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American Red Cross-ACLS-Final Questions and Answers 2023
American Red Cross-ACLS-Final Questions and Answers 2023
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American Red Cross-ACLS-Final Questionsand Answers 2023
A patient is in cardiac arrest. The cardiac monitor shows asystole. In addition
to providing continuous high-quality CPR, what is the other priority
intervention for this patient? - -Administering epinephrine as early as
possible
-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 venous 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? - -Tension Pneumothorax
-A patient with suspected stroke arrives at the emergency department. The
patient is diagnosed with acute ischemic stroke and is a candidate for
fibrinolytic therapy. To achieve the best outcomes, this therapy should be
initiated within what time frame? - -Within 1 hour of patient's arrival.
-A patient in the telemetry unit is receiving continuous cardiac monitoring.
The patient has a history of myocardial infarction. The patient's ECG rhythm
strip is shown in the following figure. The provider interprets this strip as
indicating which arrhythmia? - -Third-degree AV block
-A 28-year-old pregnant patient who resides in transitional housing presents
to the emergency department with complaints of feeling feverish and very
faint. The patient tells the emergency nurse that she does not know when
she became pregnant. Upon palpation, the fundus is not at or above the
umbilicus. The patient's condition quickly deteriorates and she goes into
cardiac arrest. If available and able to be used without impeding or delaying
the resuscitation effort, what diagnostic tool could be used to guide decision-
making in the care of this patient? - -Point-of-care ultrasound
-Cardiac monitoring indicates that a patient has a ventricular
tachyarrhythmia. The patient has a pulse and is not showing any signs of
hemodynamic compromise. A 12-lead ECG reveals an irregular rhythm with
QRS complexes greater than 0.12 second in duration. Which action would be
appropriate at this time? - -Consider an antiarrhythmic medication
-A responsive patient is choking. What method should the provider use first
to clear the obstructed airway? - -Back blows
, -What is the priority intervention for a patient with a narrow-complex
tachycardia (160 bpm) and a blood pressure of 72/48 mmHg? - -Perform
immediate synchronized cardioversion
-A patient is admitted to the emergency department with signs and
symptoms of stroke. The stroke team should complete a comprehensive
neurologic assessment and obtain brain imaging results within what time
frame? - -Within 20 minutes
-Cardiac monitoring of a patient in cardiac arrest reveals ventricular
fibrillation. In addition to high-quality CPR, what intervention should be a
priority for the team? - -Defibrillation.
-A patient with suspected acute coronary syndromes (ACS) has a pulse
oximetry reading of 86% and is given supplemental oxygen. The provider
determines that the supplemental oxygen dose is correct based on which
SaO2 level? - -93%
-After cardiac arrest and successful resuscitation, the patient has a return of
spontaneous circulation. The patient is unable to follow verbal commands.
Targeted temperature management is initiated. Which method(s) would be
appropriate for the resuscitation team to use? - --Applying cooling blankets
to the patient's body
-Using an endovascular catheter
-Giving an ice-cold IV fluid bolus
-A patient comes to the emergency department complaining of palpitations
and "some shortness of breath." Cardiac monitoring is initiated and reveals
the following ECG rhythm strip. The provider interprets this strip as
indicating which arrhythmia? - -Atrial flutter
-A 35-year-old female patient's ECG is consistent with STEMI. The ECG
reveals a new ST-segment elevation at the J point in leads V2 and V3 of at
least which size? - -0.15 mV
-The following capnogram is from a patient experiencing respiratory
distress. At which point in the waveform would the patient's ETCO2 level be
measured? - -D
-For a patient with third-degree atrioventricular (AV) block and a blood
pressure of 70/48 mmHg, what interventions should be considered? - --
Initiate a dopamine infusion
-Administer atropine
-Initiate transcutaneous pacing
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