ACLS POST TEST EXAM 1 NEWEST VERSION 2023-2024
ACTUAL 50 QUESTION AND CORRECT DETAILED
ANSWERS RATED A GRADE.
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:
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. ✔✔CORRECT
ANSWER✔✔B. Administer IV antihistamines and steroids.
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.
C. Discontinue resuscitation efforts.
D. Continue peripheral IV attempts until successful. ✔✔CORRECT
ANSWER✔✔B. Attempt intraosseous access.
Synchronized cardioversion:
A. Is used only for atrial dysrhythmias.
,B. Delivers a shock during ventricular depolarization.
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.
✔✔CORRECT ANSWER✔✔B. Delivers a shock during ventricular
depolarization.
An 84-year-old man presents with an acute onset of altered mental status.
The cardiac monitor shows the rhythm here. The patient's BP is 58/30 mm
Hg andhis ventilatory rate is 14 breaths/min. His skin is cool, moist, and pale.
His blood oxygen saturation level (SpO2) on room air is 95%. An IV has been
established.
On the basis of the information provided, your best course of action will be
to:
A. Prepare for transcutaneous pacing.
B. Give amiodarone 300 mg IV push.
C. Give epinephrine 1 mg IV bolus and reassess.
D. Observe the patient and monitor for signs of deterioration. ✔✔CORRECT
ANSWER✔✔A. Prepare for transcutaneous pacing.
Paramedics are on the scene with a 55-year-old man who is complaining of
severe chest discomfort. He describes his discomfort as a "heavy pressure"
in the middle of his chest that has been present for about 1 hour.
Which of the following actions performed at the scene is most likely to
reduce subsequent treatment delays at the hospital?
A. Giving aspirin
, B. Obtaining a 12-lead electrocardiogram (ECG)
C. Assessing vital signs and oxygen saturation
D. Assessing the patient's degree of discomfort ✔✔CORRECT ANSWER✔✔B.
Obtaining a 12-lead electrocardiogram (ECG)
Paramedics are on the scene with a 55-year-old man who is complaining of
severe chest discomfort. He describes his discomfort as a "heavy pressure"
in the middle of his chest that has been present for about 1 hour.
The patient rates his discomfort 9/10. His BP is 126/72 mm Hg and
ventilations 14 breaths/min. His SpO2 on room air is 95%. The cardiac
monitor shows a sinus rhythm at 60 beats/min. Immediate management of
this patient should include:
A. Giving aspirin and NTG.
B. Establishing IV access and giving aspirin.
C. Administering oxygen and establishing IV access.
D. Administering oxygen and obtaining a targeted history. ✔✔CORRECT
ANSWER✔✔B. Establishing IV access and giving aspirin.
Paramedics are on the scene with a 55-year-old man who is complaining of
severe chest discomfort. He describes his discomfort as a "heavy pressure"
in the middle of his chest that has been present for about 1 hour.
Current guidelines recommend obtaining an initial 12-lead ECG within ____
of patient contact when an acute coronary syndrome (ACS) is suspected.
A. 10 minutes
B. 30 minutes
C. 45 minutes
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