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ACLS Quiz: Advanced Cardiovascular Life Support 50 Questions and Answers, Exams of Cardiology

50 questions and answers related to advanced cardiovascular life support (acls). Topics covered include iv/io drug administration during cpr, oxygen toxicity, initial airway management, checking for a pulse, unstable supraventricular tachycardia, recommended doses of medications, appropriate rates of chest compressions, defibrillation, obtaining a 12 lead ecg, and more. These questions and answers are essential for healthcare professionals to effectively respond to cardiac emergencies.

Typology: Exams

2023/2024

Available from 04/10/2024

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ACLS Advanced Cardiovascular Life
Support 2022 QUIZ 50 QUESTIONS
AND ANSWERS
given rapidly during compressions - answer IV/IO drug administration during CPR should be
Potential oxygen toxicity - answer What is the danger of routinely administering high
concentrations of oxygen during post-cardiac arrest period for patients who achieve ROSC?
NOT recommended for routine use - answer Recommendation on the use of cricoid pressure to
prevent aspiration during cardiac arrest
Performing a head tilt chin lift maneuver - answer Family members found a 45 year old woman
unresponsive in bed. Patient is unconscious and in respiratory arrest. What is the recommended
initial airway management technique?
Check for a pulse - answer After verifying unresponsiveness and abnormal breathing, you
activate emergency response team. What is your next action?
Unstable supraventricular tachycardia - answer A responder is caring for a patient with a history
of congestive heart failure. Patient is experiencing shortness of breath, a BP of 68/50 mmHg,
and HR of 190/min. Patient's lead II ECG is displayed above (shows unstable SVT). Which of the
following best describes this patient?
300 mg - answer Recommended 1st IV dose of amiodarone for a patient with refractory
ventricular fibrillation?
Administer a second shock - answer Patient remains in ventricular fibrillation despite 1 shock
and 2 minutes of continuous CPR. Next intervention is to
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ACLS Advanced Cardiovascular Life

Support 2022 QUIZ 50 QUESTIONS

AND ANSWERS

given rapidly during compressions - answer IV/IO drug administration during CPR should be Potential oxygen toxicity - answer What is the danger of routinely administering high concentrations of oxygen during post-cardiac arrest period for patients who achieve ROSC? NOT recommended for routine use - answer Recommendation on the use of cricoid pressure to prevent aspiration during cardiac arrest Performing a head tilt chin lift maneuver - answer Family members found a 45 year old woman unresponsive in bed. Patient is unconscious and in respiratory arrest. What is the recommended initial airway management technique? Check for a pulse - answer After verifying unresponsiveness and abnormal breathing, you activate emergency response team. What is your next action? Unstable supraventricular tachycardia - answer A responder is caring for a patient with a history of congestive heart failure. Patient is experiencing shortness of breath, a BP of 68/50 mmHg, and HR of 190/min. Patient's lead II ECG is displayed above (shows unstable SVT). Which of the following best describes this patient? 300 mg - answer Recommended 1st IV dose of amiodarone for a patient with refractory ventricular fibrillation? Administer a second shock - answer Patient remains in ventricular fibrillation despite 1 shock and 2 minutes of continuous CPR. Next intervention is to

Administer 2 to 4 mg of morphine by slow IV bolus - answer 49 year old man has retrosternal chest pain radiating into the left arm. Patient is diaphoretic, with associated shortness of breath. BP is 130/88 mmHg, HR is 110/min, RR is 22 breaths/min, and pulse oximetry is 95%. Patient's 12 lead ECG shows ST segment elevation in the anterior leads. First responders administered 160 mg aspirin, and there is a patent peripheral IV. Pain described as a 8/10 and unrelieved after 3 doses of nitroglycerin. What is the next action? At least 100/min - answer What is the appropriate rate of chest compressions for an adult in cardiac arrest? Defibrillation - answer EMS personnel arrive to find a patient in cardiac arrest. Bystanders are performing CPR. After attaching a cardiac monitor, the responder observes the following rhythm strip. What is the most important early intervention? Obtaining a 12 lead ECG - answer You are evaluating a 58-year-old man with chest pain. BP is 92/50 mmHg, HR is 92/min, nonlabored RR is 14 breaths/min, and the pulse oximetry reading is 97%. What assessment step is most important now? Administration of IV or IO fluid bolus - answer What is the recommended initial intervention for managing hypotension in the immediate period after return of spontaneous circulation (ROSC)? Divert the patient to a hospital 15 minutes away with CT capabilities - answer You are receiving a radio report from an EMS team en route with a patient who may be having an acute stroke. The hospital CT scanner is not working at this time. What should you do in this situation? Closed-loop communication - answer A team leader orders 1 mg of epinephrine, and a team member verbally acknowledges when the medication is administered. What element of effective resuscitation team dynamics does this represent? Transport the patient to a facility capable of performing PCI - answer Which is an appropriate and important intervention to perform for a patient who achieves ROSC during an out-of- hospital resuscitation?

Conduct a problem-focused history and physical examination - answer An 80-year-old woman presents to the emergency department with dizziness. She now states she is asymptomatic after walking around. Her BP is 102/72 mmHg. She is alert and oriented. Her lead II ECG is below. After you start an IV, what is the next action? 5 to 10 seconds - answer How long should it take to perform a pulse check during the BLS Survey? 160 to 325 mg - answer What is the recommended oral dose of aspirin for patients suspected of having one of the acute coronary syndromes? Every 2 minutes - answer How often should the team leader switch chest compressors during a resuscitation attempt? 10 to 12 breaths per minute - answer What is the recommended assisted ventilation rate for patients in respiratory arrest with a perfusing rhythm? Defibrillation - answer A patient has a witnessed loss of consciousness. Lead II ECG reveals this rhythm. What is the appropriate next intervention? Obtain a 12-lead ECG and administer aspirin if not contraindicated - answer A postoperative patient in the ICU reports new chest pain. What actions have the highest priority? Measure from the corner of the mouth to the angle of the mandible - answer Which of the following is an acceptable method of selecting an appropriately sized oropharyngeal airway (OPA)? Antecubital vein - answer Which of the following is the recommended first choice for establishing intravenous access during the attempted resuscitation of a patient in cardiac arrest?

Begin CPR, starting with chest compressions - answer What is the recommended next step after a defibrillation attempt? Continue CPR while the defibrillator is charging - answer What should be done to minimize interruptions in chest compressions during CPR? Safety threat to providers - answer Which condition is an indication to stop or withhold resuscitative efforts? 12 to 24 hours - answer What is the recommended duration of therapeutic hypothermia after reaching the target temperature? At least 100 per minute - answer What is the recommended compression rate for performing CPR? Decreased cerebral blood flow - answer What is the immediate danger of excessive ventilation during the post-cardiac arrest period for patients who achieve ROSC? 120 to 200 J - answer What is the recommended energy dose for biphasic synchronized cardioversion of atrial fibrillation? Vagal maneuvers - answer A 53-year-old man has shortness of breath, chest discomfort, and weakness. The patient's BP is 102/59 mmHg, HR is 230/min, the RR is 16 breaths/min, and the pulse oximetry reading is 96%. The lead II ECG is displayed below. A patent peripheral IV is in place. What is the next action? Synchronized cardioversion - answer A patient in respiratory distress and with a BP of 70/ mmHg presents with the following lead II ECG rhythm. What is the appropriate next intervention?