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ACLS post-test WITH 100- SURE ANSWERS.
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EUNICEACLS post-test WITH 100% SURE ANSWERS
A 48-year-old man became unresponsive shortly after presenting to you with nausea
and generalized chest discomfort. You observe gasping breathing and are unsure if
you feel a pulse. You should know:
A. Call for help and begin chest
A. Call for help and begin chest compressions.
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.
Which of the following is the most likely complication of inferior wall myocardial
infarction (MI)?
A. Cardiogenic shock
C. Bradydysrhythmias
B. Ventricular rupture
C. Bradydysrhythmias
D. Tachydysrhythmias
A 52-year-old man is complaining of palpitations
that came on suddenly after walking up a short
flight of stairs. His symptoms have been present
for about 20 minutes. He denies 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
D. Procainamide or amiodarone
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
1/10
, Your general impression of a 78-year-old woman reveals that her eyes are closed,
she is not moving, you can see no rise and fall of her chest or abdomen, and her
skincolor is pale. When you arrive at the patient's side, you confirm that she is
C. Assess breathing and determine whether unresponsive. Your best action in this situation will be to:
she has a pulse. 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 advanced airway.
A 60-year-old woman has suffered a cardiac arrest. A health care professional
trained in endotracheal intubation has intubated the patient. Which of the following
findings would indicate inadvertent esophageal intubation?
C. Gurgling sounds heard over the
A. Jugular vein distention
epigastrium
B. Subcutaneous emphysema
C. Gurgling sounds heard over the epigastrium
D. Breath sounds heard on only one side of the chest
Hypotension (ie, a systolic BP of less than 90 mm Hg) after the return of spontaneous
circulation (ROSC) may necessitate the use of:
C. Epinephrine, dopamine, or A. Fluid boluses and isoproterenol.
norepinephrine. B. Procainamide, epinephrine, or dopamine.
C. Epinephrine, dopamine, or norepinephrine.
D. Fluid boluses, procainamide, and isoproterenol.
Which of the following is incorrect with regard to a postevent debriefing?
A. The facilitator should use open-ended questions to encourage discussion.
B. Team members are encouraged to identify lessons learned in a nonpunitive
C. The gather phase of the debriefing
environment.
includes a comparison of the team's actions
C. The gather phase of the debriefing includes a comparison of the team's actions
with current resuscitation algorithms.
with current resuscitation algorithms.
D. Team members are given an opportunity to reflect on their performance and how
their performance can be improved.
Assuming there are no contraindications, which of
the following can be performed as an initial
intervention for a stable but symptomatic patient
with the rhythm shown?
B. Vagal maneuvers
A. Defibrillation
B. Vagal maneuvers
C. Administration of intravenous (IV) diltiazem
D. Administration of IV epinephrine
A 62-year-old man received IV tissue plasminogen activator (tPA) 2 hours ago after a
diagnosis of acute ischemic stroke. While assessing the patient's vital signs, you
observe swelling of the patient's lips and tongue. Your best course of action will be
to:
B. Administer IV antihistamines and steroids.
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.
During a cardiac arrest, multiple attempts to establish a peripheral IV have proved
unsuccessful. Your best course of action at this time will be to:
A. Insert a central line.
B. Attempt intraosseous access.
B. Attempt intraosseous access.
C. Discontinue resuscitation efforts.
D. Continue peripheral IV attempts until successful.
2/10
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