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Exam (elaborations) AACN-ADVANCED LIFE SUPPORT AND PROTOCOL

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AACN-Advanced Life Support Protocol questions and their correct answers and solutions 2024/2025 1. Question: What are the key differences between the compression-only CPR and traditional CPR for an adult patient in cardiac arrest? o Answer: Compression-only CPR involves continuous chest compr...

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  • August 19, 2024
  • 14
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

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  • aacn advanced life support protocol questions and

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  • AACN-ADVANCED LIFE SUPPORT AND PROTOCOL
  • AACN-ADVANCED LIFE SUPPORT AND PROTOCOL

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AACN-Advanced Life Support Protocol questions and their correct
answers and solutions 2024/2025
1. Question: What are the key differences between the compression-only CPR and traditional CPR
for an adult patient in cardiac arrest?

o Answer: Compression-only CPR involves continuous chest compressions without rescue
breaths, focusing on maintaining circulation. Traditional CPR includes both chest
compressions and rescue breaths. Compression-only CPR is recommended for witnessed
adult cardiac arrest with a suspected cardiac cause.

o Explanation: Compression-only CPR is simpler and may be more effective in maintaining
blood flow when a cardiac cause is suspected. Traditional CPR with rescue breaths is
used when the arrest is unwitnessed or due to respiratory issues.

2. Question: What is the recommended depth and rate of chest compressions for adult patients
during CPR?

o Answer: The recommended depth is 2-2.4 inches (5-6 cm) and the rate is 100-120
compressions per minute.

o Explanation: Adequate depth and rate ensure effective chest compressions to generate
sufficient blood flow during CPR.

3. Question: When should you switch rescuers during CPR, and what is the recommended interval
for switching?

o Answer: Rescuers should switch every 2 minutes or when fatigued. Switching every 2
minutes aligns with the recommended interval for rhythm checks and ensures high-
quality compressions are maintained.

o Explanation: Regular switching prevents fatigue and maintains the effectiveness of chest
compressions.

4. Question: How should you use the AED (Automated External Defibrillator) on a patient with a
pacemaker?

o Answer: Place the AED pads at least 1 inch away from the pacemaker device to avoid
interference with its function. Follow standard AED instructions for pad placement and
defibrillation.

o Explanation: Proper pad placement avoids interference with the pacemaker while
allowing effective defibrillation.

5. Question: What is the recommended action if an adult patient with a witnessed collapse has no
pulse but shows signs of breathing?

o Answer: Initiate CPR with chest compressions, and perform a quick assessment for
breathing. If the patient is breathing normally, monitor closely and activate emergency
medical services (EMS) while providing support.

o Explanation: Immediate CPR is crucial if the patient is unresponsive and has no pulse,
even if breathing is present. Continuous monitoring is essential for patient safety.

, AACN-Advanced Life Support Protocol questions and their correct
answers and solutions 2024/2025
6. Question: How should you manage a patient in cardiac arrest due to hypothermia?

o Answer: Provide high-quality CPR and avoid defibrillation until the patient is warmed to
at least 86°F (30°C). Continue resuscitation efforts and consider rewarming techniques.

o Explanation: Hypothermia can affect the heart's rhythm and response to defibrillation,
requiring specific management and rewarming before defibrillation.

7. Question: What are the indications for administering epinephrine during advanced cardiac life
support (ACLS)?

o Answer: Epinephrine is indicated in cases of persistent ventricular fibrillation (VF),
ventricular tachycardia (VT) without a pulse, and asystole. It should be administered
every 3-5 minutes during resuscitation efforts.

o Explanation: Epinephrine enhances myocardial perfusion and increases the likelihood of
a successful return of spontaneous circulation (ROSC).

8. Question: How do you recognize and manage a patient with a suspected obstructed airway
during resuscitation?

o Answer: Assess for signs of obstruction (e.g., ineffective breaths, inability to ventilate).
Use the Heimlich maneuver or abdominal thrusts if the patient has a pulse and is
conscious. If unconscious, perform chest compressions and visual inspection of the
airway.

o Explanation: Proper airway management is critical for effective ventilation and overall
resuscitation success.

9. Question: What is the correct sequence of steps when using a bag-mask ventilation device
during CPR?

o Answer: Ensure proper positioning of the patient’s head, create a seal with the mask,
and provide breaths over 1 second each while observing for chest rise. Avoid excessive
ventilation to prevent complications.

o Explanation: Proper technique ensures effective ventilation and minimizes the risk of
complications such as gastric insufflation.

10. Question: What is the recommended treatment for a patient in cardiac arrest with suspected
hyperkalemia?

o Answer: Administer calcium gluconate or calcium chloride, followed by sodium
bicarbonate and insulin with dextrose. Provide high-quality CPR and consider
hemodialysis if the patient is stable enough.

o Explanation: Hyperkalemia can affect cardiac function and response to resuscitation;
specific treatments help stabilize cardiac membranes and promote normal rhythm.

11-20: Advanced Airway Management

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