American Red Cross-ACLS-Final EXAM 2024
WITH 100% CORRECT ANSWERS
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? - correct Answers ✔✔ -
|;, |;, |;, |;, |;, |;, |;, |;, |;, |;, |;, |;, |;, |;, |;, |;,
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? - correct Answers ✔✔ -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? - correct Answers ✔✔ -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? - correct Answers ✔✔ -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? - correct Answers ✔✔ -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? - correct Answers ✔✔ -Consider an antiarrhythmic medication
|;, |;, |;, |;, |;, |;, |;, |;, |;,
A responsive patient is choking. What method should the provider use first to clear the obstructed
|;, |;, |;, |;, |;, |;, |;, |;, |;, |;, |;, |;, |;, |;, |;,
airway? - correct Answers ✔✔ -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? - correct Answers ✔✔ -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? - correct Answers ✔✔ -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? - correct Answers ✔✔ -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? - correct Answers ✔✔ -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? - correct Answers ✔✔ --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? - correct Answers ✔✔ -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? - correct Answers ✔✔ -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? - correct Answers ✔✔ -D
|;, |;, |;, |;, |;, |;, |;, |;, |;, |;, |;, |;, |;,
For a patient with third-degree atrioventricular (AV) block and a blood pressure of 70/48 mmHg, what
|;, |;, |;, |;, |;, |;, |;, |;, |;, |;, |;, |;, |;, |;, |;,
interventions should be considered? - correct Answers ✔✔ --Initiate a dopamine infusion
|;, |;, |;, |;, |;, |;, |;, |;, |;, |;, |;, |;,
-Administer atropine |;,
-Initiate transcutaneous pacing |;, |;,
A patient arrives at the emergency department complaining of shortness of breath. The patient has a long
|;, |;, |;, |;, |;, |;, |;, |;, |;, |;, |;, |;, |;, |;, |;, |;,
history of chronic obstructive pulmonary disease. Assessment reveals respiratory failure. Which action
|;, |;, |;, |;, |;, |;, |;, |;, |;, |;, |;, |;,
would be the initial priority to address the respiratory failure? - correct Answers ✔✔ -Assisted
|;, |;, |;, |;, |;, |;, |;, |;, |;, |;, |;, |;, |;, |;, |;,
ventilation with BVM resuscitator
|;, |;, |;, |;,
The ECG rhythm strip of a patient who arrived in the emergency department complaining of dizziness,
|;, |;, |;, |;, |;, |;, |;, |;, |;, |;, |;, |;, |;, |;, |;,
syncope and shortness of breath reveals sinus bradycardia. When reviewing the patient's medication
|;, |;, |;, |;, |;, |;, |;, |;, |;, |;, |;, |;, |;,
history, the healthcare provider identifies which agent(s) as a potential cause of the patient's current
|;, |;, |;, |;, |;, |;, |;, |;, |;, |;, |;, |;, |;, |;, |;,
condition? - correct Answers ✔✔ --Verapamil
|;, |;, |;, |;, |;, |;,
-Digoxin
-Metoprolol
A patient with acute renal failure experiences cardiac arrest. Just before the cardiac arrest, the patient's
|;, |;, |;, |;, |;, |;, |;, |;, |;, |;, |;, |;, |;, |;, |;,
ECG showed peaked T waves. What might be causing the patient's cardiac arrest? - correct Answers ✔
|;, |;, |;, |;, |;, |;, |;, |;, |;, |;, |;, |;, |;, |;, |;, |;, |;,
✔ -Hyperkalemia
|;,
A patient is experiencing respiratory distress secondary to an exacerbation of chronic obstructive
|;, |;, |;, |;, |;, |;, |;, |;, |;, |;, |;, |;,
pulmonary disease. The patient begins to exhibit signs and symptoms of worsening respiratory function
|;, |;, |;, |;, |;, |;, |;, |;, |;, |;, |;, |;, |;, |;,
and experiences respiratory arrest. The team intervenes, delivering ventilations via BVM resuscitator.
|;, |;, |;, |;, |;, |;, |;, |;, |;, |;, |;, |;,
The team should provide ventilations at a rate of 1 ventilation: - correct Answers ✔✔ -Every 6 seconds
|;, |;, |;, |;, |;, |;, |;, |;, |;, |;, |;, |;, |;, |;, |;, |;, |;, |;,
A patient is being treated in the emergency department and is determined to have NSTE-ACS. Invasive
|;, |;, |;, |;, |;, |;, |;, |;, |;, |;, |;, |;, |;, |;, |;,
management is planned based on which finding? - correct Answers ✔✔ -Ventricular tachycardia
|;, |;, |;, |;, |;, |;, |;, |;, |;, |;, |;, |;, |;,
A patient's ECG reveals a narrow QRS complex with a regular rhythm, indicating a narrow-complex
|;, |;, |;, |;, |;, |;, |;, |;, |;, |;, |;, |;, |;, |;,
supraventricular tachyarrhythmia. The patient is not showing signs of hemodynamic compromise.
|;, |;, |;, |;, |;, |;, |;, |;, |;, |;, |;,
Which intervention would be initiated first if it does not delay other interventions? - correct Answers ✔
|;, |;, |;, |;, |;, |;, |;, |;, |;, |;, |;, |;, |;, |;, |;, |;, |;,
✔ -Vagal maneuvers
|;, |;,
A resuscitation team is debriefing following a recent event. A patient experienced cardiac arrest, and
|;, |;, |;, |;, |;, |;, |;, |;, |;, |;, |;, |;, |;, |;,
advanced life support was initiated. The patient required the placement of an advanced airway to
|;, |;, |;, |;, |;, |;, |;, |;, |;, |;, |;, |;, |;, |;, |;,
maintain airway patency. Which statement indicates that the team performed high-quality CPR? -
|;, |;, |;, |;, |;, |;, |;, |;, |;, |;, |;, |;, |;,
correct Answers ✔✔ -"We provided chest compressions at a rate of 100 to 120 compressions per
|;, |;, |;, |;, |;, |;, |;, |;, |;, |;, |;, |;, |;, |;, |;, |;,
minute while giving 1 ventilation every 6 seconds without pausing compressions."
|;, |;, |;, |;, |;, |;, |;, |;, |;, |;, |;,
A patient experiences cardiac arrest, and the resuscitation team initiates ventilations using a bag-valve-
|;, |;, |;, |;, |;, |;, |;, |;, |;, |;, |;, |;, |;,
mask (BVM) resuscitator. The development of which condition during the provision of care would lead
|;, |;, |;, |;, |;, |;, |;, |;, |;, |;, |;, |;, |;, |;,
the team to suspect that improper BVM technique is being used? - correct Answers ✔✔ -
|;, |;, |;, |;, |;, |;, |;, |;, |;, |;, |;, |;, |;, |;, |;, |;,
Pneumothorax
An ECG strip of a patient in the emergency department reveals the following rhythm. Which feature
|;, |;, |;, |;, |;, |;, |;, |;, |;, |;, |;, |;, |;, |;, |;,
