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UPDATED POST-ACLS MEGACODE QUESTIONS WITH COMPLETE SOLUTIONS GRADED A+
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POST-ACLS MEGACODE QUESTIONS WITH COMPLETE SOLUTIONS GRADED A+ POST-ACLS MEGACODE QUESTIONS WITH COMPLETE SOLUTIONS GRADED A+
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POST-ACLS MEGACODE 2024-2025QUESTIONS WITH COMPLETE SOLUTIONS
GRADED A+
SCENARIO 1: You witness a middle-aged, obese male pedestrian collapse on an
escalator in an airport. He is clutching his chest and slumps over on the person
behind him. The bystander places him on the floor at the end of the down-moving
escalator track. As a first responder certified in ACLS, which of the following is
your first course of action? - CORRECT ANSWER Move the man out of the way
of pedestrian traffic on the escalator
1: You have moved the man to a seating area near the bottom of the escalator.
The man is gasping for breath but does not appear to be effectively breathing. You
yell at him "Are you alright?" but he does not respond. What is your next action? -
CORRECT ANSWER send someone to get AED
1: After sending for EMS and waiting for an AED to arrive, you continue to attend
to the man. The man is unresponsive and he is now only gasping. What is your
next action? - CORRECT ANSWER check for a pulse
The rescuer must determine if this is respiratory failure alone or cardiac arrest.
Checking for a pulse follows sending people for help.
1: You find a definite pulse on his carotid artery. It is fast, but clearly present.
What is your next action? - CORRECT ANSWER Give one breath every 5-6 s
,POST-ACLS MEGACODE 2024-2025
QUESTIONS WITH COMPLETE SOLUTIONS
GRADED A+
The man has a pulse, so he needs rescue breathing, not chest compressions. One
ventilation every 5-6 seconds is appropriate in an adult without an advanced
airway in place.
1: The AED device has not yet arrived. You have been delivering breaths for two
minutes, spaced 5-6 seconds apart. He is not breathing spontaneously. What is
your next action? - CORRECT ANSWER check for a pulse
you must determine if the victim's situation has deteriorated. Respiratory arrest
may lead to cardiac arrest. Pulse checks should be done every two minutes in
respiratory arrest.
1: You pause rescue breathing to check for a pulse. You cannot feel a definite
pulse after 10 seconds of trying. What is your next action? - CORRECT ANSWER
begin CPR
Since there is no pulse, the man is now in cardiac arrest. He needs CPR, including
chest compressions.
1: You start high-quality CPR at a rate of 100-120 compressions per minute. The
AED arrives moments later. You open the man's shirt to find a copious amount of
thick hair covering his chest and he is damp with sweat. The AED cannot get a
good signal through the pads because of the hair, even though you have pressed
them down very hard. What is your next action? - CORRECT ANSWER Rip the
pads off the man's chest and apply new pads in the same locations
, POST-ACLS MEGACODE 2024-2025
QUESTIONS WITH COMPLETE SOLUTIONS
GRADED A+
Chest hair can interfere with electrical contact through the AED pads. The adhesive
on the pads can act as a rapid depilatory (i.e. it rips the chest hair out). New pads
can then be used on the bare skin.
1: With hair removed and new pads placed, the AED gets a good signal from the
patient. It reports that there is a shockable rhythm. You clear everyone from the
patient, announce the shock, and then deliver one shock. What is your next
action? - CORRECT ANSWER resume CPR ASAP
Regardless of patient response, resume high-quality CPR immediately and
continue for two minutes. Even if a pulse returns, it may not be adequate to pump
blood for a few minutes. A pulse check at this point is irrelevant. An AED
automatically controls the level of energy delivered.
1: After two minutes of CPR, what is your next action? - CORRECT ANSWER
check for a pulse
It is important to determine if the man has regained spontaneous circulation. This
can be done with a pulse check.
1: The man has a strong, regular pulse. He is not responsive, but appears to be
breathing. You feel air movement through his mouth. What is your next action? -
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