortly after
presenting to you with nausea and generalized c...
1. A. Call for help A 48-year-old man became unresponsive shortly after
and begin chest presenting to you with nausea and generalized chest dis-
compressions. comfort. You observe gasping breathing and are unsure if
you feel a pulse. You should know:
A. Call for help and begin chest compressions.
B. Wait until breathing stops and then check again for a
pulse.
C. Begin chest compressions only if you are certain a
pulse is absent.
D. Observe the patient for 2 minutes, then reassess his
breathing and pulse.
2. C. Bradydys- Which of the following is the most likely complication of
rhythmias inferior wall myocardial infarction (MI)?
A. Cardiogenic shock
B. Ventricular rupture
C. Bradydysrhythmias
D. Tachydysrhythmias
3. D. Procainamide A 52-year-old man is complaining of palpitations that came
or amiodarone on suddenly after walking up a short flight of stairs. His
symptoms have been present for about 20 minutes. He de-
nies chest pain and is not short of breath. His skin is warm
and dry; breath sounds are clear. His blood pressure (BP)
is 144/88 millimeters of mercury (mm Hg), his heart rate is
186 beats per minute (beats/min), and his ventilatory rate
is 18 breaths/min. The cardiac monitor reveals the rhythm
here. Vascular access has been established. Which of the
following medications is most appropriate in this situation?
A. Dopamine or sotalol
B. Furosemide or atropine
C. Nitroglycerin (NTG) or morphine
D. Procainamide or amiodarone
4. C. Assess Your general impression of a 78-year-old woman reveals
breathing and de- that her eyes are closed, she is not moving, you can see
no rise and fall of her chest or abdomen, and her skincolor
, ACLS post-test with Verified Solutions 100% Pass
termine whether is pale. When you arrive at the patient's side, you confirm
she has a pulse. that she is unresponsive. Your best action in this situation
will be to:
A. Open her airway and give two breaths.
B. Apply an automated external defibrillator (AED).
C. Assess breathing and determine whether she has a
pulse.
D. Prepare the necessary equipment to insert an ad-
vanced airway.
5. C. Gurgling A 60-year-old woman has suffered a cardiac arrest. A
sounds heard health care professional trained in endotracheal intubation
over the epigas- has intubated the patient. Which of the following findings
trium would indicate inadvertent esophageal intubation?
A. Jugular vein distention
B. Subcutaneous emphysema
C. Gurgling sounds heard over the epigastrium
D. Breath sounds heard on only one side of the chest
6. C. Epinephrine, Hypotension (ie, a systolic BP of less than 90 mm Hg)
dopamine, or after the return of spontaneous circulation (ROSC) may
norepinephrine. necessitate the use of:
A. Fluid boluses and isoproterenol.
B. Procainamide, epinephrine, or dopamine.
C. Epinephrine, dopamine, or norepinephrine.
D. Fluid boluses, procainamide, and isoproterenol.
7. C. The gather Which of the following is incorrect with regard to a
phase of the de- postevent debriefing?
briefing includes A. The facilitator should use open-ended questions to en-
a comparison of courage discussion.
the team's ac- B. Team members are encouraged to identify lessons
tions with cur- learned in a nonpunitive environment.
rent resuscita- C. The gather phase of the debriefing includes a com-
tion algorithms. parison of the team's actions with current resuscitation
algorithms.
D. Team members are given an opportunity to reflect on
their performance and how their performance can be im-
proved.
, ACLS post-test with Verified Solutions 100% Pass
8. B. Vagal maneu- Assuming there are no contraindications, which of the
vers following can be performed as an initial intervention for a
stable but symptomatic patient with the rhythm shown?
A. Defibrillation
B. Vagal maneuvers
C. Administration of intravenous (IV) diltiazem
D. Administration of IV epinephrine
9. B. Administer A 62-year-old man received IV tissue plasminogen activa-
IV antihistamines tor (tPA) 2 hours ago after a diagnosis of acute ischemic
and steroids. stroke. While assessing the patient's vital signs, you ob-
serve swelling of the patient's lips and tongue. Your best
course of action will be to:
A. Administer aspirin and IV heparin.
B. Administer IV antihistamines and steroids.
C. Observe and reassess the patient every 15 minutes.
D. Request an emergent brain computed tomography
scan.
10. B. Attempt in- During a cardiac arrest, multiple attempts to establish a
traosseous ac- peripheral IV have proved unsuccessful. Your best course
cess. of action at this time will be to:
A. Insert a central line.
B. Attempt intraosseous access.
C. Discontinue resuscitation efforts.
D. Continue peripheral IV attempts until successful.
11. B. Delivers a Synchronized cardioversion:
shock during A. Is used only for atrial dysrhythmias.
ventricular depo- B. Delivers a shock during ventricular depolarization.
larization. C. Delivers a shock between the peak and end of the T
wave.
D. Is used only for rhythms with a ventricular rate of less
than 60 beats/min.
12.12.
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